HomeMy WebLinkAboutPermit EL18-0713 - JUBA RESTAURANT & CAFE - DISCONNECT & RECONNECT ELECTRICAL SERVICE FOR REPLACEMENT ROOFTOP UNITJUBA RESTURANT & CAFE
14223 TUKWILA INTL BLVD
ELI 8-0713
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: EL18-0713
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 S KENYON ST, SEATTLE, WA,
98108
License No: EVERGRL882JB
Lender:
Name:
Address:
1//
Phone: (206) 763-1744
Phone: (206) 763-1744
Expiration Date: 4/2/2020
DESCRIPTION OF WORK:
DISCONNECT AND RECONNECT EXISTING ELECTRICAL SERVICE FOR REPLACEMENT ROOFTOP UNIT.
Valuation of single family: $0.00
Valuation of mf/comm: $1,600.00
Type of Work: TENANT IMP
Fees Collected: $127.02
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: It
kid
Date:
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: G '�
Print Name: CPI,/
Date:
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.1 ).-„t 6 '7 3
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: alexbgevergreenhvac.com
City:State: WA
Bellevue98004
Zip:
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: alexbgevergreenhvac.com
King Co Assessor's Tax No.: 152304901100
Suite Number: N/A Floor: 1
New Tenant: Yes VI ..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): $ 1,600
Scope of Work (please provide detailed information): Disconnect & reconnect to existing electrical service for
replacement rooftop unit.
Will service be altered? El Yes No Adding more than 50 amps? ED Yes 0 No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change Remodel Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy E] Seattle City Light
W \Perm Center \ Applications -Handouts \Permit Applications \PDF'sIElectrical Permit Application Revised I-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
0 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
O 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.
1 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: 9 (c1/1
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\Electncal Permit Application Revised 1-I-17.docx
Revised. January 2017
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State Zip
Page 2 of 2
Fp-44MA yl
'0l
4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I
PermitTRAK
ACCOUNT
QUANTITY
PAID
$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
R000.322.900.04.00
0.00
$3.32
EL18-0713 Address: 14223 TUKWILA INTL BLVD
Apn: 1523049011
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
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
0.00I..;
$76.42
TECHNOLOGY FEE
$15.28
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15174
R000.322.900.04.00 0.00
I
$15.28
$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 K1 n,11 )
Retain a copy with permit Mil5S I I
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
0 uti el
Type of Inspection,..
rh VIA
Address
i'W2 fIR
Date Called:
Special Instructions:
Date Wanted:
a.m.
P.m.
Requester: 1 \
DV
Phone Ncr.7.0
, .221 9
Approved per applicable codes. OCorrections required prior to approval.
COMMENTS:
Inspect°
Date:4
REINSPECTION FEE REQUIRED. Prior to next inspedion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN REFRIGERATION It
Washington State Department of
Labor & Industries
I iomc Espanol Contact Search L&I
A -Z Index I lelp
Safety & Health Claims & Insurance 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
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
Savings
No savings accounts during the previous 6 year period.
License Violations
Page 1 of 5
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EVERGREEN REFRIGERATION Wh.0
Infraction no.
ED0VE00454
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
ELECTRICAL CITATION
Description
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 5
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EVERGREEN REFRIGERATION t
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 01 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 of 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 of 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/WAC
19.28.061 RCW
Violation amount
$250.00
Satisfied
RCW/NAC
19.28.061 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.061 RCW
Violation amount
$250.00
Page 3 of 5
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EVERGREEN REFRIGERATION L40LC Page 4 of 5
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 of 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 of 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
_..._.............
RCWNVAC
19.28.271 RCW
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EVERGREEN REFRIGERATION '
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
Osier; 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 workers' comp premiums.
L&I Account ID Account Is current.
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
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 bld
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
10/01/2014
Inspection no.
317583862
Location
3411 South 23rd st
Tacoma, WA 98405
Violations
No violations
Page 5 of 5
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