HomeMy WebLinkAboutPermit EL16-0184 - CORNER BAKERY - FIRE ALARMCORNER BAKERY
393 STRANDER BLVD
LL16-0184
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.itov
ELECTRICAL OTC PERMIT
Parcel No:
2623049064
Permit Number: EL16-0184
Address:
393 STRANDER BLVD
Issue Date: 3/2/2016
WA Cities Electrical Code:
2014
Permit Expires On: 8/29/2016
Project Name:
CORNER BAKERY
2014
Owner:
2012
WA State Energy Code:
Name:
REGENCY CENTERS LP
2012
Address:
PO BOX 790830 C/O PROPERTY TAX
Permit Center Authorized Signature: A
1
DEPT, SAN ANTONIO, WA, 78279
Date: Z
Contact Person:
Name:
KATHI O'REAR
Phone: (206) 772-7502
Address:
7815 S 180 ST, KENT, WA, 98032
Contractor:
Name:
NORTHWEST FIRE SYSTEMS LLC
Phone: (206) 772-7502
Address:
7815 S 180 ST, KENT, WA, 98032
License No:
NORTHFS875MJ
Expiration Date:
Lender:
Name:
Address:
,
DESCRIPTION OF WORK:
FIRE ALARM FOR A TENANT IMPROVEMENT
Valuation of single family: $0.00
Fees Collected: $229.64
Valuation of mf/comm: $6,400.00
Type of Work:
FIRE ALARM
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: A
1
L
Date: Z
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 per it and agree to the conditions attached to this permit.
Signature: Date:
Print Name: drl`rA w Wrr4SStMa
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 TUKWILA �0
Community Development Department
Permit Center /fit
6300 Southcenter Blvd., Suite 100
• Tukwila, WA 98188
http<<///www.Tukwi]aWA.gov
�vJ
1y ��
SITE LOCATION
OT G
Electrical Permit No.
Project No.
Date Application Accepted.
Date Application Expires:
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:
Qz
� 1, 0
Siyqn
tk-er-
�h
Suite Number:
Floor: .
Tenant Name:
Fax: )Z
Contr Reg No.:
Date:
Tukwila Business License No.;
New Tenant:
W.—Yes ❑..No
PROPERTY OWNER
Name: -^t-,5 LX
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
h+ 0,9e.ar
Address: 1001", St.
City: kAt State: W*
`4 Zip: e
Phone:�-
Email: K�y.�-� G` ` (fit%-�, �p � it'�VYIL� • i L1
J
ELECTRICAL CONTRACTOR INFORMATION
Company Name: W
r' tJe&-V
Address:.
�h
City: I p
State: Zip: Qn�
Phone:
Fax: )Z
Contr Reg No.:
Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes RNo
Type of Use: C
Tvne of work
❑ New ❑ Addition ❑ Service Change ❑ Remodel Q' Tenant Improvement
[Z,,nvVJtage- ❑ Generator Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
;j Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications0cctrical Permit Application Revised 1-1-14.docx C.f!
Revised: lanuaty 2014
bh
Pagel of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ...........�.......... $152.85
(including an attached gara�
❑ Garages, pools, spassaa d outbuildings ........................$81.90 ea
❑ Low voltage s,,Y���t�ms
(alarm, mace thermostat) ................................ $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑
Service change or alteration ...................................... $81.90
$65.00
(no added/altered circuits) /
Temporary service (g:tor) ...................................
Manufactured/mobile home service ...........................
(excluding'garage or outbuilding)
❑
Service change with added/altered circuits.................$81.90
Carnival/.............................................................
Number of concessions .........................
$80.60
$10.80 ea
number of added circuits �....................
$11.55 ea
$10.80 ea
❑
Circuits added/altered without service change ...........
$54.60
(up to 5 circuits) �'
❑
Circuits added/altered wifhout service change ...........
$54.60
(6 or more circuits) ...............................................
$7.65 ea
❑
Meter/mast repaj/. ... ...................................................
$68.25
❑
Low voltage systems ... :.............................................
$59.85
- (alarZ, furnace thermostat)
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuatio of tai he electrical contract.
❑
Temporary service (residential .................................
$65.00
❑
❑
Temporary service (g:tor) ...................................
Manufactured/mobile home service ...........................
(excluding'garage or outbuilding)
$80.90
$86.25
❑
Carnival/.............................................................
Number of concessions .........................
$80.60
$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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date:3/2//4?
Print Name: !� <0. n �d t75 S a h Day Telephone: 2 o �p ` 7 % L " 7 S -O Z -
Mailing Address: 78''15- 3-, j g6 til S T. / L') qfo 3 L
City State Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsMecttical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
• QUANTITY
PAID
PermitTRAK
$229.64
EL16-0184 Address: 393 STRANDER BLVD
Apn: 2623049064
$229.64
ELECTRICAL
$218.70
PERMIT FEE MULTI-FAM/COMM
11000.322.101.00.00 0.00
$218.70
TECHNOLOGY FEE
$10.94
TECHNOLOGY FEE
TOTAL FEESPAID
R000.322.900.04.00 0.00
$10.94
Date Paid: Wednesday, March 02, 2016
Paid By: NORTHWEST FIRE SYSTEMS LLC
Pay Method: CHECK 0213
Printed: Wednesday, March 02, 2016 9:25 AM 1 of 1
I?WYSTEMS
INSPECTION RECORD
Retain a copy with permit '�
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Load6x &S16f 0
Type of Inspection:
Address: �
Date Called:
Special Instruct -ions:
Date Wanted:
kIlC_ -M
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
IInspector: '--& ` IDate: 0g11 qI tL
F] REINSPECTION PEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd, Suite 100. Call to schedule reinspection.
INSPECTION RECORD %` Retain a copy with permit 164,
®��
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd— #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit �®(�
INSPECTION NO. PERIviIT N0
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
ak6� Wf51AK
Type of Inspection::/1(�Irl jN
Address: C
`!/1 r r'T
Date Called:
Special Instructions:
Date Wanted:a.
/i
P.M.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-� MCA, 4' tal l"''0A11! 1f1gf
(inspector: `'11t, K IDate. 03hz8ICG I
REINSPECTION` FEE REQUIRM. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
NORTHWEST FIRE SYSTEMS LLPage 1 of 2
Horne Espanol Contact. Search L&I
I -
A-7, index Help M} L&.I
Safety & Health Claims & Insurance Workplace Rights Trades & Licensing
Adak
4DWashington State Department of
Labor & Industries
NORTHWEST FIRE SYSTEMS LLC
Owner or tradesperson 7815 S 180TH ST
KENT, WA 98032
Principals 206-772-7502
Potter, Mary M, PARTNER/MEMBER KING County
Potter, Clark III, PARTNER/MEMBER
Potter, Mary M, AGENT
i
Doing business as
NORTHWEST FIRE SYSTEMS LLC
WA UBI No. Business type
602 799 167 Limited Liability Company
Governing persons
CLARK
POTTER III
MARY MARIE POTTER;
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.
NORTHFS875MJ
Effective — expiration
07/11/2013— 08/10/2017
Designated administrator
Sheldon, Joseph A
License type
Electrical Administrator
Bond
.................
Wesco Insurance Co
Bond account no.
46-WBO29248
Received by L&I
07/11/2013 .
Savings
................. _ .....
No savings accounts during the previous 6 year period.
License Violations
........................................................
No license violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
SHELDJA867QL
$4,000.00
Effective date
06/20/2013
Expiration date
Until Canceled
https:Hsecure.Ini.wa.gov/verify/detail.aspx 03/02/2016