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HomeMy WebLinkAboutPermit EL17-0891 - MCDONALDS #00472 - KIOSK WIRINGMCDONALDS 15210 TUKWILA INTERNATIONAL BLVD ELI 7-0891 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.gov ELECTRICAL OTC PERMIT 0043000090 Permit Number: 15210 TUKWILA INTL BLVD Project Name: MCDONALDS #00472 Issue Date: Permit Expires On: EL17-0891 11/8/2017 5/7/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COMISKEY ROBERT 18161 NORMANDY TERRACE SW C/0 MCDONALD'S, NORMANDY PARK, WA, 98166 DAVID HERMES 6503 34TH AVE CT E , TACOMA, WA, 98443 A & D ELECTRICAL SERVICES INC 6503 34 AV CT E , TACOMA, WA, 98443 ADELESI972DK 1/l Phone: (253) 304-5869 Phone: (253) 224-0884 Expiration Date: 3/25/2019 DESCRIPTION OF WORK: INSTALL CAT - 5 WIRE FOR NEW KIOSK IN LOBBY Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: LOW VOLTAGE Fees Collected: $85.94 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature:kU 14 PIMI 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 t performance of work. I am authorized to sign and obtain this development permit and agree to the cond. ons attached to this permit. Signature: r / Print Name: c_.C�t (� it G W vrkit Date: /4— /q - 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 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 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.: Site Address: /6 / 0 at C[' ( /1/26v tteat( Suite Number: Floor: Tenant Name: % (C I OP (c►S (/OLRe'l New Tenant: ❑ Yes o PROPERTY OWNER Company �vl�r1�N(- ' % 7 rD &'/i- 1 //� �, p t Name.' j�4.0 i c� ice- i- "�` J Name: �/i n 4 � / Cj)C S Address/s re 3 3 ti., I. aL C. (Uc Address: /5-01/0 rpa `pot, r City ;.---/-4, tit); I. 6!J ri "f8 CONTACT PERSON — person receiving all project communication Company �vl�r1�N(- ' % 7 rD &'/i- 1 //� �, p t Name.' j�4.0 i c� ice- i- "�` J Ci�C(1 ma I/N_ State: et77Y3 P 3 -3 0 y Steri Fa"2S"3 53?- qq6 Address/s re 3 3 ti., I. aL C. (Uc Tukwila Business License No.; Cit 01, Stay". C. �7 `7 ``f 3 PPT3-3 Q 1k s(PFax: Email: / 172 ELECTRICAL CONTRACTOR INFORMATION Company �vl�r1�N(- ' % 7 rD &'/i- 1 Addrer s-0 3 -j yrfG 46. /� 4 kr C� Ci�C(1 ma I/N_ State: et77Y3 P 3 -3 0 y Steri Fa"2S"3 53?- qq6 Contr Reg No.:4 ,1E-kx c7.-1-ioC p pate, 7 _ /6 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): fre Nc14) ;1-1 ko 4 7 Will service be altered? ❑ Yes -o Adding more than 50 amps? ❑ Yes o Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: jEF Puget Sound Energy 0 Seattle City Light wAnP.rn;1 r,...i.A inn° e,,..i:r,t:,,..e‘nnPAo6....1,:.-,I P ... e.,.,i:,..;..., eP,,:r...l 1 1 1 7 A,.,.. RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CON CTOR: Signature: Print Name: 65-03 U ; ��� , f Day Telephone:�� LI � � v Mailing Address: 1(JSJ 3 3 Y 1` J— E ci;icaki4 Ot, V:3 City State Zip Date: g 7 / ?- W\T',,,,i.1.19n.1..deAn..mi1 a nnGeoiinnOPllFdBi..1.«wi Pn.mil a nnt;..oNnn D..,ie.A i 1 17 dnrr Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $85.94 EL17-0891 Address: 15210 TUKWILA INTL BLVD Apn: 0043000090 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12748 R000.322.900.04.00 0.00 $3.97 $85.94 Date Paid: Wednesday, November 08, 2017 Paid By: DAVID HERMES Pay Method: CREDIT CARD 00896Z Printed: Wednesday, November 08, 2017 9:31 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6./7-0.s21/ PMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-367 Project: le„boi Type of Inspection: fiVitt...„ Add ess:Date /, ,Z -r o 7.1-6, Called: Special Instructions: C er Date Wanted: P�a.rr'r C '"i Requester: l L ie Phone No: 3 3.,/ 5-269 LJ X Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 11/0 7 '7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. A & D ELECTRICAL SERVICES It Home Espanol Contact Safety & Health Claims & Insurance A Washington State Department of A", Labor & Industries A -Z index help Page 1 of 2 My Mt A Workplace Rights Trades & Licensing A & D ELECTRICAL SERVICES INC Owner or tradesperson Principals HERMES, DAVID, PRESIDENT HERMES, ALINA V, SECRETARY HERMES, DAVID, AGENT Doing business as A & D ELECTRICAL SERVICES INC WA UBI No. 602 274 819 6503 34TH AVE CT E TACOMA, WA 98443 253-304-5869 PIERCE County Business type Corporation Governing persons ALINA V HERMES DAVID W HERMES; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. ADELESI972DK Effective — expiration 03/12/2003— 03/25/2019 Designated administrator ............................... HERMES, DAVID W Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator HERMEDW971BB Bond ................ American Contractors Indem CO Bond account no. 100155334 $4,000.00 Received by L&I Effective date 02/24/2011 02/23/2011 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602274819&LIC=ADELESI972DK&SAW= 11/08/2017 A & D ELECTRICAL SERVICES INC IWorkers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 053,941-02 ................................. Doing business as A & D ELECTRICAL SERVICES INC Estimated workers reported Quarter 3 of Year 2017 "4 to 6 Workers" L&I account contact T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.wa.gov Track this contractor Q Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ..................................................... This contractor received a valid strike(s) for violation or infraction for the following L&I law(s). Learn more about contractor strikes. RCW Violation 51.48.103 Description Failure to obtain a certificate of coverage for industrial insurance Contractors not allowed to bid No debarments have been issued against this contractor. Effective Date 6/8/2009 Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602274819&LIC=ADELESI972DK&SAW= 11/08/2017