HomeMy WebLinkAboutPermit EL19-0616 - TACO BELL - ADD OUTLET AND CIRCUIT FOR HOT BOX AT BACKFLOW VALVETACO BELL
16350 WEST VALLEY HWY
ELI9-0616
Parcel No:
CityAddress:
of Tukwila
t of Community Development
6BVUSouthcenterBoulevard, Suite #1O0
Tukwlla, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2523049083 Permit Number: EL19-0616
16350 WEST VALLEY HWY
Project Name: TACO BELL
Issue Date: 8/1/2019
Permit Expires On: 1/28/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
NWR REALTY LLC
18815 139TH AVE NE C/O
NO8TMVVESTRE5TUARANT5
WOODINVILLE, WA, 98072
ROBERT CLARK
1942 67 AVE SE'SN0M0M8�WA,
98296
RJ CLARK LLC
I94Z467AVE 5E'5NOMDyN|5M,WA,
98296
RJCLAL*981MA
Phone: (206) 510-8983
Phone: (206) 510-8983
Expiration Date: 7/1/2020
DESCRIPTION OF WORK:
ADD OUTLET AND CIRCUIT FOR HOT BOX AT BACKFLOW VALVE.
Valuation of single family: $0,00
Valuatiori of mf/comm: $1^550.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
lnternational Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
lnternational Fuel Gas Code:
Permit Center Authorized Signa
2015
2015
2015
2015
2015
Nationa Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
C�
Date: 8-/-/9
I hearby certify that | 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: v �� r^/'c-
�
��~_
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
lnspector 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 Washngton 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 elect6cal 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 lnspection Line: (306) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. EZ -11 04p1
Project No.
Date Application Accepted: ?' 1
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**
SITEOCATION
Site Address: 16350 w valley hwy
Tenant Name: taco bell
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
PROPERTY OWNER
Name:
NORTHWEST RESTAURANTS
Address: 18815 139TH AVE NEW SUITE C
city: WOODINVILLE, state:wA Zip98072
CONTACT PERSON — person receiving all project
communication
Name: Robert C Clark
Address: 19424 67th ave se
City:
Snohomish, State: WA Zip: 98296
Phone: 206-510-8984 Fax: 360-863-2969
Email: rjclarklIc@gmail.com
Floor:
D Yes
..No
ELECTRICAL CON IRACTOR INFORMATION
Company Name: R J Clark LLC
Address: 19424 67th ave se
City: State:
Snohomish, WA Zip:98296
Phone: 206-510-8984 Fax: 360-863-2969
Contr Reg No.RJCLAL*981MA Exp Date: 7/1/2020
Tukwila Business License No.; BUS -0996722
Valuation of Project (contractor's bid price): $ 1550.00
Scope of Work (please provide detailed information): ADD OUTLET AND CIRCUIT FOR HOT BOX AT BACKFLOW VALVE
Will service be altered? EJ Yes No Adding more than 50 amps? ED Yes
Type of Use;
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel ca Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 1:1 Telecommunication 0 Temporary Service
Property Served by:
2 Puget Sound Energy 0 Seattle City Light
WAPermit CenteMpplications-HandoutsWermit Applications \ PDFOElectrical Permit Application Revised 1-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL, SERVICE
LI New single family dwellings $180.00
(including an attached garage)
0 Garages, pools, spas and outbuildings $120.00 ea
El Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O 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
O Circuits added/altered without service change $60.00
(up to 5 circuits)
• Circuits added/altered without service change $60.00
(6 or more circuits)........„..... $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, fumace thermostat)
MULTI-FAM1LY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home 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:
/..06..t-eeze,A4 8/1/19
Signature: Date:
Print Name: Robert C Clark
Mailing Address: 19424 67th ave se
WAPerrnit CereeMpplications-He ndoutsTermit Applications \PDFs Elect' icelPermit Application Revised 1 - 17-19.doc-x
Day Telephone: 206-510-8984
SNOHOMISH, WA 98296
City State Zip
Page 2 of 2
License #: BUS -0996722
Issued Date: 01/01/2019
Expiration Date: 12/31/2019
Bus Lic-Outside Contractor
RJ CLARK LLC
19424 67TH AVE SE
SNOHOMISH, WA 98296
UBI: 602194052
City of Tukwila
Business License
Nature of Business:
ELECTRICALCONTRACTOR
Business Name:
RJ CLARK LLC
Business Address:
19424 67TH AVE SE, SNOHOMISH, WA 98296
FINANCE DIRECTOR
LICEN:;:;EE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDINANCES AND STATE LAWS APPLICABLE TO THE BUSINESS
ACTIVITY LICENSED HEREUNDER.
This license is to be displayed conspicuously at the location of business and is not transferrable or assignable.
Please note the following guidelines in the operation of your business:
1.
Itis necessary to contact the Finance Office at 206-431-3680 in the event your business:
. Moves within the city limits of Tukwila
. fvloves outside the city limits
. Ceases' operation
. Changes ownership
. Changes use or type of operation
. Will be having a special event (such as a tent sale, parking lot sale or any other event) outside its routine operation.
2. Additional licenses are required if your business has live music/entertainment, tow trucks, amusement devices,
solicitors/peddlers, or adult entertainment.
3. Any retail sales tax generated in Tukwila needs to be reported to the Washington State Department of Revenue,
under sales tax code # 1729.
4. Tukwila business license renewals are mailed to all licensed businesses in December and payable without penalty until
January 31.
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
1
PermitTRAK
ACCOUNT
1 QUANTITY
PAID
$130.83
EL19-0616 Address: 16350 WEST VALLEY HWY
Apn: 2523049083
$130.83
Credit Card Fee
$3.81
Credit Card Fee
R000.369,908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULT1-FAM/COMM
R000.322.101.00,00
0,00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18235
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Thursday, August 01, 2019
Paid By: JAMES CLARK
Pay Method: CREDIT CARD 411083
Printed: Thursday, August 01, 2019 12:38 PM 1 of 1
O
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 08/01/2019 12:38:18 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3316 K
TRAN AMOUNT: $130.83
APPROVAL CD: 411083
RECORD #: 000
CLERK ID: kandace
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
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P R N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43
Permit Inspection Request Line (206) 438-9350
Project: b
Type of Inspection:
Address
Ltrcuons
Date Galled:
r
a.m_r
Special
Date Wanted:
Requester:
ci
Approved per applicable codes.
Corrections required prior to a.p iroval.
nspector: '! a 1 t Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. tee ust, be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ashington State Department of
Labor & Industries
flints'. Espanol Contact
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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;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
RJCLAL*981MA
Effective — expiration
07/01/2002— 07/01/2020
Designated administrator
CLARK, JAMES K
License type
Master Electrician
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
857785C
Active.
Meets current requirements.
License no.
CLARKJK979O4
54,000.00
Received by L&I Effective date
07/02/2002 06/27/2002
Expiration date
Until Canceled
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Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Public Works Requirements
Workplace safety and health
VNorltwl State Dept of Labor ;ndostnen Uso of tiwi site is subjeci to thr:, lauv6 tho 5.J.11,'. of ',NashIngton
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