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Home My WebLink AboutPermit EL07-290 - PANERA BREADPANERA BREAD 17250 SOUTHCENTER PY ELO7-290 Parcel No.: 2623049117 Address: 17250 SOUTHCENTER PY TUICW 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 Contact Person: Name: ANDY RIFFLE Phone: 425 9 17 -2 109 Address: PO BOX 2849 , RENTON WA Contractor: Name: INSIGNIA SIGN INC Address: PO BOX 2849 , RENTON WA Contractor License No: INSIGSI055JS DESCRIPTION OF WORK: WIRE (2) NEW WALL SIGNS TO EXISTING ELECTRICAL CIRCUIT WITHIN 6' OF PROPSED LOCATION. Value of Electrical: $500.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2006 Electrical Service provided by: PSE Permit Center Authorized Signature: doc: EL - 4/07 Cityf 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 Permit Number: ELO7-290 Issue Date: 07/11/2007 Permit Expires On: 01/07/2008 Phone: 425 917 -2109 Expiration Date: 04/10/2009 Date: $70.00 I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compile ` wi , 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 electrical permit. Date: )/ — 07 Print Name: A A)/ R L 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 -290 Printed: 07 -11 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: Print Name: A_ 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 17250 SOUTHCENTER PY TUKW PANERA BREAD WI PI /e PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -290 ISSUED 07/11/2007 07 /11/2007 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 authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Date: 7— / I -0 7 doc: Cond - Elec EL07 -290 Printed: 07 -11 -2007 CITY OF TUKWIL.A,,,,,, Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://wwwci.tukwfla.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 King Co Assessor's Tax No.: 7 Site Address: 150 So Yt e✓ t K (Joy Suite Number: Floor: Tenant Name: Pea e 1fa` fec -c3• t Property Owners Name:LJ i (� ? ro p o v t ' s Mailing Address: 17,.5 b S o t.uI-1,, C., t/1 -e I '�G+cK it2 V Name: ay4.y R;4-1e Mailing Address: P o d(A ESN I E -Mail Address:O Y1 y i Y\ 5 l,, N ; & $ 9 in . e v - Company Name: T r1$ i Ci n; 5► g vi n G Mailing Address: PO box. c q i Contact Person: A rl R r le E -Mail Address:O..n + Y15 i Ni C�$i Y1. LU WI y � � Contractor Registration Number:TW5t rrSI 6 63)5 In( c ,\nv\ Will service be altered? ❑ Yes Type of Use: Type of work: jg New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Er Puget Sound Energy ❑ Seattle City Light H: Applications\Fotms- Applications On Lineal- 2007 - Electrical Permit Application.doc [ Electrical Permit No. — /A O oject No. (For office use only) ' fiat.kW1 I e City New Tenant: ® Yes ❑ .. No W* State 9 0 i UO Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: 426 C I 17 - d R e 144oY1 (4) 8`654 City State Zip Fax Number:416 4 1 7 - 6 15 ELECTRICAL CONTRACTOR INFORMATION R e n d-o n q Fos4 City State Zip Day Telephone: 1a5 - q 1 7 - ? lag Fax Number: LI -5 - q 17 - 615 3 Expiration Date: G L1/ 1 b/ 69 Valuation of Project (contractor's bid price): $ 560 1 t Scope of Work (please provide detailed information): (.. t 1 1(4 ca ne Lt) (JO 1, . \ t1 g No Adding more than 50 amps? ❑ Yes No ❑ 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 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: r i r � Print Name: � X 1 C Mailing Address: r 1) Box 97 g q I Date Application Accepted: H:Wpplications\FortnrApplicationa On Line4-2007 - Electrical Permit Application.doc Date Application Expires: 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: 7- ^07 Day Telephone: 14,2-.5 q /7 - hi' e (A) k qSG 541 City State Zip Staff Initials: Page 2 of 2 Receipt No.: R07 -01354 Payee: INSIGNIA SIGN, INC. 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 Parcel No.: 2623049117 Permit Number: EL07 -290 Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 07/11/2007 Applicant: PANERA BREAD Issue Date: Initials: JEM Payment Date: 07/11/2007 11:12 AM User ID: 1165 Balance: 50.00 TRANSACTION LIST: Type Method Description Amount Payment Check 3297 70.00 Account Code Current Pmts 000.322.101.00.0 70.00 Total: $70.00 Payment Amount: 570.00 0212 07/12 9710 TOTAL 70.00 doc: Receiot -06 Printed: 07 -11 -2007 p r/"/ )t, eG x, � > Type of Inspectio : Address: /7 S) CO w 7)/(G✓ 7 74 44 y Date Called: Special Instructions: Date Wante<E7/ / `/ 1 a.m. m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit / PER NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 06)431 -36 COMMENTS: - f/A1/9- 1,e >/9 Alo /A,TT 5 T/S pproved per applicable codes. Corrections required prior to approval. I lnspectoljl u ‘ / fc /2,/I/C // IDatew/y47 ❑ $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 INSIGSI055JS Licensee Name INSIGNIA SIGN INC Licensee Type ELECTRICAL CONTRACTOR UBI 601507324 Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 2849 Address 2 City RENTON County KING State WA Zip 98056 Phone 4259172109 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 4/10/1995 Expiration Date 4/10/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License THOMSBE954L8 Business Owner Information Name Role Effective Date Expiration Date BOWEN, BRYAN E 01/01/1980 THOMSON, CINDY A 01/01/1980 BOWEN, BRYAN E AGENT 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Nue 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 THOMSBE954L8 THOMSON, BRYAN E ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= INSIGSI055JS 07/11/2007