HomeMy WebLinkAboutPermit EL17-0606 - DARWINS NATURAL PET PRODUCTS - LED, PLUGS, SWITCHES AND FA DEVICESDARWIN'S NATURAL PET
PRODUCTS
350 TRECK DR
ELI 7-0606
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.gov
ELECTRICAL OTC PERMIT
0223400045 Permit Number: EL17-0606
350 TRECK DR
Project Name: DARWINS NATURAL PET PRODUCTS
Issue Date: 8/7/2017
Permit Expires On: 2/3/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
CASEYMAX LLC
350 TRECK DRIVE , TUKWILA, WA,
98188
JOE GISEBURT
1900 W NICKERSON ST STE 116-9 ,
SEATTLE, WA, 98119
EVERGREEN ELECTRICAL SYSTEMS LLC
1900 W NICKERSON ST #116-9,
SEATTLE, WA, 98119
EVERGES904CH
Phone: (425) 773-0148
Phone: (206) 922-5591
Expiration Date: 2/13/2018
DESCRIPTION OF WORK:
REPLACE LIGHTS WITH LED. ADD (8) PLUGS AND (3) SWITCHES. RELOCATE (2) FA DEVICES
Valuation of single family: $0.00
Valuation of mf/comm: $8,845.00
Type of Work: TENANT IMP
Fees Collected: $280.29
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
r V A
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 conditions attached to this permit.
Dater 7 /7
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 TUK1'LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Lt 1 Q ( 0c0
Project No. r
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 350 7� e
Site Address: 3S0 `Tr ecK Pr
Tenant Name: �� }^ (,r///► . Pe -r POW(
King Co Assessor's Tax No.:
Suite Number: Floor:
PROPERTY OWNER
Name: I -6.c �J J v
Name: Oetrmiii S per ra, J
Address:
Address: 35- 0 7h eC 4 o
City: State:
City: ---#--- / t State: t^
/f/vt-�ill�C �1//7
Zip:
CONTACT PERSON — person receiving all project
communication
Name: I -6.c �J J v
Address: j fl� /'. �, . . , i
Address:
Phone: �/, — 77Jq / yl—Fax:
City: State:
Zip:
Phone: Fax:
Email: 9 -e4 ee_sS /'re . C 0211
New Tenant: El Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name•- � Wilizs_refrn
reew/ ecr, )
Address: j fl� /'. �, . . , i
City: Pct_TTie_ State: 40
Zipq G///
L O
Phone: �/, — 77Jq / yl—Fax:
Contr Reg No.TMEse70yExp Date: 2_ 1ep, f a^
0
Tukwila Business License No.;'C _ c qq Is -T.
� r 1
Valuation of Project (contractor's bid price): $ ��yJ / yJ
Scope of Work (pleas provide detailed inf mation): �Q,Ci /€G' e 44 -Its 4.)/ £ L2 /f d c/ 6E:)
(2I(IS — 3,5aJir 6, 4 /De Ol Cc;,) r, deuic-eJ
Will service be altered? ❑ Yes No% Adding more than 50 amps? ❑ Yes J' o
Type of Use: C,0-29) PI ('ql
Type of work:
❑ New grAddition 0 Service Change 0 Remodel
0 Tenant Improvement
0 Low Voltage 0 Generator Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
W:\P rmit Center\Applications-Handouts\Permit Applications \ Word \Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
bh
Page 1 of 2
c�
n
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$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)
irreCircu added/altered without service change $55.69
�(6,6r more circuits) $7.65 ea
❑ Meterr//mast repair $69.62
Low ve .g- ystems $61.05
mace 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
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:
Print Name:
Mailing Address:
ij wa
c1u,26a0_,I
/90 wc 6P1/.s0,1- .5-te/1 fr9 years f8//f
City State Zip
Date:
Day Telephone:
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$280.29
EL17-0606 Address: 350 TRECK DR
Apn: 0223400045
$280,29
Credit Card Fee
$8.16
Credit Card Fee
R000.369.908.00.00
0.00
$8.16
ELECTRICAL
$259.17
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$259.17
TECHNOLOGY FEE
$12.96
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12073
R000.322.900.04.00
0.00
$12.96
$280.29
Date Paid: Monday, August 07, 2017
Paid By: JOE GISEBURT
Pay Method: CREDIT CARD 666422
Printed: Monday, August 07, 2017 1:14 PM 1 of 1
CRWSYSTEMS
6
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-36
Project:
.lti1A% f 7
Type of Inspection:
Address:
5570.7"&14..
Special Instructions:
Date Called:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes. Lj Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION fjEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORDtaiz-
MIT
Retain a copy with permit INSPECTION N0. NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: `N
/ i 5
Type of Inspection:
�,Q V e It !i
Address.
{
Date Called:
Special Instructions:
Date Wanted:
II
a r116 p.m.
Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
1
At -c)
Inspector:
gcrlAfek
Date:
�t tb 117
REINSPECTION (PEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD (147-6(70
Retain'a copy with permit
INSPEC ON N0. PEIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367b1
Permit Inspection Request Line (206) 438-9350
Project:
l- rr R
,DA -(3101451-1
N �j
Type of Inspection:
I* 4
Address: ��� �/�
C
Date Called:
Special Instructions:
Date Wanted:
7
/0 J 0
p.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
jr&KINIE\
Date:���7
REINSPECTION EE REQUIRED. Prior to next inspection. fee must be
Inspector:
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: pm,toti W 5
Type of Inspection: a 4 MI/aClo
Address: 3co —7-Q,e
//
Date Called:
Special instructions:
Date Wanted:
kfr 5-- Ca:;ip.m.
Requester:
47), i
Phone No:
c730059/
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
�.Y
gr&01s
4WD 14 N9 /-0
Inspector:
/ iti
Date:
Sao//7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
t
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: DA4LIAA
,,rt
Type of Inspection:
ou44 NI
Address: �� ��� r
C�
Date Called:
Special Instructions:
Date Wanted:
j pir t7
Requester:
t
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
fA,
akt4-- 60v64\ e?ccz-Pf
69--4-foo
Inspector:
N
Date:
0
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN ELECTRICAL SYS tt5C
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0 Labor & Industries
Washington State Department of
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
Received by L&I
01/21/2011
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EROJE01059
Issue date
05/05/2017
Violation city
SEATTLE
Type of violation
Active.
Meets current requirements.
License no.
GISEBJR975RJ
$4,000.00
Effective date
01/22/2011
Expiration date
Until Canceled
Satisfied
.......................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863 827&LIC=EVERGES904CIH&SAW= 8/7/2017
EVERGREEN ELECTRICAL SYS�{LC
ELECTRICAL CITATION ( rib)
Description
Failing to get an inspection or obtain a valid
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EHICQ00246
Issue date
07/16/2015
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Infraction no.
EJOCJ00255
Issue date
12/04/2014
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work.
Infraction no.
EMABQ04129
Issue date
06/11/2013
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EMABQ04130
Issue date
06/11/2013
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
Satisfied
................. _....
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
.........................
RCW/WAC
19.28.271 RCW
Violation amount
$500.00
Satisfied
............. . _........
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.271 RCW
Violation amount
$250.00
Page 2 of 3
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EVERGREEN ELECTRICAL SYS tC
valid certificate of competency or training
certificate to do electrical work.
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
818,095-02
Doing business as
EVERGREEN ELECTRICAL SYSTEMS
Estimated workers reported
Quarter 2 of Year 2017 "7 to 10 Workers"
L&I account contact
71 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
......................................................
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 3 of 3
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