HomeMy WebLinkAboutPermit EL12-1155 - MIGHTY-O DONUTSMIGHI'Y -O DONUTS
10825 EAST MARGINAL WY S
EL12-1 155
Parcel No.:
Address:
City okukwila
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
0323049198
10825 EAST MARGINAL WY S TUKW
Project Name: MIGHTY-0 DONUTS
Permit Number:
Issue Date:
Permit Expires On:
EL12 -1155
12/11/2012
06/09/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
PABO2 LLC
PO BOX 606 , VANCOUVER WA 98666
ROGER STEWART Phone: 253 820 -8213
10717 STATE RT 162 E , PUYALLUP WA, 98374
Contractor:
Name: CASCADE LIGHTS LLC
Address: PO BOX 2064 , SUMNER WA 98390
Contractor License No: CASCALL884D6
Phone: 253 256 -4458
Expiration Date: 03/28/2014
DESCRIPTION OF WORK:
HOOK UP HOOD FAN EXHAUST AND INTAKE MOTORS/FANS
Value of Electrical:
NRES: $800.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
,4,21
$88.20
2008
Date: (2–
td12-
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pr - to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
construction or the performance of work.
Signature: Date: _� Date: 1 ) –1 ( — I .1
Print Name: 7S( /gip f
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 -1155 Printed: 12 -11 -2012
•
PERMIT CONDITIONS
Permit No. EL12 -1155
* *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 -1155 Printed: 12 -11 -2012
CITY OF TUKWI
Community Developme epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Iectrical;Pei
ProjectNo:
Date_ Application Accepted: _
Date Application Expires: . _
{For ofce: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 Address: I nA L f\ o,46i;no`1 \41qk,1
Tenant Name: /'ginJV---, — j�ONt -k-.
King Co Assessor's Tax No.: 0 ?j2� 0(4
Suite Number: Floor:
New Tenant: [/ Yes ❑.. No
PROPERTY OWNER
Name:
N- 5.-a P s k ,.. t,.1-
Address: 10'7 I1 ,cicCi -f. RA i GZ E
Address: 1 b'1 I') S- 1,,4-ti, Q+ 1G7 i
Name:
1 01'1. LLC
Zip:gq 9.7it
Phone: (2S 3) ' 2 O j2 13 Fax:
Address:
po\j lJt 1/( { „
City:
\ia Ini/01A1/(7c State:
i
/
Zip: iy A
CONTACT PERSON __ person receiving all project
communication _
Name:
N- 5.-a P s k ,.. t,.1-
Address: 10'7 I1 ,cicCi -f. RA i GZ E
Address: 1 b'1 I') S- 1,,4-ti, Q+ 1G7 i
Phone t' Fax:
C'�-S� 4�2o -Q�2�3
City: A i State: ` I
Zip:gq 9.7it
Phone: (2S 3) ' 2 O j2 13 Fax:
Email:
ELECTRICAL ,CONTRACTOR INFORMATION
Company Name:
Ciascoate Li3vi s LLC
Address: 10'7 I1 ,cicCi -f. RA i GZ E
City:0 11 State: \ I Zip: q ��L
``fir t4 (I ck i k In YV. q L
Phone t' Fax:
C'�-S� 4�2o -Q�2�3
Contr Reg No.: Exp Date:
ramcw 5544'(. .q2.c), /(3
Tukwila Business License No.; y - („
11 ° 12 -0
Valuation of Project (contractor's bid price): $ %O3, Oo
Scope of Work (please provide detailed information): too . `kV \oo� y� 'e,K�c,�v6S� t� i n 1- K.t ti'16gis(
V
Will service be altered? ❑ Yes I' No Adding more than 50 amps? ❑ Yes IZNo
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 \2011 Apphcations\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 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 $1 1.55 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)
❑ Camivals
$78.75
Number of concessions $10.50 ea
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:
Mailing Address: f 4 go7c 2,,,0(j LA
H.\ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised. August 2011
bh
Day Telephone:
StA m ,n g i,
City
Date: 12-7(///Z-
- G S)3
State Zip
Page 2 of 2
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.: 0323049198 Permit Number: EL12 -1155
Address: 10825 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 12/11/2012
Applicant: MIGHTY -O DONUTS Issue Date:
Receipt No.: R12 -03299
Initials: JEM
User ID: 1165
Payment Amount: $88.20
Payment Date: 12/11/2012 12:03 PM
Balance: $0.00
Payee: BRETT D HANGER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3892 88.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 88.20
Total: $88.20
dnr. RRrRint -(1R
PrintRel. 17 -11 -9017
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Ike. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 .
Project: ri 1i lAri .-6 D.Auri
Type of Inspection:
z iDo
Address: i Of�s 6 i4 ,
Date Called:
Special Instructions:
Date Wanted:.
d�
a m.
p.m.
Requester:
Phone No:
LApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Ir t
1
1/
Inspector: '0\14
Date:
0214//3
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr�er 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
CASCADE LIGHTS LLC
2532564458
Po Box 2064
Sumner
WA
98390
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603165669
Active
CASCALL884D6
Electrical Contractor
3/28/2012
3/28/2014
General
Unused
Electrical Administrator INFORMATION
License STEWAR *920K9
Name STEWART, ROGER A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
STEWART, ROGER A
Agent
03/26/2012
BONE, CHRISTIAN R
Partner /Member
03/26/2012
DAWSON, THOMAS E
Partner /Member
03/26/2012
CHAVEZ, JUAN M
Partner /Member
03/26/2012
NORMAN, SHANE T
Partner /Member
03/26/2012
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
American Contractors
Indem CO
100190795
03/26/2012
Until Cancelled
$4,000.00
03/26/2012
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 No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx 12/11/2012