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HomeMy WebLinkAboutPermit EL07-255 - PANERA BREADPANERA BREAD 17250 SOUTHCENTER PY CANCELLED ELO7-255 Parcel No.: 2623049117 Address: 17250 SOUTHCENTER PT TUKW Suite No: Tenant: Name: PANERA BREAD Address: 17250 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Phone: 206 -878 -2866 Contact Person: Name: CHRIS PACHOS Address: 23444 30AV S , KENT WA Contractor: Name: SOUTHGATE ELECTRIC INC Address: 23444 30 AV S STE 101 , KENT WA Contractor License No: SOUTHEI366P 1 DESCRIPTION OF WORK: EARLY START PERMIT - CONDUIT ONLY Value of Electrical: $250.00 Type of Fire Protection: 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 Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: doc: EL -4/07 City Tukwila ELECTRICAL PERMIT Permit Number: EL07 -255 Issue Date: 06/29/2007 Permit Expires On: 12/26/2007 Phone: Expiration Date: 08/30/2007 Fees Collected: National Electrical Code Edition: Print Name: ft / r/1 e #0S $58.00 2005 Date: 1 0 — A I hereby certify that I 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 - e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo ce • ' I am authorized to sign and obtain this electrical permit. Signature: Date: _ 2f 67 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 -255 Printed: 06-29 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 17250 SOUTBCENTER PT TUBW 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 -255 ISSUED 06/29/2007 06/29/2007 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 -46B 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 uthority to violate or cancel the provision of any other work or local laws regulating construction or the performance cork. Signature: Print Name: /i /2 /J II — �� � doc: Cond -Elec Date: `" 29- d 7 EL07 -255 Printed: 06-29 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us 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 LOCATION Ic1 J / $ Co Assessor's Tax No.: 26 Z 3 0y-91/7 /7z s� tea, 5c9 _� - — - �. i_i Site Address: Number: / 0 0 Floor: New Tenant: '...Yes ❑ .. No Tenant Name: Name: -(12 (S QSA-c (+o Mailing Address: 03 ci 414 30 ' 4-a. S H:\Appliations\Forms- Applications On Une\4 -2007 - Electrical Permit Application.doc bit Electrical Permit No: Proj ect N o:: or office use only) Property Owners Name: Mailing Address: City State Zip CONTACT P ERSON - Who do we contact when your permit is ready to be issued Day Telephone: 2.O G 176P 06-6 C /Gr/T cod 57P S 4 — City State Zip E -Mail Address: $' tt r r�'/1"" "� �a /4-0 L . CO c L Fax Number: 2 0 C ELECTRICAL CONTRACTOR INFORMATION Company Name: -CO CA- i 7`'e- 67-e C 7,L ( C c,� Mailing Address: Z 3 c/c( Si 3D Z 14tc/ -C — ,lr/T' c �J� / S .? ?-- city State Zi Contact Person: � 'S PSA C /To..J Day Telephone: Lob C ?b'Z6 I / E -Mail Address: SOU 7 4 7 ,4_- l < 6E, f¢0 C r C a Fax Number: Z 06' d T tr �.>S Contractor Registration Number: S) (! T ��d; " Expiration Date: S/' /AI 7 Valuation of Project (contractor's bid price): $ 2S IL ° c') Scope of Work (please provide detailed information): C�J / /� -ems✓ ,y 4- 4 lC ft ✓ J w t e--r 7----(?-227- ,27 (e Ai u /7- 69 N Will s altered? I � � service be altered. ❑ Yes ❑ N � � � Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ew ❑ Addition ❑ Service Change ❑ Remodel T enant Improvement Low Voltage ❑ G enerator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro ert erved b : Puget Sound Energy ❑ Seattle City Light Page 1 of 2 Parcel No.: 2623049117 Permit Number: ELOT -255 Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 06/29/2007 Applicant: PANERA BREAD Issue Date: Receipt No.: R07 -01261 Initials: WER Payment Date: 06/29/2007 01:52 PM User ID: 1655 Balance: $0.00 Payee: SOUTHGATE ELECTRIC INC TRANSACTION LIST: Type Method Description 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 Amount Payment Check 59773 58.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 58.00 Total: $58.00 Payment Amount: $58.00 9r:40 06/29 9716 TOTAL 58.00 doc: Receiot -06 Printed: 06 -29 -2007 Pitohect 020 6 Type of Inspection: - 7 OZ) / ..) Address: ‹i;v7)1c_1/7X/2. fitsik/ Date Called: Special Instructions: Date Wanted: 7/ a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 COMMENTS: 11A/ L2 so9g pproved per applicable codes. El Corrections required prior to approval. Ins perri A Ariwo I Datv /07 El $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 SOUTHEI366PI Licensee Name SOUTHGATE ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 578089488 Ind. Ins. Account Id Business Type CORPORATION Address 1 23444 30T11 AVE S STE 101 Address 2 City KENT County KING State WA Zip 98032 Phone 2062441570 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 10/21/1964 Expiration Date 8/30/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License BRENNPJ066RC Business Owner Information Name Role Effective Date Expiration Date STEIGERS, HERBERT C 01/01/1980 PASCHOS, CHRIS 01/01/1980 PSACHOS, CHRIS AGENT 01/01/1980 PSACHOS, BARBARA SECRETARY 01/01/1980 08/03/2001 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 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. Electrical Administrator Information License Name Status BRENNPJ066RC BRENNAN, PATRICK JOSEPH ACTIVE No https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SOUTHEI366P1 06/29/2007