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HomeMy WebLinkAboutPermit EL13-1086 - SIZZLER - TENANT IMPROVEMENTSIZZLER 16615 SOUTHCENTER PY EL1 3-1086 City oPI'ukwila 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.: 5379200300 Address: 16615 SOUTHCENTER PY TUKW Project Name: SIZZLER ELECTRICAL PERMIT Permit Number: EL13-1086 Issue Date: 10/30/2013 Permit Expires On: 04/28/2014 Owner: Name: SIZZLING PLATTER OF WASH Address: 348 EAST 6400 S #200 , MURRAY UT 84107 Contact Person: Name: JACK OLSON Address: PO BOX 12126 , TACOMA WA, 98412 Contractor: Name: OLSON ELECTRIC LLC Address: 408 E 83RD ST , TACOMA WA 98404 Contractor License No: OLSONEL893L3 Phone: (253) 219-8999 Phone: (253) 219-8999 Expiration Date: 06/24/2015 DESCRIPTION OF WORK: ADDED 8 WALL LIGHTS ON ROOF SOFIT. WIRE FOR SIGN BEING MOVED. Value of Electrical: NRES: $1,500.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN Washington Cities Electrical Code: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: z,e-t,,,, zaz--6, $118.60 2011 Date: /0/30/—C 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 perfor ce of work. m authorized to sign and obtain this electrical permit. Signature. Date/C7/200 Print ,e/ cGr � G'�Jni 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 -7/13 EL13-1086 Printed: 10-30-2013 • • PERMIT CONDITIONS Permit No. EL 13-1086 **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. loc: EL -7/13 EL13-1086 Printed: 10-30-2013 CITY OF TUKWal Community Developm7ffiDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PerSiiit No. i(A -- MP 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: //' C er17-6- Tenant Name: King Co Assessor's Tax No.: PROPERTY OWNER Name: 0:—/e, J e4,_ 0A, ^ / /c Address: e 1/ /c 'i Name: S;f ? gee„ Ziyl� pirS ��,x- re Address: Email: p /So fir,./ ,''Z ‘C 67)#1 ;', ci City: State: Zip: CONTACT PERSON — person receiving all project communication Name: 0:—/e, J e4,_ 0A, ^ / /c Address: e 1/ /c 'i City: State:141, Ziyl� pirS ��,x- re Phone§y/y D» . T J Email: p /So fir,./ ,''Z ‘C 67)#1 ;', ci bv�/ Suite Number: Floor: // New Tenant: ❑ Yes . No ELECTRICAL CONTRACTOR INFORMATION Company Name: CAW Pc - /L LZC Address: O g / cm) 1 i City: ��~ State: vv Zip: .i T Phone :� G,/�9 _ 1 ? Fax: ! ,,:2,51? C. tJ Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ /) 66 0 /%� ,Q� Scope of Work (please provide detailed information): /l�o"c✓ 6'Cr. eOp 1'i ( /i/A0pf ,'� �S✓/ i /�, 1,I�Re 1c1 J!/l� Ick �l/►/ 7dv P Will service be altered? ❑ Yes KNo Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served bv: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings O Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $59.85 ea RESID +M7 -REMODEL AND SERVICE CHANGES ❑ Sery chang alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea NISL 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: Date: /67/0/,_..? Print 07-1c— / Lif,/ v Day Telephone: a Mailing Address: pt7( ! c /c c e7z '9g77�jL ]ty State Zip H:Wpplications\Forms-Applications On Line \2013 Applcations\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh 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.: 5379200300 Permit Number: EL13-1086 Address: 16615 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/30/2013 Applicant: SIZZLER Issue Date: Receipt No.: R13-03008 Initials: User ID: LAW 1632 Payment Amount: $118.60 Payment Date: 10/30/2013 09:59 AM Balance: $0.00 Payee: OLSON ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 895471 ACCOUNT ITEM LIST: Description 118.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 118.60 Total: $118.60 dint ,1. 1n_zn_)n1a 3 INSPECTION RECORD Retain a copy with permit. INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206).431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspectio:v G...rati!� Address: (' /,i C3-'-‘11* Date Called: /� /�/ Special In tructions: Date Wanted: /'t r�.m. p.m. Requester: Phone No: Approved per applicable codes. L J Corrections required prior to approval. COMMENTS 0 (- (i41)6(i6kovio Inspector: Date: b <<» n REINSPECTION` FEE REQUIRED. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 6143- 108 INSPECTION NO. • • PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.. #100; Tukwila. WA 98188 (206) 431.-3670 Permit Inspection Request Line (206) 431-2451 Project: q Type of Inspection: 41,4 ff ./J Address: m e.. py Date Called: Special Instructions: { - Date Wanted: 12•- 0. p.m. Requester:. Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector:: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be. • paid at 6300 Southcenter Blvd.; Suite 100: Call to schedule reinspection: INSPECTION NO. INSPECTIONRECORD Retain a copy with permit 041 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: `i J ' 4(Q Type of Inspection: 7003 3 Address:. IODill �tJ•�• Date Called: Special Instructions: Date Wanted:�` /0/Requester: m: Phone No: EiApproved per applicable codes. t� Corrections required prior to approval. COMMENTS: 014 Inspector: Date: 3 REINSPECTION FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople *ter 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 OLSON ELECTRIC LLC UBI No. 603123516 Phone 2532198999 Status Active Address 408 E 83Rd St License No. OLSONEL893L3 Suite/Apt. License Type Electrical Contractor City Tacoma Effective Date 6/24/2011 State WA Expiration Date 6/24/2015 Zip 98404 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License OLSONJE922D1 Name OLSON, JACK E Status Active Business Owner Information Name Role Effective Date Expiration Date OLSON, JACK Agent 06/27/2011 OLSON, JACK Partner/Member 06/27/2011 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 Lexon Ins Co 9806513 06/24/2011 Until Cancelled $4,000.00 06/24/2011 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 httas://fortress.wa.gov/lni/bbip/Print.aspx 10/30/2013