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„
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pirS
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Address:
Email: p /So fir,./
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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�
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Phone§y/y D» .
T J
Email: p /So fir,./
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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
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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
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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