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Home My WebLink AboutPermit EL18-0712 - JUBA RESTAURANT & CAFE - INSTALL THERMOSTATJUBA RESTURANT & CAFE 14223 TUKWILA INTL BLVD ELI8-0712 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 1523049011 14223 TUKWILA INTL BLVD JUBA RESTAURANT & CAFE Permit Number: EL18-0712 Issue Date: 9/4/2018 Permit Expires On: 3/3/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SEG 56TH LLC 845 106TH AVE NE SUITE 100 , BELLEVUE, WA, 98004 ALEX BURKHART 727 S KENYON ST, SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC (ELECTRICAL) 727 5 KENYON ST , SEATTLE, WA, 98108 License No: EVERGRL882JB Lender: Name: Address: Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2020 DESCRIPTION OF WORK: INSTALLATION OF ONE (1) THERMOSTAT Valuation of single family: $0.00 Valuation of mf/comm: $180.00 Type of Work: LOW VOLTAGE Fees Collected: $69.62 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: " I t U 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. 1 am authorized to sign and obtain this development permit and agree to tconditions attached to this permit. Signature: G —7 ` Print Name: L/4;"114"/ am+'4 7 Date: V3/20 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.TukwiIA'A.t*ov Electrical Permit No. 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: 14223 Tukwila International Blvd. Tenant Name: Juba Restaurant & Cafe PROPERTY OWNER Name: Alex Burkhart Name: SEG 56th LLC City: Seattle State: WA Zip: 98108 Address: 845 106th Ave NE, Suite 100 Email: alexb@evergreenhvac.com City: Bellevue State: WA Zip: 98004 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.: Suite Number: N/A Floor: 1 New Tenant: ❑ Yes ..No 152304901100 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): $ 180 Scope of Work (please provide detailed information): Installation of one (1) thermostat. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel IZ Tenant Improvement VI Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light W \Permit Center \ Applications -Handouts \Permit Applications\PDF's\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) $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°0 TECHNOLOGY FEE*** 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: P Print Name: Alex Burkhart Day Telephone: (206) 763-1744 Mailing Address: 727 South Kenyon St. Seattle WA 98108 City W \Perms Center\App11cations- Revised. January 2017 bh Pecmit Applications\PDFs\Electrical Per Application Revised 1-1-17docx state Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $594.02 EL18-0712 Address: 14223 TUKWILA INTL BLVD Apn: 1523049011 $69.62 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE I R000.322.900.04.00 0.00 1 $3.32 EL18-0713 Address: 14223 TUKWILA INTL BLVD Apn: 1523049011 $127.02 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM I R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $6.05 M18-0101 Address: 14223 TUKWILA INTL BLVD Apn: 1523049011. $397.38 MECHANICAL $382.10 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $272.53 PLAN CHECK FEE R000.322.102.00.00 0.00 $76.42 TECHNOLOGY FEE $15.28 TECHNOLOGY FEE R000.322.900.04.00 0.00 $15.28 TOTAL FEES PAID BY RECEIPT: R15174 $594.02 Date Paid: Friday, August 17, 2018 Paid By: EVERGREEN REFRIGERATION & HVAC Pay Method: CHECK 09562 Printed: Friday, August 17, 2018 9:54 AM 1 of 1 SYSTEMS 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 a „a Projectir' 1 -�c_ ], � I Type of Inspection: y I . iv I 'oi Addre)t�1.1� 9 Date Called: l Special Instructions: Date Wanted: AAA a.m. p.m. Requester: 971\ 1 o y MI 11 Phone No: - l ' 1 i" 1°1 Approved per applicable codes. u Corrections required prior to approval. COMMENTS: P/i0 (4,.) Inspector: Date:q /r (( S REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION ot, Horne Espanol Contact Safety & Health CWashington State Department of , Labor & Industries Claims & Insurance 'Search L&I Page 1 of 5 ARCH A-ZIndex Ilelp Workplace Rights 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 RODGER PATTON MATTHEW ALAN 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— 04/02/2020 Designated administrator .....__.......... Jones, Anthony License type Electrical Administrator Bond Merchants Bonding Co (Mutual) Bond account no. WA31802 Received by L&I 07/10/2012 Savings No savings accounts during the previous 6 year period. License Violations Active. Meets current requirements. License no. JONESA*909RC $4,000.00 Effective date 04/07/2012 Expiration date Until Canceled My LSI Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 9/4/2018 EVERGREEN REFRIGERATION L C 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. Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Infraction no. EDOVE00455 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. 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 ELECTRICAL CITATION Description 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 5 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 9/4/2018 EVERGREEN REFRIGERATION 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. 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. 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 01 2012. 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 01 2013. 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 01 2013. Satisfied RCWNVAC 19.28.061 RCW Violation amount $250.00 Satisfied RCW/INAC 19.28.061 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 Satisfied RCWNVAC 19.28.061 RCW Violation amount $250.00 Page 3 of 5 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 9/4/2018 EVERGREEN REFRIGERATION 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. EDORN00336 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 01 2014. Infraction no. EDORN00331 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 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 01 2014. Infraction no. EJOJP00302 Issue date Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 Satisfied. RCW/WAC 19.28.061 RCW violation amount $250.00 Satisfied RCW/WAC 19.28.061 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Page 4 of 5 Help us improve haps ://secure. lni.wa.gov/veri fy/Detail. aspx?UBI=602512953 &L1C=EVERGRL 882JB & SAW= 9/4/2018 EVERGREEN REFRIGERATION It 09/26/2014 Violation amount $250.00 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. (Christopher Osler; 8016 127th Ave SE, Newcastle, WA) Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workerscomp premiums. L&I Account ID 422,456-02 Doing business as EVERGREEN REFRIGERATION LLC Estimated workers reported Quarter 2 of Year 2018 "Greater than 100 Workers" L&I account contact T4 / CASSANDRA SMITH (360)902-5632 - Email: SMCA235@lni.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on pubic 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 Burlen, WA 98166 Inspection results date 10/01/2014 Inspection no. 317583862 Location 3411 South 23rd st Tacoma, WA 98405 Violations No violations Page 5 of 5 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the stale of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 9/4/2018