HomeMy WebLinkAboutPermit EL11-0103 - MIZUKI JAPANESE BUFFETMIZUKI JAPANESE BUFFET
17950 SOUTHCENTER PY
EL1 1 -0103
Parcel No.:
Address:
Tenant Name:
City off' Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
3523049123
17950 SOUTHCENTER PY TUKW
MIZUKI JAPANESE BUFFET
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0103
02/09/2011
08/08/2011
Owner:
Name: MADISON INVESTMENTS LLC
Address: P O BOX 1922 , BOZEMAN MT 59771
Contact Person:
Name: MARK SHAW
Address: 21805 116 ST CT E , BONNEY LAKE WA 98391
Contractor:
Name: LOW VOLTAGE SECURITIES INC
Address: 21805 116 ST CT E , BONNEY LAKE WA 98391
Contractor License No: LOWVOVS955D2
Phone: 253 - 315 -1439
Phone: 253 315 -1439
Expiration Date: 03/22/2011
DESCRIPTION OF WORK:
INSTALL CCTV, BURGLAR ALARM AND FIRE ALARM
Value of Electrical Work: NRES: $3,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$136.50
National Electrical Code Edition: 2008
Date: -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
construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
4.12-(c_ Ste-(,)
Date: 2-67 -/(
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 -9/09
EL11 -0103
Printed: 02 -09 -2011
PERMIT CONDITIONS
Permit No. EL11 -0103
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11-0103 Printed: 02 -09 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. G L_\ I - 0 103
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
/ ing Co Assessor's Tax No.:
Site Address: / �S b c�m R U (�VJ �Q% l Suite Number:
Tenant Name: /4(/ i-tA(C-( New Tenant:
Property Owners Name:
Mailing Address:
Floor:
Yes ❑ .. No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: MA/e1 -7/1/7-1^)
Mailing Address: 21 C2 3 /(f/.t 6 1 _ C .
Day Telephone:
Cify
E -Mail Address: 7,-V -s2- (0%(C4 --S7 »ET Fax Number:
Z S3 ?/5
state
977
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: L-0 is IJO L TAG e S ECt--i2i
Mailing Address: 2/ 2VS /76467 V. G71. t /01/7
Contact Person: /1/j /L
E -Mail Address: L JS,l cop( C % N E T
Contractor Registration Number: LO VO J s :5"5"- iJ 'L
L.
/ce-
(,3,1 /
Ci
Day Telephone: ZS 3
Fax Number:
Expiration Date:
State Zip
3 /S- /Y
;/z Z/1
Valuation of Project (contractor's bid price): $
Doi
Scope of Work (please provide detailed information): GC-T(1 / c AZ ff cs�tit // z/-C �t/LNI
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New
Er Low Voltage
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps?
❑ Yes
No
Addition
Generator
❑ Service Change
❑ Fire Alarm
H:\Applications\Fomrs- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, fumace thermostat) $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: ,144/2-/c. �/I(� /,✓
Mailing Address: Z / c/15— 1/ (o-,G _5 E
Date: 2/97/ /
Day Telephone:
° • ' 7 1 , 1 C� /cam
City
State
CF
Zip
IDate Application Accepted:
Date Application Expires: j Staff Initials:
H:\Applications\Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
•
wq� 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.: 3523049123
Address: 17950 SOUTHCENTER PY TUKW
Suite No:
Applicant: MIZUKI JAPANESE BUFFET
RECEIPT
•
Permit Number: EL11 -0103
Status: PENDING
Applied Date: 02/09/2011
Issue Date:
Receipt No.: R11 -00243
Initials:
User ID:
Payee:
WER
1670
Payment Amount: $136.50
Payment Date: 02/09/2011 08:18 AM
Balance: $0.00
MARK SHAW
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 045361
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiet -06 Printed: 02 -09 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 b (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
th /» �5
Project: /'lTZUK,
Type of Inspection:
;Ito
Address: �� �o 5
J
Date Called:
Special Instru tions:
/�
�(/
Date Wanted:
p. m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
6(e4u45 114D(
Inspector:
Inspector:
Date: mizI fi;
nitif•
LI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'"'� . - -.:. �.�
INSPECTION RECORD ��� +v
Retain a copy with permit
INSPECTION NO. PERMIT N .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 `, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 I�
•
Project:
17-4K
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Type of Inspection:
Nit)
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Address: // hh
- IM Agob0 ' oat 484
Date Called:
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ref Loki ?ice
Special Instructions:
AIRequester:
Date Wanted:
L 7
7
p.m.
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: i
I- VO nb-r J56 cool JC. y7t To 6Jakr
'1+E5
crs EER, Nar�Di,E � p kf&Jf
f o Fk` - �pJ",K Za41L
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- IM Agob0 ' oat 484
604iP►i r
‘liffbcf 6/655, cei6efr eft$t e erg
ref Loki ?ice
,1
Inspector:
Ale)
Date: 0 1
n REINSPECTIONFEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LItI 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
LOW VOLTAGE SECURITIES INC
2533151439
21805 116Th St Ct E
Bonney Lake
WA
98391
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602477306
Active
LOWVOVS955D2
Electrical Contractor
3/22/2005
3/22/2011
Limited Energy
Unused
Electrical Administrator INFORMATION
License SHAW *MW110PG
Name SHAW, MARK W
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SHAW, MARK W JR
Agent
03/22/2005
Bond
Amount
SHAW, MARK W JR
President
03/22/2005
YLI249259
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
OLD REPUBLIC
SURETY CO
YLI249259
03/21/2005
Until
Cancelled
$4,000.00
03/22/2005
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 Summons and Complaints are not filed with the department for this
Information contractor type
https://fortress.wa.gov/lni/bbip/Print.aspx
02/09/2011