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Home My WebLink AboutPermit EL14-0883 - CHAMPS SPORTS - THERMOSTATSCHAMP SPORTS 1030 SOUTHCENTER MALL EL1 4-0883 CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No.: 9202470010 Permit Number: EL14-0883 Address: 1030 SOUTHCENTER MALL Issue Date: 09/11/14 Project Name: CHAMPS SPORTS Permit Expires On: 03/15/15 Owner: Name: WESTFIELD PROPERTY TAX DEPARTMENT Address: PO BOX 130940 CARLSBAD CA 92013 Contact Person: Name: ALEX BURKHART Phone: (206) 763-1744 Address: 727 S KENYON ST SATTLE WA 98108 Contractor: Name: EVERGREEN REFRIGERATION Phone: (206) 763-1744 Address: 727 S KENYON ST SEATTLE WA 98108 License No.: EVERGRL882JB Expiration Date: 04/02/16 Lender: Name: Phone: Address: Description of Work: INSTALLATION OF TWO (2) THERMOSTATS Valuation of single family: $ Fees Collected: $ 77.28 Valuation mf/comm: $ 360.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGET SOUND ENERGY Water District: Sewer District: Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Loa, -4 Date: 9 - I{ f �� hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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: et 1 i ` AC i Print Name: A Vv-it zt•.- 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. PERMIT CONDITIONS: 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 70 — NEC, and requirements for electrical installations, Chapter 296-466 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. PERMIT INSPECTIONS REQUIRED: Permit Inspection Line: (206)438-9350 7001 UNDERGROUND/SLAB 7002 SERVICE 7003 ROUGH -IN ELECTRICAL 2100 ELECTRICAL FINAL CITY OF TUKWW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 117= L' LA-- 0 $3 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 King Co Assessor's Tax No.: Site Address: / b 3 ° 56LAao4e, f4)t Tenant Name: £t'Jtti hys PROPERTY +OWNER Name: vi�`f ,F( Z pa. T bel)÷ . Address: pa Bcoc i3aqt.{e) City:(Ac 16 L/ 1 State: Gt3 Zip: tizO 0 CONTACT PERSON — person receiving all project communication Name: A , L3 - c_,A.— Address: -7Z7 s.51)44.,l�/its11 Sa_ City: .- State: L/%- Zip: 6icz 1 Phone: 7,06-7:63 _ IZaF4 Fax: 13,.6 -263 _ 23Y`t Email: GvteA, aegr4e,rn1,,v,.rvc-. i 2,OZ Li 7 OD Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ve,r,„\,,,,zein / ,))ed-r,i Address: -72-7 5vv-' ke-n y,,,, sue _ City: State: Zip: et mg Phone: 7o6 �--743 , t-j ( Fax: ?�6 �z6-3 - 2,3 Y=1 Contr Reg No.: C VEt2-68 ga,a3 Exp Date: j (2 llc Tukwila Business License No.; B t) S _ 01 q j - -7 Valuation of Project (contractor's bid price): $ 3 Scope of Work (please provide detailed information): Lrt34(0-� ° (z' iv-43 Will service be altered? ❑ Yes ErNo Adding more than 50 amps? ❑ Yes ErNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\ron s-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O 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: Date: Print Name: / 1wN'`t J Day Telephone: 7,04 - 3 — 1Z4(1 Mailing Address: --7(171 ° �' 1y,av‘ 5( 5eAvh- — 1414 City State Zip H:\Applications\Forms-Applications On Line \20I4 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $77.28 EL14-0883 Address: 1030 SOUTHCENTER MALL Apn: 9202470010 $77.28 ELECTRICAL $73.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $73.60 TECHNOLOGY FEE $3.68 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3036 R000.322.900.04.00 0.00 $3.68 $77.28 Date Paid: Thursday, September 11, 2014 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 006708 Printed: Tuesday, September 16, 2014 4:44 AM 1 of 1 EMS CITY 6 Received FORM NO 1 1912 ROOF' I t0 c♦ uiYiiyiv yr iv1..1M1,,1r•••- V,..... v..... .-..._. CITY OF TUKWILA TREASURER'S RECEIPT 1 Se `eim \ev 4k , 20 PiDate N2 47850 ��//��t_'7 WuP lob *ILA Kq sy 0,41 _ 1908 ' RV 2� �-� 1C� `P'✓D`�� °"` ( eVee.�-44 of l Dol ars, Fait EL ku— 0 SS3 000. 3)4, ‘.C)t. 00. 00 —73 60 000- -9-2-• q00 - DLi. py 3 (7$ k)J DEPT IrkX TOTAL J % -7 .249 `PXNM BY OLYMPIC PRINTERS, INC. WHITE - Finance Dept. -Cu z_ INSPECTION NO. INSPECTION RECORD Retain a copy with permit 64- an3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 7/Type (API 115 of Inspection: ."' Address: (O o I f r . Date Called: Special Instructions: % 5i A-ti Date Wanted: < < Ii p.m. Requester: 9 " r T r 4 / Phone No: 677 3i n Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: n (t i V C` (JAI. ' Inspector. -itithf#1146C Date: I} i, g i l q REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 5outhcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD G, t Retain a copy with permit l��'i 1 �V 85 INSPECTION NO. PERMIT NO/ OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: A/ Type of Inspection:n IYo / (N Address: � � �ut O 4 mil/ Date Called: Special Instructions: Z'rSc- Date Wanted: /0/10 a:m. m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: n 0 t l KAJ4 t4- (CV' Inspector: Date: tors. Y f 1 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 C Page 1 of 3 eL)Washington State Department of Labor & industries EVERGREEN REFRIGERATION LLC Owner or tradesperson PATTON, DOUGLAS Principals PATTON, DOUGLAS, PARTNER/MEMBER PATTON, ROGER, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER PATTON, ADAM, PARTNER/MEMBER Doing business as EVERGREEN REFRIGERATION LLC WA UBI No. 602 512 953 727 S KENYON ST SEATTLE, WA 98108 206-763-1744 KING County Business type Limited Liability Company 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 Designated administrator Ducharme, Geoffrey C Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator DUCHAGC91 OCR Bond Merchants Bonding Co (Mutual) $4,000.00 Bond account no. WA31802 Received by L&I Effective date 07/10/2012 04/07/2012 Expiration date Until Canceled Bond history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 09/11/2014