HomeMy WebLinkAboutPermit EL11-1135 - TACO TIMETACO TIME
15037 TUKWILA
INTERNATIONAL BL
EL1 1 -1135
City A/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.gov
ELECTRICAL PERMIT
Parcel No.: 0041000493 Permit Number: EL11 -1135
Address: 15037 TUKWILA INTERNATIONAL BL TUKW Issue Date: 12/21/2011
Permit Expires On: 06/18/2012
Project Name: TACO TIME
Owner:
Name: HAWLEY ENTERPRISES INC
Address: PO BOX 1002 , ENUMCLAW WA
Contact Person:
Name: DONNA GREEN
Address: 7204 NE 175 ST , KENMORE WA
Contractor:
Name: CLARITY SIGNS INC
Address: 7204 NE 175 ST STE 204 , BOTHELL WA
Contractor License No: CLARISI927BH
Phone: 425 - 485 -9600
Phone: 425 845 -9600
Expiration Date: 01/11/2012
DESCRIPTION OF WORK:
CONNECT (3) CHANNEL LE TIER SETS, (2) ENTER/EXIT SIGNS, (1) MONUMENT SIGN AND
(1) MENU BOARD TO EXISTING POWER
Value of Electrical: NRES: $350.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $67.20
National Electrical Code Edition: 2008
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 of this ermit does not pres give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th perform e of wor I am thor`ed to sign and obtain this electrical permit.
Signature:
Print Name:
�A /4-77—
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 -4/10
EL11 -1135 Printed: 12 -21 -2011
PERMIT CONDITIONS
Permit No. EL11 -1135
* *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 -4/10
EL11 -1135 Printed: 12 -21 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No [IT 11:
ProjdetN:d.-
Date :Appliation Accepted:
Date Application Expires:
(FM' 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
_ / King Co Assessor's Tax No.: 7 D t+ � 0 G 0 �q 3
Site Address: i5 037 Tu k ui i I a (kf '! /3 h V d Suite Number: Floor:
Tenant Name: r f b- New Tenant:
PROPERTY OWNER
Name:
Address: -7 -2.04 id E i 7 cr- S f
Name:
Address:
Contr Reg No. :644A Q.1 S 1 Q ..:7)31 -4Exp Date: i ,/t 1 (l Z
Address:
tate: Zip:
Phone:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name:
Address: -7 -2.04 id E i 7 cr- S f
po 14 IA. a 6_1,.__e_t h
Address:
Contr Reg No. :644A Q.1 S 1 Q ..:7)31 -4Exp Date: i ,/t 1 (l Z
City:
tate: Zip:
Phone:
Fax: -
Email:
1 k-t"(� o € cJaVI -I-tls iCi1'lS ' w "
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
C Gt tt to ! La e v S Q f 5 E-r. 4-eA- �{-
//Vh(,c e s
tM €A-tv, toot rol
Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: c rQ ri . S 1 5 k s
Address: -7 -2.04 id E i 7 cr- S f
City: ket., vt,.>I 0 v e State: Zip: Yip 2...
l
Phone: the i/ j j boD Fax: (i et 1 73o3
Contr Reg No. :644A Q.1 S 1 Q ..:7)31 -4Exp Date: i ,/t 1 (l Z
Tukwila Business License No.: O ci i 23 t 1 a
C IA '-1-ce-f
aIA d
Will service be altered?
Yes ❑ No
Adding more than 50 amps?
❑ Yes ❑ No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served bv:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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❑ Tenant Improvement
❑ Temporary Service
Page I of 2
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 he entered by the applicant. This figure will he 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:
c—DNAAA..e.--
/ O lit
—7 (� n^ Day
1 Telephhone: c,
Mailing Address: `LO kit �� J� h I/" wff WPC t 3 0 Z b
City
Date:
(1 -2/ -jg
�{ ZS ggS R (.tPcP
H: \Applications \Forms - Applications On Line \201 I Apphcations\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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State Zip
Page 2 of 2
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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.gov
RECEIPT
Parcel No.: 0041000493 Permit Number: EL11 -1135
Address: 15037 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 12/21/2011
Applicant: TACO TIME Issue Date:
Receipt No.: R11 -02769
Initials: WER
User ID: 1655
Payment Amount: $67.20
Payment Date: 12/21/2011 01:58 PM
Balance: $0.00
Payee: DOUGLAS PRATT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6132 63.00
Payment Check 5583 4.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt -06 Printed: 12 -21 -2011
01 -11351
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 -367
Permit Inspection Request Line (206) 431 -2451
Project: —.0—
�i1 itie
Type of Inspection:
‘100
Address:
Date Called:
t 5637
Special Instructions:
SrLtd
•
Date Wanted:.
1 /17
(m.
-ate
Requester:
Phone No:
Approved per applicable codes.
aCorrections required prior to approval.
COMMENTS:
Inspector:
IDate: O i 23 / 2.--
ri REINSPECTION FEE REQUIRE ' . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per 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
CLARITY SIGNS INC
4254859600
7204 Ne 175Th St
STE 204
Bothell
WA
980286516
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602754457
Active
CLARISI927BH
Electrical Contractor
1/8/2008
1/11/2012
Sign
Unused
Electrical Administrator INFORMATION
License NYGREGH919CJ
Name NYGREEN, GREG H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLARITY SIGNS, INC.
Violation Amount
01/08/2008
6/30/2009
JOHNSTONE, LARRY A
Agent
01/08/2008
$250.00
NYGREEN, GREG H
Chief Executive Officer
01/08/2008
ELECTRICAL CITATION
MILLER, ADAM M
President
01/08/2008
7/1/2009
MILLER, ADAM M
Secretary
01/08/2008
$250.00
NYGREEN, GREG H
Treasurer
01/08/2008
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
STATE FARM FIRE &
CAS CO
98 -GU- 5133 -1
12/07/2007
Until Cancelled
$4,000.00
01/08/2008
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
ECHIR00443
6/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00400
11/15/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHIR00445
7/1/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00329
6/4/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00341
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00339
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 12/21/2011