HomeMy WebLinkAboutPermit EL14-0042 - BUFFALO WILD WINGS - COMMUNICATIONBUFFALO WILD WINGS
295 TUKWILA PKWY
ELi 4-0042
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
Parcel No: 9202470100
ELECTRICAL OTC PERMIT
Permit Number: EL14-0042
Address: 295 TUKWILA PKWY Issue Date: 1/16/2014
Permit Expires On: 7/15/2014
Project Name: BUFFALO WILD WINGS
Owner:
Name:
Address: , , WA,
Contact Person:
Name: BILL ANDERSON Phone: (206) 491-6077
Address: 14253 169TH DR SE SUITE 787 ,
MONROE, WA, 98272
Contractor:
Name: SYSTEM TECH INC Phone: (208) 362-6493
Address: 2854 S FEATHERLY WAY, BOISE, ID,
83709
License No: SYSTETI904QR Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL DATA AND TELEPHONE COMMUNICATION CABLING FOR PHONES AND COMPUTERS.
Valuation of single family: $0.00
Valuation of mf/comm: $3,000.00
Type of Work: NEW
Fees Collected: $147.21
Electrical Service Provided by:
Water District:
Sewer Distric:
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date: OA A/
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. o the conditions attached to this permit.
Signature: / Date: / —/ --/ L7
Print Name:
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.
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
Commonly Developmserat Department
Permit Center
6300 Soutlicenter Blvd., Suite 100
Tukwila, WA 98188
http: h'www.Tukwil aWA.. ov
Electrical Permit No. �' I / oo
Project No:
Date Application Accepted: /} 5V/ a 1 ti
.1)4e Appiicati€.n BRtire8 U7!%1(p, /'?"
For o '. ce 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:
65 Tukwila Parkway
Tenant Name: Buffalo Wild Wings
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: Bill Anderson
Address: 14253 169th DR SE Suite 787
City: Monroe State: W A Zip: 98272
Phone: (206) 491-6077 Fax: (206) 491-6077
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ® Yes No
ELECTRICAL CONTRACTOR INFORMATTON
Company Name: System Tech
Address: 2854 S Featherly Way
City: Boise State: m
Zip: 83709
Phone: (206) 491-6077 Fax:
Contr Reg No.: Exp Date:
03/12/2014
SYS 1'E 1'I904 QR
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 3,000
Scope of Work (please provide detailed information):
Install data and telephone communication cabling for phones and computers
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Tvi e o f work:
• New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
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Revised: rubr2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ................................... $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings...... ..... . ...... $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) ................................ $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration ...................................... $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits ................. $81.90
number of added circuits ....................... $11.55 ea
❑ Circuits added/altered without service change ........... $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits).. ...... ........................ ........ .. $7.6 5 ea
❑ Meter/mast rep air $6 8.25
❑ Low voltage systems ................ $5 9.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) ................................. $65.00
❑ Temporary service (generator) ................................... $80.90
..
• 1alanufacturedrmobue home service ...........................:T
�86.L5
(excluding garage or outbuilding)
❑ Carnivals__ ....... ...... .......... ............... ..... ...... $811.60
Number of concessions ......................... $10.80 ea
Each ride and generator truck ............... $10.80 ea
PERMIT APPLICATION NO TES
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:
01/16/2014
Print Name: Bill Anderson Day Telephone: (206) 491-6077
Mailing Address: 14253 169th Dr SE Suite 787 Monroe WA 98272
City State Zip
Rpplicat s\FL¢ms-Applicatims Cat Line u2013 ApplicattaisElectrialPunkAppli[etion Revised 7-1-136ocx
Revised: Su3_ 2013
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Page2 oft
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$147.21
EL14-0042 Address: 295 TUKWILA PKWY
Apn: 9202470100
$147.21
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$140.20
TECHNOLOGY FEE
$7.01
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R787
R000.322.900.04.00
$7.01
$147.21
Date Paid: Thursday, January 16, 2014
Paid By: SYSTEM TECH INC
Pay Method: CREDIT CARD 07479G
Printed: Thursday, January 16, 2014 2:18 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
64- ootli,
Project: rtittir. Ldt /4,5
�1J
Type of Inspection: �� �
Address:
To
Date Called:
Special Instructions:
l'aID4T-Ar
Date Wanted:
to
Requester: .�"
�� r'�
No:
Phone 2?? (' O ? t 7
gApproved per applicable codes. t.=J Corrections required prior to approval.
f
COMMENTS:
Aat)4(1-
Date: b r 2Zi(
r
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector: i�
SYSTEM TECH INC
Page 1 of 2
Washington State Department of
Labor & Industries
SYSTEM TECH INC
Owner or tradesperson
Incorp Services Inc
Principals
Incorp Services Inc
Robert Mortensen
Heather Mortensen
Doing business as
SYSTEM TECH INC
WA UBI No.
602 001 481
2854 S FEATHERLY WAY
BOISE, ID83709
208-362-6493
Business type
Corporation
Governing persons
JARENLAYTON
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
SYSTETI904QR
Effective — expiration
03/12/2012— 03/12/2014
Designated administrator
OLIVER, JEREMY JAY
License type
Electrical Administrator
Bond
American Contractors Indem CO
Bond account no.
1000905536
ACTIVE
License no.
OLIVEJJ959KL
$4,000.00
Received by L&I Effective date
08/20/2013 08/13/2013
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602001481&LIC=SYSTETI904QR&SAW= 01/16/2014