HomeMy WebLinkAboutPermit EL18-0503 - RILEY ROSE - INSTALL 3 THERMOSTATSRILEY ROSE
467 SOUTHCENTER MALL
ELI 8-0503
Parcel No:
Address:
City of Tukwila
a
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwlla, Washington 98188
Phone: 206-431'3670
Inspection Request Line: 206-438f9350
Web site: http://www.TukwiIaWA.ov
ELECTRICAL OTC PERMIT
9202470010
467 SOUTHCENTER MALL
Project Name: RILEY ROSE
Permit Number: EL]0503
Issue Date:
Permit Expircs On:
6/1/2018
11./7°/ZO18
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
POBOX 13O94O,CARiSBAD,WA,
92013
ALEX BURKHART Phone: 763-1744
727�KENYON�T,�[ATTLE��
98108
EVERGREENREF0GERAT|DNLL[ rxone: (.�^— ��_3'1744
(EE[0|0L
7Z7SKENYONST^5EATTLEVVA'
98108EVERGRL882JB Expiration Date: "' 7.0
727�KENYON�T,�[ATTLE'VY�'
DESCRIPTION OF WORK:
INSTALLATION OF (3) THERMOSTATS
Valuation of singie family: $0.00
Valuation of mf/comm: $54000
Type of Work: LOW VOLTAGE
Fees Collected: ‘,"‘
EIectrcaI Service Prov d ,: PUGET SOUND ENERGY
Water District: TUKV: �
Sewer District: TUKV:
Current Codes adopted bvthe City nrn.xmi|n
International Buliding 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 Cod,
�
WA Cities Electrical [o'/.:
WAC 296-46B:
2017WA State Energy Code.
2017
2017
2015
I hearby certify that I have r, ad and examined this permit and know the same to be true and correct. All
provisions of law and ordin: )ces Governing this work will be complied with, whether specified herein or not.
The granting of this permit c' not presume to give authority to violate or cancel the provisions of any other
state or local laws regulatir :ruction or the performance of work. I am authorized to sign and obtain this
development permit and agr,.c to the conditions attached to this permit.
Signature: `^'Z' � Date: � — /` Zv
Print Name: C 44-
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 ab ,boned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERNIi CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each wor site.
3: Approved plans shall I, m.;intained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work sha in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAS. the Washington Cities Electrical Code.
5: When any portion of : .::.ectrical installation is to be hidden from view by permanent placement of parts
of the building, such c,,,:',:rnent 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 Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.wv
Electrical Permit No. G 1.--4 5 00
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: 467 Southcenter Mall
Tenant Name: Riley Rose
PROPERTY OWNER
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
King Co Assessor's Tax No.: 9202470130
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: 04/02/2020
Tukwila Business License No.; BUS -0992877
Valuation of Project (contractor's bid price): $ 540
Scope of Work (please provide detailed information): Installation of three (3) thermostats.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
• Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W \Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17. docx
Revised January 2017
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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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
o
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:
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-I-17.docx
Revised January 2017
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Stale Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
344
EL18-0503; Address: 467 SOUTHCENTER MALL
pn: 9202470010
$83.44
PERMIT FEE MULTI-FAM/COMM
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14621
R000.322.101.00.00
0.00
R000.322.900.04.00
0.00
$79.47
$79.47
$3.97
$3.97
$83.44
Date Paid: Friday, June 01, 2018
Paid By: EVERGREEN REFRIGERATION LLC (E
Pay Method: CHECK 09343
Printed: Friday, June 01, 2018 9:28 AM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMtT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
cl ° ki
Type of Inspection:
Address:
7 1Am,,
Date Called:
Special Instructibns:
T-
Date Wanted:
a. .
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
Inspector:
Date:
I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must ba
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6/a -0c0)
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:
Type of InspectiorV
V)(16,4 (id
Address:
U
Date Called:
Special lnstructio s:
14
11711-5
Date Wanted: 7 A
i
4..m...r on.
Requester:
(.1)7
Phone "T:07 yr
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
k •
Inspector:
Date:
fr
REINSPECTK1N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN ELECTRICAL SYS6C
1
k Washington State Department of
Labor & Industries
0
lioine l'spanol Contact L&l
Safety & Health Claims & Insurance
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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 contractoes 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— 02/13/2020
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.
GI SEBJR975RJ
$4,000.00
.":ctive date
01/22/2011
1. ration date
Until Canceled
Satisfied
1, .','INVAC
19.28.101 RCW
Violation amount
51,000.00
Help us improve
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EVERGREEN ELECTRICAL
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain ..
electrical/telecommunications work p or
post a provisional electrical work perir
to beginning the electrical/telecom mu n
installation or alteration as referenced in 9 AC
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 pe,
prior to beginning the
electrical/telecommunication installation, or
alteration as referenced in WAC 296-a6i?-i Co
(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 purpos., of
chapter 19.28 RCW who does not poss .s a
valid certificate of competency or training
certificate to do electrical work.
Infraction no.
EMABQ04130
Issue date
06/11/2013
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purp,,
chapter 19.28 RCW who does not possL.,s a
valid certificate of competency or traininu
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 a n
electrical/telecommunications work perrn't or
post a provisional electrical work perm ; ; rior
to beginning the electrical/telecomm unic_ation
ori
19.28.101 RCW
Violation amount
$1,000.00
Satisticd
MAC
19.28.271 RCW
Violation amount
$500.00
Satisfied
....................
19.28.271 RCW
Violation amount
5250.00
Satisfied
........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Page 2 of 3
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