HomeMy WebLinkAboutPermit EL07-352 - PANERA BREADPANERA BREAD
17250 SOUTHCENTER PY
EL07 -352
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUI{W
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: LEON PARKS Phone: 253 - 248 -2002
Address: 1106 54 AV E , TACOMA WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC Phone: 253 - 926 -1880
Address: 110654 AV E , TACOMA WA
Contractor License No: SMITHFS946LO Expiration Date: 06/20/2008
DESCRIPTION OF WORK:
RELOCATE AND INSTALL SOME NEW FIRE ALARM DEVICES TO BUILDING SHELL AND CORE
SYSTEM
Value of Electrical: $7,654.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
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.
e authority to violate or cancel the provisions of any other state or local laws regulating
thorized to sign and obtain this electrical permit.
Signature: Date: IV/ k-7
The granting of this permit does not presume
construction or the pe ormance of
Print Name:
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
zrpro Pe9/2_45'
Permit Number: EL07 -352
Issue Date: 08/01/2007
Permit Expires On: 01/28/2008
Fees Collected:
National Electrical Code Edition:
$213.20
2005
Date: e -1 -07
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 -352 Printed: 08 -01 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
17250 SOUTHCENTER PY TUKW
PANERA BREAD
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.
Signature:
Print Name:
doc: Cond -Elec
Sloe
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
L,
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
/ J
Date: 0 #0
ELO7 -352
ISSUED
08/01/2007
08/01/2007
EL07 -352 Printed: 08 -01 -2007
Tenant Name:
Name: I-- 6L S
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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 Address: I • 7 Z t S o Lrict& ee 4nk P r IL.. Suite Number:
New Tenant:
1� C e0.44.
Property Owners Name: l.V . e 1 r ep e r-1 . -0 C.
Mailing Address: '1 4' I\ 3`141".. � _ S E
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Mailing Address: 110 te K + - t v-e_ F
E -Mail Address: 4 ? eArk S S w.i- �i.. -F� cow••.
ELECTRICAL CONTRACTOR INFORMATION
l l O C. 5 4 4-1,.
1 p riz4 tp , [.G
Contractor Registration Number: S X"t VA VS 9 9(..01. e7
Will service be altered? ❑ Yes o
Type of Use: i22_^{ et.)
Type of work:
❑ New ❑ Addition ❑ Service Change
y 5P,ow Voltage ❑ Generator Wire Alarm
Property Served by:
uget Sound Energy
Seattle City Light
H:\Applications\Fonns- Applications On Line44 -2007 - Electrical Permit Application.doc
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Project No.
(For office use only)
King Co Assessor's Tax No.: 4= Co a 3 O Si _
3 e--t\p Vv
City
Day Telephone:
" t tc_o w. 4
City
Fax Number:
�Q_G 6/►1 q
City
Day Telephone:
Fax Number:
Expiration Date:
❑ Remodel
❑ Telecommunication
Floor:
?....Yes ❑..No
State
2s'3- 2y8 — aoo�-
Lk.) 0. 4g Y2y
State Zip
0 926
State Zip
r3 -a La- 700 2
ZS -140 2 - 07 20,,
4,/z C:/D tP
Valuation of Project (contractor's bid price): $ 7to S t
Scope of Work (please provide detailed information): 2 .LCe -. t -e' c
v.s-w S ; o.! w` t' s; 1 ; 1 rR : v - o Sig. e 0 1?
Adding more than 50 amps? ❑ Yes ❑ No
9g bb c.
Zip
❑ Tenant Improvement
❑ 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)
PERMIT APPLICATION NOTES -
Signature:
Print Name:
c,i
H:Wpplications\Fonns- Applications On Lineal -2007 - Electrical Permit Application.doc
bh
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
Yit3, 2-D
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
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.
BUILDING OWNER OR ELECTRICAL CO CTOR:
Day Telephone:
Date:
7/2-4 7
as3 -art -2crc?
Mailing Address: 11 0 to S -1 -14-tt 'TG c o tyke, ,. .4- 9? V 2'/
City State Zip
Date Application Accepted: Date Application Expires: Staff Initials:
Page 2 of 2
Receipt No.: R07 -01555
Payee: SMITH FIRE ALARM SYSTEMS
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:/lwww.citukwila.wa.us
RECEIPT
Parcel No.: 2623049117 Permit Number: EL07 -352
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/01/2007
Applicant: PANERA BREAD Issue Date:
Initials: WER Payment Date: 08/01/2007 12:03 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1569 213.20
Account Code Current Pmts
000.322.101.00.0 213.20
Total: $213.20
Payment Amount: $213.20
doc: Receipt -06 Printed: 08 -01 -2007
P I � ii i ti R � ,
Type of Inspection: / � j
` /
U
1 7750 S (4 /Of Ci
A�
//-
Date Called:
, f/> (
Special Instructions:
Ore ry 1
A l
Date Wanted:
/a J
p.m.
Requester:
Phone No:
ftz 31>1
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
//v6,-
— I /424 C._
roved per applicable codes.
(Inspect y j
.sa..r...:.. air
,. -,. �••' _ °_ -tea
Corrections required prior to approval.
$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:
Project:
P(I/VcA kAf4A
Type of Inspection:
7003
A A
17;--CO to.m. fi A)
Date Called:
_....--
Special Instructions:
Date Wanted:
P.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD If —7
Retain a copy with permit IF 10 I
PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-367
COMMENTS:
0/4 ----)/9ti
proved per applicable codes. Corrections required prior to approval.
Inspecttl 6, 71 . 4641/6 , 'Date:
$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:
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GTH CORPORATE
SERVICES LLC
AGENT
06/20/2006
SMITH, MARK B
PARTNER/MEMBER
06/20/2006
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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SMITHFS946LO
SMITH FIRE SYSTEMS MGMT LLC
ELECTRICAL CONTRACTOR
602601418
LIMITED LIABILITY COMPANY
1106 54TH AVE E
TACOMA
PIERCE
WA
98424
2539261880
ACTIVE
LIMITED ENERGY
UNUSED
6/20/2006
6/20/2008
SMITHFS98ORP
PARKSLD952LC
Master Electrician Information
License
Name
Status
PARKSLD952LC
PARKS, LEON D
ACTIVE
https: / /fortress.wa. gov /lni/bbip /printer. aspx ?License= SMITHFS 946LO
08/01/2007