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Permit EL14-0031 - FRENCH FRY HEAVEN - KIOSK
FRENCH FRY HEAVEN 2800 SOUTHCENTER MALL K-2628 ELi 4-0031 City of Tukwila Department of Community Development /=0 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 fi Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov Parcel No: 9202470010 Address: ELECTRICAL OTC PERMIT Permit Number: EL14-0031 2800 SOUTHCENTER MALL K2628 Issue Date: 1/14/2014 Permit Expires On: 7/13/2014 Project Name: FRENCH FRY HEAVEN Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD, WA, 92013 Contact Person: Name: RYAN HAGGARD Phone: (206) 953-5778 Address: 16702 85 AVE SE , SNOHOMISH, WA, 98296 Contractor: Name: HAGGARD ELECTRICAL CONTRACTORS Phone: (425) 949-4004 Address: 16702 65 AV SE , SNOHOMISH, WA, 98296 License No: HAGGAEC960DA Expiration Date: 3/1/2014 Lender: Name: Address: 1// DESCRIPTION OF WORK: Valuation of single family: $0.00 Valuation of mf/comm: $6,000.00 Type of Work: TENANT IMP Fees Collected: $211.05 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: Vl�� 1 I 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. Signature: Date: / „/ 20/f Print Name:.�r 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 Tenant Name: CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 1ELP - 00 2% Project No. I r� Date Application Accepted: (I ( - b L I Ci 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 King Co Assessor's Tax No.: l /_ t l -0 v to Site Address: (C, T 35/ 7' 39.5. �7�/ Soc/Are..t-/tPv" Ala q/ Suite Number: Vji Floor: New Tenant: Yes ❑ .. No /4 Pcveti PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: Address: / c 7o 2 6 5' 7"11- 4L tC C. 4-- City: State: Zip: SyaGtati.,'S4 t..e/i5� 9g2c,‘ Phone: Fax: Zog-`753 -S-77. t/25 -79 7- 7/0134' Email: isv:,.I.-A. a7/at G>/tXCe'/,n->.v',`4- , <O.-r r ELECTRICAL CONTRACTOR INFORMATION Company Name: N�i;C.m'� Eiec?`--:e-c/ <-c-+,7;2.e_c/6,- Address: /6 To? C 5 4 I' z ve ,C L-= E. City: State: Zip: Phone: Fax: ZoG- 75 3 --S-»eF-- 425.-9e-I - ezioa< Exp�Date: 7/J Contr Reg No.: 6IAG C C ?G 9r 1 I I rI — Tukwila Business License No.; n �t L4 Valuation of Project (contractor's bid price): $ 6,0 OU Scope of Work (please provide detailed information): E(eG v>'cc / 7' wr — /c' ,s-7c Will service be altered? N Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel [: Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pronertv Served bv: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: `�� U, ✓ �` Print Name: i/ Day Telephone: Mailing Address: ` City Date: State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $211.05 EL14-0031 Address: 2800 SOUTHCENTER MALL K2628 Apn: 9202470010 $211.05 ELECTRICAL $201.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $201.00 TECHNOLOGY FEE $10.05 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R737 $10.05 $211.05 Date Paid: Tuesday, January 14, 2014 Paid By: ADAM W BARRETT Pay Method: CREDIT CARD 102230 Printed: Tuesday, January 14, 2014 12:22 PM 1 of 1 CRWSYSTEMS Inspector: 2..— INSPECTION RECORD Retain a copy with permit 641(-61°51 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: / MY r��6\1 Alekf Type of Inspection: Address: I 0Ca J4- V Date Called: _. Special Instructions: t Date Wanted: ' if Cr. Requester: 1 Phone No: Approved per applicable codes. 0 Corrections required prior to approval. / COMMENTS: Date: 0 ( 11..7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. i=tof-(2031 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project. % i ft(61\) Type of Inspection: &04 l j Address: q4;, a Date Called: Special Instructions: Date Wanted: / f,ej.. (aim P m Requester: Phone No: 70' ! 1( 0 Approved per applicable codes. t._.J Corrections required prior to approval. COMMENTS: /Al 601Pt re Inspector: Date: ©t/15.11 REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. HAGGARD ELECTRICAL CONTR c LLC Page 1 of 6 Washington State Deparl,nent of Labor & Industries HAGGARD ELECTRICAL CONTRS LLC Owner or tradesperson Haggard, Ryan L Principals Haggard, Ryan L Elizabeth Haggard Doing business as HAGGARD ELECTRICAL CONTRS LLC WA UBI No. 602 357 747 16702 65TH AVE SE SNOHOMISH, WA98296 360-668-9361 SNOHOMISH, County Business type Limited Liability Company Governing persons ELIZABETHANNHAGGARD License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. HAGGAEC960DA Effective — expiration 03/01 /2004 — 03/01/2014 Designated administrator HAGGARD, RYAN License type Electrical Administrator Bond American Contractors Indem CO Bond account no. 100213165 Received by L&I 01/22/2013 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. ACTIVE License no. HAGGAR*964CL $4,000.00 Effective date 01/20/2013 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=6023 57747&LIC=HAGGAEC960DA&... 01/14/2014