HomeMy WebLinkAboutPermit EL13-1136 - BUFFALO WILD WINGS - LOW VOLTAGEBUFFALO WILD WINGS
295 TUKWILA PKWY
EL13-1 136
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No: 9202470100
Address:
ELECTRICAL OTC PERMIT
Project Name: BUFFALO WILD WINGS
Permit Number: EL13-1136
Issue Date: 11/13/2013
Permit Expires On: 5/12/2014
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD, WA,
92013
Contact Person:
Name: ROBERT HEBB Phone: (509) 891-7420
Address: 1325 N LIBERTY LAKE RD, LIBERTY
LAKE, WA, 99019
Contractor:
Name: HTI SYSTEMS Phone: (509) 731-4484
Address: 1324 N LIBERTY LAKE RD , LIBERTY
LAKE, WA, 99019
License No: HTISYS*905JG Expiration Date: 4/16/2014
Lender:
Name:
Address:
11 I
DESCRIPTION OF WORK:
INSTALL 16 CCTV CAMERAS AND DVR
Valuation of single family: $0.00
Valuation of mf/comm: $5,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $183.40
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date: l t l 1 l3
• •
I hearby 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
development permit and agree to the conditions attached to this permit.
Print Name:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKi9
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. €1.A — L `
Project No. �7
Date Application Accepted: t `1 5 r 5
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
Si/WV
King Co Assessor's Tax No.:
Site Address: / J /1t ,4 /R Suite Number: Floor:
Tenant Name: Wl / &, P �et% (14jyC New Tenant: Et Yes ❑ .. No
PROPERTY OWNER
Name: AJO44, Mold
Name:
VI(A
C
n/1 A
Address:
Q V Z9 7 0
/1
l 2,70101 to o
City: (.
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p
p State: 11\.1 A_ Zip: 1 lof
CONTACT PERSON — person receiving all project
communication
Name: AJO44, Mold
�i
Address:/32 ( /// _4 i /1 4h Ay
City: .0�t hit,. t,. State eZi g7pp,e, j9
Phone-a,eiy l _7,7_0x:
/2_
Email: fro A>,°a �h &t4.1. xf ‘f GL ,%%S•, ,,,e
ELECTRICAL CONTRACTOR INFORMATION
Company Name: )../71 S 6 -
Address: X32 / ®/ /4 /2'"
City% v / / &State: 4 99 ?
Phone a -n/ 7,,gmac.
Contr Reg Noy/773 y5.,ADc j(� 3 Date: 4/i I�
!//
l
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ % O(9 2
Scope of Work (please provide detailed information):__A/75 ea //24 /'4 7/_' /2/ C& LD �✓j� s
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
4 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Applcations\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 $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) $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: f Date:
Print Name: le L/ Ii /-4 �CDay Telephone: \SW P9/7t.
Mailing
9 7 PMailing Address: /32.7 / C/i fi ' �l/ h4 / 2.% 0-1 ),
/ City / State Zip
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PerrnitTRAK
ACCOUNT QUANTITY PAID
$183.40
EL13-1136 Address: Apn: 9202470100
$183.40
ELECTRICAL
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R91
R000.322.101.00.00
$183.40
$183.40
$183.40
Date Paid: Wednesday, November 13, 2013
Paid By: HIGH TECH INNOVATION CORP
Pay Method: CHECK 50149
Printed: Wednesday, November 13, 2013 10:14 1 of 1
AM
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF T.UKWILA BUILDING DIVISION
(206) 431-3670
443- 1310
6300 Southcenter Blvd.; #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Project:
Type of Inspection:
Address.27 J 1 /� Py-
Date Called:
Special Instructions:
eGr/
Date Wanted: ' i
ca. .
P`rr�l
Requester:
Phone No:
57n53711
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Date: 0 ft l(�
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
r
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
613-n3(0
Project: f).‘)fr-�..0 �/ ��`
Type of Inspection: �`y% v41 IA)
1
Address: Zi 5 T VIC Pf
V r
Date Called:
Special Instructions:
Date Wanted:
I11,
t
m.
P91Requester:
&46f-ki
Phone No: col t q 3 311 i.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Rs (Ai
ColPitif
Inspector: i
Ci/1/6i4 l�
Date:
1
i3
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Plter Friendly Page
1
Electrical Contractor
A business licensed by LEI 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
HTI SYSTEMS
5097314484
1324 N. Liberty Lake Road
Liberty Lake
WA
99019
Spokane
Limited Liability Company
ELM GROUP LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602814281
Active
HTISYS'905JG
Electrical Contractor
4/7/2010
4/16/2014
Limited Energy
Unused
Electrical Administrator INFORMATION
License HEBB*R*088NH
Name HEBB, ROBERT
Status Active
Business Owner Information
Name
JOHNSON, TERESA
Role
Partner/Member
Effective Date
Expiration Date
04/07/2010
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
2
United States Fire
Insurance Co
615981672
02/18/2013
Until Cancelled
$4,000.0003/01/2013
1
PLATTE RIVER INS CO
41191043
03/04/2010
Until Cancelled
02/18/2013
$4,000.0004/07/2010
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/Ini/bbip/Print.aspx 11/13/2013