HomeMy WebLinkAboutPermit EL19-0257 - JENNY CRAIG - ADD 2 THERMOSTATSJENNY CRAIG
17055 SOUTHCENTER PKWY
ELI 9-0257
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
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2623049070 Permit Number:
17055 SOUTHCENTER PKWY
Project Name: JENNY CRAIG
Issue Date:
Permit Expires On:
E L19-0257
3/27/2019
9/23/2019
Owner:
Name:
Address:
Contact Person:
Name:
KTM GROUP LLC
2940 FAIRVIEW AVE E , SEATTLE, WA,
98102
ALEX BURKHART
Address: 727 S KENYON ST, SEATTLE, WA,
98108
Contractor:
Name: EVERGREEN REFRIGERATION LLC
(ELECTRICAL)
Address: 727 S KENYON ST , SEATTLE, WA,
98108
License No:
Lender:
Name:
Address:
EVERGRL882JB
I
Phone: (206) 763-1744
Phone: (206) 763-1744
Expiration Date: 4/2/2020
DESCRIPTION OF WORK:
INSTALLATION OF TWO (2) NEW THERMOSTATS.
Valuation of single family: $0.00
Valuation of mf/comm: $360.00
Type of Work: LOW VOLTAGE
Fees Collected: $78.83
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 Signatu
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
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
developmentpermit and agree to the conditions attached to this permit.
Signature: ` jj Date: 3 127 /
/'
Print Name: t
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.- [Cr J Q' 5-7
Project No.
Date Application Accepted: 3 - a -7 —
Date Application Expires: Of -~ 2 \ .
or oi' ce use on
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: 17055 Southcenter Pkwy
Tenant Name: Jenny Craig
PROPERTY OWNER
Name: KTM Group LLC
Address: 2940 Fairview Ave E
City: Seattle State: WA
Zip: 98102
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.: 2623049070
Suite Number: N/A Floor: 1
New Tenant: ® Yes El ..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.: EVERGRLS 121d Exp Date: 03/12/2021
Tukwila Business License No;.; BUS-0992877
Valuation of Project (contractor's bid price): $ 360
Scope of Work (please provide detailed information): Installation of two (2) thermostats.
Will service be altered? ❑ Yes liZ1 No Adding more than 50 amps? lJ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel VI Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:\PermitCenter&Applications-Handouts\ Permit Applications \PDF's\Electrical Permit Application Revised 1-1-I.7.docx
Revised: January 2017
hh
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155.91
(including an attached garage)
O Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits added/altered without service change $55.69
(up to 5 circuits)
0 Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
O 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
O Temporary service (generator) $82.52
O 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, ANT) 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 State Zip
WAPerrnit CenteMpplications-Handouts\Permit Applications \PIlFsTlectrical Permit Application Revised 1-1-17.docx
Revised: January 2017
hh
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY :
PAID
Per itTRAK
78.83
EL19-0257 Address: 17055 SOUTHCENTER PK
Y Apn: 2623049070
78.83
ELECTRICAL
75 08
PERMIT FEE MULTI-FAM/COMM
R000. 22.10 .00.00
0,00
75,08
TECHNOLOGY FEE
3 75
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17256
R000.322.900.04.00
0.00
,
$3.75
$78.83
Date Paid: Wednesday, March 27, 2019
Paid By: EVERGREEN REFRIGERATION LLC (E
Pay Method: CHECK 09872
Printed: Wednesday, March 27, 2019 9:20 AM 1 of 1
:Qv
YS1EMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P MITN0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 6
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address:
Date Called:
SpecialSpectat instructions:
Date Wanted:
.
•
•
Requester
Phone N :
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
nspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee mussbe
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
11 oinc Bspaild Contact.
Safety & Health Claims & Insurance
C114 k Washington State Department of
/ Labor & Industries
A-Z Index Help My I,&I
Workplace Rights Trades & Licensing
EVERGREEN REFRIGERATION LLC
Owner or tradesperson
Principals
PATTON, MATTHEW A, PARTNER/MEMBER
PATTON, RODGER A, PARTNER/MEMBER
PATTON, ADAM D, PARTNER/MEMBER
PATTON, DOUGLAS W, PARTNER/MEMBER
Doing business as
EVERGREEN REFRIGERATION LLC
WA UBI No,
602 512 953
727 S KENYON ST
STE A
SEATTLE, WA 98108
206-763-1744
KING County
Business type
Limited Liability Company
Governing persons
MATTH EW
ALAN
PATTON
ADAM PATTON;
DOUGLAS PATTON;
RODGER PATTON;
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
RESIDENTIAL
License no.
EVERGRL812DK
Effective — expiration
03/12/2019— 03/12/2021
Designated administrator
Patton, Matthew Alan
License type
Electrical Administrator
Bond
Travelers Cas and Surety Co of America
Bond account no.
107058529
Active.
Meets current requirements.
License no.
PATTOMA81 1 DJ
$4,000.00
Received by L&I Effective date
03/12/2019 03/12/2019
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period. Help us improve