HomeMy WebLinkAboutPermit EL17-0716 - AMERICA'S BEST CONTACTS & EYEGLASSES - THERMOSTATSAMERICA'S BEST
CONTACTS & EYEGLASSES
17334 SOUTHCENTER PKWY
ELI7-0716
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
2623049110 Permit Number:
17334 SOUTHCENTER PKWY Issue Date:
Permit Expires On:
AMERICA'S BEST CONTACTS & EYEGLASSES
EL17-0716
9/20/2017
3/19/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC
3333 NEW HYDE PARK RD #100 C/O
KIMCO REALTY CORP, PO BOX 5020
NEW HYDE PK, WA, 11042
ALEX BURKHART
727 S KENYON ST , SEATTLE, WA,
98108
EVERGREEN REFRIGERATION LLC
727 S KENYON ST, SEATTLE, WA,
98108
EVERGRL8821B
I/!
Phone: (206) 763-1744
Phone: (206) 763-1744
Expiration Date: 4/2/2018
DESCRIPTION OF WORK:
INSTALLATION OF (4) THERMOSTATS
Valuation of single family: $0.00
Valuation of mf/comm: $720.00
Type of Work: LOW VOLTAGE
Fees Collected: $92.66
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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
944
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
11
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:
Print Name: ,A 5( &Ail -arm
Date: alt I(i
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 TUKW1C
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. W1-01 I (%
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: 17334 Southcenter Pkwy
Tenant Name: America's Best Contacts & Eyeglasses
PROPERTY OWNER
Name: Alex Burkhart
Address: 727 South Kenyon St.
Name: KIR TUKWILA 050 LLC
Phone: (206) 763-1744 Fax: (206) 763-2389
Email: alexb@evergreenhvac.com
Address: 3333 New Hyde Park Rd. #100
City: New Hyde Park State: NY
Zip:
11042
CONTACT PERSON — person receiving all project
communication
Name: Alex Burkhart
Address: 727 South Kenyon St.
City: Seattle State: WA Zip: 98108
Phone: (206) 763-1744 Fax: (206) 763-2389
Email: alexb@evergreenhvac.com
King Co Assessor's Tax No.: 2623049110
Suite Number: N/A Floor: 1
New Tenant: ® Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen Refrigeration
Address: 727 South Kenyon St.
City: Seattle State: WA Zip: 98108
Phone:(206) 763-1744 Fax: (206) 763-2389
Contr Reg No.: EVERGRL882JB Exp Date: 04/02/2018
Tukwila Business License No.; BUS -0992877
Valuation of Project (contractor's bid price): $ 720
Scope of Work (please provide detailed information): Installation of four (4) thermostats.
Will service be altered? ❑ Yes m No Adding more than 50 amps? 0 Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
W.\Permit CenterWpplications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised 1-I-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $155.91
(including an attached garage)
O 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)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ 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
O 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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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:
Date: 1 I / ! t�
Print Name: Alex Burkhart Day Telephone: (206) 763-1744
Mailing Address: 727 South Kenyon St. Seattle WA 98108
City
W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17 docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermitTRAK
1 QUANTITY
PAID
$359.81
EL17-0716 Address: 17334 SOUTHCENTER PKWY Apn: 2623049110
$92.66
ELECTRICAL
$88.25
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$88.25
TECHNOLOGY FEE
$4.41
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.41
M17-0102 Address: 17334 SOUTHCENTER PKWY Apn: 2623049110
$267.15
MECHANICAL
$254.43
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PERMIT FEE
R000.322.100.00.00
0.00
$221.28
TECHNOLOGY FEE
$12.72
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12357
R000.322.900.04.00
0.00
$12.72
$359.81
Date Paid: Wednesday, September 20, 2017
Paid By: EVERGREEN REFRIGERATION LLC
Pay Method: CHECK 08959
Printed: Wednesday, September 20, 2017 9:41 1 of 1
AM
SYSTEMS
INSPECTION RECORD
Retain a copy with permit ti47-v7
INSPEC ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
Project:
1e:"Ctt'5 ! isr
Type of Inspection: --
P --
Address:) 7
r7
Date Called:
Special Instructions: f
Date Wanted:
2#7
.a., :
Requester: ',- r
Jiro.
Phone No: J
70-4) C, C, 11
,
.. — _,
Approved per applicable codes.
COMMENTS:
LJ Corrections required prior to approval.
n,
Inspector:
/ a
("iti,4 t`
Date:
(-2,7
REINSPECTION EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: f
Type of Inspection:
Address:
5.,
,7
Date Called:
Special Instructions:
1_ 57003
' '
Date Wanted:
iri L7
Requester:
Phone No:
LIApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
- 6 rM f to /1\1 -m?
ili-.41-65
- Att rc-I of ht,-- ()it:4.6 so I NCA®
n
Inspector:
Date: t
REINSPECTION ' EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD 64-03
Retain a copy with permitINSPECTION NO. t(
IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Projec l.,`i, c
Type of lnspectio
Address:
/733: S .gym
Date Called:
Special Instruction
Date Wanted:
Co.m.
/0/2- Cp.m.
Requester:
Phone No:
246 (7i (3/7?
Approved per applicable codes.
DCorrections required prior to approval.
COMMENTS:
fA
146Ackre tlikoMike'q
of
Inspector:
7
REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSP CTION N0.
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: /
L urs�' �5r
Type of Inspection./0 J
� t�
Address: `7
.33 3-
P ,
Date Called:
Special Instruction :
�c1—A-1-3
Date Wanted: d//l
(� o
.m:
p.m,
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
— Cpcgq\110-5c
Inspector:
Date: r® 1 t 7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection,
I
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION �/✓�
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
eu 7- v7ico
C
Project:At161-10-5 3657--
Type of Inspection:
Od4A- 14
Address:/ 713 ,J sr c. pti
j
Date Called:
Special Instructions.
r5r-k l 5
Date Wanted:
/(7 mm
lr ),
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
CA"):'64514viR494ei 040" 511,,b1P
Inspector:
feit5ehhy(-
D/6/C)1//7 � �
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN REFRIGERATION itC
Home Espanol Contact
Safety & Health Claims & Insurance
kWashington State Department of
4) Labor & Industries
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Workplace Rights Trades & Licensing
EVERGREEN REFRIGERATION LLC
Owner or tradesperson
Principals
PATTON, DOUGLAS, PARTNER/MEMBER
PATTON, ROGER, PARTNER/MEMBER
PATTON, MATTHEW, PARTNER/MEMBER
PATTON, ADAM, PARTNER/MEMBER
Doing business as
EVERGREEN REFRIGERATION LLC
WA UBI No.
602 512 953
727 S KENYON ST
SEATTLE, WA 98108
206-763-1744
KING County
Business type
Limited Liability Company
Governing persons
DAVID
A
PATTON
RODGER PATTON;
MATTHEW 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
04/02/2012— 04/02/2018
Designated administrator
Jones, Anthony
License type
Electrical Administrator
Bond
Merchants Bonding Co (Mutual)
Bond account no.
WA31802
Active.
Meets current requirements.
License no.
JONESA*909RC
$4,000.00
Received by L&I Effective date
07/10/2012 04/07/2012
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
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EVERGREEN REFRIGERATION LLC
License Violations
....................................... .........
Infraction no.
EDOVE00454
Issue date
08/11/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. William P. Larson was working as an
electrical trainee without proper supervision
as required by chapter 19.28 RCW.
Infraction no.
EDOVE00455
Issue date
08/11/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. Cody W. Angeline was working as an
electrical trainee without proper supervision
as required by chapter 19.28 RCW.
Infraction no.
ELE0000368
Issue date
02/15/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failure of the electrical contractor to
accurately verify electrical training hours on
an Affidavit of Experience.
Infraction no.
FCHMA01034
Issue date
05/24/2016
Violation city
SEATTLE
Type of violation
FAS INFRACTION
Description
Failure to correct alteration violations to a
mobile home or manufactured home as
required.
Infraction no.
EHICQ00243
Issue date
06/19/2015
Violation city
SEATTLE
Type of violation
Satisfied
.........................
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Satisfied
.._........._.......
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.161(6) RCW
Violation amount
$250.00
Satisfied
...... _............
RCW/WAC
43.22.435 RCW
Violation amount
$200.00
Satisfied.
..............._...
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Page 2 of 6
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