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Permit EL14-1180 - TOP POT DOUGHNUTS - VIDEO SURVEILLANCE AND CARD ACCESS SYSTEM
TOP POT DOUGHNTJTS 401 BAKER BLVD EL14-1 180 Parcel No: Address: Project Name: 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.Kov ELECTRICAL OTC PERMIT 0223100085 Permit Number: EL14-1180 401 BAKER BLVD BLDG TOP POT DOUGHNUTS Issue Date: 12/5/2014 Permit Expires On: 6/3/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: PEARL ALVIN S+CAROLE R 405 BAKER BLVD , SEATTLE, WA, 98188 JENNIFER COVELLO NW PERMITS 9808 31 SV SE, EVERETT, WA, 98208 ADT LLC 11824 N CREEK PARKWAY N, SUITE , BOTHELL, WA, 98011 ADTLLL*881D0 111 Phone: Phone: (561) 988-3600 Expiration Date: 3/20/2016 DESCRIPTION OF WORK: INSTALL VIDEO SURVEILLANCE AND CARD ACCESS SYSSTEM Valuation of single family: $0.00 Valuation of mf/comm: $9,507.00 Type of Work: LOW VOLTAGE Fees Collected: $285.39 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: International Fuel Gas Code: Permit Center Authorized Signature: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date: 2014 2014 2014 2012 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 permjxyand agree to the conditions attached to this permit. Signature: Print Name: WI 6Avt Pr Date: 1001 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 TUKWk. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C /-- it gd 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 King Co Assessor's Tax No.: 0223100085 Site Address: 401. Baker Blvd Suite B Suite Number: Floor: Tenant Name: Top Pot Doughnuts Bakery PROPERTY OWNER Name: Top Pot Doughnuts Bakery Address: 401 Baker Blvd Suite B City: TUKWILA State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: JENNIFER COVELLO/NWPERMIT-AGENT Address: 9808 31 st Ave SE City: Everett State: WA zip: 98208 Phone: (206) 774-9499 Fax: Email: Jennifer@nwpermit.com New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT LLC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL* 81 D0 Exp Date: 03/20/2016 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 9,507 Scope of Work (please provide detailed information): Install video surveillance and card access systems Will service be altered? ❑ Yes ID No Adding more than 50 amps? ❑ Yes © No Type of Use: Commercial Type of work: ❑ New 0 Addition ® Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service H:\ApplicalionsWorms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 hh 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) $63.00 ❑ 'Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE REAL) AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTT-IORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: £dij 1 f c.. Day Telephone: (206) 774-9499 Mailing Address: 9808 31st Ave SE EVERETT, WA 98208 City Date: / 2/ " f/ / State Zip H:\Applieations\Forms-Applications On Line`2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS 4 "AS" i 'al— rop Yrn 'wt 191 PermitTRAK ,. ,_®� e ��' ACCOUNT �� QUANTITY y .� 3K-T... PAID �$"* 4 ° bhp i`.,'- # s � 5 �.. � b� n x , A Ju d si t ': . - fi EL14 -1180 Addrest' 401 BAKER,BLVD:BLDG,,,;,{ Apn 0223100085 .` 1, ` Ni, 285 39 ELECTRICAL $271.80' PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $271.80 TECHNOLOGY FEE $13.59� TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $13.59 EL14-1182 q . rAddress• 400 INDUSTRY DR, A n 0223400010 4 ^ �� " k$68 25 ELECTRICAL, , ° "$6500 PERMIT FEE MULTI-FAM/COMM I R000.322.101.00.00 I 0.00 I $65.00 TECHNOLOGY FEE , $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3710 R000.322.900.04.00 0.00 $3.25 $353.64 Date Paid: Friday, December 05, 2014 Paid By: NW PERMITS - ADT Pay Method: CHECK 2976 Printed: Friday, December 05, 2014 1:46 PM 1 of 1 c IrWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 0 Southcenter Blvd, #100, Tukwila. WA 98188 (206) 431-3670 614- llgo Permit Inspection Request Line (206) 438-9350 Project: ...r., Ofj gr Type of Inspection: Address: . i ID / 6/rkek. Date Called: Date Special Instructions: Date Wanted: lioS ort-TA, ......„... Requester: 1 r-tifi> Phone No: 85-4 T 36 1( Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4. .••••• Inspector: 41 664 Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection