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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 bh 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