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Permit EL18-0345 - BEN BRIDGE - INSTALL (2) THERMOSTATS
BEN BRIDGE 81 SOUTHCENTER MALL EL18-0345 Parcel No: Address: 0 City of Tukwila Department of Community Development 6300 Southceinter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: htto://www.TukwilaWA.eov 9202470130 81 SOUTHCENTER MALL Project Name: BEN BRIDGE ELECTRICAL OTC PERMIT Permit Number: EL18-0345 Issue Date: 4/11/2018 Permit Expires On: 10/8/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 ALEX BURKHART 727 5 KENYON ST , SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC (ELECTRICAL) 727 S KENYON ST , SEATTLE, WA, 98108 EVERGRL882JB 1 Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2020 DESCRIPTION OF WORK: INSTALLATION OF (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: PUGET 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: 2017 2017 2017 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. /I Signature: Date: l I / I3 Print Name: /kt- IJ‘4 ' 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 and the Washington Cities Electrical Code. 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No.jjI 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: 81 Southcenter Mall Tenant Name: Ben Bridge King Co Assessor's Tax No.: 9202470130 Suite Number: N/A Floor: 1 New Tenant: El Yes [Z]..No PROP J: R . Name: Alex Burkhart Name: Westfield Property Tax Dept. city: Seattle State: WA Zip: 98108 Address: PO Box 130940 Email: alexb@evergreenhvac.com city: Carlsbad State: CA Zip: 92013 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 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): $ 360 Scope of Work (please provide detailed information): Installation of two (2) thermostats. Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: O New 0 Addition 0 Service Change 0 Remodel m Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light W-..\Permir Center\Applications-HandoutstPerm,I ApplicationstPDFs\Electrical Permit Application Revised 1-1-17_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) $6L05 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) O 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: (Y Date: / /1% % Print Name: Alex Burkhart Day Telephone: (206) 763-1744 Mailing Address: 727 South Kenyon St. Seattle WA 98108 W:1Permit Center 1Applications-Hatdouts\Permit Applications\PDFs\Electrical Permit Revised: January 2017 bh ion Revised 1-I-17.dxx City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID 114.3 EL18-0345 Address: 81 SOUTHCENTER MALL ' Apn: 9202470130 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 0.00 $3.75 M18-0049 ddress: 81 SOUTHCENTERyMALL. n: 9202470130 X035:. MECHANICAL $995.68 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $763.39 PLAN CHECK FEE R000.322.102.00.00 0.00 $199.14 TECHNOLOGY FEE $39.83 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14215 R000.322.900.04.00 0.00 $39.83 $1,114.34 Date Paid: Wednesday, April 11, 2018 Paid By: EVERGREEN REFRIGERATION LLC (E Pay Method: CHECK 09258 Printed: Wednesday, April 11, 2018 9:53 AM 1 of 1 CRWSYSTEMS 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 - Permit Inspection Request Line (206) 438-9350 ebt'E-L23/5 Project: 615,-4 PtIE Type of Inspection: 61/AL, Address: A rpm- Date Called: Special Instructions: ret—il ) Date Wanted: 711 1 q45.1 ,l• Requester: Phone No: 0Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: ri REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPEC IO ---1—N NO. Retain a copy with permit INSPECTION RECORD (AT PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project: / 6., cA btkt: Type of Inspection: 01, 41+ id Address: A 41-47 Date Called: , Special Instructions: ..--- / -i-P17 Date Wanted:(a.m. p.m. Requester: Phone Nm. 6,7? '(Y7 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 04A- trAl• Inspector: Date: REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION Home jifoI Cold:net Safety & Health Claims & Insurance Ish Washington State Department of )Labor & Industries [Search L&I A -Z Index I lull) Page 1 of 6 stAticli My tXt 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 $ KENYON ST SEATTLE, WA 98108 206-7634744 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 EVERGRL882JB Effective -- expiration 04/02/2012— 04/02/2020 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 $4,0000O Received by L.S,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. License Violations Infraction no. EDOVE00454 Issue date Satisfied RCVVNVAC Help us improve haps://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882,113&SAW= 4/11/2018 EVERGREEN REFRIGERATION L. C Page 2 of 6 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. 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 05124/2016 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 ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or 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 RC WIWAC 19.28.101 RCW Violation amount $250.00 Help us improve https://secure.lni.wa.gav/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 4/11/2018 EVERGREEN REFRIGERATION Wic alteration as referenced in WAC 296 -46B -91;j (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Infraction no EDORN00330 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 4th quarter of 2012. Infraction no EDORN00329 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 3rd quarter of 2012. Infraction no EDORN00332 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 2nd quarter of 2013. Infraction no EDORN00334 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 4th quarter of 2013. Infraction no. Satisfied RCVVNVAC 19.28.061 RCW Violation amount $250.00 Satisfied RC VV/VVAC 19.28.061 RCW Violation amount $250.00 Satisfied RC VVNVAC 19.28.061 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 0 Page 3 of 6 Help us improve https://secure.lni.wa.goviverify/Detail.aspx?UBI=602512953&LIC=EVERGRL882.1B&SAW= 4/11/2018 EVERGREEN REFRIGERATION L C EDORN00336 Satisfied Issue date RCW/WAC 01/15/2015 19.28.061 RCW Violation city Violation amount Seattle $250.00 Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 2nd quarter of 2014. Infraction no. EDORN00333 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 3rd quarter of 2013. Satisfied ................. RCW/WAC 19.28.061 RCW Violation amount $250.00 Infraction no. EDORN00331 Satisfied Issue date RCW/WAC 01/15/2015 19.28.061 RCW Violation city Violation amount Seattle $250.00 Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. For the 1st quarter of 2013. Infraction no. EDORN00335 Issue date 01/15/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician Is a member of the firm or a full time supervisory employee of the firm as required. For the 1st quarter of 2014. Infraction no. EJOJP00302 Issue date 09/26/2014 Violation city SEATTLE Type of violation Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 Satisfied RC VV/WAC 19.28.271 RCW Violation amount $250.00 Page 4 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 4/11/2018 EVERGREEN REFRIGERATION ity 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. (Christopher Osier; 8016 127th Ave SE, Newcastle, WA) Infraction no. ESHA000627 Issue date 05/04/2012 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to obtain an inspections for permits 2026659E & 1924317E. Satisfied RCWNVAC 19.28.101 RCW Violation amount 5250.00 (0.) 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 422,456-02 ........................ Doing business as EVERGREEN REFRIGERATION LLC Estimated workers reported Quarter 4 of Year 2017 "Greater than 100 Workers" L&I account contact T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235tInl.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 Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 10/24/2014 Inspection no. 317607380 Location 207 SW 156TH St Burien, WA 98166 Inspection results date Violations Page 5 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 4/11/2018 EVERGREEN REFRIGERATIONLC 10/01/2014 No violations Inspection no. 317583862 Location 3411 South 23rd st Tacoma, WA 98405 Inspection results date 05/03/2012 Inspection no. 315920546 Location 20608 87th Ave. S Kent, WA 98031 a.r Violations Page 6 of 6 ©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/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 4/11/2018