HomeMy WebLinkAboutPermit EL07-467 - PANERA BREADPANERA BREAD
17250 SOUTHCENTER PY
STE 152
EL07 -467
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUKW
Suite No:
Tenant:
Name: PANERA BREAD
Address: 17250 SOUTHCENTER PY, STE 152 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: RICHARD MURPHY Phone: 425 656 -5986
Address: 6644 S 196 PL #T -100 , KENT WA
Contractor:
Name: MESA DIGITAL LLC
Address: 6644 S 196 PL STE T -100 , KENT WA
Contractor License No: MESADL *990MP
DESCRIPTION OF WORK:
LOW VOLTAGE: SPEAKER INSTALLATION
Value of Electrical: $1,000.00
Electrical Service provided by:
Permit Center Authorized Signature: 01A
The anting of this pe
co ruction or work. I am aujliorized to sign and obtain this electrical permit.
Signature:
Print Name:
doc: EL -4/07
Cit3.of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 - 3665
Web site: http: / /www.ci.tukwila.wa.us
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL07 -467
Issue Date: 09/06/2007
Permit Expires On: 03/04/2008
Phone: 425 656 -5986
Expiration Date: 07/17/2009
Type of Fire Protection: National Electrical Code Edition: 2005
$90.00
Date: 01 1 1Qt o1'"
I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this workicdll be complie , whether specified herein or not.
of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
Date:
7/6/ 7
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
EL07 -467 Printed: 09 -06 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
1: * * *F'LRCTRICAL * **
17250 SOUTHCENTER PY TUKW
PANERA BREAD
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -467
ISSUED
09/06/2007
09/06/2007
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 -468 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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating • : • n or the performance of work.
Signature:
Print Name:
doc: Cond -Elec
2 lily ,
EL07 -467
Date:
Printed: 09-06 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.cltukwila.wa.us
SITE LOCATION
King Co Assessor's Tax No.: 20 2 -11 –
Site Address: 1 124v Sof.CesJ ev 6 4 0 1
Suite Number: K2 Floor:
Tenant Name: Q/t `SVC New Tenant: (J Yes ❑..No
Property Owners Name:
Mailing Address:
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
1 c i t'd fLC t
(;&W 5 MA A ) I t' -taa
ELECTRICAL CONTRACTOR INFORMATION
1q511 17d ti77 -L-
lo s / 94 f[ ,11._ / ,11._
Contact Person: �(C4- itic4 4 1 1
E -Mail Address: t — M to✓p � y @ meset d / 11-x, f.v e fr
Contractor Registration Number: /VC .54 4 % 4` 90
Valuation of Project (contractor's bid price): $ /(0
r
Scope of Work (please provide detailed information): L67U �/ e . �eo. ker ( et 5.6- d a-h -
Will service be altered? ❑ Yes E 0 No Adding more than 50 amps? ❑ Yes -r No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
t ' Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\ Applications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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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 **
Electrical Permit No.
Project No.
(For office use only)
City
Day Telephone:
City
Fax Number:
T
City
Day Telephone:
Fax Number:
State Zip
W or ��3Z
State Zip
0.104 rZ
State
Zip
J Z 461''
fzit - lore. - 0
Expiration Date:
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
Si
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWN ' • • LECTRICAL . ONTRACTOR:
Print Name: g 1 l- a-Z t
Mailing Address:
H:Upplications\Forms- Applications On Line'4- 2007 - Electrical Permit Application.doc
bh
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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.
Date Application Accepted:
Date Application Expires: Staff Initials:
State Zip
Date: ?A / 7
Day Telephone: 206 511 9 F
5/96 f[ so- #ir w fd z
Page 2 of
Parcel No.: 2623049117 Permit Number: EL07 -467
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/06/2007
Applicant: PANERA BREAD Issue Date:
Receipt No.: R07 -01898 Payment Amount: $90.00
Initials: JEM Payment Date: 09/06/2007 09:27 AM
User ID: 1165 Balance: $0.00
Payee: MESA DIGITAL, LLC
TRANSACTION LIST:
Type Method Description Amount
Payment Check 4247 90.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Account Code Current Pmts
000.322.101.00.0 90.00
Total: $90.00
2471 09/06 9710 TOTAL 90.00
doc: Receiot -06 Printed: 09 -06 -2007
P ct:
�N /�v4
��2(4\
Type of Inspection:
,z/rU
..
Address: c ,
/ CO �Vc(
� I �
fi Date
Called:
y
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
a 0 .. ,,ar -
t
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ?-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0
V pproved per applicable codes. 0 Corrections required prior to approval. /
COMMENTS:
C)1 OzOI/61/ — N
p/l - /ii1
r:
Ins o
� � I
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
License Information
License
MESADL *990MP
Licensee Name
MESA DIGITAL LLC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601945743
Ind. Ins. Account Id
Business Type
LIMITED LIABILITY COMPANY
Address 1
6644 S 196TH PL STE T -100
Address 2
City
KENT
County
KING
State
WA
Zip
98032
Phone
4256565986
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
HVAC/RFRG LTD ENERGY
Effective Date
7/17/2001
Expiration Date
7/17/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
MURPHRM963QA
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
MURPHY, RICHARD
M
PARTNER/MEMBER
07/17/2001
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
sepe
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
Master Electrician Information
License
Name
Status
MURPHRM963QA
MURPHY, RICHARD M
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= MESADL *990MP 09/06/2007