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Home My WebLink AboutPermit EL09-0693 - WHITE HORSE TAVERNWHITE HORSE TAVERN 14935 INTERURBAN AV S ELO9-0693 Cityef 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 Parcel No.: 3597000445 Address: 14935 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0693 Issue Date: 11/05/2009 Permit Expires On: 05/04/2010 Tenant: Name: WHITE HORSE TAVERN Address: 14935 INTERURBAN AVE S , TUKWILA WA Owner: Name: BOW CAR BOW INC Phone: Address: 11416 61ST AVE S , SEATTLE WA Contact Person: Name: PEGGY PEEL Phone: 206 - 248 -8747 Address: 4600 S 134 PL , TUKWII,A WA Contractor: Name: HOLADAY PARKS, INC. Phone: 206 248 -9700 Address: PO BOX 69208 , SEATTLE, WA Contractor License No: HOLADPI379NO Expiration Date: 09/03/2011 DESCRIPTION OF WORK: INSTALL (1) T -STAT Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $60.00 National Electrical Code Edition: 2008 1 (iC)i)UL)a- Date: 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 Qf this • ermit • oe not • resume /fo give authority to violate or cancel the provisions of any other state or local laws regulating rfo c -' ' ork. In authorized to sign and obtain this electrical permit. construction o Signature: Print Name: Date: ' l 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. doc: EL -4/07 EL09 -0693 Printed: 11 -05 -2009 Parcel No.: 3597000445 Address: Suite No: Tenant: • • 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 14935 INTERURBAN AV S TUKW WHITE HORSE TAVERN PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0693 ISSUED 11/05/2009 11/05/2009 1: ** *ELECTRICAL * ** 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 cons ruction or the performance of work. r / Signature Print Name: Date: ` _ _(51 doc: Cond -Elec EL09 -0693 Printed: 11 -05 -2009 CITY OF TUKWIL• Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Electrical Permit No. Project No. El .oq -o (0q3 (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 n King Co Assessor's Tax No.: —3.5-% 70 C'0 p 445-- Site Address: 7' 19-3 (- . , J. Suite Number: Floor: /=1-6 Tenant Name: 0M0C —ta.J -4 New Tenant: ❑ Yes .No Property Owners Name: Mailing Address: a4A4. S City rt%i2 Pig /68_ State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: 600 E -Mail Address: pey9Yy, @ ti oladay pct res Day Telephone: 020 !e -.2 4/ 2 ' 7'L 7 - -9g /6_ City State Zip Fax Number: .,,,?a .4-.14'g700 ELECTRICAL CONTRACTOR INFORMATION C'ompany Name: Mailing Address: Contact Person: X600 _S_. /3�' -� Deli Y r /i D / 0.yJJdype. r K S . E Mail Address: Contractor Registration Number: hie( AI 379/1(8 GOB c%4 9g /44 City State Zip Day Telephone: a8 ?o 44? -8TH% Fax Number: a-?a (c - �g ` 71) Expiration Date: 9/ O // 00 Valuation of Project (contractor's bid price): 5 Scope of Work (please provide detailed information): 0) Will service be altered'? ❑ Yes 14 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change aLow Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget. Sound Energy ❑ Seattle City Light 11 Application, Form, - Application, On 1 Inc 1 -'_ 11119 - 1-Irrinc:,l Pennil Applic.mon.doc Adding more than 50 amps? ❑ Yes 'No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL EW_RESIDENTIAUSERVICE New single family dwellings - —S145-'60 (ineluding an attached garage) 10 Garages, pools. spas and outbuildings S78,00 ea 0 I.:ow voltage 'systems (alarm. furnace thermostat)--------- - $57.00 ea RESIDEN11A LREMODEL AND SERVICE CHANCES Service change o? l'aile7d6611 - ------- ---'578:00 '(noaddedialtefied'eirebits) O 'Service change with added/altered circuits SN ritunber 'of added circuit----------- S I 1.00 t,•.-5 C'ircuitsaddedialtered without 'service change S52 'Oh (up to 5 circuits) C'ircnits,addecl'ialtered without service 'change ------ --552.00 (6,M- itiCire'Clitiiiiti) VIZTO a 111 Meter/mast repair 'S65.00 El O LOW voltage systems -- ------- -------- - (alatth-. furnace therrnoStat) S3700 MULTI4:AMILY AND CAVIMERCIAL 1-::&s are based on the valuation offfic electrical contfact, MISCELLANEOUS FEES O Temporary service ( residential) • Temporary 'service (generatOT) ManufacturechnObile home service - ((excluding garage oroutbiiilditig) S60.00 —S75,00 580.00 fl Cafriivals S75:00 Number of concessions - - --------- S10:00 ea PERMIT APPLICATION NOTES - Value of Construction = lfi all 'eases, 'a value of construction amount should& entered by the 'applicant This figure will he reviewed and is subject to possible revision by the Perthit Center to comply With current fee Schedides. Expiration of PIan Review Applications for which hope-IT—Mt is issued ‘7Vithiii '180 days 'following the date of applitatiOn shall expire by limitation, The Building Official may grant one 'extension of tirne for an 'additional 'period not to exceed 90 days. The extension shall be requested ift writing and justifiable cause 'demonstrated. 1 IIEREBY CERTIFY TIIAT 1 HAVE READ AND 'EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE 'LAWS OF TIIE STATEOF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING_OWNEROR ELECTRICALLCONTRACTOR: Signature: Print Name: 'Mailing Address: 4 f ee. oo S. 13411 Date: // 7_ Day Telephone: 76c = ;_a_gbbEeLc, WA- Igle. g • ,c4 State Zip Date Application Accepted: Date Application 'Expires: Staff Initials: 11 Afflications Fortn,A prlicat 0 n I Inc 1 =2009 = I f. ric,i■ :1'crrn it jpIcac lon.doc Page • 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.: 3597000445 Permit Number: EL09 -0693 Address: 14935 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 11/05/2009 Applicant: WHITE HORSE TAVERN Issue Date: Receipt No.: R09 -01751 Initials: User ID: Payee: WER 1655 Payment Amount: $60.00 Payment Date: 11/05/2009 03:27 PM Balance: $0.00 HOLADAY PARKS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 024288 ACCOUNT ITEM LIST: Description 60.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 60.00 Total: $60.00 AYMENT RECEIVED • doc: Receiot -06 Printed: 11 -05 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit RMIT N . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: it- (25E 15 � Type of Inspection: 2/00 Address: Q Date Called: Special Instructions: 1■ S ?'Alf Date Wanted: �� 0 m. Requester: Phone No: Approved per applicable codes. ID Corrections required prior to approval. COMMENTS: Date: 1210 Vol El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee lust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 HOLADAY -PARKS INC 2062489700 ATTN: MARGARET BROWN PO BOX 69208 SEATTLE WA 981689208 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 578004089 ACTIVE HOLADI *00105 ELECTRICAL CONTRACTOR 9/25/2000 12/10/2010 HVAC /RFRG LTD ENERGY UNUSED Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HOLADI *006CD HOLADAY- PARKS INC ELECTRICAL CONTRACTOR LIMITED ENERGY UNUSED 2/4/2000 2/4/2002 ARCHIVED ADMINISTRATOR INFORMATION License NAILOJ *00405 Name NAILON, JUNE A Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date PARKS, DAVID Cancel Date 01/01/1980 Bond Amount NAILON, JUNE 01/01/1980 O'CONNOR, BONNY 01/01/1980 PARKS, GERALD T 01/01/1980 PARKS, GERALD T AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress .wa.gov /lni/bbip/Detail.aspx 11/05/2009