HomeMy WebLinkAboutPermit EL10-0390 - BAJIO MEXICAN GRILLBAJIO MEXICAN GRILL
7100 FUN CENTER WY
SUITE 140
EL1O-0390
City oftukwila
O "' ? Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2423049092
Address: 7100 FUN CENTER WY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0390
Issue Date: 05/25/2010
Permit Expires On: 11/21/2010
Tenant:
Name: BAJIO MEXICAN GRILL
Address: 7100 FUN CENTER WY SUITE 140 , TUKWILA WA
Owner:
Name: H2 OFFICE LLC Phone:
Address: 7100 FUN CENTER WAY STE 100 , TUKWILA WA
Contact Person:
Name: MARK BEDNAR Phone: 360 - 458 -2927
Address: PO BOX 982 , MCKENNA WA
Contractor:
Name: OTI SERVICES INC Phone: 360- 458 -2927
Address: PO BOX 982 , MCKENNA WA
Contractor License No: OTISESI940Q1 Expiration Date: 11/21/2010
DESCRIPTION OF WORK:
CONDUIT ONLY PERMIT FOR EL 10 -0364 WHICH IS UNDER REVIEW
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:
„a,
Fees Collected:
$63.00
National Electrical Code Edition: 2008
Date: J �i V
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
construction or the performancif work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
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
ELI 0-0390 Printed: 05 -25 -2010
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
Parcel No.: 2423049092
Address:
Suite No:
Tenant:
7100 FUN CENTER WY TUKW
BAJIO MEXICAN GRILL
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0390
ISSUED
05/25/2010
05/25/2010
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: )&tiJ
Print Name: /14t. e v4 , X2-J!/L & v'
Date: 3-'s —2 d
doc: Cond -Elec
ELI 0-0390 Printed: 05 -25 -2010
CITY OF TUKWILO
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 96188
http://www.ci.tukwila.wa.us
Electrical Permit No. GL 10 - O3 O
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**
SITE LOCATION
Site Address: 77100 Fun Center Way
Tenant Name:
Bajio Mexican Grill
King Co Assessor's Tax No.: 2423049092
Suite Number: 140 Floor: 1
New Tenant: m Yes ❑..No
Property Owners Name: Scott Huish
Mailing Address: 17100 Fun Center Way #140
Tukwila
City
Wa
State
98188
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Mark
Mailing Address: p0 box 982
E -Mail Address:
Day Telephone:
Mckenna
(360) 458 -2927
Wa 98558
mark @otisvcsinc.com
City State
Fax Number: (360) 458 -7076
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: OTI Services Inc
Mailing Address: PO Box 982
Contact Person: Mark
E -Mail Address: mark @otisvcsinc.com
Mckenna
Wa 98558
City State
Day Telephone: (360) 458 -2927
Fax Number: (360) 458 -7076
Zip
Contractor Registration Number: OTISESI94OQ1 Expiration Date: 11/21/2010
Valuation of Project (contractor's bid price): $ vO
Scope of Work (please provide detailed information): CONDUIT ONLY
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, fumace thermostat)
$152.85
$81.90 ea
$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) .....$7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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.
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:
Print Name: Mark Bednar
Mailing Address: PO Box 982
Day Telephone:
Mckenna
City
Date: 05/24/2010
(360) 458 -2927
Wa 98558
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
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Page 2 of 2
• •
�J��" ►�rA "'qs 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
Parcel No.: 2423049092
Address: 7100 FUN CENTER WY TUKW
Suite No:
Applicant: BAJIO MEXICAN GRILL
RECEIPT
Permit Number: EL10 -0390
Status: PENDING
Applied Date: 05/25/2010
Issue Date:
Receipt No.: R10 -00925
Payment Amount: $63.00
Initials: WER Payment Date: 05/25/2010 01:06 PM
User ID: 1655 Balance: $0.00
Payee: OTI SERVICES INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7661 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
PAYMENT
RECEIVEP
doc: Receipt -06
Printed: 05 -25 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION i/Z-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Euo -0370
Project: ;, _ „� O vi
'
Type of Inspection:
/� �
Address:
7ioo
Grp
to Called:
Special Instructions:
`Date Wanted:
P.m.
Requester:
Phone No:
Approved per applicable codes.
A>
Corrections required prior to approval.
OMMENTS:
Date:v� 03 /0
ri $60.00 REINS ECTION FEE REQU RED. Prior to insp ction,fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPE
4:--
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
6At -o370
INSPECTION;, RECORD
Retain a copy with permit
ION NO. PERMIT N
(,6
"Type
Project: Fx..
10 fix 6(241A.
f n:
of Inspe
/001
Address: 4/Cehl f
fCc
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
gt, Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
41. AID6k5-‘343
Co,Joo r,
/�. Date: Dtv I sl�o
r7 $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:
Contractors or Tradespeople Pfter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Oti Services Inc
3604582927
Po Box 982
Mckenna
Wa
98558
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602662140
Active
OTISESI940Q1
Electrical Contractor
11/21/2006
11/21/2010
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty.
2
Effective
Date
Expiration
Date
Status
OTISEED986K9
Oti Services Elect
Division
Electrical
Contractor
General
Unused
5/29/2002
5/29/2008
Expired
MASTER ELECTRICIAN INFORMATION
License BEDNAMJ968MN
Name Bednar, Mark J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Unisearch Inc
Agent
11/21/2006
5/12/2009
Ottwell, Ramona J
President
11/21/2006
$1,000.00
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
INSCO INSURANCE
SERVICES INC
857805C
11/20/2006
Until Cancelled
$4,000.00
11/21/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EBOES00381
5/12/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/25/2010