HomeMy WebLinkAboutPermit EL14-0719 - FIVE GUYS BURGERS AND FRIES - NOTIFICATION AND INITIATING DEVICESFIVE GUYS
BURGERS & FRIES
17100 SOTJTHCENTER PKWY
suri1E 112
EL14-0719
Parcel No:
Address:
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
ELECTRICAL OTC PERMIT
7888920020 Permit Number:
17100 SOUTHCENTER PKWY 112
Project Name: FIVE GUYS BURGERS AND FRIES
Issue Date:
Permit Expires On:
EL14-0719
7/30/2014
1/26/2015
Owner:
Name: WIG PROPERTIES LLC-SS
Address: 4811 134TH PL SE , BELLEVUE, WA,
98006
Contact Person:
Name: SCOTT JERKE
Address: 1106 54TH AVE E , TACOMA, WA,
98424
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SMITH FIRE SYSTEMS MGMT LLC
110654 AV E , TACOMA, WA, 98424
SMITHFS946L0
Phone: (253) 248-2004
Phone: (253) 926-1880
Expiration Date: 6/20/2016
DESCRIPTION OF WORK:
ADD NOTIFICATION AND INITIATING DEVICES FOR T.I.
Valuation of single family: $0.00
Valuation of mf/comm: $3,176.00
Type of Work: LOW VOLTAGE
Fees Collected: $169.89
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
V- \ <
Date: CJ- ( Q(l-
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 agr'o the conditions ...cached to this permit.
Signature:
Print Name:
co
Date: a -` f 1
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
Parcel No:
Address:
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.gpv_
ELECTRICAL OTC PERMIT
7888920020 Permit Number:
17250 SOUTHCENTER PKWY 112
Project Name: HAND AND STONE
Issue Date:
Permit Expires On:
EL14-0719
7/30/2014
1/26/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WIG PROPERTIES LLC-SS
4811 134TH PL SE , BELLEVUE, WA,
98006
SCOTT JERKE
1106 54TH AVE E , TACOMA, WA,
98424
SMITH FIRE SYSTEMS MGMT LLC
110654 AV E , TACOMA, WA, 98424
SMITHFS946L0
Phone: (253) 248-2004
Phone: (253) 926-1880
Expiration Date: 6/20/2016
DESCRIPTION OF WORK:
ADD NOTIFICATION AND INITIATING DEVICES FOR T.I.
Valuation of single family: $0.00
Valuation of mf/comm: $3,176.00
Type of Work: LOW VOLTAGE
Fees Collected: $169.89
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: U7/3�/7/
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 regulatin:s struction or the per mance of work. I am authorized to sign and obtain this
development permit an . : • to the conditio attached to this permit.
Signature: Date:
Print Name:
-(4 3 p„
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: HAND AND STONE
Name: WIG PROPERTIES
Address:
City:
State:
Zip:
Name: SCOTT JERKE
Address: 1106 54TH AVE E
City: TACOMA
State: WA Zip: 98424
Phone: (253) 248-2004 Fax: (253) 926-0726
Email:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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**
King Co Assessor's Tax No.: 7888920020
Site Address: 17250 SOUTHCENTER PKWY, BLDG S Suite Number: 112 Floor:
New Tenant: ® Yes El ..No
Company Name: SMITH FIRE SYSTEMS MGMT
Address: 1106 54TH AVE E
City: TACOMA
State: WA
Zip: 98424
Phone: (253) 248-2004 Fax: (253) 926-0726
Contr Reg No.: SMITHFS946LO Exp Date: 06/20/2016
Tukwila Business License No.; BUS0993291
Valuation of Project (contractor's bid price): $ 3,176
Scope of Work (please provide detailed information): ADD NOTIFICATION AND INITIATING DEVICES
FOR T.I.
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant improvement
m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14 docx
Revised January 2014
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 $1 1.55 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
O 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***
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 v,Titing
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 ELECTiRICAL CONTRAC
Signature:
Print Name:
SCOTT
Mailing Address: 1106 54TH AVE E, TACOMA, WA 98424
H.\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised. January 2014
bit
Date: 07/30/2014
Day Telephone: (253) 248-2004
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
169.89
EL14=0719
Address: 17250 SOUTHCENTER PKWY 112
Apn:`7888920020'
169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$161.80
TECHNOLOGY FEE
$8.09
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2727
R000.322.900.04.00
0.00
$8.09
$169.89
Date Paid: Wednesday, July 30, 2014
Paid By: SMITH FIRE SYSTEMS MANAGEMENT
Pay Method: CHECK 06841
Printed: Wednesday, July 30, 2014 11:52 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. '
Litfq, ofi
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: �� (
Ave l
Type of Inspection:
1r
f��
N
Address:
Py
Date Called:
Special Instructions:
Date Wanted:
9 !
nt>
(If.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1
Inspector: 1Irl AK
Date: o i &'
t t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO,
INSPECTION RECORD
Retain a copy with permit
64- oft9
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspect i equest Line (206) 431-2451
Project: bilite.
Type of Inspection: !�W4 `4
,4/
Address: l 7LV .C. p,,
Date Called:
Special Instructions: jj 1
"Ir2
rill(
Date Wanted: y
to
�a.r'
p.m.
Requester: 1
Phone No: ZO I
t
'g
EApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Y(.1
- ati,4 Jek
•(<J44 rrJ eo-►P1,15-re
Inspector:
Date:
0 fro fit./
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
(rt( /(
Plan Check/Permit Number: T L (46-- 0
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: °F-I‘,%Z rr-tAl -g vtf 'e'v S
Project Address: ( In3,S; /0 % t/1✓
Contact Person: 6j e off'- -e1/ Ic Q hone Number: 02 S?y 2 La— ZQ a
Summary of Revision: Q _C /j
e O r✓tJ Cr`ei$,g
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
❑ Entered in TRAKiT on
SMITH FIRE SYSTEMS MGMT LI c'
Page 1 of 2
Washington State Department Of
Labor & industries
SMITH FIRE SYSTEMS MGMT LLC
Owner or tradesperson
SMITH, MARK B
Principals
SMITH, MARK B, PARTNER/MEMBER
GTH CORPORATE SERVICES LLC, AGENT
Doing business as
SMITH FIRE SYSTEMS MGMT LLC
WA UBI No.
602 601 418
1106 54TH AVE E
TACOMA, WA 98424
253-926-1880
PIERCE County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
SMITHFS946LO
Effective — expiration
06/20/2006— 06/20/2016
Designated administrator
Abel, Matthew N
License type
Electrical Administrator
Bond
Merchants Bonding Co (Mutual)
Bond account no.
WA31201
Received by L&I
06/13/2013
Bond history
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
License no.
ABEL*MN893N5
$4,000.00
Effective date
06/13/2013
Expiration date
Until Canceled
License Violations
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602601418&LIC=SMITHFS946LO&SAW= 07/30/2014