HomeMy WebLinkAboutPermit EL16-0329 - HABIT BURGER - ALARM AND CAMERAS17025 SOUTHCENTER PKWY
I N 1191[.�IkAC
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
ELECTRICAL OTC PERMIT
Parcel No: 2623049070 Permit Number: EL16-0329
Address: 17025 SOUTHCENTER PKWY Issue Date: 4/13/2016
Permit Expires On: 10/16/2016
Project Name: HABIT BURGER
Owner:
Name: KTM GROUP LLC
2012
Address: 2810 EASTLAKE AVE E, SEATTLE, WA,
2014
98102
2012
Contact Person:
2014
Name: ROD RIEGER
Phone: (425) 319-8032
Address: 5112 77TH PL NE STE 200,
2014
MARYSVILLE, WA, 98270
2012
Contractor:
2012
Name: AUDIO VIDEO SECURITY SYS INC
Phone: (360) 651-2627
Address: 5112 77 PL NE, MARYSVILLE, WA,
98270
License No: AUDIOVS016PO
Expiration Date: 3/5/2017
Lender:
Name:
Address: ,
DESCRIPTION OF WORK:
ALARM AND CAMERAS - NO AUDIO OR NETWORK
REVISION #1- ADD NETWORK WIRING TO THE SCOPE OF WORK
Valuation of single family: $0.00
Fees Collected: $192.57
Valuation of mf/comm: $5,000.00
Type of Work: LOW VOLTAGE
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
c
Permit Center Authorized Signatu
Date: (P
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 to the conditions attached to this permit.
Signature: Date:
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
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
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
ELECTRICAL OTC PERMIT
Parcel No:
2623049070
Permit Number: EL16-0329
Address:
17025 SOUTHCENTER PKWY
Issue Date: 4/13/2016
International Building Code Edition:
2012
Permit Expires On: 10/10/2016
Project Name:
HABIT BURGER
2012
Owner:
2014
International Mechanical Code Edition:
Name:
KTM GROUP LLC
2014
Address:
2810 EASTLAKE AVE E, SEATTLE, WA,
WA State Energy Code:
2012
98102
2012
Contact Person:
Name:
ROD RIEGER
Phone: (425) 319-8032
Address:
5112 77TH PL NE STE 200,
MARYSVILLE, WA, 98270
Contractor:
Name:
AUDIO VIDEO SECURITY SYS INC
Phone: (360) 651-2627
Address:
5112 77 PL NE, MARYSVILLE, WA,
98270
License No:
AUDIOVS016PO
Expiration Date: 3/5/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ALARM AND CAMERAS
- NO AUDIO OR NETWORK
Valuation of single family: $0.00
Fees Collected: $192.57
Valuation of mf/comm: $5,000.00
Type of Work:
LOW VOLTAGE
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:
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 to the conditions attached to this permit.
Signature: Date: yI.V%6
Print Name:.��rE7
IJ
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.
S: 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
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:Hwww.TukwilaWA.gov
SITE LOCATION
Electrical Permit No.
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"
1 King Co Assessor's Tax No.:
Site Address:_ Z7 Q AE S d A ced,,, �,,kw,� Suite Number: Floor:
Tenant Name: lla d, 5 t�ul'Zt- Lt -Ad a-r,'l/ New Tenant: [0 ..... Yes ❑.. No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON - person receiving all project
communication
Name:
o�
Address: S//� i i-,� ,oL �'✓� �f�, .Zoo
City: `! State: w� �Zip: qs: ,?o
Phone: Fax: �r7l3V q
Email: �'Vs.S, .tiE7..
ELECTRICAL CONTRACTOR INFORMATION
Company Name: s
dna
Address: 51-1.,, 9,2z'
2T.{ /''I- 44� Ht- ?,OU
City: State: Zip: ?,?2, W14U
Phone:
.Z5 53 y3Yy eq Fax:
Contr Reg N%4dt a. V O/6 Wo Exp Date: or
Tukwila Business License No.;
poU G,$d5S
Valuation of Project (contractor's bid price): $ ,5000
Scope of Work (please provide detailed information): JQ/sin .t Cor�ras
i02 4444'1'a
of
110141,7r4
Will service be altered? ❑ Yes kC] No
Adding more than 50 amps?
F-1
Yes® No
Type of Use: �4fI 1.11
Tlype of work:
❑ New ❑ 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: July 2013
bh
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)
$80.90
❑
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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: Yl /A le�
Print Name:Day Telephone:
MailingAddress:—,5-//-?- % �L IVC 0
,' ,s�c- � Q7 �r-}tl d,�K,, (/1/Jil Cl 6 c� I
ity State Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PAID
PermitTRAK
$192.57
EL16-0329 Address: 17025 SOUTHCENTER PKWY Apn: 2623049070
$192.57
ELECTRICAL
$183.40
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$183.40
TECHNOLOGY FEE
$9.17
TECHNOLOGY FEE 11000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R8193
$9.17
$192.57
Date Paid: Wednesday, April 13, 2016
Paid By: AUDIO VIDEO SECURITY SYS INC
Pay Method: CHECK 9167
Printed: Wednesday, April 13, 2016 11:24 AM 1 of 1 (VTP
SYSTEMS
INSPECTION RECORD12
Retain a copy with permit
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
Project: Type of Inspection:
LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Address: ry
Date Called:
Special Instructions:
�J d Q le' —.
S Wg-'LT7
Date Wanted: � a.
.m.
Requester:
Phone No:
LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2, INSPECTION RECORD
Retain a copy with permit P&6."
�
INSPECTION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
IM Approved per applicable codes. Corrections required prior to approval.
0—
�i
pector:
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
r
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) 438-9350
Project:
k ( r-6)
Type of Inspection:
--
Address: / %�Date
v
Called:
Special Instructions:
Date Wanted: I a.
.m.
Requester
Phone No:
Approved per applicable codes. Corrections required prior to approval.
XJ El
COMMENTS:
5� r
FL
pector:
te:
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
REVISION
City of Tukwila SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://wu-AJ.Tukwi]aWA.gov
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: 9--( /'! 6 Plan Check/Permit Number: G'��� UJ��
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # / after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
Project Address: /%C72, Soclk r.. l 10
Contact Person: 9(�W �s Phone Number:
V
Summary of Revision:
RECEIVED—
CITOF AT IL�
JUN 11 i1lJ
PERMIT eENTER-
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
c
Received at the City of Tukwila Permit Center by:
IQ-_ Entered in TRAKiT on 6-1-7—
W Termi
l-7 -
W:Termit CenteATemplatesTo—Tevision Submittal Form. doc
Revised. August 2015
AUDIO VIDEO SECURITY SYS ITT`"
Home Iispanol Contact
Safety & Health Claims & Insurance
Washington State Department of
k, Lab®r & Industries
AUDIO VIDEO SECURITY SYS INC
Owner or tradesperson
Principals
RIEGER, RODNEY J, PRESIDENT
RIEGER, RODNEY, AGENT
Doing business as
AUDIO VIDEO SECURITY SYS INC
WA UBI No,
601 945 213
License
5112 77TH PL NE
MARYSVILLE, WA 98270
425-953-4344
SNOHOMISH County
Business type
Corporation
Page 1 of 2
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Workplace Rights Trades & Licensing
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
HVAC/RFRG
License no.
AUDIOVS016PO
Effective — expiration
10/20/1999— 03/05/2017
Designated administrator
RIEGER, RODNEY J
License type
Master Electrician
Bond
................
Travelers Cas and Surety Co of America
Bond account no.
105669450
Received by L&I
09/02/2011
Bond history
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.
RIEGERJ976DE
$4,000.00
Effective date
08/31/2011
Expiration date
Until Canceled
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 closed.
971,842-00
...............................
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601945213&LIC=AUDIOVSOI6PO&SAW= 4/13/2016