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HomeMy WebLinkAboutPermit EL11-0913 - TACO TIMETACO TIME 15037 TIJKWIIA INTERNATIONAL BL EL1 1 -0913 City oii'ukwila COAttaZ4 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 0041000493 Permit Number: EL11 -0913 Address: 15037 TUKWILA INTERNATIONAL BL TUKW Issue Date: 10/04/2011 Permit Expires On: 04/01/2012 Project Name: TACO TIME Owner: Name: HAWLEY ENTERPRISES INC Address: PO BOX 1002 , ENUMCLAW WA Contact Person: Name: SEAN ACKER Address: 22024 260 AV SE , MAPLE VALLEY WA Contractor: Name: ACKER ELECTRIC Address: 22024 260 AV SE , MAPLE VALLEY WA Contractor License No: ACKERE *077PM Phone: 206 - 396 -3867 Phone: 425 432 -7973 Expiration Date: 10/14/2011 DESCRIPTION OF WORK: CONDUIT ONLY PERMIT TO ACCOMPANY PERMIT EL 11-0871 Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 ,AY Date: 10)4-i(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. Signature: Print Name: Date: l-.2"--- y /// 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 -4/10 EL11 -0913 Printed: 10 -04 -2011 ItiO Y.• * *ELECTRICAL ** • ERMIT CONDITIONS Permit No. EL 11 -0913 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 -4/10 EL11 -0913 Printed: 10 -04 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www.TukwilaWA.qov Electrical Permit No." -� q (3 oject No. or ojce 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 ** King Co Assessor's Tax No.: Site Address: /,5-45/ 3 ' 7471. -w1/ -9 Z• 7 P E3 % I' / Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Tenant Name: T-.9G Timms Property Owners Name: 7f7G c, ?I s,t -e Mailing Address: 33 ©O I2 /}J4 L' /Ae- -7 ti y in ,x> Gfi.Q City State 5 Zip ntaet when your permit is ready to be issued Name: 5r'cz Mailing Address: 22 ©Z `/ 2 6 © T44 E-Mail Address: cs 40- Day Telephone: 2. b 6 -,39d- 3 86' 2,-"t-11.0 • LriJ� `'t 03�' City State Zip Fax Number: 412 y - 5' : ,5 :CAL CONTRACTOR INFORMATION Company Name: Mailing Address: Z2-,?90 (-/ 2' = ,9ve S.4' ,n.9,92e vr9-1 /�J �./ • •fee'.� City State Zip Contact Person: 5..4? ''i /51-e-/---,e__ Day Telephone: ..06-3,‘— 3 r?d ? E -Mail Address: Sea ,i -a te.- -e.rP e:4.1.(7-.. "r... 7 Fax Number: 4/2 Contractor Registration Numbere,e -,. (77 Expiration Date: ilk-- -'',1/ Valuation of Project (contractor's bid price): $ 570 e-70 Scope of Work (please provide detailed information): ('e9 sa y /'7- 4 04, ;14 6-1 A,$ Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ 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: ❑ Puget Sound Energy ❑ Seattle City Light H: \Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of2 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, furnace 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: %d Print Name: (�4 �^ i�12 ��°� Day Telephone: Z - c 9. 38d 7 Mailing Address: Z Zdz y .40 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: MApplications\Forms- Applications On line \20I Applications \7 -2010 - Electrical Permit Application.doc hh Page 2 of 2 0 • 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.TukwilaWA.ov RECEIPT Parcel No.: 0041000493 Permit Number: EL1 1-0913 Address: 15037 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 10/04/2011 Applicant: TACO TIME Issue Date: Receipt No.: R11 -02161 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 10/04/2011 10:29 AM Balance: $0.00 Payee: ACKER ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8834 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 doc: Receiot -06 Printed: 10 -04 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: /'� Type of Inspection: Date Called: 760//2/a Address: 5-037 �, '.J• 177 Special Instructions: 0(...6\ Date Wanted:. a r Requester: !!!! Phone No: 174 Approved per applicable codes. a Corrections required prior to approval. COMMENTS: e0Jr Jir5 frJ r°°114(1 Inspector: C17 Date: ! 0 !I REINSPECTION FEE REQUIRED. rior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter Friendly Page • Electrical Contractor A business licensed by LEI 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 ACKER ELECTRIC 4254327973 22024 260Th Ave Se Maple Valley WA 98038 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601493691 Active ACKERE'077PM Electrical Contractor 10/14/1993 10/14/2011 General Unused Master Electrician INFORMATION License ACKERSD962LS Name ACKER, SEAN DENNIS Status Active Business Owner Information Name Role Effective Date Expiration Date ACKER, SEAN Owner 01/01/1980 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 3 American Contractors Indem CO 100172293 08/13/2011 Until Cancelled $4,000.0009/09/2011 2 oERICAN STATES INS 6175737 08/13/2002 Until Cancelled 08/13/2011 $4,000.0008/02/2002 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/04/2011