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Home My WebLink AboutPermit EL17-0770 - TEMPURPEDIC - THERMOSTATSTEMPURPEDIC 17195 SOUTHCENTER PKWY ELI7-0770 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 2623049071 17195 SOUTHCENTER PKWY Project Name: TEMPURPEDIC Permit Number: Issue Date: Permit Expires On: EL17-0770 10/18/2017 4/16/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KTM GROUP LLC 2810 EASTLAKE AVE E , SEATTLE, WA, 98102 ALEX BURKHART 727 S KENYON ST, SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC 727 S KENYON ST, SEATTLE, WA, 98108 EVERGRL8821B Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2018 DESCRIPTION OF WORK: INSTALLATION OF TWO (2) THERMOSTATS Valuation of single family: $0.00 Valuation of mf/comm: $360.00 Type of Work: LOW VOLTAGE Fees Collected: $78.83 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date: 2014 2014 2014 2015 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: kDate: Mbit- This � Print Name: k 6L 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 TUKWIC Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. L\-/- art 0 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: 17195 Southcenter Parkway Tenant Name: TempurSealy PROPERTY OWNER Name: KTM Group LLC, Kevin McNulty Address: 2810 Eastlake Ave E City: Seattle State: WA Zip: 98102 CONTACT PERSON — person receiving all project communication Name: Alex Burkhart Address: 727 S 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.: 262304-9069; 262304-907C Suite Number: Floor: New Tenant: ® Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Evergreen Refrigeration Address: 727 S 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): $ 360 Scope of Work (please provide detailed information): Installation of two (2) thermostats. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel D Tenant Improvement • Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:'Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh 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 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 ❑ 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 ***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 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: /" Date: 10/04/2017 Print Name: Alex Burkhart Day Telephone: (206) 763-1744 Mailing Address: 727 S Kenyon St. Seattle, WA 98108 City W:'Pemtit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ( ACCOUNT QUANTITY 1, PAID PermitTRAK $915.94 EL17-0770 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $78.83 ELECTRICAL $75.08 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $75.08 TECHNOLOGY FEE $3.75 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.75 M17-0144 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $837.11 MECHANICAL $804.91 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $610.78 PLAN CHECK FEE R000.322.102.00.00 0.00 $160.98 TECHNOLOGY FEE $32.20 TECHNOLOGY FEE R000.322.900.04.00 0.00 .. $32.20 TOTAL FEES PAID BY RECEIPT: R12490 $915.94 Date Paid: Thursday, October 05, 2017 Paid By: EVERGREEN REFRIGERATION Pay Method: CHECK 08977 Printed: Thursday, October 05, 2017 9:00 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit eti -oily P RMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: it 4�'j\r 13 I AAA !C Type of inspection: fis"...... i', Address: ` i 7513 C. Py Date Called: Special Iniructions: �^ Date Wanted: am? • m. Requester: Phone No: 1CApproved per applicable codes. orrections required prior to approval. OL_J MMENTS: ov Inspector: Date: 317 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. r INSPECTION RECORD t Retain a copy with permit CV 0711) INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: /N�`,� / V0, �� Type of Inspection: "VOC/ l4 /N\ Address: Date Called: Special Instructions: 1;5r -m-3 Date Wanted: Crrr--' 972 : Requester: Phone Noz , 67/ 3137 ❑ Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Tir Inspector: ✓ ---6e / I Date: /0A3/i7 O /L3 i7 REINSPECTIONFEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION I Home Espanol Contact Safety & Health Claims & Insurance 411111) Washington State Department of Labor & Industries Search L&I Page 1 of 6 AlICH A -r index Help My, Led 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. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 10/18/2017 EVERGREEN REFRIGERATION T 7r�C License Violations ................................._............ 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. Satisfied ........................... RCW/WAC 19.28.161 RCW Violation amount $250.00 Infraction no. EDOVE00454 Satisfied .................... Issue date RCW/WAC 08/11/2017 19.28.161 RCW Violation city Violation amount SEATTLE $250.00 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. 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 110. 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(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 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 10/18/2017