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Home My WebLink AboutPermit EL19-0406 - TACO BELL - FINAL CONNECTION FOR CANOPY LIGHTTACO BELL 16350 WEST VALLEY HWY ELI 9-0406 Parcel No: Address: 0 �~^�x« °�� Tukwila *~�~� x�n n K�n^��Uua Department of Community Development 6]OOSouthcenterBoulevard, Suite #10O Tukwila, Washington 9D1Og Phone:2V6-431-3670 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: Issue Date: Permit Expires On: ELI9'O4O6 5/8/Z0l9 I1/4/2U19 Owner: Address: 18815 139TH AVE NE C/O NORTHVVESTVE5TUARANTS, VVOOD|NV|LLE,VVA 98072 Contact Person: Name: Contractor: Name: License No: Lender: Address: CRYSTAL CANTER HEATH NVVINC 7Z7S96THST,SEATTLE,WA, 98108 V[4THN1981JZ ''' Phone: (206)623-3100 Phone: (206)623-31D0 Expiration Date: 4/9/2020 DESCRIPTION OF WORK: FINAL CONNECTION FOR CANOPY LIGHT Valuation ufsingle family: $0.00 Valuation ofmf/connnn: $250.00 Type ufWork: TENANT IMP Fees Collected: $69.62 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TUKVV|LA Sewer District: TUKVV|LA 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: Permit Center Authorized Signature: 015 20152015 2015 2015 ° National Electrical Code: WA Cities Electrical Code: VVAC29G46B: WA State Energy Code: Date: | hoarbycertify that | have read and examined this permit and know the same to betrue and correct. All provisions of law and ordinances governing this work will be compiled 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 nrlocal laws regulating construction orthe performance ofwork. |amauthorized tosign and obtain this development pEmitand agree tothe conditions attached tothis permit. Signature' 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 o,abandoned for a period of 18Odays from the last inspection. PERMIT CONDITIONS: I: `ELECTRICAL PERMIT [OND[O0NS*** l: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector ateach 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 beinaccordance with mFP470 NEC, and requirements for electrical installations, Chapter 2964GBVVA[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 in 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 nrrelated documentation that presumes togrant this authority are therefore not valid. 7: Any change inthe scope ofwork described bythe electrical work permit shall require additional work permits. VYheneappnoved plans have been issued, revisions to the plans and additional review maybe required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (2V6)43O'935V 2100 ELECTRICAL FINAL 7003 R0U5H'|NELE[TR|CAL 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. Z2Y0c# Project No. Date Application Accepted: 5- ?-/1 7 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 OCATION iLP6Oj valuAit King Co Assessor's Tax No.: 625— Z Site Address: 1(t,61.) Va1114/ 141A)14 Suite Number: Floor: Tenant Name: -pito bal PROPERTY OWNER Name: NtnicL 2,..efid. 'IAA, 11 C- Address: t UV 0 Vaittikt 41,A.P1 State: w 4 zirceteg city:11)140a, CONTACT PERSON — person receiving all project communication Name: c,pak came Address: lvt S . qu3/41 Vr" City: StattL, State: VAA, Zipera00 Phone:tat ca-22 stbo Fax: Email: irti kiPIAVVOtthuat, 0-6rh New Tenant: _Yes ELECTRICAL CONTRACTOR INFORMATION Company NamekAakt po oytkvvzsr Address: —i S titecirt s-- City:Sea:Ha. State: et.„ ZipWoe PhoneZOLD U2.5 '3/0ax: Contr Reg No.pervhs\j/15euz... Exp Date: q 120 Tukwila Business License No.;30 oq qc.eq-?-7 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): P 2,5o Will service be altered? El Yes E1 No Adding more than 50 amps? 1::=1 Yes Type of Use: Type of work: o New 0 Addition 0 Service Change 0 Remodel Tenant Improvement El Low Voltage El Generator 1:1 Fire Alarm D Telecommunication El Temporary Service Pronertverved b : Puget Sound Energy 0 Seattle City Light WAPcnnit Ccntcr \Applications-HandoutsWennit Applications\ PDF'stElcctrical Permit Application Revised 1.17- I 9.docit Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $180.00 (including an attached garage) 0 Garages, pools, spas and outbuildings $120.00 ea 0 Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES Ej Service change or alteration $120,00 (no added/altered circuits) O Service change with added/altered circuits $100.00 number of added circuits $10.00 ea 0 Circuits added/altered without service change $60.00 (up to 5 circuits) O Circuits added/altered without service change ...... $60.00 (6 or more circuits) $10.00 ea O Meter/mast repair $80.00 0 Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation ofthe electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $60.00 0 Temporary service (generator) $90.00 O Manufactured/mobile horne service $100.00 (excluding garage or outbuilding) O Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 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: Date: Print Name: C2Day Telephone: 261i 02,F) NA() Mai I ing Address: IAJA- 7,r0r City WAPennit CenterlApplications-HandoutsTennit Applications \ PDPsTIcctrical Pcrmit Application Revised 1-I 7-I9.docx State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $69.62 EL19-0406 Address: 16350 WEST VALLEY HWY Apn: 2523049083 $69.62 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17599 R000.322.900.04.00 0.00 $3,32 $69.62 Date Paid: Wednesday, May 08, 2019 Paid By: Ji & D SIGNS INC Pay Method: CHECK 2211 Printed: Wednesday, May 08, 2019 10:49 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: -Type ol= pection: j Address: //,- /356 4.1441 Date ailed: Special Instructions: , 1 r Date Wanted:41 a+n' Requester: Phone No: - 0 2-1'7 6 Apprcaved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector: Date: 0 REINSPECTIQN FEE REQUIRED. Prior to next inspection.fee must be paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection. HEATH NW INC Home Espanol Contact. Safety & Health Claims & Insurance Washington State Department of Labor & Industries AZ Index Help Page 1 of 3 Mt, IM Workplace Rightis Trades & Licensing HEATH NW INC Owner or tradesperson Principals Gibson, Wendy D, PRESIDENT GIBSON, JOE, VICE PRESIDENT Gibson, Wendy, AGENT PAULSEN, DARRYL, PRESIDENT (End: 08/09/2011) GIBSON, Joseph, PRESIDENT (End: 08/09/2011) OLDS, JOHN, VICE PRESIDENT (End: 08/09/2011) GIBSON, JOE, TREASURER (End: 08/09/2011) PAULSEN, DARRYL, AGENT (End: 08/09/2011) Doing business as HEATH NW INC WA UBI No. 602 195 548 Parent company JJ & D SIGNS INC 727 S 96TH ST SEATTLE, WA 98108 206-623-3100 KING County Business type Corporation Governing persons WENDY GIBSON JOSEPH P GIBSON: License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties SIGN License no. HEATHNI981JZ Effective — expiration 04/09/2002— 04/09/2020 Designated administrator GIBSON, JOE License type Electrical Administrator Bond Cincinnati Ins Co Bond account no 0581509 Active. Meets current requirements. License no. GIBSOJ`971R9 $4,000.00 Help us improve • C. /TN a 1 T T ri cc no 0T Tr,—T__TE' A r171.11\TTOQ 1 T7 1), A Ii7=_ f /2/2M Q HEATH NW INC Received by L&I 04/02/2015 ' Effective date 7"\ 04/08/2015 Expiration date Until Canceled Cincinnati Ins Co $6,000.00 Bond account no. 0581499 Received by L&I Effective date 04/02/2015 04/04/2015 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EFRIM00333 Satisfied ..„ Issue date RCW/VVAC 09/06/2018 19.28.041 RCW Violation city Violation amount SEATTLE $1,500.00 Type of violation ELECTRICAL CITATION Description Offering to perform, submitting a bid for, advertising, installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Infraction no. EFRIM00334 Issue date 09/06/2018 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to obtain an electrical/telecommunications work permit and post the permit or permit number on the jobsite, or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration. Infraction no. EJORP07209 Issue date 03/21/2017 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Offering, bidding, advertising, or performing electrical installations, alterations or maintenance outside the scope of the firm's specialty electrical contractors license. Satisfied RCW/WAC WAC 296-46B-901(5) Violation amount $250.00 Satisfied RCW/WAC 19.28.041 RCW Violation amount $500.00 Page 2 of 3 Help us improve httnc•//ceriire lni wq orw/veriFv/neiail acnx9IITIT=60719554R&T,IC=HEATI-INI981JZ&SAW= 5/8/2019 HEATH NW INC Infraction no. EJORP06463 Issue date 05/0712015 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. (UNCERTIFIED EMPLOYEE ROBERT ISDELL) Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Workers' comp 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 029,420-00, Doing business as HEATH NORTHWEST INC Estimated workers reported Quarter 1 of Year 2019 "31 to 50 Workers" L&I account contact T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@lni.wa.gov Account is current. 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 Check for any past safety and health violations found on jobsites this business was responsible for, Inspection results date 07/17/2018 Inspection no. 317950018 Location 9315 E Tent Spokane Valley, WA 99206 No violations Page 3 of 3 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. 1—: TUT—K(1'71 OSGA QP,T TC=LIC A T'T—TNIT021 172,C Help us improve c/Q /1/11Q