HomeMy WebLinkAboutPermit EL13-1274 - BUFFALO WILD WINGS - LOW VOLTAGEBUFFALO WILD WINGS
295 TUKWILA PKWY
EL1 3-1274
•
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.eov
ELECTRICAL OTC PERMIT
Parcel No: 9202470100 Permit Number: EL13-1274
Address: 295 TUKWILA PKWY Issue Date: 12/12/2013
Permit Expires On: 6/10/2014
Project Name: BUFFALO WILD WINGS
Owner:
Name:
Address: , , WA,
Contact Person:
Name: JERAMY SHIVELY
Address: PO BOX 1806 , ORTING, WA, 98360
Contractor:
Name: WEST COAST SECURITY INC
Address: 14721 146 AV E , ORTING, WA, 98360
License No: WESTCCS940K5
Lender:
Name:
Address:
0 II
Phone: (253) 255-4138
Phone:
Expiration Date: 5/25/2014
DESCRIPTION OF WORK:
INSTALLATION OF LOW VOLTAGE BURGLAR ALARM SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $2,300.00
Type of Work: LOW VOLTAGE
Fees Collected: $140.20
Electrical Service Provided by:
Water District:
Sewer Distric:
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:
----2,4 Date: i')—`-- t 3
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 aid agree t;the conditions attached to this permit.
Signature:
Print Na
c"e%r(K S4r v i/
Date: i.,. .,.2/�
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 TUKi�4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L , —
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:?It'5 a, -&i,„ -/p, P�lrry
Tenant Name: Gr1ga7GLt//J/4 14,/1/95
King Co Assessor's Tax No.:
Suite Number:
New Tenant: Yes ❑ .. No
PROPERTY OWNER
Name: c?1 �r 5-41‘
41 c./ y
Address: 7,G iios 7 14471,47Gl r'/G x
(
Name:
Phone: j_S/��6 Fax:
15
Email:
Address:
Tukwila Business License No.;
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: c?1 �r 5-41‘
41 c./ y
Address: 7,G iios 7 14471,47Gl r'/G x
(
City:. G`;,li tate: 1 � /`/ / �/ // Zip: maid
N
Phone: j_S/��6 Fax:
15
Email:
Floor:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: k/-,
fer_z_en
_
/
Address:
/!/ceq 2Ge/P Sf"'
City: State: ,[/ h Zip9/�0
�/ /
Phone:/ 1 -1-6//1 Fax:
Contr Reg No.: .14/0.71‘,.6.5 9 4... Exp Date: f/././lc.(
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 21e.Od
Scope of Work (please provide detailed information): .[ j/Ct// rf/Gt./. "re s L& 4-••••
P1,y/at 14�7141 /Wbll
Will service be altered? ❑ Yes ANo Adding more than 50 amps? ❑ Yes A No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel ❑ Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line \2013 Apphcations\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page I 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 0 ' ' CTRICAL CONTRACTOR:
Signature:
Print Name:
02'1/ f's e
Day Telephone:
Date: //I h) //7
4'U�
Mailing Address: ,Pa42,i/ lel, a" 1; i / N 99 7
City State Zip
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
$140.20
EL13-1274 Address: 295 TUKWILA PKWY Apn: 9202470100
$140.20
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R334
R000.322.101.00.00
$140.20
$140.20
Date Paid: Thursday, December 12, 2013
Paid By: JEREMY SHIVELY WEST COAST SECU
Pay Method: CREDIT CARD 611389
Printed: Thursday, December 12, 2013 9:35 AM 1 of 1
CRW SYSTEMS
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
6,3-1 174
Project: !
/ ffikt,0 0445
Type of Inspection:
Al
�
Address: �J
k /(-
Date Called:
Special Instruc ions:
Date Wanted:
Z.
a:
p.m
Requester:
Phone No:
Approved. per applicable codes.
0 Corrections required prior to approval.
COMMENTS:
41/1/V,
i
/ Date:
Oita (11
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspectorjr
WEST COAST SECURITY INC •
n
Washington State Department of
Labor & Industries
1
Page 1 of 6
WEST COAST SECURITY INC
Owner or tradesperson
SHIVELY, JERAMY D
Principals
SHIVELY, JERAMY D
Doing business as
WEST COAST SECURITY INC
WA UBI No.
602 570 814
10609 264TH ST EAST
GRAHAM, WA98338
253-255-4138
PIERCE, County
Business type
Corporation
Governing persons
JEREMYDAVIDSHIVELY
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
WESTCCS940K5
Effective — expiration
05/25/2006 — 05/25/2014
Designated administrator
SHIVELY, JERAMY D
License type
Electrical Administrator
Bond
Lexon Ins Co
Bond account no.
9806115
Received by L&I
05/26/2011
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
ACTIVE
License no.
SHIVEJD961 DB
$4,000.00
Effective date
05/25/2011
httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=602570814&LIC=WESTCCS940K5&S... 12/12/2013