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Home My WebLink AboutPermit EL16-0176 - JACK IN THE BOX - HOOD WIRINGJACK IN THE BOX 16400 W VALLEY lPvVY CANCELLED 02/29/16 EL16-0176 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 ELECTRICAL OTC PERMIT Parcel No: 2523049043 Permit Number: EL16-0176 Address: 16400 W VALLEY HWY Issue Date: 2/26/2016 International Residential Code Edition: Permit Expires On: 8/24/2016 Project Name: JACK IN THE BOX 2014 Owner: 2012 Name: JACK IN THE BOX INC 2014 Address: 9330 BALBOA AVE, SAN DIEGO, WA, 2012 92123 2012 Contact Person: 2012 Name: SANDY OETTEL Phone: (425) 402-0366 Address: 12617 108 AVE NE, ARLINGTON, WA, 98223 Date: Contractor: Name: WHITE SECURITY SYSTEMS INC Phone: (425) 402-0366 Address: 12617 108TH AVE NE, ARLINGTON, WA, 98223 License No: WHITESSO44JP Expiration Date: 6/14/2016 Lender: Name: Address: DESCRIPTION OF WORK: RUN WIRE TO HOOD Valuation of single family: $0.00 Fees Collected: $72.77 Valuation of mf/comm: $300.00 Type of Work: TENANT IMP 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Date: 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 nditions attached to this permit. Signature: Date: 17, Print Name: 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 TUKW. ' Community Development Department Permit Center • 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Electrical Permit No. C " Q Project No. Date Application Accepted: Date Application Expires: _ use 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.: Site Address: I �'91fco W/�� t%Qui-5)y Suite Number: Floor: Tenant Name: c�7-AcK - l PJ New Tenant: '1Z.. Yes ❑ .. No PROPERTY OWNER Name: / Address: C MAte City: ;> L, State: Zip: CONTACT PERSON — person receiving all project communication Name: j ✓ Address: City: / State- Zi. Ele Phone?~%�C�7,= T✓ Fax: J Email: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed inform ELECTRICAL CONTRACTOR INFORMATION Company Name: e tS ! 27 / Address�Zl�l Cit y:/;P�N�T State, Zi Phonne--:��( fG5_�� Fax. Contr Reg No. xp Date: `r ['Tukwila Business License No., - Will service be altered? ❑ Yes ,,eNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change g Low Voltage ❑ Generator ❑ Fire Alarm Prorooerty Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Lin62014 Applications\Electrical Petmit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes Z No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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 $65.00 ❑ (no added/altered circuits) ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits .......................$11.55 ea ❑ Circuits added/altered without service change ............ $54.60 (up to 5 circuits) $10.80 ea ❑ 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) PERMIT APPLICATION NOTES - 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*** 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. Date: ie: ! jZzs: Mailing Address/z( C29>Tf1 %y L")Z MC -0+/ Z/A City State Zip K\ApplicationsTorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PAID PermitTRAK $72.77 EL16-0176 Address: 16400 W VALLEY HWY Apn: 2523049043 $72.77 ELECTRICAL $69.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00. 00 0.00 $69.30 TECHNOLOGY FEE $3.47 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: 6. R000.322.900.04.00 0.00 $3.47 Date Paid: Friday, February 26, 2016 Paid By: WHITE SECURITY SYSTEMS INC Pay Method: CHECK 008265 Printed: Friday, February 26, 20161:21 PM 1 of 1 RWSY57EM5 City of Tukwila Jim Haggerton, Mayor • Department of Community Development Jack Pace, Director May 19, 2016 White Security Systems Inc. c/o Sandy Oettel 12617 108th Ave NE Arlington, WA 98223 RE: Refund for Permit Number EL16-0176 Dear Ms. Oettel, The Permit Center has processed a refund for 80% of the permit fee on EL16-0176. The Building Official approved the refund of 80% of the permit fee. Enclosed is a check for a refund in the amount of $55.44 (fifty-five dollars and forty-four cents). Sincerely, Bill Rambo Permit Technician File: Permit No. ELI 6-0176 Encl: Check No. 372081 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 MEMORANDUM TO: Laurie Anderson FROM: Brenda Holt *OV(DATE: April 14, 2016 SUBJECT: Refund for Electrical Permit EL16-0176 Please draw a check in the amount of $55.44 (fifty-five dollars and forty-four cents) to be payable to White Security Systems Inc. at 12617 108`h Ave NE in Arlington, WA 98223. The work for this permit was performed by another contractor. The permit has been cancelled and the applicant has requested a refund which the Building Official has granted at 80%. Please provide the refund as follows: n1 n 000.322.101.00.00 $55.44 Total $55.44 Please forward the check to me and I will forward it to the applicant. Thank you! Bill Rambo From: Sandra Oettel <sandra@whitesecurity.com> Sent: Monday, February 29, 2016 11:12 AM To: Bill Rambo Subject: PERMIT CANCELLATION AND REFUND We are asking to cancel Electrical Permit #EL16-0176 and request a refund. Our technician misread the Service Ticket and thought he needed to run wire, hence the Electrical Permit. He was actually there to tie in the hood zone via programming. The HVAC company had already wired it up. Thank you, Scu'wl�y 0P�Pii Office Administrator Wkite Security Systems, Inc. sandra@wkitesecuritu.com 1-8oo-262-2459 Note: Privileged/Confidential information may be contained in this message and may be subject to legal privilege. Access to this e-mail by anyone other than the intended recipient is unauthorized. If you are not the intended recipient (or responsible for delivery of the message to such person), you may not use, copy, distribute or deliver this message to anyone,(any part of its contents ) or take any action in reliance on it. In such a case, you should destroy this message and notify us immedia�ely. If you have received this email in error, please notif us immediately by e-mail at support@whitesecu ity.com and delete the e-mail from any computer. Request for Refund ❑ Approved for full refund Approved for _�Cd % refund of fee(s) ❑ Denied (provide explanation) �� ,- 1 RECEIVED Signature/Initials CITY Of TUKWILA i J FEB 2 g 2016 PERMIT CENTER WHITE SECURITY SYSTEMS INS' 10 Washington State Department of Labor 8r Industries Page 1 of 2 Home Espanol Contact Search L&II A-7, index .Help Aly Secure 1.3I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing WHITE SECURITY SYSTEMS INC Owner or tradesperson Principals WHITE, RAYMOND JR, PRESIDENT WHITE, JILL, VICE PRESIDENT WHITE, JILL, SECRETARY WHITE, RAYMOND J JR, TREASURER WHITE, RAYMOND J JR, AGENT GUIMOND, DONALD L (End: 06/14/2010) SY, MARILOU 0 (End: 06/14/2010) Doing business as WHITE SECURITY SYSTEMS INC 12617 108th Ave NE ARLINGTON, WA98223 425-402-0366 SNOHOMISH County WA UBI No. Business type 601 619 689 Corporation 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. WHITESSO44JP Effective — expiration 04/17/1996— 06/14/2016 Designated administrator WHITE, RAYMOND J JR License type Master Electrician Bond ................ CBIC Bond account no. SA1328 Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. License no. WHITERJ971JJ $4,000.00 Effective date 02/15/1996 Expiration date Until Canceled https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601619689&LIC=WHITESSO44JP&SAW= 2/26/2016