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Home My WebLink AboutPermit EL19-0609 - KING LASIK - ADD THERMOSTATSKING LASIK 6700 FORT DENT WAY Apn: 2954900420 FINALED 01/15/2021 ELI 9-0609 Parcel No: Address: City of Tukwila t of Community Development G3OOSnuthoenterBoulevard, 5ube#1OD Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206'438-9360 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2954900420 Permit Number: EL19'0609 6700 FORT DENT WAY Project Name: KING LASIK Issue Date: 9/3/2019 Permit Expires On: 3/1/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: License No: Lender: Name: Address: FORT DENT REAL ESTATE LLC 9OOSVVl6TH5T#2OO,RENTON,WA, 98057 ALEX BURKHART 727SKENYONST'SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC (ELECTRICAL) 727SKENYONST,SEATTLE, WA, 98108 Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2020 DESCRIPTION OF WORK: INSTALLATION OF SIX (SIX) THERMOSTATS. REVISION #I:ADD (5)MORE THERMOSTATS FOR xTOTAL OF(9) Valuation of sirigle family: $0.00 Valuation of mf/comm: $1,080.00 Type of Work: LOW VOLTAGE Fees Collected: $127.02 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: lnternational Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-468: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: �� —A |hearbycertify that 1 hve 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 ofthis 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 the conditions attached to this permit. � _~^ � /~ Signature: �~- Date: Print Name: /641- \orw~^va 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 E!ectrical 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 shafl 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; (3V6)438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Parcel No: Address:6700 FORT DENT WAY City of Tukwila a m""°,~°,�"+°�r°°"","°*°m�.,�.°",�°° ~°r~'~^^^^^v~~''^~^'^v~^~^'~r^'^^^ 63VVSouuhcenterBoulevard, Suite #1OO Tukwila, Washington 98188 Phone: 206-431-3670 __� Inspection Request Line: JVh-438-B50 Web site: http://www.TukwilaWA.gov 2954900420 Project Name: KING LAD( ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL19-0609 9/3/2019 3/1/2020 Owner: Name: Address: Contact Person: Name: Address: FORT DENT REAL ESTATE LLC 9OU6VVl6THST#2OO'RENTON'WA, 98057 ALEX BURKHART 727SK[NYON5T'SEATTLE, WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC (ELECTRICAL) Address: 727SKENY8NST,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 SIX (SIX) THERMOSTATS. Valuation of single family: $0,00 Valuatiori of mf/comm: $1,080.00 Type of Work: LOW VOLTAGE Fees Collected: $13702 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 Signa 2015 2015 2015 2015 2015 National E!ectrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 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 aw 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, am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: v~ Print Name: Da„� 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*** Z: A copy of the electrical work permit shall be posted or oterwise 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: AH electrical work shall be iri 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 electrftal 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 film CITY OF TUK ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. TukwilaWA. goy Electrical Permit No. L- / 9 - 0609. Project No. Date Application Accepted: —T 31 `T Date Application Expires: / - 3I- a v (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: 6700 Fort Dent Way Tenant Name: King Lasik King Co Assessor's Tax No.: 2954900420 Suite Number: N/A Floor: 1 New Tenant: j Yes ❑ ..No PROPERTY OWNER Name: Alex Burkhart Name: Fort Dent Real Estate LLC City: Seattle State: WA Zip: 98108 Address: 900 SW 16th St. #200 Email: alexb@evergreenhvac.com City: Renton State: WA Zip: 98057 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 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.: EVERGRL81 3MA Exp Date: 07/01/2021 Tukwila Business License No.; BUS -0992877 Valuation of Project (contractor's bid price): $ 1,080 Scope of Work (please provide detailed information): Instafllation of six (6) thermostats. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ® New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Permit CentenApplications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised l-l-17.docx Revised: January 2017 V,M RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $155.91 (including an attached garage) O Garages, pools, spas and outbuildings $83.54 ea • 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) O 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) o 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: Date: Print Name: Alex Burkhart Day Telephone: (206) 763-1744 Mailing Address: 727 South Kenyon St. Seattle WA 98108 City WAPermit CenteriApplications-liandoutsTerrnit Applications \PDFalectrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Cash Register Receipt City of Tukwila R18216 DESCRIPTIONS ACCOUNT QUANTITY - PAID . - PermitTRAK $1,374.41 EL19-0609 Address: 6700 FORT DENT WAY Apn: 2954900420 $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 0.00 ; $6.05 M19-0124 Address: 6700 FORT DENT WAY Apn: 2954900420 $1,113.49 MECHANICAL $1,070,66 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $823.38 PLAN CHECK FEE R000.322.102.00.00 0.00 , $214.13 Se TECHNOLOGY FEE $42.83 TECHNOLOGY FEE R000.322.900,04.00 0.00 $42.83 ,:. PG19-0110 Address: 6700 FORT DENT WAY Apn: 2954900420$133.90 GAS $128.75 PERMIT ISSUANCE BASE FEE R000.322.100,00.00 0,00 : $35.00 PERMIT FEE R000.322.100.00.00 0,00 - $68.00 PLAN CHECK FEE R000.322,103.00.00 0.00 $25.75 TECHNOLOGY FEE $5.15 TECHNOLOGY FEE R000.322.900.04.00 0.00 $5.15 TOTAL FEES PAID BY RECEIPT: R18216 ', $1,374.41 Date Paid: Wednesday, July 31, 2019 Paid By: EVERGREEN REFRIGERATION Pay Method: CHECK 10070 Printed: Wednesday, July 31, 2019 8:53 AM 1 of 1 CRIRVSYSTEMS Permit Number: E119-0609 Permit Inspections City of Tukwila Applied: 7/31/2019 Approved: 7/31/2019 Issued: 9/3/2019 Finaled: 1/15/2021 Status: FINALED Parent Permit: Parent Project: Description: KING LASIK Site Address: 6700 FORT DENT WAY City, State Zip Code:TUKWILA, WA 98168 Applicant: KING LASIK Owner: FORT DENT REAL ESTATE LLC Contractor: EVERGREEN REFRIGERATION LLC (ELECTRICAL) Details: INSTALLATION OF SIX (SIX) THERMOSTATS. REVISION #1: ADD (3) MORE THERMOSTATS FOR A TOTAL OF (9) ig: Cir MR3X-- I CP S SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS UNDERGROUND SLAB Jim Benner Notes: SERVICE Jim Benner Notes: ROUGH -IN ELECTRICAL Jim Benner Wrong Permit Notes: 10/13/2020 AM 10/13/2020 ROUGH -IN ELECTRICAL Jim Benner CANCELLED Wrong Permit Notes: CANCELLED -WRONG PERMIT (?) 1/19/2021 AM 1/15/2021 E ECTRICA FINA[ L Jim Benner APPROVED 253-906-9247 Notes: APPROVED/ #2 O.K. -FINAL Printed: Thursday, 14 October, 2021 1 of 1 ,k&w ri SUPERION City of Tukwila Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director February 19, 2020 Alex Burkhart Evergreen Refrigeration LLC 727 S Kenyon St Seattle, WA 98108 RE: Request for Extension #1 Permit Number EL19-0609 Dear Mr. Burkhart, This letter is in response to your written request for an extension to Permit EL19-0609. The Building Official, Jerry Hight, has reviewed your letter and considered your request to extend the above referenced permit. It has been determined that the City of Tukwila Building Division will be granting an extension to the permit through September 1, 2020. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, --2r.r41( Bill Rambo Permit Technician File: Permit No, EL19-0609 Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov green Refrigeration & HVAC PERMIT EXTENSION REQUEST To: Building Official, City of Tukwila Project: Kink Lasik — Shell Address: 6700 Fort Dent Way Tukwila, WA 98188 Permit #: EL19-0609 RECEIVED CITY OF TUKWILA FEB 12 2020 PERMIT CENTER We are requesting an extension to the expiration date of the permit listed above. This project has experienced schedule delays in the time since we obtained the permit, causing our start date to be pushed back multiple times. In addition, our scope has been altered slightly and therefore we will are submitting for a revision to the permit at the same time as this extension request. If you have any questions or comments, please contact me at the information located below. Sincerely, Alex Burkhart „ Request for Permit Extension # 1 Current Expiration Date: Extension Request:: r _X Approved for 6 days Denied (provide explanaiion 727 SOUTH KEN VON ST. - SEATTLE, WA. 98108 (206) 763-1744 - FAX (206) 763-2389 Signature/Initials O Q City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 2/12/20 Plan Check/Permit Number: EL 19-0609 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ▪ Revision # 1 after Permit is Issued E Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: King Lasik Project Address: 6700 Fort Dent Way Contact Person: Alex Burkhart Summary of Revision: Number of thermostats has increased from 6 to 9. Phone Number: 206-763-1744 RECEIVED CITY OF TUKWILA FEB 12 2020 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revisi Received at the City of Tukwila Permit Center by: Entered in TRAKiT on \\DATAI3ASE\Datashare\Datashare\Sales Department \Alex\JOBS FOR PERMIT\King Lasik \ REV \Revision Submittal Form E.doc k Washington State Department of / Labor & Industries Holt w KsNewi Co Safety & Health Claims & Insurance A-7.. 111(1 H elp Li Search Workplace Rights Trades & Licensing EVERGREEN REFRIGERATION LLC Owner or tradesperson Principals PATTON, RODGER, PARTNER/MEMBER PATTON, ADAM, PARTNER/MEMBER PATTON, DOUGLAS, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER PATTON, MATTHEW, AGENT Doing business as EVERGREEN REFRIGERATION LLC WA UBI No, 602 512 953 727 S KENYON ST SUITE A SEATTLE, WA 98108 2064634744 KING County Business type Limited Liability Company Governing persons MATTHEW ALAN PATTON ADAM PATTON; DOUGLAS PATTON; RODGER PATTON; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties HVACIRFRG License no, EVERGRL813MA Effective — expiration 07/01/2019— 07/01/2021 Designated administrator YOUNG, DENNIS License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no 107114952 Active. Meets current requirements. License no, YOUNGD'954CG 54,000.00 Help us improve Received by L&I 07/01/2019 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Effective date 06/28/2019 Expiration date Until Canceled Workers' comp Public Works Requirements Workplace safety and health Help us improve