HomeMy WebLinkAboutPermit EL17-0019 - WESTERN / CORE FOODS - LED LIGHTINGWESTERN/CORE FOODS
641 INDUSTRY DR
EL17-0019
Parcel No:
Address:
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.eov
2523049008
641 INDUSTRY DR
Project Name: WESTERN/CORE FOODS
ELECTRICAL OTC PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL17-0019
1/9/2017
7/8/2017
Owner:
Name:
Address:
Contact Person:
Name:
NCWP ANDOVER EXECUTIVE PARK
810 NW MARSHALLS ST #300 ,
PORTLAND, WA, 97209
JOE GISEBURT
Address: 1900 W NICKERSON ST STE 116-9 ,
SEATTLE, WA, 98119
Contractor:
Name: EVERGREEN ELECTRICAL SYSTEMS LLC
Address: 1900 W NICKERSON ST #116-9,
SEATTLE, WA, 98119
License No: EVERGES904CH
Lender:
Name:
Address:
Phone: (425) 773-0148
Phone: (206) 922-5591
Expiration Date:
DESCRIPTION OF WORK:
UPGRADE LIGHTS TO LED, ADD PLUGS PER PLAN
Valuation of single family: $0.00
Valuation of mf/comm: $18,750.00
Type of Work: TENANT IMP
Fees Collected: $475.50
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature:I4'J12l€2lt4' ll% r Date: 1/10
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: / / f
---/ 7
Print Name.
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100' ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002. SERVICE
7001 UNDERGROUND/SLAB
0
0
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Soutlicenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. Tukwi l a W A . gov
Electrical Permit No. 61/1"frOor I
Proje
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:
Tenant Name:
zd _Ty los f r; t1(®( ice
te%Ste/t r /Care FoOd
PROPERTY OWNER
Name: ii, - i/f •. t'r-r.
y� l
Name: g („`,/ A it Cl evee- )' /1
Address: Jt t7 �� i.(lififi= /;_tre 0 jr.
Address: % !. ....rhe 01r {� i e
0
�,
City: to � J „.., Sta e: 73- Zip: ter? p i 7
CONTACT PERSON - person receiving all project
communication
Name: ii, - i/f •. t'r-r.
Address: itr� V. / r� il sr.
Address: Jt t7 �� i.(lififi= /;_tre 0 jr.
5,
City: !j e0 rot -c, State: r ./;1„,
Zip:Tal�l,?
�I
�I
Phone: t(5 7 73-o, pti,
Email:
10eaxe$5(-re• corgi
King Co Assessor's Tax No.:
Suite Number:
Floor:
New Tenant: 1211Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Ev eryf � feG1" 1` q( �i$-re►� i
Address: itr� V. / r� il sr.
City: 56�/ State: Mt Zip: qe,9
t .r
Phone:L!(-723o%itFax: r}enr qv 5.5-1/
Contr Reg No.: eve",r5 9o(c p Date:
Tukwila Business License No.; p 1 r _%
Flo iii Ntom / e UAV
p� aa[tti
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): (% 1 d cC - L- l At t0 t" r� c-dL / J
U ,1
6)4EAr eta"
Will service be altered? ❑ Yes No Adding more than 50' amps? ❑ Yes ,j21/No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Pro.er erved b
Puget Sound Energy ❑ Seattle City Light
ClUms\Kia_V:Amonta\localtMirmsotl\WindnwsiTemlxirary Internet Files \Cnntent.Outhink\DDBRKJKMEkxtrical Permit Application Revised I-1-20I7.dncx
Rev -iced: January 2017
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Page 1 of 2
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SELECTED OPTIONS (14)
$2,550
(AN3)
Front
Bucket Seat
Rear
(G05) axle/3.23
ratio
Standard
(ATT)
(106)
Seats,
second row
60/40 split -
folding
bench,
power
release,
heated
Audio
system, 8"
Diagonal
Color Touch
Screen
Navigation
with
IntelliLink1
Standard
4 -wheel
antilock disc
(JB1) brakes (with $0
Adaptive
Cruise
Control)
8 -speed
(M5U) automatic Standard
transmission
Illuminated
(SOM) door sill $420
plates
Front
(VKW) console $45
organizer
6.2L
(L86) EcoTec3 V8 Standard
engine
(RTL)
(SFE)
Wheels, 20"
chrome
Wheel locks
$700
$70
(VQQ)
Etri
Integrated
roof rails
$250 E
Molded
(VQK) splash $170
guards
Adaptive
Cruise
(Y66) Control with $895
Front
Automatic
Braking
TOTAL VEHICLE AND OPTIONS
Destination Freight Charge:
TOTAL VEHICLE PRICE
Factory Reduction Below MSRP
NET PRICE
Total Included Price Discounts and Cash Allowances: - $4,352
SELECTED ACCESSORIES (2)
$74,465
$1,195
$75,660
- $4,352
$71,308 t
+ $339
Side
Window
(-XSDWWD) $89 (SAM) Weather Skid$250
Deflector - Plate
Associated
Accessories )
STANOARD FEATURES
Package
• Memory Package
• Save and recall positions for the driver's seat, adjustable pedals, steering column, and outside rearview
mirrors
• Press the memory button 1 or 2, or use the key fob to return position preferences
• Enhanced Driver Alert Package Includes:
• Low Speed Forward Automatic Braking
• Forward Collision Alert
• Haptic Safety Alert Seat
w
0
0
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
O Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
O Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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 tune for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 HEREBY CERTIFY THAT 1 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:
111-)124
(yitivrf
Day Telephone:
Mailing Address: ne Nicker. ' i e I16'75ez7e[e
City
Date: /-6 /7
C:\Uscrs\Kia-ViAppData\LnraltMiernsoft\WindnwstTernporary Intranet Files\Cnntcnt.0utlnnk\DDBRKJKMEketrical Permit Application Revised 1 -I -20 I J.dncx
Revised: January 2017
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state Zip
Page 2 of 2
Order Style Detail - No Size
2017 YUKON XL 4WD OENALI (5SA)
$71,308 NET PRICE
Printed 12/17/2016
VEHICLE DETAILS
ZIP CODE:
98119
STANDARD VEHICLE PRICE:
SELECTED COLORS
$71,665
$0
(GBA) Onyx Black $0
(H2X)
SELECTED PACKAGES (1)
� INTERIOR PROTECTION PACKAGE
I J (PDH)
Highlights Include:
(VAV)
First and
second row
all-weather
floor mats
Jet Black,
Perforated
Leather $0
appointed I
Seat Trim a
$250
$250
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY I
PAID
$475.50
EL17-0019 Address: 641 INDUSTRY DR
Apn: 2523049008
$475.50
Credit Card Fee
$13.85
Credit Card Fee
R000.369.908.00.00
0.00
$13.85
ELECTRICAL
$439.67
PERMIT FEE MULTI-FAM/COMM
8000.322.101.00.00
0.00
$439.67
TECHNOLOGY FEE
$21.98
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10339
R000.322.900.04.00
0.00
$21.98
$475.50
Date Paid: Monday, January 09, 2017
Paid By: JOE GISEBURT
Pay Method: CREDIT CARD 043122
Printed: Monday, January 09, 2017 12:10 PM 1 of 1
jSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
641-0011
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ei(/1/4)� t Cpu&hT
pe of Inspection:
NAL—
Address:
0 AVs
I
ate Called:
Special Instructio s:
I
Date Wanted:
4-1
a.m.
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
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Inspector:
ewkeo,_
U Prior to next inspection. fee must be
REINSPECTION FEE REQUIRED. p
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:
Date:
bq 2. 1.7
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
INSPECTION NO.
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Permit Inspection Request Line (206) 438-9350
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Date Called:
Special Instructions: 7
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Requester:
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Phone No:
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LApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Ces 64-03u t. RA if 12"
Inspector:
�'1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD A7oi7
ty
Retain a copy with permit (,(tet
INSPECT ON N0. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
Project: 1,4j 651-/I��
Type of Inspection:
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Address: 6,1 P / r5��
Date Called:
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Date Wanted:
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Requester:
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Phone No:
ElApproved per applicable codes.
MCorrections required prior to approval.
COMMENTS: - bv6c,7 ci&& r ci _ oy`d 6
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ector:, Date: ! t l '
REINSPECTION FEE REQUIRED. Prior to next inspection, fee ust be
lnsp 1,4 Cr
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: tid
L
Type of Inspection:
o�ff, /
Address:
ill
Date Called:
,..--...
Special Instrucindins�
Date Wanted:
4..i
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Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4'knoil3 n�f
mit4"1 covi6i
ICo iilvefte
Inspector:
Date: ®3
080
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PEMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
ProjectiOT ��iuvi �
7 e of Inspection:
0-
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Address: / �� ` 11)+13
Date Called:
Special Instructions:
Date Wanted:
/m�
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p.m.
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— 6C/P.,4(-tdj Frynikt5 Atottri4 To OOP
- S 6. or -i -t -k-- Aro r-- cppiA/6-1-6- '
Inspector: 1-13,,, I)
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Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be ;
paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection.'
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P 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: coW
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Type of Inspectio fin/414-
Vt/4
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Address: ti
OPV 61 -al
Date Called:
Special
S ecial Instrtions:
Date Wanted:
! t0
a.m
Requester:
Phone No:
EiApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
JATA-7avit
Inspector:
cv.,g(611•16.
Date:
0(/(0 /11
REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN ELECTRICAL SYS T LC
Home Espanol Contact
Safety & Health Claims & Insurance
Washington State Department of
,' Labor & Industries
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Workplace Rights Trades & Licensing
EVERGREEN ELECTRICAL SYS LLC
Owner or tradesperson
Principals
GISEBURT, JOE R, PARTNER/MEMBER
Giseburt, Joe, AGENT
Doing business as
EVERGREEN ELECTRICAL SYS LLC
WA UBI No.
602 863 827
1900 W NICKERSON ST STE 116-9
SEATTLE, WA 98119
425-773-0148
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 Active.
........................
Meets current requirements.
License specialties
GENERAL
License no.
EVERGES904CH
Effective — expiration
02/08/2010— 02/13/2018
Designated administrator
.........................................
GISEBURT, JOE R
License type
Master Electrician
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
105543287
Active.
Meets current requirements.
License no.
GISEBJR975RJ
$4,000.00
Received by L&I Effective date
01/21/2011 01/22/2011
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EHICQ00246
Issue date
07/16/2015
Violation city
Seattle
Satisfied
.........................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 01/09/2017