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