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HomeMy WebLinkAboutPermit EL18-0807 - TUKWILA COMMERCE CENTER - REPLACE LIGHTS AND RELOCATE SMOKE DETECTORTUKWILA COMMERCE CENTER 825 INDUSTRY DR BLDG 21 ELI 8-0807 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 VVebshe'htto://www.Tukmi|aVVA.0ox ELECTRICAL OTC PERMIT 2523049034 Permit Number: EL18'0807 825 INDUSTRY DR BLDG 21 Project Name: TUKWILA COMMERCE CENTER Issue Date: 9/20/2018 Permit Expires On: 3/19/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BKM TUKWILA 17O1QUAIL STSTElO0'NEWPORT BEACH, WA, 92660 JOE GISEBURT 1900VVNICKER5ONST5TE116-9, SEATTLE, WA, 98119 EVERGREEN ELECTRICAL SYSTEMS LLC 1900 W NICKERSON ST #116-9, SEATTLE, WA, 98119 EVERGES904[M ''' Phone: (425) 773-0148 Phone: (I06) 922-5591 Expiration Date: 2/13/2020 DESCRIPTION OF WORK: REPLACE (4) LIGHTS AND RELOCATE (1) SMOKE DETECTOR Valuation of single family: $0.00 Valuation ofmf/cumm: $2,275.00 Type of Work: ADDITION Fees Collected: $154.65 Electrical Service Provded by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwlla: International Ruilding Code Edition: Internatiortal Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: lnternational Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 20152015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA StatEnergy Code: Date: 2017 2017 20152017 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: Print Na e: Date: 4/ r-o«'l4 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 Na 1 28O 7 Project No. Date Application Accepted: v li 1°0 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 King Co Assessor's Tax No.: Site Address: v 7� 1/ ✓t (1 f i" t cc I /� r 511 ?l Suite Number: Floor: Tenant Name: 7u k -Wt 1Gf (( rh d i a ere C ekt re r New Tenant: ❑ Yes PROPERTY OWNER Name: Toe_ •_ / vet' Address: sa r t as E I $ Name: b fr� /1/f Email: l 6e6FbG"green e ecfv'i'to is YS rtC ali • COP'` Tukwila Business License No.; Address: f o`( 2 ire HQ e ✓ Q 6 /1/J City: I_ ) 1% State: tlKi � Zip: c7peci CONTACT PERSON — person receiving all project communication Name: Toe_ •_ / vet' Address: sa r t as E I $ City: State: Zip: Phone: Fax: Email: l 6e6FbG"green e ecfv'i'to is YS rtC ali • COP'` No ELECTRICAL CONTRACTOR INFORMATION Company Name: r h [lee 1''/"t ('t� Address: few f, tiZrseh .',r, City: Sear 1 State: ki.44 Zip: 9/4.//q Phone: r 4 2 _ 7,13 en pFax. Contr Reg No. ✓�� 40 `�C Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2-2 7.5 ScopeofWork (please`provide detailed information): kepi°CL' C J sync e de reci0Y pc. %© Ca Will service be altered? ❑ Yes Type of Use: 6, fl is'l rrc V No Adding more than 50 amps? ❑ Yes INo Type of work: 0 New ril Addition 0 Service Change ❑ Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator Fire Alarm 0 Telecommunication ❑ Temporary Service Pro erved b : Puget Sound Energy ❑ Seattle City Light W:\Permit Center Applications -Handout \Permit Applications\PDFsWkctrical Permit Application Revived I-I-l7.doox Revised: January 2017 bh Page 1 of 2 D. CONDITIONAL PAYMENTS & RETAINAGE Subcontractor's right to any and all payments for performance under this Subcontract is subject to the following: Payment Con : ent on Owner Payment. is agreed that as a condition precedent to any payment by C. actor to Su,. • tractor hereunder the Contractor must first receive payment from the : - or the Work of Subcontractor for which payment is sought. Subcontractor spe "ca • : es that it is relying upon the Owner's credit (not the Contractor's) for •. yment, and Su i mtractor specifically accepts the risk of nonpayment by t • Owner. At the reasonable est of Subcontractor, Contractor agrees to furn - such information as is reasonably availa • - o Contractor from Owner regarding ner's financial ability to pay for performance un• he Main Contract. The • • ies agree Contractor does not warrant the accuracy or c* •leteness of in • rmation provided by Owner. / r► ✓©►'c e ©14 % m �'� rt b l Subcontractor shall submit progress billings before the 25th of each month so that each billing © r may be included in Contractor's billing to the Owner and shall include a lien release, which is .Follvtui ,n,! available from Contractor, with each progress billing. The failure of Subcontractor to submit its billing timely and with a lien release shall result in Contractor submitting Subcontractor's billing to the Owner for the next month. Unless otherwise mutually agreed, Contractor shall withhold ridings from Subcontractor in the same percentage (S%) as the Owner withholds from the Contractor. Contractor's obligation to release retainage to Subcontractor shall be subject to proof that there are no unpaid claims which would provide the basis of a lien against the premises, retainage or payment bond, or subject to (1) withholding of sufficient funds or (2) furnishing an adequate and sufficient payment and performance bond. Subcontractor shall be paid for Work to date of Contractor's last progress billing date, as approved by Owner or its representative, within fifteen days after Contractor has received payment for such progress billing. Final payment for Work under this Subcontract shall be made within fifteen days after Contractor has received final or complete payment provided Subcontractor has completed its Work and fulfilled each of its obligations under this Subcontract. When required by Contractor, and as a condition precedent to any payment, Subcontractor shall provide in a form satisfactory to Contractor partial lien releases, claim waivers and affidavits of payment from Subcontractor, and its lower -tier subcontractors and suppliers of any tier, for the completed portion of Subcontractor's Work. If the Main Contract permits payment for materials delivered to the jobsite or to satisfactory storage facilities, Subcontractor may invoice for materials so delivered and receive payment as outlined above; provided, however, that such stored materials shall be at the risk of Subcontractor until acceptance of the Subcontract Work. Subcontractor acknowledges that all payments accepted by it or which are otherwise due under this Subcontract shall constitute a trust fund in favor of laborers, materialmen, governmental authorities, and all others who are legally entitled to claim a lien on the premises covered by this Subcontract or otherwise file a claim against any retainage or payment bond. Subcontractor shall pay its own subcontractors and suppliers all sums owed them within fifteen days of receipt of payment from or on behalf of Contractor. RMI Subcontract Agreement - 5 - Revised 01.05.17 010 )1 -tit . RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $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) ❑ Camivals $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: Print Name: /- oL. U 4 stobllr i' Date: 7- /9- /r �/ // C� Day Telephone:/�!02 SI,,-X773—eV Li(. Mailing Address: / �� a(//I/t C.. rftfr 1 cr S' -e 1/ Cl -` I 5ei 7i VV 2 ' 9V1 City state W:\Permit CenterVipplications-Handaas\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 7. As defined in Article D herein, Subcontractor's right to any and all payments for performance under this Subcontract is subject to the following: X Payment Contin git on Owner Payment n� IN WITNESS WHEREOF, CONTRACTOR and SUBCONTRACTOR have executed this agreement, effective the date of the last authorized signature unless otherwise agreed. R. MILLER INC. CONTRACTOR (Company Name) SUBCONTRACTOR (Company Name) By: By: CONTRACTOR (Authorized Signature) SUBC T ACTOR (Authorized Signature) Its: Its: (/C(%VI.Q_ K— R MILLMI871N H —RMILLMI871NHY //'` !T/' J l D Y‘1`71 Registration Number Registration Number Date RMI Subcontract Agreement - 3 - Revised 01.05.17 -336.0«7 Federal Tax I.Q. Number i( Workers' Compensation Account I.D. Number 006 Unemployment Insurance Reference Number / 7 /( Date Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/20/2018 02:05:36 PM CREDIT CARD SALE VISA CARD NUMBER: **********1483 K TRAN AMOUNT: $309.30 APPROVAL CD: 060925 RECORD #: 000 CLERK ID: Rachelle X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy httos://elassie.convergepay,comNirtualMerchant/transaction.do?dispatchMethod=printTra... 9/20/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 09/20/2018 02:05:36 PM CREDIT CARD SALE VISA CARD NUMBER: **********1483 K TRAN AMOUNT: $309.30 APPROVAL CD: 060925 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy hups://classic.convergepay.comNirtualMerehant/transaction.do?dispatchMethod=printTra... 9/20/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY PAID $309.30 EL18-0806 Address: 825 INDUSTRY DR BLDG 21 Apn: 2523049034 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 I 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $7.15 E118-0807 Address: 825 INDUSTRY DR BLDG 21 Apn: 2523049034 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 I 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15438 R000.322.900.04.00 0.00 $7.15 $309.30 Date Paid: Thursday, September 20, 2018 Paid By: JOE GISEBURT Pay Method: CREDIT CARD 060925 Printed: Thursday, September 20, 2018 2:06 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit e _o41a7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project:lk / Ml '+ Type of Inspection: ^ Address: ,6 r /� F S ( V Date Called: Special Instructions: OblA - ZA Date Wanted: . 4'T Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: Date: C REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permitLi--L I -5§07 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: v� CIDYH✓heat L7-2 Type of Ins ction: o h l 1I Addre Date Calle Special Instructions: ✓ ✓ 1d zil 2l Date Wanted: a.m. p.m. Requester: Phone No: 0Approved per applicable codes. Corrections required prior to approval. COMMENTS: wer..c eV S V ( '4,C) /20 Date: ihve,„ ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project/4610v boatiej Type of Inspection:�/„ I �Addre l 1G I� uDr Date Called: 4 2.1 Special Instructipns: ibiUV1 10\ ni)Requester:Joe) Date Wanted: Phone No: 11,22 Old 14 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 1\i cfrLic-LAje-Ck Dat Cg_t REIN2PECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN ELECTRICAL MCC Horan Espanol Contact Safety & Health 0 Washington State Department of Labor & Industries Claims & Insurance 'Search L&I A -Z index Help Workplace Rights 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 contractor's 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. EZINS00566 Issue date 07/18/2018 Violation city SEATTLE Type of violation Active. Meets current requirements. License no. GISEBJR975RJ $4,000.00 Effective date 01/22/2011 Expiration date Until Canceled Satisfied RCWNVAC 19.28.161 RCW Violation amount $8,750.00 Page 1 of 4 J My L& I Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH.&SAW= 9/20/2018 EVERGREEN E—ECTRICAL SYS LLC ELECTRICAL CITATION f#18.• Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. This citation is issued in a matrix and intended to cover multiple violations. Infraction no. EZINS00568 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL CrATION Description Failure of the ele.:trical contractor to ensure installation, maintenance, or repair of wires and equipment CAM convey electrical current are in strict conf ,rmity with the statute, rules, and approved m..thods of construction for safety to life and property.(Non-conforming installation • Ser.ous Violation.) Infraction no. EZINS00565 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL CI7ATION Description Class B eligible work - Failing to obtain an electrical/telecomunications work permit, or post a provisionJ electrical work permit, or valid Class B laL•al prior to beginning the electricaUtelecoi ;munication installation or alteration as refuenced in WAC 296-46B-901. This citation is if..sued in a matrix and intended to cover multiple violations. T Infraction no. EZINS00567 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL a ATION Description Employing an in :ividual for the purposes of chapter 19.28 RC W who does not possess a valid certificate f competency or training certificate to do ..)lectrical work. This citation is issued In a matr:A and intended to cover multiple violatioi.s. Infraction no. EZINS00564 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL Cl ATION Description Satisfied RCW/WAC 19.28.010 RCW Violation amount 5500.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,100.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount 52,500.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $14,000.00 Page 2 of 4 Help us improve https://secureini Na.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 9/20/2018 EVERGREEN ELECTRICAL SYS ri:f Failing to get an inspection or obtain a vali electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. This citation Is issued in a matrix and intended to cover multiple violations. Infraction no. EROJE01059 Issue date 05/05/2017 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 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 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. EJOCJ00255 Issue date 12/04/2014 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. Infraction no. EMABQ04130 Issue date 06/11/2013 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 Satisfied RC WNVAC 19.28.101 RCW Violation amount $1,000.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,000.00 Satisfied .................... RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied ...................... RCW/WAC 19.28.271 RCW Violation amount $250.00 Page 3 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LTC=EVERGES904CH&SAW= 9/20/2018 EVERGREEN ELECTRICAL SYS J C valid certificate of competency or training 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 an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Satisfied RCWNVAC 19.28.101 RCW Violation amount 5250.00 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. 818,095-02 ......... _ ...................... Doing business as EVERGREEN ELECTRICAL SYSTEMS Estimated workers reported Quarter 2 of Year 2018 "11 to 20 Workers" L&I account contact T1 / LINDSEY BOOTH (360)902-5596 - Email: 6000235@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 bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 4 of 4 © 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=602863827&LIC=EVERGES904CH&SAW= 9/20/2018