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Permit EL17-0403 - APPLEBEES - HVAC CONNECTION
APPLEBEES 17790 SOUTHCENTER PKWY ELI 7-0403 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 3523049005 17790 SOUTHCENTER PKWY APPLEBEES Permit Number: EL17-0403 Issue Date: 5/30/2017 Permit Expires On: 11/26/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KIR TUKWILA 050 LLC/KIMCO 3333 NEW HYDE PARK STE 100 PROPERTY TAX DEPARTMENT, NEW HYDE PARK, WA, 11042 ALEX SOKIRKIN 11227 217 ST CT E , GRAHAM, WA, 98338 PACIFIC REFRIGERATION UNLMTD 11227 217 ST CT E , GRAHAM, WA, 98338 PACIFRU83110 Phone: (253) 341-1167 Phone: (253) 292-8728 Expiration Date: 4/20/2019 DESCRIPTION OF WORK: DISCONNECT OLD HVAC UNITS UPON THE ROOF. RECONNECTTEH NEW ONES Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: TENANT IMP Fees Collected: $130.83. Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE,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: 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 development permit and agree to the conditi. ... ached to this permit. Signature: Print Name: si , 7 Date: 5 ? D 19-- 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 TUKW. Community Developznent Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov iolio � Electrical Permit No. 7 (!, ,(� 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: 1:9-4e/ Ct'ACe^1 PCS rt1Wky Tenant Name: AMelep;S PROPERTYOWNER / Name: I4/ Sok-fir (....\‘`) Name: �`^ VAP4 0 c LLL Zip: c g33g City: 6 ry L6 M State: f� l Address: 3 3.73 New H A.e., ? rl ck. /00 Email: City: qAM NJ�I P pD(�C State: t ,i Zip:t n /It CONTACT PERSON - person receiving all project communication • / Name: I4/ Sok-fir Address: it 2:2,.z,? 41, S). c), S^ i' Zip: c g33g City: 6 ry L6 M State: f� l Phone: Cl .3) 3 ,14/6. Fax: AA Email: p LA a v 1 ce sK// 6... ;�, cs0 Al King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes 15d.. No ELECTRICAL, CONTRACTOR INFORMATION Company Name: VaGr, xq t`I f/�1 r 1 (,.P3b10n Address: 11229 2i 7 A 5i• E City: 6...,, jvv), State: c f Zip: 1"833,3, Phone: (ZS3) 26?2492g Fax: y4 //Date: Contr Reger 3/7/q Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): *Pic (04-fe (.— Co N1efri4ev' I sop els ��L t,,a3 Lir d c2 e S .. Will service be altered? ( ❑ Yes [?'i No Type of Use: I ti4C Type of work: ❑ New ❑ Addition kiLow Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy 0 Seattle City Light Adding more than 50 amps? ❑ Yes 4/No ❑ Service Change ❑ Fire Alarm W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh ❑ Remodel O Telecommunication ® Tenant Improvement 0 Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ 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 ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ 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) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea 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. 1 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: 4ks)J $o/ 7rkM 1122 7)77A 5). Mailing Address: W:\Pcrmit Center4Applications-Handouts Permit Applications\Word\Iilectrical Permit Application Revised 1.1-2017.docx Revised: January 2017 bh Date: cbDi Day Telephone:' a5.9 3 7 GCOA 4')*) City (/11 133.3 r State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $130.83 EL17-0403 Address: 17790 SOUTHCENTER PKWY Apn: 3523049005 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11585 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Tuesday, May 30, 2017 Paid By: ALEXSEY SOKIRKIN Pay Method: CREDIT CARD 310311 Printed: Tuesday, May 30, 2017 11:11 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: Pit Address: 7710 S ..� .. PY- Special Instructions: Type of Inspection: Date Called: Date Wanted: (206) 431-3670 Requester: Phone No: pproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: Date: REINSPECTIOf4 FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PACIFIC REFRIGERATION UNLT"`TD Washington State Department of Labor & Industries Horne. Espanol Contact (Search L&I Safety & Health Claims & Insurance Page 1 of 2 PSEAKC A-Zlndexx Help MyL&I Workplace Rights Trades & Licensing PACIFIC REFRIGERATION UNLMTD Owner or tradesperson Principals Sokirkin, Aleksey P, PARTNER/MEMBER Sokirkin, Aleksey, AGENT Doing business as PACIFIC REFRIGERATION UNLMTD WA UBI No. 603 252 618 11227 217th St Ct E GRAHAM, WA 98338 253-292-8728 PIERCE 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 HVAC/RFRG License no. PACIFRU8311O Effective — expiration 04/20/2017— 04/20/2019 Designated administrator Sokirkin, Aleksey Pavel Active. Meets current requirements. License type License no, Electrical Administrator SOKIRAP878C8 Bond ................ Ohio Cas Ins Co Bond account no. 32S386375 Received by L&I 04/20/2017 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 04/17/2017 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 620,799-00 Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603252618&LIC=PACIFRU8311 O&SAW= 5/30/2017 PACIFIC REFRIGERATION UNLMTD Doing business as TRUE REFRIGERATION UNLIMITED L Estimated workers reported Quarter 1 of Year 2017 "7 to 10 Workers" L&I account representative T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/D.etail.aspx?UBI=603252618&LIC=PACIFRU8311 O&SAW= 5/30/2017