HomeMy WebLinkAboutPermit EL07-204 - FAMOUS DAVE'S RESTAURANTFAMOUS DAVES
RESTAURANT
17770 SOUTHCENTER PY
ELO7-204
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Value of Electrical: $4,000.00
Type of Fire Protection:
Electrical Service provided by:
doc: EL -4/07
Cityf Tukwila
Permit Center Authorized Signature:
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
3523049005
17770 SOUTHCENTER PT TUKW
FAMOUS DAVES RESTAURANR
17770 SOUTHCENTER PY , TUKWILA WA
MBK NORTHWEST
7690 SW MOHAWK ST , TUSALATIN OR
Contact Person:
Name: JAMES DABLEN
Address: 1911 SW CAMPUS DR #321 , FEDERAL WAY WA
Contractor:
Name: K & D MECHANICAL INC
Address: 1911 CAMPUS DR #321 , FEDERAL WAY WA
Contractor License No: 1CDMECI *990MQ
DESCRIPTION OF WORK:
INSTALL 4 THERMOSTATS AND ASSOCIATED WIRING
ELECTRICAL PERMIT
uALrcus,JA_
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 571 -3811
Phone:
Expiration Date: 07/29/2008
Fees Collected:
National Electrical Code Edition:
EL07 -204
06/11/2007
12/08/2007
$144.00
2005
Date: (0 ' /
I hereby 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 co 'lied with, whether specified herein or not.
The granting of this p t • - - of p • -ume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th ;A = of w . f . I am = . • e • to sign and obtain this electrical permit.
Signature: �r 1/. Date: 6 " //-
Print Name: .73144 t S 7)7 j //t
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
EL07 -204 Printed: 06-11 -2007
Parcel No.: 3523049005
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print
Name: 3 eS DA l P/V
doc: Cond -Elec
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
17770 SOUTBCENTER PT TUKW
FAMOUS DATES RESTAURANR
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELO7 -204
ISSUED
06/11/2007
06/11/2007
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.
6: 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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 presum to give authority to violate or cancel the provision of any other work or local
laws regulating const lion or the prforn/rtce of work.
Date: c ‘—//--e>
EL07 -204 Printed: 06-11 -2007
SITE LOCATION
/777o So. Cedfr PK
Tenant Name: ��4wi au S D,4veS ??hTA) r•4 «iT
Property Owners Name: #7') 1?)< N o f e sT
Mailing Address: 7690 SW K S7
Site Address:
CONTACT PERSON =Who do we contact when your permit is ready to be issued
Name: 4 I4 1 CS D411) Pn/
Mailing Address: 1 /1 Ste.) C/4ppoS De. # 3a 1
E -Mail Address: e D (4 eat 4) (OMC.KT over
ELECTRICAL CONTRACTOR INFORMATION
Key- b Mectlemee 4 AN
111 1 S-.J 6141./iii Pr. ck 321
Contact Person: /4r r 1 DAti„4
E -Mail Address: r�I
Contractor Registration Number: k q D M C T / 9 i `Q
Company Name:
Mailing Address:
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httc://www.ci.tukwila.wa.us
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 **
00
Valuation of Project (contractor's bid price): $ % Ot0 a ,
J
Scope of Work (please provide detailed information):
/ 10 . $ tt e..J i e r g: i
H: Applications\Fonns- Applications On LineN -2007 - Electrical Permit Application.doc
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2'Ns ?.fly
King Co Assessor's Tax No.: 3 5oZ10 -
Suite Number: Floor:
71., I4.1 iv
City
New Tenant:
Yes ❑..No
o7P 1'7062
State Zip
Day Telephone: g 0 6 • S ? /- .34F//
geDer4/ y w 4 9,F
Cit State Zip
Fax Number: 2$S— 66/— /b3 /
Fe D'P w4i w.4 1M
City State Zip
Day Telephone: 0706 S'7 /— gJ / l
Fax Number: As 3- '79S -292
Expiration Date:
y— •, ,-rotJ .ray fTS o
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel N W Tenant Improvement
Page l of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER 0 : E . C _ C 1, ( RACTOR:
Signature
Print Name:
/Air r
cS D &6'
Mailing A. _ ess: Cd»ip sJ De. a y.
Date Application Accepted: /0,1 I — o'7
H:Wpplications\ponns- Applications On LinM4-2007 • Electrical Permit Application.doc
bh
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
Day Telephone:
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION =NOTE
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 -i STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: G 0
Zo6 - sl/ -31))
P n4 / 1A ) ,/ wr1 v2 3
City /
State Zip
Date Application Expires: D t t _
Staff Initials: WV.....
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: //www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 3523049005 Permit Number: EL07 -204
Address: 17770 SOUTRCENTER PT TUKW Status: APPROVED
Suite No: Applied Date: 06/11/2007
Applicant: FAMOUS DATES RESTAURANR Issue Date:
Receipt No.: R07 -01104
Initials: WER Payment Date: 06/11/2007 04:45 PM
User ID: 1655 Balance: $0.00
Payee: JAMES DAELEN
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 144.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 144.00
Total: $144.00
Payment Amount: $ 144.00
9231 06/12 9716 TOTAL 144.00
rinn RAraint -OR Printart! 06-11 -2007
Project:
rgreo` /S )5/91/I S
Type of Inspection•
/
Address:
1777o .14rif ctAJ7ZI kit)
Date Called:
Special Instructions:
Date Wanted:
/ /2
q.2_,.71-
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
OMMENTS:
A. •roved per applicable codes.
Corrections required prior to approval.
Inspec . / / L (
Date? 2
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
!Date:
Project:
TAYMnit t _RAVES REST.
Type of Inspection:
XOLC 47H A/
Address:
) I / o .�ONTN C rlNTrf C
Pkl- �
Date Called:
Lo - /.1 -0 7
Special Instructions:
Date Wanted:
-13-v7
a.m.
p.m.
Requester:
9 Q Q
7 7
Phone No:
'57 I - 3,31/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. [] Corrections required prior to approval.
COMMENTS:
Inspector:
7 I' R 'T' E-RNDT
EINSPECTION FEE REQUIRED. Prior to
Date: _ /3' v 1 7
0 $58.00 inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
License Information
License
KDMECI *990MQ
Licensee Name
K & D MECHANICAL INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601994103
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
1911 SW CAMPUS DR 321
Address 2
City
FEDERAL WAY
County
KING
State
WA
Zip
98023
Phone
2539458204
Status
ACTIVE
Specialty 1
HVAC/RFRG LTD ENERGY
Specialty 2
UNUSED
Effective Date
7/18/2001
Expiration Date
7/29/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
DAHLEJL956K7
Business Owner Information
Name
Role
Effective Date
Expiration Date
DAHLEN, JIM LEE
AGENT
07/18/2001
KACSO, OTTO
PRESIDENT
07/18/2001
DAHLEN, JIM LEE
VICE PRESIDENT
07/18/2001
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
Master Electrician Information
License
Name
Status
DAHLEJL956K7
DAHLEN, JAMES L
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= KDMECI *990MQ 06/11/2007