HomeMy WebLinkAboutPermit EL09-0126 - WENDY'SWENDY' S
16300 WEST VALLEY HY
ELO9-0126
Parcel No.: 0005800038
Address: 16300 WEST VALLEY HY TUKW
Suite No:
Tenant:
Name: WENDY'S
Address: 16300 WEST VALLEY HY , TUKWILA WA
Owner:
Name: SOUTHCENTER GAS STATION LLC Phone:
Address: 2224 KAMBER RD , BELLEVUE WA
Contact Person:
Name: ADAM JETT Phone: 253 - 620 -5910
Address: 11824 N CREEK PKWY N , BOTHELL WA
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 425 - 893 -3668
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2009
DESCRIPTION OF WORK:
MOVE 1 DEVICE IN EXISTING SECURITY ALARM SYSTEM
Value of Electrical: NRES: $150.00 Fees Collected: $60.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
doc: EL -4/07
Cityif 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
ELECTRICAL PERMIT
Permit Number: EL09 -01
Issue Date: 02/17/2009
Permit Expires On: 08/16/2009
Date: I` t - 7 - 0 1
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 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
•,.
e •erform.- of work. I am authorized to sicrn and obtain this electrical permit.
construction
Signature: —' W.A I .ilk Date:
Print Name: ►_� IA
This permit shall become 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.
EL09 -0126 Printed: 02 -17 -2009
Parcel No.: 0005800038
Address:
Suite No:
Tenant: WENDY'S
1: ** *ELECTRICAL * **
•
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
16300 WEST VALLEY HY TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0126
ISSUED
02/17/2009
02/17/2009
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.
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 presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
doc: Cond -Elec
Date:
EL09 -0126 Printed: 02 -17 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwvv.ci.tukwila.wa.us
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 1P? Q W \. 1 0 -.\1 Suite Number:
Tenant Name:
Property Owners Name:
Mailing Address: ?O U
Name: Ar]OIYY s
E -Mail Address: Otir t..4 j' ° Q 1 . C VY1
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AST SCt'.U1
Mailing � ` 2.y N . C�$�,IL
g $ w N
Contact Person: A.:10.10 S24k
E -Mail Address: 04n,e. 4 o. k . e,OwN
Contractor Registration Number: ADTSEST QS
rAna A 4 6S 'Vf-nn
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H AApplications\Fonns- Applications On Line\4 -2007 - Electrical Penult Application.doc
bh
Electrical Permit No. • P LO o Litt
Project No.
(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 **
City
New Tenant:
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
0 Day% DDt 4
Floor:
❑ Yes ❑ ..No
a*
State
43otrJ
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: 2.63- tDZO - 6
Mailing Address: \OO2 i 5 .TACOrV' G . ) wooc. ei% 1
City State Zip
Fax Number:
e.11 WIN ` ctoik
City State Zip
Day Telephone: 2.63 - (02O - 6910
Fax Number:
Expiration Date: 9 /2-5 /0
Valuation of Project (contractor's bid price): $ .36111 44
Scope of Work (please provide detailed information): O�/�i \ �ycw 1( - 0L Q ) s,c\ -1
Adding more than 50 amps? ❑ Yes ❑ No
❑ Tenant Improvement
❑ Temporary Service
Page 1 of2
Mailing Address:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
El 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 OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
HAApplications\Fomu- Applications On line\4 -2007 - Electrical Permit Application. doc
bh
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
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 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.
1 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.
Date: Z
Day Telephone: 26 _ - LO - 5°► l o
S. '1 3\ —'1 pond- W 6At g 0 I 1
City Ste Zip
1
Date Application Accepted:
! Date Application Expires:
Staff Initials:
1
Page 2 of 2
Receipt No.: R09 -00259
Payee: ADT
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
•
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 0112315 60.00
RECEIPT
Parcel No.: 0005800038 Permit Number: EL09 -0126
Address: 16300 WEST VALLEY HY TUKW Status: PENDING
Suite No: Applied Date: 02/17/2009
Applicant: WENDY'S Issue Date:
Initials: WER Payment Date: 02/17/2009 11:53 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.101.00.0 60.00
Total: $60.00
Payment Amount: $60.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -17 -2009
Project: } /D1 t
(v11v /L
Type of Inspection: 7 /
v
Address:
Date Called:
Special Instructions:
1 O fVICX S(cotI y
k ` LJ('VVe I(
Date Wanted:
OZ Z
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
P RMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION 'CZ--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0
(
OMMENTS:
Approved per applicable codes. Corrections required prior to approval.
Inspector:
„i" 60,/,./09,
Date: O 02127 r 1 1
II $60.00 REINSISECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
ADAM JETT
11824 N CREEK PKWY N
BOTHELL WA 98011
RE: Permit No. EL09 -0126
16300 WEST VALLEY HY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 08/31/2009.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 08/31/2009, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0126
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Alan Cmlthronter Roi:lvvard..Suite #100 o Tukwila. Washington 98188 a Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
AGENT
01/01/1980
SNYDER, MICHAEL
PRESIDENT
01/01/1980
MONROZE, M BRIAN
SECRETARY
06/15/2006
FLANIGAN TIMOTHY E
SECRETARY
06/15/2006
ABROMEIT, RICHARD H
TREASURER
08/21/2003
Untitled Page
Electrical Contractor
0 •
A business licensed by Li*.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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
ADT SECURITY SERVICES INC
4254023356
11824 NORTH CREEK PKWY
N #105
BOTHELL
WA
98011
KING
Corporation
MASTER ELECTRICIAN INFORMATION
License BEARDGE963LS
Name BEARD, GERALD E
Status ACTIVE
Business Owner Information
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ADTSESI032O5
601636830
ACTIVE
ADTSESI03205
ELECTRICAL
CONTRACTOR
9/25/1997
9/25/2009
ADTSES *115B5
BEARDGE963LS
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
Page 1 of 3
02/17/2009