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Home My WebLink AboutPermit EL16-0678 - BOX LUNCH - THERMOSTAT AND REMOTE SENSORBOX LUNCH 800SOiJTHCF.NTER MALL EL16-0678 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 Parcel No: 9202470010 Permit Number: EL16-0678 Address: 800 SOUTHCENTER MALL Issue Date: 7/22/2016 Permit Expires On: 1/18/2017 Project Name: BOX LUNCH Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940, CARLSBAD, WA, 92013 Contact Person: Name: ALEX BURKHART Phone: (206) 763-1744 Address: 727 S KENYON ST, SEATTLE, WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Phone: (206) 763-1744 Address: 727 S KENYON ST, SEATTLE, WA, 98108 License No: EVERGRL954112 Expiration Date: 1/6/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALLATION OF (1) TSTAT AND ONE (1) REMOTE SENSOR Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $250.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: international Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition:• 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: Date: ` "�� 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 developments permit and agree to the conditions attached to this permit. Signature:.Date: Date:�� Print Name: ✓1�13�-�' 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 TUKW10 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.--ov Electrical Permit No.Wb - Project No. Date Application Accepted: Date Application Expires: (For o Jce 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 9 �) King Co Assessor's Tax No.: 61 l/�2it'i `00 [ d Site Address: fX�b �f �^ Suite Number: Floor: Tenant Name: 5DX Lvyt,(,h New Tenant: Er.Yes ❑ ..No PROPERTY OWNER Name: +vq,- -1 PN , TLx b4 E-, Address: VDX lam q 6 City: State: GA- Zip: i2bU CONTACT PERSON - person receiving all project communication Name: A ,A Address: -72;1 .St)L/K Vwto-i 5t, City: 5-uvrft State: 1,1'k- Zip: J$[6� Phone: gg_-1,63 --n+4 Fax: V 6 =-163- Z, �q Email: aLu 6 n PV" oak kVaG toK Valuation of Project (contractor's bid price): $ y5 b -m Scope of Work (please provide detailed information): Will service be altered? ❑ Yes ❑No Type of Use: TVDe of work: ELECTRICAL CONTRACTOR INFORMATION Company Name:F—yyeYtlll Address: 7,2;7 ,c0;4-1, �► City: State: Zip: 'I Itcf� Phone: 1,,, C--163- (-IL(`f Fax: ?A Contr Reg No.: VF,g( i`L15�4 Exp Date: 1 �� Tukwila Business License No.; A-vEn 0,( mov.-k 42vt%s. ❑ New ❑ Addition ❑ Service Change 6/Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:4\pplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docr Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes Q No ❑ Tenant Improvement ❑ Temporary Service 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 ❑ Manufactured/mobile home service ........................... (no added/altered circuits) (excluding garage or outbuilding) ❑ Service change with added/altered circuits ................. $81.90 Number of concessions ......................... 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) PERMIT APPLICATION NOTES - 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 I, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: G"' Date: 7 ( ` Print Name: � � Day Telephone: 6 --I -- I—l`i 1 Mailing Address: '72111 ""JV0-,6 % 5+' -X'" kv/h- `Igo' City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Date Paid: Friday, July 22, 2016 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 008068 Printed: Friday, July 22, 2016 10:09 AM 1 of 1 SYSTE S INSPECTION RECORD �j p Retain a copy with permitP 1/� INSPECTION N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: a. p.m. Requester: Phone No: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION' T.0 Home Espanol Contact Safety & Health 4nWashington State Department of Labor & Industries Claims & Insurance Page I of 3 Search L&I A-ZIndex Help MyL&I Workplace Rights Trades & Licensing I EVERGREEN REFRIGERATION LLC I Owner or tradesperson Principals PATTON, RODGER, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER Patton, Adam, PARTNER/MEMBER Patton, Douglas, PARTNER/MEMBER EVERGREEN REFRIGERATION LLC, PARTNER/MEMBER PATTON, DAVID, PARTNER/MEMBER (End: 01/21/2014) Doing business as EVERGREEN REFRIGERATION LLC 727 S KENYON ST SEATTLE, WA 98108 206-763-1744 KING County WA UBI No. Business type 602 512 953 Limited Liability Company Governing persons DAVID A PATTON MATTHEW PATTON; RODGER PATTON; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor .........._............................................. _......... _.. Active. Meets current requirements. License specialties GENERAL License no. EVERGRL954R2 Effective — expiration 01/0612006— 01106/2018 Bond ................. Merchants Bonding Co (Mutual) $12,000.00 Bond account no. WA15097 Received by L&I Effective date 12/15/2011 01/01/2012 Expiration date Until Canceled Bond history Insurance ............................... Nationwide Mutual Ins Co $1,000,000.00 Policy no. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL954R2&SAW= 7/22/2016