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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 Safety & Health Claims & Insurance Search L&I A-Z-(ndex Help My 1.&..1 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; 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 Help us improve 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 Help us Improve