Loading...
HomeMy WebLinkAboutPermit EL18-0949 - TACO BELL - REMODEL RESTAURANTTACO BELL 16350 WEST VALLEY HWY ELI 8-0949 Parcel No: Address: City of Tukwila a �� Department -, Community Development 6300 Southcenter Boulevard, Suite #100 Tukwlla, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2523049083 16350 WEST VALLEY HWY Project Name: TACO BELL Permit Number: EL10-0949 Issue Date: 11/2/2018 Permit Expires On: 5/1/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: NWR REALTY LLC 18815 139TH AVE NE C/O NORTHWEST RESTUARANTS, VVDDD|NV|LL['WA, 98O7Z ROBERT CLARK 1942467AVE 5E,SNOUOM8H,WA, 98296 0CLARK LLC 19424 67TH AVE SE , SNOHOMISH, WA, 98296 0[LAC~981yNA ''' Phone: (206) 510-8983 Phone: Expiration Date: DESCRIPTION OF WORK: REMODEL RESTAURANR, NEW INTERIOR, EXTERIOR LIGHTING, RESTROOMS, FRONT COUNTER, WALK-IN COOLER, DUAL LINE Valuation of single family: $0.0 Valuation of mf/comm: $48000.00 Type of Work: TENANT IMP Fees Collected: $1,041.62 Electrical Servce Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: lnternational Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 20152015 2015 2015 National Electrical Code WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 �� 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 to the conditions attached to this permit. Signature: Print Name: Date: (11-/I0 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 and the Washington Cities Electrical Code. 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 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. e-- O91f 9 Project No. Date Application Accepted: Date Application Expires: (For o; ice 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 Site Address: 1 63,50 Lj \ ((Py 141. Tenant Name: TQCD ( PROPERTY OWNER Name: IC(�/1-1 7tiLC✓+" ��/Ai/� Address: i 001 c � 7't `i4 !^{fes 1t@sp�i4c ( _ City:VVC.C�� (L State:k4 Zipl/ta. "V c�ICJ� /}4t�r 7711 CONTACT PERSON — person receiving all project communication Name: 1 I (� /� (ai k Address: L 9, (_t i /'_--7'i r/` e,. 7 CX City/'fo State Q Zip:qqC : Jj Phone:d0( 07i Fax: yQ_OQ34[ Email:CfarkI (C& a tp,/• co'i r King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes K..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: .for 4t 9 / /7� Ci II-trtit 7 State:1 Zi (6 Fax , )� �q6q Phonec2 6 S-�� --��c-�c�j � �c / Contr Reg No.: k\t.X�l.�` Zl9�t'�/-�p Date: .2(1/2.0 Tukwila Business License No.; 8/).5_(C% _( q �0.%. Valuation of Project (contractor's bid price): $ Lf 000 Scope of Work (please provide detailed information): 14rk''(%9fty rcc-3vr,, 2cflode( 12.12.sA2mu-lv 1 C� l / leriett Coddler \ caj r 1 Oval (me_ Will service be altered? ❑ Yes 74, No Adding more than 50 amps? 0 Yes No Type of Use: , \ Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served bv: APuget Sound Energy 0 Seattle City Light W:\Permit Ceder\Applications-Handouts \Permit Applications\PDFs\EIcctrical Permit Application Revised I-I-17.docx Revised: January 2017 bh Page 1 of 2 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: QQ,�� JJ,,,��,, /� f / Print Name: l �O 2'2 ` — C Ck�l `r Mailing Address: l C i r-{ Uc% M= C� w:\Permit cents Appticnioas-Hmdo asWerm t ApplicationsWUPs\Ekctricel Permit Application Revised 1-t-l7.docx Revised: January 2017 bh Date: (P - Day Telephone: g06) ,' 1O 8 city State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY PAID $1,041.62 EL18-0949 Address: 16350 WEST VALLEY HWY Apn: 2523049083 $1,041.62 Credit Card Fee $30.34 Credit Card Fee R000.369.908.00.00 I 0.00 $30.34 ELECTRICAL $963.12 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $963.12 TECHNOLOGY FEE $48.16 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15752 R000.322.900.04.00 0.00 $48.16 $1,041.62 Date Paid: Friday, November 02, 2018 Paid By: ROBERT CLARK Pay Method: CREDIT CARD 212075 Printed: Friday, November 02, 2018 10:57 AM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 11/02/2018 10:57:16 AM CREDIT CARD SALE VISA CARD NUMBER: **********4611 K TRAN AMOUNT: $1,041.62 APPROVAL CD: 212075 RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://elassic.convergepay.comNirtualMerchant/transaction.do?dispatehMethod=printTra... 11/2/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: i' V' _- Address: Date Called: Special Instructions: Date Wanted: /a m. I. Requester: Phone No: r `!r proved per applicable codes. El Corrections required prior to approval. 0MMENTS; nspector: GIS Date: © REINSPECTION FE 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 I SP ION NO. ER NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0 Permit Inspection Request Line (206) 438-9350 Project: f f Cj �1 Type of Inspection: Address: 16. 3 co W./ Date Called: TI) e Special Instructions: Date Wanted: a Requester: { Phone No: e p d per applicable codes. El Corrections required prior to approval. COMMENTS: / 4:\EC..n CO TI) e { e pc_atl.k, 14F.A.i),JA-7. r eii- i--TriI Aieic Date: Q/ REINSPECTION EE REQUIRED. Prior to next inspection. fee mus be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: A.ca o Type of Inspection: s Address:/62X) (Aj Date Called: Special Instructions: Date Wanted: a.m Requester: (2ifiSTC& Phone No: /A[ proved per applicable codes. Corrections required prior to approval. COMMENTS: / a ti,to es 4.0 t r - igA8L-C 60c/ k (A/ ;I:56e.6( s - P £&/r c F m-641 a✓l,0 fe 1/4•A-161\ • i+00,‘P i _ 515 mac, Aitt (2ifiSTC& fl t- c'`r /A[ ro CLl t.-(�k 711.-E - rfirfr l ikf 841 — VCA1 4/ A.'r( rf- U' _ *ii.o ita--- Inspector: Date: REINSPECTION ¶ EE REQUIRED. Prior to next inspection, fee mush be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: g„ Type of Inspection: ! 001114—f'Ail ddress:j/_3 sb Address:/103 w � , Date Called: Special Instructions: Date Wanted: a -m.' Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: tif\ -CRU^�y Date: 03/247 n REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 S uthcenter Blvd., Suite 100. Call to schedule reinspection. Inspector INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit PERMIT HO. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: 7 61.4.., Type of Inspection: IV l t J ` , Void- Address: ���� �Yr�7� F Date Called:24 Special Instructions: Date Wanted: a:m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Co,cp Ai -e\ 11 Pc,6-r6 Inspector: n Date: q ©L124 it! REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. rl INSPECTION RECORD 61)34ta Retain a copy with permit INSPEECCTION N0. RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: Keti, Type of Inspection: j�'l�Address://- Q� �j' &35° 1J. LiNAI Date Called: Special Instructions: Date Wanted: �} ( I p.m. Requester: 1/...d, Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Fito cov(Jaic ikitit) Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. feemustbe paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project 0 Type of Inspection6/ , il 0 U44 itAr Address. 'r 1 - 0 tiki , Date Called: Special nstructions: Date Wanted: a.m. . . Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 7.-- itoo 56, Type of Insp.)eptio : fj AP V . (.4 tri, it /Ai Address:., . I / /:JS.. tAl. kiri- L-t..k Date Called: Special Instructions: 1 Date Wanted: 3 /40 ..fivr.T1. Requester: Phone No: , 360 27 45-1/1/ Approved per applicable codes. Corrections required prior to approval. OM M ENTS: qiibqkr, Inspector: Date: ti1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cab, to schedule reinspection. R J CLARK LLC Oak Ck Washington State Department of O Labor & Industries 0 1I0ine Espanol Contact Safety & Health Claims & Insurance each L&I Page 1 of 2 IrAittit A -Z Index Help My IX( Workplace Rights Trades & Licensing R J CLARK LLC Owner or tradesperson Principals CLARK, ROBERT C, PARTNER/MEMBER CLARK, JAMES K, PARTNER/MEMBER Doing business as R J CLARK LLC WA UBI No 602 194 052 19424 67TH AVE SE SNOHOMISH, WA 98296 206-510-8983 SNOHOMISH County Business type Limited Liability Company Governing persons JAMES K CLARK ROBERT C CLARK; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. RJCLAL*981MA Effective — expiration 07/0112002— 07/01/2020 Designated administrator CLARK, JAMES K License type Master Electrician Bond DEVELOPERS SURETY & INDEM CO Bond account no 857785C Received by L&I 07/02/2002 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. CLARKJK979O4 $4,000.00 Effective date 06/27/2002 Expiration date Until Canceled Workers' comp Help us improve https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=602194052&LIC=RJCLAL*981MA&SAW= 11/2/2018 R J CLARK LLC Do you know if the business has employees? if 1 rify the business is up-to-date on workers' comp premium" L&I Account ID Account is current. 024,816-01 ................................. Doing business as R J CLARK LLC Estimated workers reported Quarter 3 of Year 2018 "7 to 10 Workers" L&I account contact T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. 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=602194052&LIC=RJCLAL*981MA&SAW= 11/2/2018