HomeMy WebLinkAboutPermit EL14-0990 - TACO BELL STORE #9425 - BREAKFAST LINE CIRCUITSTACO BELL STORE #9425
16350 WEST VALLEY HWY
WITHDRAWN/CANCEL
04/22/2015
EL1 4-0990
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.eov
2523049083
16350 W VALLEY HWY
Project Name: TACO BELL STORE #9425
ELECTRICAL OTC PERMIT
Permit Number: EL14-0990
Issue Date: 10/10/2014
Permit Expires On: 4/8/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
NWRREALTYLLC
16000 CHRISTENSEN RD STE 101,
SEATTLE, WA, 98188
JOEL HOLLIMAN
19015 36 AVE SW , LYNNWOOD, WA,
98038
MR. ELECTRIC OF GREATER SEATTL
19015 36TH AVE SW , LYNNWOOD,
WA, 98036
MRELEEG890QC
11/
Phone: (425) 774-7000
Phone: (360) 691-9440
Expiration Date:
DESCRIPTION OF WORK:
(6) ALTERED CIRCUITS FOR BREAKFAST LINE
Valuation of single family: $0.00
Valuation of mf/comm: $789.00
Type of Work: TENANT IMP
Fees Collected: $95.34
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:
Date:
2012
2014
2012
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: KD,t Date: C C)
Print Name: NO .ram— P� Cl
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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
4: 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.
5: 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.
6: 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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. kJ Li - iC l
Project No.
Date Application Accepted: , 0
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:1
Tenant Name:
King Co Assessor's Tax No.: 252. C g 0b3
•quite Number: 94 %S.--- Floor:
New Tenant: ❑ Yes ❑ ..No
PROPERTY OWNER
Name: l4_tiii.I
VlC/
Address: IIOOOOM;
in 0
VZ/ip:
Y'
City: o (j State:
(� s
w�
oft j
ft
CONTACT PERSON — person receiving all project
communication
Name: To (1')
^ , Lc�
Address: 19 0 „`- 6
` (+
t
City: I Stag
a: `(c)
Phone:Izi�.s^ ��AFaxIEmail:
)
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
�.Y .hl X1 IBC '
Address: I s 0 (S , `, i)-ED S� '
City: L �� State: LOA Zip: 1 b V 3 C
Phone: D's':i4 �,) oaf Fax:
Contr Reg No.: Ex Date: I I Z r I
�8g0 C
Tukwila Business License No.; ()L_ og O'.
Valuation of Project (contractor's bid price): $ ) g 1 t C-/O
Scope of Work (please provide detailed information):
6 All -rP �',,C&i4rf
(vt
Will service be altered? ❑ Yes LEI No Adding more than 50 amps? ❑ Yes 4 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 0 Remodel k Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro s e Served b :
Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised: January 2014
bh
Page 1 of 2
�-J
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:
Print Name:
1\1c)J..Oc-o\ `fir
it
Day Telephone:
Date: 101 10 }4
Mailing Address:
City State Zip
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised. January 2014
bh
Page 2 of 2
City of Tukwila
Department of Community Development
3/2/2015
JOEL HOLLIMAN
19015 36 AVE SW
LYNNWOOD, WA 98038
RE: Permit No. EL14-0990
TACO BELL STORE #9425
16350 WEST VALLEY HY
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 4/8/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 4/8/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL14-0990
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
DESCRIPTIONS
,ermitTRAI
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY
PAID
190
L"14-0989
dress: 15036 TUKWILA INTERNATIONAL BLVD Apn: 0041000525
5:
ELECTRICAL'
$90.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$90.80
TECHNOLOGY FEE
$4.54
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.54
.14-0990
ELECTRICAL
ress 1635ONV rVALLEY H
n:15230490'
$90.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$90.80
TECHNOLOGY FEE
$4.54
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3283
R000.322.900.04.00
0.00
$4.54
$190.68
Date Paid: Friday, October 10, 2014
Paid By: MR ELECTRIC OF GREATER SEATTLE
Pay Method: CHECK 2243
Printed: Friday, October 10, 2014 11:35 AM 1 of 1
CSYSTEMS
MR ELECTRIC OF GREATER SE/ —TLE
Page 1 of 2
0 Washington State Department of
Labor & Industries
MR ELECTRIC OF GREATER SEATTLE
Owner or tradesperson
ROSS, LARRY E
Principals
ROSS, LARRY E, PRESIDENT
ROSS, EDNA M, SECRETARY
ROSS, EDNA M, AGENT
Doing business as
MR ELECTRIC OF GREATER SEATTLE
WA UBI No.
603 139 002
Parent company
ERGENIX INC
19015 36th Ave W suite H
LYNNWOOD, WA98036
425-774-7000
SNOHOMISH 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.
MRELEEG890QC
Effective — expiration
11/03/2011-11/07/2015
Designated administrator
HOLLIMAN, JOEL
License type
Master Electrician
Bond
Hartford Fire Ins Co
Bond account no.
45BSBGD0649
Received by L&I
11/03/2011
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
HOLLIJ*961 MH
$4,000.00
Effective date
10/27/2011
Expiration date
Until Canceled
Savings
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603139002&LIC=MRELEEG890QC&SAW= 10/10/2014
MR ELECTRIC OF GREATER SEA TTLE
No savings accounts during the prk us 6 year period.
Page 2 of 2
License Violations
Infraction no.
EAULT00236
Violation date
07/15/2013
Violation city
Granite Falls
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW.
Satisfied
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
223,274-00
Doing business as
MR ELECTRIC OF GREATER SEATTLE
Estimated workers reported
Quarter 2 of Year 2014 "7 to 10 Workers"
L&I account representative
T5 / THAO NGUYEN (360)902-4276 - Email: NGUV235@Ini.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
()Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Access
JIM Washngtona'
4.whiSuove l'r,nrnment 54H• r,ilv
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603139002&LIC=MRELEEG890QC&SAW= 10/10/2014