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Home My WebLink AboutPermit EL14-0249 - HEALTHPOINT - THERMOSTATSHEALTHPOINT 13030 MILITARY RD S SUITE 200 EL1 4-0249 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 1623049171 13030 MILITARY RD S 200 HEALTHPOINT Permit Number: EL14-0249 Issue Date: 3/24/2014 Permit Expires On: 9/20/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: AGM INC PO BOX 2039 , KIRKLAND, WA, 98083 ALEX BURKHART 727 S KENYON ST, SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC 727 S KENYON ST , SEATTLE, WA, 98108 EVERGRL882JB Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2014 DESCRIPTION OF WORK: INSTALLATION OF (14) THERMOSTATS Valuation of single family: $0.00 Valuation of mf/comm: $840.00 Type of Work: LOW VOLTAGE Fees Collected: $95.34 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 20,125 Sewer Distric: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 Lad21 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: --.`1—1 I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, 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 development permit and agree to the conditions attached to this permit. Signature: '�` Date: 3 f Z'� / Print Name: Aft"- This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Penult No. EL1 L(— Q d�li Project No. Date Application Accepted: Date Application Expires: (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: t 030 Al ( (4-1(^/ R c • 5 Tenant Name: i-te-ilikil King Co Assessor's Tax No.: 1(>2) D N 1 Suite Number: Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER - Name: A cM L Address: R0, 130 2 6)9 City: 1,6-r[C,i u.,.,, 41 State: t Ar Zip: 1 g 6 83 CONTACT PERSON - person receiving all project communication Name: A.etx biv..-- Address: -' Ll 5 ''n ker►.,60h 5+ City: 5 State: k.,44 Zip: 41 g IA Phone: Z64-'t6;i - l--lc `i Fax: Zo -Z4-3 _ 23 g 1 Email: Qtt)CS @ Q V`CGhhvl+4.Ga,^+ ELECTRICAL CONTRACTOR INFORMATION Company Name: G� " J in 1 nFar4-fail Address: i 2/ 5 ICen yf+ 5+. City: State: 1./ Zip: £.Utor< Phone: '7,06-163—t-1y`f Fax: 7,66-163^ 28c1 Contr Reg No.: DV Ea (71R S2Ji3Exp Date: y.1 zl i cl Tukwila Business License No.; D v-s _ 0,tivt a 7 Valuation of Project (contractor's bid price): $ qq D Ua Scope of Work (please provide detailed information): Jr**" 144-0•41 n-fize n C 14 0 5 Will service be altered? ❑ Yes [r No Adding more than 50 amps? ❑ Yes Q�lo Type of Use: Type of work: ❑ New 0 Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement Er Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx Revised: January 2014 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: Print Name: /"1 Mailing Address: "1777 ST Day Telephone: City Date: 3 (Z (/C 741(;) — IT-{4 e k 2`(7 State Zip H:\Applications\Forms-Applications On Line\2014 Applications \Electrical Permit Application Revised 1-I-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $95.34 EL14-0249 Address: 13030 MILITARY RD S 200 Apn: 1623049171 $95.34 ELECTRICAL $90.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $90.80 TECHNOLOGY FEE $4.54 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1574 R000.322.900.04.00 $4.54 $95.34 Date Paid: Monday, March 24, 2014 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 006402 Printed: Monday, March 24, 2014 12:00 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Vett__ A/ 1 i,41 1 Type of Inspection:/ `}/ Address: .a ,u ryel Date Called: Special Instructions: f 5 S . Date Wanted: WI a.m. Requester: i Phone No: 2. 3 ? 2 7 s- ofyY 71' Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: c.,11;661,16k. Date: og 17 et r— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION T T .0 Page 1 of 3 Washington State 'Department of Labor & Industries EVERGREEN REFRIGERATION LLC Owner or tradesperson PATTON, DOUGLAS Principals PATTON, DOUGLAS PATTON, ROGER PATTON, MATTHEW PATTON, ADAM Doing business as EVERGREEN REFRIGERATION LLC WA UBI No. 602 512 953 727 S KENYON ST SEATTLE, WA98108 206-763-1744 KING County Business type Limited Liability Company Governing persons DAVIDAPATTON License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. EVERGRL882JB Effective — expiration 04/02/2012 — 04/02/2016 Active. Meets current requirements. Designated administrator ACTIVE Ducharme, Geoffrey C License type License no. Electrical Administrator DUCHAGC910CR Bond Merchants Bonding Co (Mutual) $4,000.00 Bond account no. WA31802 Received by L&I Effective date 07/10/2012 04/07/2012 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 03/24/2014