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Home My WebLink AboutPermit EL13-0108 - THE BODY SHOP - LOW VOLTAGE8OTOiT'T!1 TIdY1i IlaiNrapHiflOS IZOT �HL `dOHS AcL011 City dilCukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.Tukwila WA .gov ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 1021 SOUTHCENTER MALL TUKW Project Name: BODY SHOP, THE Permit Number: EL13-0108 Issue Date: 01/29/2013 Permit Expires On: 07/28/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: ALEX BURKHART Address: 727 S KENYON ST , SEATTLE WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA 98108 Contractor License No: EVERGRL882JB • Phone: 206 763-1744 Phone: (206)763-1744 Expiration Date: 04/02/2014 DESCRIPTION OF WORK: INSTALLATION OF (1) THERMOSTAT Value of Electrical: NRES: $180.00 RES: $0.00 Type of Fire Protection: SPRINKLERS/AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 5 Date: o l l it1 13 I hereby certify that I have read and e governing this work will be complied ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: \3u Date: \ i Ek / 3 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL13-0108 Printed: 01-29-2013 III 6 PERMIT CONDITIONS Permit No. EL13-0108 **ELECTRICAL** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA TO - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. doc: EL -4/10 EL13-0108 Printed: 01-29-2013 CITY OF TUK� Community DevelopmenTDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Perm `No. Project No. Date Application Accepted: Date Application Expires: E-t—Not (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: {01-1 MbII Tenant Name: T- «o St44-71P King Co Assessor's Tax No.: 70b1 0 Suite Number: Floor: New Tenant: E Yes ❑ ..No PROPERTY OWNER Company Name: Z d)in Name: `„/cS-i-%cr 1.1 pro --rmsr-1Address: R p, 1-) I C tq O City: 5eismtc. State: j/ Zip: t13 [61 City: 1.564"a State: at Zip: ef,20 rs CONTACT PERSON — person receiving all project communication Company Name: Z d)in Name:A i)u(14,6,A— City: s G K._ State: wl Zip: % LA Address: -72 $j[",sx'► S`_. Contr Reg No.:auEl2Ce L snZ3 6 Exp Date: f4 /al l,. City: 5eismtc. State: j/ Zip: t13 [61 Phone: ,74) ^-1 --1.).._ ri q 4 Fax: 2476 ,....-7c3..._2.3 ic3--.2- ,,,i Email: Email: a�� b 0 tv,u,h v,,c.. (b vn ELECTRICAL CONTRACTOR INFORMATION Company Name: Z d)in Address: --72.,-1 Sc I /_ vy 5+ , City: s G K._ State: wl Zip: % LA Phone: 7/06-76'-- l�`ig_ Fax: -2,06_7c`3--2.-TS8`I Contr Reg No.:auEl2Ce L snZ3 6 Exp Date: f4 /al l,. Tukwila Business License No.: Rus _ bvt 2,2 -ZZ Valuation of Project (contractor's bid price): $ ' v . OU Scope of Work (please provide detailed information): Will service be altered? El Yes �No Adding more than 50 amps? ❑ Yes E '1 o Type of Use: Type of work: ❑ew 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement 31 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: [Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: / /I - Print Name: /'t `"1 IJ Mailing Address: 7� ( Jth V -4 -11A -ton 5+ Day Telephone: 6 — 174q ei4 • 2 !? 5a-Akle- wl-- t,8l6t H:\Applications\Forms-Applications On Lme\201 I Applications\Electrical Permit Application Revised 8-9-I I.docx Revised: August 2011 bh City State Zip Page 2 of 2 CAl# of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: hto://www.ci. tukwila. wa. us SET RECEIPT Copy Reprinted on 01-29-2013 at 12:20:38 01/29/2013 RECEIPT NO: R13-00620 Initials: JEM Payment Date: 01/29/2013 User ID: 1165 Total Payment: 240.10 Payee: EVERGREEN REFRIGERATION, LLC SET ID: 0129 SET NAME: THE BODY SHOP SET TRANSACTIONS: Set Member Amount EL13-0108 63.00 M12-178 177.10 TOTAL: &3 -141.0 - TRANSACTION LIST: Type Method Description Amount Payment Check 005780 240.10 TOTAL: 240.10 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 MECHANICAL - NONRES 000.322.102.00.0 63.00 177.10 TOTAL: 240.10 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 64-c)(07 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 v., (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: (i1 rl�+ Type of Inspection: 00 (caC� Address: !Dal Imo/ Date Called: Special Instructions: i '5r41 Date Wanted:. ZZap.m. Requester: l" V Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 f/ 1 (741 etl�.-�N�i C✓K k)(14/4- /I_ cop/l164t l" V Inspector:%I j"� �I�,VJ -.� f eyN Date: 02,172, l ,3 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P,,;pter Friendly Page • Electrical Contractor A business licensed by LaI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company EVERGREEN REFRIGERATION LLC 2067631744 727 S Kenyon St Seattle WA 98108 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602512953 Active EVERGRL882JB Electrical Contractor 4/2/2012 4/2/2014 General Unused ociated Licenses License Name Type Specialty Specialty 2 Effective ExpirationDat Status EVERGRL915LREVERGREEN REFRIGERATION LLC Electrical Contractor ResidentialHvac/Rfrg Ltd Energy 6/12/2009 6/12/2013 Re - Licensed Electrical Administrator INFORMATION License DUCHAGC910CR Name DUCHARME, GEOFFREY C Status Active Business Owner Information Name Role Effective Date Expiration Date PATTON, DOUGLAS Partner/Member 04/02/2012 Bond Amount PATTON, ROGER Partner/Member 04/02/2012 WA31802 PATTON, MATTHEW Partner/Member 04/02/2012 PATTON, ADAM Partner/Member 04/02/2012 Travelers Cas & Surety Co Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 Merchants Bonding Co (Mutual) WA31802 04/07/2012 Until Cancelled $4,000.00 07/10/2012 1 Travelers Cas & Surety Co 105264448 08/22/2009 Until Cancelled 08/04/2012 $4,000.00 04/02/2012 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESHA000627 5/4/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa. aov/lni/bbip/Print.aspx 01/29/2013