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HomeMy WebLinkAboutPermit EL12-0095 - K'S MONGOLIAN GRILLK'S MONGOLIAN GRILL 361 STRANDER BL EL1 2-0095 City ol/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 Parcel No.: 2623049064 Address: 361 STRANDER BL TUKW Project Name: K'S MONGOLIAN GRILL ELECTRICAL PERMIT Permit Number: EL12 -0095 Issue Date: 02/06/2012 Permit Expires On: 08/04/2012 Owner: Name: REGENCY CENTERS LP Address: C/0 PROPERTY TAX DEPT , PO BOX 790830 Contact Person: Name: JENNIFER BURGESS Phone: 206 - 774 -9499 Address: 1345 GULF RD , POINT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N # 105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 425 - 893 -3668 Expiration Date: 09/25/2013 DESCRIPTION OF WORK: INSTALLING LOW VOLTAGE BURGLAR ALARM SYSTEM Value of Electrical: NRES: $199.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: ca, $63.00 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 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: / " ' 4L 1 %✓t1 �, l �'VQr�/ dl Date:10Z'0 eidZ 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 EL12 -0095 Printed: 02 -06 -2012 • PERMIT CONDITIONS Permit No. EL12 -0095 * *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 EL12 -0095 Printed: 02 -06 -2012 CITY OF TUKA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. EL1)- Oo (s- Project No. Date Application Accepted: Date Application Expires: (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: Tenant Name: 361 Strander Blvd K's Mongolian Grill PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Name: K's Mongolian Grill City: PT. ROBERTS State: WA Zip: 98281 Address: SAME AS SITE Email: JENNIFER @NWPERMIT.COM City: TUKWILA State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD City: PT. ROBERTS State: WA Zip: 98281 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes m ..No 2623049064 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT SECURITY SERVICES INC. Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Contr Reg No.: ADTSESI03205 Exp Date: 09/25/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 199 Scope of Work (please provide detailed information): INSTALLING LOW VOLTAGE BURGLAR ALARM SYSTEM Will service be altered? ❑ Yes EJ No Adding more than 50 amps? ❑ Yes © No Type of Use: commercial Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ 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 bit Page 1 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2623049064 Address: 361 STRANDER BL TUKW Suite No: Applicant: K'S MONGOLIAN GRILL RECEIPT Permit Number: EL12 -0095 Status: PENDING Applied Date: 02/06/2012 Issue Date: Receipt No.: R12 -00511 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 02/06/2012 09:11 AM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1699 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: Receipt -06 Printed: 02 -06 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 R (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 wi-OcK Project: r5 .; u�4 (AA c �a�e Type of Inspection: 2io) Address: ! ;;� Date Called: Special Instructions: Date Wanted:. Z� m. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: (2ekgto-tods Inspector: 1;166\146c Date: /2� i2 ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Z INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit PERMIT NO. Project: 1 i 11 Ako t, i& i u Type of Inspection: y/C 0, Address: 34 Ese, Date Called: r Special Instructions: 5c�n i� i ti Date Wanted:. 2. 7 m. P.m Requester: Phone No: JApproved per applicable codes. - Corrections required prior to approval. COMMENTS: - ,J 'oRT 8v61.65 ai Ll4(1 Inspector: Wkict F-7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 02.12, INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (i' (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 th7-001,51 Project: K S 4w 4oir (iQru - of Inspection: - ©fl Address: 11 sr _ o ria, Date Called: Special Instructions: APT& 10 :30 56 kt / Date Wanted: . 07 P.m. Requester: Phone No: EJApproved per applicable codes. giCorrections required prior to approval. COMMENTS: ND d4('F.i S5 t'J1 vV t5c4(4)0LL Inspector: Date: ri REINSPECTION FEE 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 3 Electrical Contractor A business licensed by Lai 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 ADT SECURITY SERVICES INC 2067190347 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI032O5 Electrical Contractor 9/25/1997 9/25/2013 Limited Energy Unused Other Associated Licenses License icense Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Electrical Administrator INFORMATION License NICKOT *902DA Name NICKOLS, TIM Status Active Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 KOCH, JOHN B President 09/13/2011 BLEISCH, NELSON DAVID Secretary 09/13/2011 FAXAS, MAGIN ANTHONY Treasurer 09/13/2011 SNYDER, MICHAEL President 01/01/1980 09/13/2011 MONROZE, M BRIAN Secretary 06/15/2006 09/13/2011 FLANIGAN, TIMOTHY E Secretary 06/15/2006 09/13/2011 ABROMEIT, RICHARD H Treasurer 08/21/2003 09/13/2011 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 https://fortress.wa.gov/lni/bbip/Print.aspx 02/06/2012