HomeMy WebLinkAboutPermit EL16-0850 - HOMEWOOD SUITES - THERMOSTATHOMEWOOD SUITES
6955 FORT DENT WAY BLDG 4
EL16-0850
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: 2954900460 Permit Number: EL16-0850
Address: 6955 FORT DENT WAY BLDG 4 Issue Date: 10/28/2016
Permit Expires On: 4/26/2017
Project Name: HOMEWOOD SUITES
Owner:
Name: APPLE EIGHT SPE TUKWILA INC
Address: 814 E MAIN ST, RICHMOND, WA,
23219
Contact Person:
Name: ALEX BURKHART
Phone: (206) 763-1744
Address: 727 S KENYON ST, SEATTLE, WA,
2014
98108
2015
Contractor:
2014
Name: EVERGREEN REFRIGERATION LLC
Phone: (206) 763-1744
Address: 727 S KENYON ST, SEATTLE, WA,
2014
98108
2015
License No: EVERGRL882JB
Expiration Date: 4/2/2018
Lender:
2015
Name:
Address:
DESCRIPTION OF WORK:
INSTALLATION OF ONE T -STAT
Valuation of single family: $0.00
Fees Collected: $68.25
Valuation of mf/comm: $180.00
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 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature:
In
Date: IV
1 4 IV—
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: �G —a '6 [ is
Print Name:j
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 TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tulovila, WA 98188
http://www.Tukwi[aWA.gov
Electrical Permit No. fe LA(P—
Project No.
Date Application Accepted:
Date Application Expires:
use
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"
I SITE LOCATION
l King Co Assessor's Tax No.: 2A5 qA U0 L4fbD
Site Address: CA55 Fr -t tom' i��w Suite Number: Floor:
Tenant Name: 1ADW"--WWJ New Tenant:
❑ .....Yes [ty.<o
PROPERTY OWNER
Name: . �- 5r"� w�✓Lc.
Address: tj 1+ S,r
City: ��knhv> State: VA- Zip: Z52Gq
CONTACT PERSON — person receiving all project
communication
Name: A(o,C 1-surk%cy-k_
Address: -121 Vz4q,v-1 SWC
City: Je.,eWL- State: 1,.� Zip: qt 101
Phone:Vb-lb3- 1�4� Fax: 7,09---7,E.�-ZjY`I
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: �hd yah
Address: SQA Vlonv v S�
City: SZvatL State: \,V� Zip:
Phone: Z.a —� 6j l-2'{ Fax: -1. 6 3 --23 Y`l
Contr Reg No.: �/ ZWLL- $ pz--3&xp Date: 41-L111
Tukwila Business License No.; LUS _0gg19'7"1
Valuation of Project (contractor's bid price): $ 10'a)
Scope of Work (please provide detailed information):e)f- 60Z t J ► "� ��'
Will service be altered? ❑ Yes Er -No Adding more than 50 amps? ❑ Yes D�lo
Type of Use:
Type of work:
VL
ew ElAddition ElService Change ❑ Remodel ElTenant Improvement
ow Voltage ❑ Generator ❑ 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 1-1-14.docx
Revised: January 2014
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Page] 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)
$80.90
❑
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)
$10.80 ea
❑
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 1, 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:
Date: ` J
`L6
Print Name: -/ `'A- 6`A� Day Telephone: ^� �, 6 j� ngct
Mailing Address: 71-1 56 ' 9AAkL LAC- q 8 M
City State Zip
HAAppl icationsTorms-Applicat ions On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$562.39
EL16-0850 Address: 6955 FORT DENT WAY BLDG 4 Apn: 2954900460
$68.25
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE R000.322.900.04.00
0.00
$3.25
M16-0145 Address: 6955 FORT DENT WAY BLDG 4 Apn: 2954900460
$494.14
MECHANICAL
$475.13
PERMIT ISSUANCE BASE FEE R000.322.100.00.00
0.00
$32.50
PERMIT FEE R000.322.100.00.00
0.00
$347.60
PLAN CHECK FEE R000.322.102.00.00
0.00
$95.03
TECHNOLOGY FEE
$19.01
TECHNOLOGY FEE 11000.322.900.04.00
TOTAL PAIDBY RECEIPT:.94
0.00
$19.01
•
Date Paid: Friday, September 16, 2016
Paid By: EVERGREEN REFRIGERATION
Pay Method: CHECK 008200
Printed: Friday, September 16, 2016 9:44 AM 1 of 11"
SYSTEMS
INSPECTION RECORD i
/ Retain a copy with permit W NO
INSPECTION N0, RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:Typ of In pection:14,11
14 _0 U� & - l� ��j 1� f
lAddress: n ti\ _ T Date ailed:
Phone No:
Approved per applicable codes. I—J Corrections required prior to approval.
IInspector: ` //,lMd 6-K IDate: 0
2/7,z"/' 7 I
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
inWashington State Depanment of
Labor & Industries
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EVERGREEN REFRIGERATION LLC
Owner or tradesperson
727 S KENYON ST
Jones, Anthony
SEATTLE, WA 98108
Principals
206-763-1744
PATTON, DOUGLAS, PARTNER/MEMBER
KING County
PATTON, ROGER, PARTNER/MEMBER
JONESA*909RC
PATTON, MATTHEW, PARTNER/MEMBER
PATTON, ADAM, PARTNER/MEMBER
$4,000.00
Doing business as
EVERGREEN REFRIGERATION LLC
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.
Electrical Contractor Active.
............................................. .
Meets current requirements.
License specialties
GENERAL
License no.
EVERGRL882JB
Effective — expiration
04/0212012— 04/02/2018
Designated administrator
Jones, Anthony
Active.
Meets current requirements.
License type
License no.
Electrical Administrator
JONESA*909RC
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
Savin s
No savings accounts during the previous 6 year period.
License Violations
........................
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https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 9/19/2016