HomeMy WebLinkAboutPermit EL18-0822 - SCHOFIELD SHELL - INSTALL THERMOSTATSCHOFIELD SHELL TI
16915 SOUTHCENTER PKWY
ELI 8-0822
Parcel No:
Address:
4
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.Rov
ELECTRICAL OTC PERMIT
2623049011
16915 SOUTHCENTER PKWY
Project Name: SCHOFIELD SHELL TI
Permit Number: EL18-0822
Issue Date: 10/17/2018
Permit Expires On: 4/15/2019
Owner:
Name:
Address:
Contact Person:
Name:
SCHOFIELD LP
911 MAIN STREET STE 1500, KANSAS
CITY, WA, 64105
ALEX BURKHART
Address: 727 S KENYON ST , SEATTLE, WA,
98108
Contractor:
Name: EVERGREEN REFRIGERATION LLC
(ELECTRICAL)
Address: 727 5 KENYON ST, SEATTLE, WA,
98108
License No:
Lender:
Name:
Address:
EVERGRL882JB
Phone: (206) 763-1744
Phone: (206) 763-1744
Expiration Date: 4/2/2020
DESCRIPTION OF WORK:
INSTALLATION OF (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: 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
Date: OH 7-/0
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 th nditions attached to this permit.
Signature:
Print Name:
Date: %U'/7 -/V
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 296-468 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 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: 16915 Southcenter Pkwy
Tenant Name: N/A W(1 tlekd Sleet\ I 'f
PROPERTY OWNER
Name: Alex Burkhart
Name: Schofield LP
City:Seattle State: WA Zip: 98108
Address: 911 Main St., Suite 1500
Email: alexb@evergreenhvac.com
City: Kansas City State: MO
Zip: 64105
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.: 2623049011
Suite Number: N/A Floor: 1
New Tenant: J 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: 04/02/2018
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 ® No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel ❑ Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W. \Permit Center\Applications-Handous\Pennit Applications\PDFs\Electrical Permit Application Revised 1-1-17 docx
Revised. January 2017
bh
Page 1 of 2
amia
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
0 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%
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT,
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: 6 Date: 1 / /I 9
Print Name: Alex Burkhart Day Telephone: (206) 763-1744
Mailing Address: 727 South Kenyon St. Seattle WA 98108
City
W•\Permit Center'Applications-Handout5'Petmit Applications\PDF'slElectncal Permit Application Revised 1-1-17.docx
Revised. January 2017
bh
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R1481
DESCRIPTIONS ACCOUNT
QUANTITY
'
PAID
PermitTRAK
$666.88
EL18-0822 Address: 16915 SOUTHCENTER PKWY Apn: 2623049011
$69.62
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
R000. 22.101.00.00 I
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00 I
0.00
$3.32
M18-0124 Address: 16915 SOUTHCENTER PKWY Apn: 2623049011
$597.26
MECHANICAL
$574.29
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PERMIT FEE
R000.322100,00.00
0.00
$426.28
PLAN CHECK FEE
R000.322102.00.00
0.00
$114.86
TECHNOLOGY FEE
$22.97
TECHNOLOGY FEE R000.322.900.04.00
0.00
$22.97
TOTAL FEES PAID BY RECEIPT: R15481
'.:,
$666.88
Date Paid: Wednesday, September 26, 2018
Paid By: EVERGREEN REFRIGERATION
Pay Method: CHECK 09635
Printed: Wednesday, September 26, 2018 9:55 1 of 1
AM
SYSTEMS
64 -03ZL
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
(206) 431-3670
Project: 5 . r(614)n
Type of Inspection:hs*" ,t
Address:
wit
Date Called:
Special Instructions:
fi- 51 -ter
Date Wanted: .
10
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
0//tOn'
REINSPECTION 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 permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:�G�C Fle-I� 5,c,
Type of In�pecti i^ (
Er e
Address:
r S C r2P w k
1/4.1DCalled:
Special Instructions:
PA)
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
pproved per applicable codes. !l Corrections required prior to approval.
COMMENTS:
1,,t)e44
cvt
Inspector
Date: eoe rc
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
EVERGREEN REFRIGERATION bC
lone Espanol Contact
Safety & Health Claims & Insurance
I I I I Washington State Department of
LJ
La bor & Industries
Page 1 of 5
Search L&I
index Help My 1M
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 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 L8.1 Effective date
07/10/2012 04/07/2012
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Help us improve
httos://secure.lni.wa.gov/verify/Detail.asox?UBI=602512953&LIC=EVERGRL882JB&SAW= 10/17/2018
EVERGREEN REFRIGERATION L.0
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.
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
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 10/17/2018