HomeMy WebLinkAboutPermit EL09-0730 - WHITE HORSE TAVERNWHITE HORSE TAVERN
14935 INTERURBAN AV S
ELO9-0730
Cntyilf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite 4 100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /wwwci.tukwila.wa.us
Parcel No.: 3597000445
Address: 14935 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0730
Issue Date: 11/19/2009
Permit Expires On: 05/18/2010
Tenant:
Name: WHITE HORSE TAVERN
Address: 14935 INTERURBAN AV S , TUKWILA WA
Owner:
Name: BOW CAR BOW INC Phone:
Address: 11416 61ST AVE S , SEATTLE WA
Contact Person:
Name: CRYSTAL MADDOX Phone: 425 483 -2677
Address: 18538 142 AV NE , WOODINVILLE WA
Contractor:
Name: WPCS INTL INC SEA OP Phone: 425 483 -2677
Address: 18538 142 AVE NE , WOODINVILLE WA
Contractor License No: WPCSIII912M1 Expiration Date: 07/17/2011
DESCRIPTION OF WORK:
DISCONNECT AND RECONNECT EQUIPMENT
1 - 30 A 208 V 1 PHASE FEEDER
1 - 20 A 120 V RECEPTACLE
Value of Electrical: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
The granting of thi
construction or t
Signature:
Print Name:
xan
wit
Fees Collected: $110.00
National Electrical Code Edition: 2008
IV? Date: t i j l- I[ V!
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
't does not pre to give authority to violate or cancel the provisions of any other state or local laws regulating
ormance of work. I am authorized to sign and obtain this electrical permit.
e 2.-/ i ,5.(
Date: II-)
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
E L09 -0730 Printed: 11 -19 -2009
Parcel No.: 3597000445
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phonc: 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 -0730
ISSUED
11/19/2009
11/19/2009
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 construction or the performance of work.
Signature:
Print Name:
Date: //- 9 ok4c> 5'
doc: Cond -Elec
EL09 -0730 Printed: 11 -19 -2009
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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 **
King Co Assessor's Tax No.: -bS't oo
Site Address: 14935 Interurban Ave S, Tukwila WA 98168
Tenant Name:
WHITE HORSE TAVERN
Suite Number: Floor:
New Tenant: El Yes
Property Owners Name:
Mailing Address:
Name: CRYSTAL MADDOX
Mailing Address: 18538 142nd Ave Ne
City
State
Zip
Day Telephone: 425-483-2677
Woodinville Wa 98072
E -Mail Address: CRYSTAL . MADDOX @WPCS . COM
Company Name: WPCS INTL INC . SEATTLE OPERATIONS
City State
Fax Number: 425 - 402 -9708
Zip
Mailing Address: 18538 142nd Ave Ne
Contact Person:
CRYSTAL MADDOX
E -Mail Address: CRYSTAL . MADDOX @WPCS . COM
Contractor Registration Number: WPCS I I I912M1
Woodinville Wa
City State
Day Telephone: 425-483-2677
Fax Number: 425 - 402 -9708
98072
Zip
Expiration Date: 07/15/2010
Valuation of Project (contractor's bid price): $ /°2O0
Scope of Work (please provide detailed information): D/.� eONN�e 7 /?AvL /eZ eO/17A(LC617-
E?/J//'272A/ 7_
Will service be altered? ❑ Yes No
Type of Use: 154e if «/11
Type of work:
❑ New iddition ❑ Service Change
El Low Voltage ❑ Generator ❑ Fire Alarm
/_ 2 V C °7t?lZ
Adding more than 50 amps? ❑ Yes �Io
Property Served bV:
1K. Puget Sound Energy
Seattle City Light
11 \ Applications\Fonns- Applicatinns On Line \4 -2007 - Electrical Permit Application doc
❑ Remodel ❑ Tenant Improvement
El Telecommunication El Temporary Service
Page l of2
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, fumace thermostat)
APPyrATITI Noy
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 $10.00 ea
r ?
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee sched,rles.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIIIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALLY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
L�
/2 7, 4DO4—
Mailing Address: 18538 142nd Ave Ne
IDate Application Accepted:
Date: //— X2--02
Day Telephone: y2,$ 7 3 c21 79
Woodinville Wa 98072
City State lip
10 to
Date Application Expires: Staff Initials:
HAApplicationaorms- Applications On Line \4 -2007 - Electrical Permit Application doc
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.: 3597000445 Permit Number: EL09 -0730
Address: 14935 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 11/19/2009
Applicant: WHITE HORSE TAVERN Issue Date:
Receipt No.: R09 -01849
Initials:
User ID:
JEM
1165
Payment Amount: $110.00
Payment Date: 11/19/2009 11:44 AM
Balance: $0.00
Payee: WPCS INTERNATIONAL INCORPORATED
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7101 110.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 110.00
Total: $110.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 11 -19 -2009
1.3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
E-09 -0130
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION (Z
63Q0 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proj ct: T,vttz)
Type of Inspection: 2
o
Addres m�
�� In1Tt� �
Date Called:
Special Inst ctions:
Date Wanted:
.m:
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
CoktaTioni5 PlorDE
OK /4/41
646741a\
Date: �Z t 0
ri $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee nyist be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinsddection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
(L0 -07.0
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION • ` 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
{ L ���ype
of Inspection: 2to�
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Address:H�1e 5 fir • 4
Date Called:
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Special Instructions:
Date Wanted:
i 03
a m
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: (
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orit1CAket> 5- ia,d. ((Nit 04 RooETA
ThScoJ Ak .T To fr D C.AT( Sov Qce PAnift.
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Inspector:
"16-c
Date:
12103/0
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee niust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 $ outhcenter Blvd., #100, Tukwila, WA 98188
E0730
P MIT NO.
(206)431 -36
Proj ct "fitlog:
Type of Inspection:
,r�
Addfe s r ^( 1ro�
Date Called:
Speciatl Instructions:
(A/ 4 (h _
r' or
r �M;RIRequester:
Date Wanted:
I 1 l 2-'°
l-
a.m..
a.
Phone No:
ElApproved per applicable codes. Corrections required prior to approval. ,
COMMENTS:
- Ck770(as►okie. L 1, akOCLO
-1A4'€ A Ykkot66 O pt 1-o K
ICi ot 1.6-6\
Date: l 1 lLofo7
r a
$60.00 REINSPE TION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date: