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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: (. l /� 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 bh 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 bh 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