HomeMy WebLinkAboutPermit EL14-0930 - TACO BELL - FOOD PREP LINE MODIFICATIONTACO BELL
16350 WEST VALLEY HY
EL1 4-0930
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: 2523049083
ELECTRICAL OTC PERMIT
Permit Number: EL14-0930
Address: 16350 W VALLEY HWY Issue Date: 9/24/2014
Permit Expires On: 3/23/2015
Project Name: TACO BELL
Owner:
Name: NWR REALTY L L C
Address: 16000 CHRISTENSEN RD STE 101,
SEATTLE, WA, 98188
Contact Person:
Name: JIM KLEISER Phone: (360) 574-7200
Address: 418 NE REPASS RD #B6, VANCOUVER,
WA, 98665
Contractor:
Name: MR ELECTRIC OF CLARK COUNTY Phone: (360) 574-7200
Address: 418 REPASS RD, STE B6 , VANCOUVER,
WA, 98665
License No: MRELEEC957RF Expiration Date: 12/6/2015
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ELECTRICAL MODIFICATION TO FOOD PREP LINE
Valuation of single family: $0.00
Valuation of mf/comm: $1,000.00
Type of Work: REMODEL
Fees Collected: $104.37
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 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
2012
Date: L ~JA"` -"b
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 permagree to the conditions attached t this permit.
Signature:
Print Name:
Date: / 2 L/ /4t
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 TUKH 4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 6 Lk— Oq 30
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: 16350 W Valley Hwy
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: Taco Bell 9425
PROPERTY OWNER
Name: David Orem with Northwest RestaurantsINC
Address: 17330 135th Ave NE
City: Woodinville State: WA Zip: 98072
CONTACT PERSON — person receiving all project
communication
Name: Jim Kleiser
Address: 418 NE Repass Road Suite B6
City: Vancouver State: WA Zip: 98665
Phone: (360) 574-7200 Fax: (360) 546-2158
Email: Csr (? W C .[ i 1c(c . c o v-v \
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Mr. Electric of Clark County
Address: 418 NE Repass Road Suite B6
City: Vancouver State: WA Zip: 98665
Phone: (360) 574-7200 Fax: (360) 546-2158
Contr Reg No.: 602 557 374 Exp Date: 07/31/2015
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information): Electrical modification to food prep line.
Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes m No
Type of Use: 6 circuit alterations.
Type of work:
❑ New 111 Addition ❑ Service Change ® Remodel ❑ Tenant Improvement
❑ 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 1-1-14,docx
Revised: January 2014
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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.
Signature: Date: _2 7 /
Mailing Address:H(Ii v\-t V a_c)
Day Telephone: Ekt. <s1Li _12OO
\cuncouvu)a c,as&S-
City State Zip
H:\Applications\Forms-Applications 0n Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised: January 2014
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY PAID
ermitTR
104s°3
14-0930
dress:16350 W.•VALLEYH
n: 2523049083
L04:
ELECTRICAL'
$99.40
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$99.40
TECHNOLOGY FEE
$4.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3154
R000.322.900.04.00
0.00
$4.97
$104.37
Date Paid: Wednesday, September 24, 2014
Paid By: ADVANCED ELECTRICAL CONCEPTS I
Pay Method: CHECK 6648
Printed: Wednesday, September 24, 2014 3:08 1 of 1
PM
CRWSYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3640INSPECTION RECORD (14-
���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
Project: 6(140...e
e
Cypeof Inspection:ALA A
Address: / , 3) 6 / •
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Date Called: {
Special Instructions:
(
Date Wanted: V
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p.m.mf
Requester:
bd
Phone No: 237 ;s ) L- t
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
1
Inspector: `1/116441
Date:
f i
REINSPECTION FEE REQUIRED. Prior to'next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MR ELECTRIC OF CLARK COUNTY
Page 1 of 2
0.4 Washington State Department of
Labor & Industries
MR ELECTRIC OF CLARK COUNTY
Owner or tradesperson
KLEISER, KATHLEEN D
Principals
KLEISER, KATHLEEN D, PRESIDENT
KLEISER, JAMES BRIAN, VICE PRESIDENT
KLEISER, JAMES, AGENT
KLEISER, KATHLEEN, AGENT
(End: 12/19/2011)
Doing business as
MR ELECTRIC OF CLARK COUNTY
WA UBI No.
602 557 374
Parent company
ADVANCED ELECT CONCEPTS INC
418 REPASS ROAD B-6
VANCOUVER, WA98665
360-574-7200
CLARK County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
MRELEEC957RF
Effective — expiration
12/06/2005-12/06/2015
Designated administrator
KLEISER, JAMES B
License type
Master Electrician
Bond
AMERICAN STATES INS CO
Bond account no.
6390851
Received by L&I
12/06/2005
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
KLEISJB964OP
$4, 000.00
Effective date
12/05/2005
Expiration date
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602557374&LIC=MRELEEC957RF&SAW= 09/24/2014