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Home My WebLink AboutPermit EL07-408 - PANERA BREADPANERA BREAD 17250 SOUTHCENTER PY ELO7-408 Value of Electrical: $2,000.00 Type of Fire Protection: SPRINKLERS /AFA City..af 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 Parcel No.: 2623049117 Permit Number: EL07 -408 Address: 17250 SOUTHCENTER PY TUKW Issue Date: 08/17/2007 Suite No: Permit Expires On: 02/13/2008 Tenant: Name: PANERA BREAD CAFE Address: 17200 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: RAY WHITE Phone: 425 -672 -9774 Address: 18908 HIGHWAY 99, SUITE D , LYNNWOOD WA Contractor: Name: WHITE SECURITY SYSTEMS INC Phone: 425 -672 -9774 Address: 18908 HIGHWAY 99, SUITE D , LYNNWOOD WA Contractor License No: WHITESSO44JP Expiration Date: 04/17/2008 DESCRIPTION OF WORK: j 1 J J ` ?� t M 1 T 1A71)14' • Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Signature: doc: EL -4/07 Fd- ELECTRICAL PERMIT Fees Collected: National Electrical Code Edition: $104.00 2005 Date: gr rfro) 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or • - perform ce o iL'�i� tho • d to sign and obtain this electrical permit. Date: V . 17 2 Print Name: �1 y /Kam P/ '7 LcJ///7I -r 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 -408 Printed: 08 -17 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: doc: Cond -Elec 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 CAFE PERMIT CONDITIONS Print Name: Permit Number: ELO7 -408 Status: ISSUED Applied Date: 08/17/2007 Issue Date: 08/17/2007 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: 6r-i7 —c EL07 -408 Printed: 08 -17 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tkwila. wa. us SITE LOCATION Site Address: )7adb S Tenant Name: /I NEgA 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 ** King Co Assessor's Tax No.: �%��G'ls�o`T -0111 C��v�iS/L P A he w r f • Suite Number:_ 0Z_ Property Owners Name: �c ,‘,(,.0 GU A- lam / City Mailing Address: / o $ AA t�Vl rL Company Name: Mailing Address: Contact Person: 6-)111 E Sze, / Y 7 o g flwy 9� Type of Use: Type of work: ❑ Ngw ❑ Addition Z LLow Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:1Appliceaons\Fonns- Applications On tinel4 -2007 - Electrical Permit Appliation.doc bh e fl eop Valuation of Project (contractor's bid price): $ d n • Scope of Work (please provide detailed information): 4 J� f c c /Z.% - ,- e t ❑ Service Change ❑ Fire Alarm Floor: New Tenant: jYes ❑ ..No State Zip CONTACT PERSON - Who do we contact When your permit is ready to be issued y //I P= Day Telephone: 9 2 S 7 7— 9 ? 7/,p Name: Mailing Address: /139 Rf. to 9'7 /�`.ni va t ,1t+.� w C18 A C5/2 _ ! City State Zip E -Mail Address: l i J c 5 ` L 1/ E' ' - ".4C.. • /V ,AL Fax Number: 'Y. S °7y y e y 6e) ELECTRICAL CONTRACTOR INFORMATION ��- s 7't X, /Wu eA ' Gu)2 • 9'Va_3 City State Zip Day Telephone: V.2 5 , 7 7- 5' 7 7, E -Mail Address: k J 6S-7 OFi2i Xe514.. • it) e9 Fax Number: yAS 9 f` 6 41 4 Contractor Registration Number: Expiration Date: Will service be altered? ❑ Yes ❑ 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 5140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits 510.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change 550.00 (6 or more circuits) 57.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 555.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: I Date Application Accepted: # mot, o1 HAApplications\Forms- Applications On Line \4.2007 - Electrical Permit Application.doc bh J 6(4/L t e City MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 ea PERMIT APPLICATION NOTE 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. Day Telephone: Date: d ic'e — / 7 - 0 , 5 25 72 'y 7,'- Zip Staff Initials: r` , 1 Date Application Expires: Z Page 2 of 2 Receipt No.: R07 -01735 Payee: WHITE SECURITY SYSTEMS INC TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Descript ion 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 -408 Address: 17250 SOUTHCENTER PY TUICW Status: APPROVED Suite No: Applied Date: 08/17/2007 Applicant: PANERA BREAD CAFE Issue Date: Initials: BLH Payment Date: 08/17/2007 01:25 PM User ID: ADMIN Balance: $0.00 Amount Payment Check 3737 104.00 Account Code Current Pmts 000.322.101.00.0 104.00 Total: $104.00 Payment Amount: $104.00 1693 08 /17 9710 TOTAL 104.00 doc: Receiot -06 Printed: 08 -17 -2007 Proyec �� , Type of Inspec• gnj } v Address: /'Z CO . S aH�/c/ ' /1 ' ate Called: / Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: f INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 proved per applicable codes. ❑ Corrections required prior to approval. `Z COMMENTS: O/-//,v, (_ lnsPectoy j/le.7C /71 1Datey /, / $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: COMMENTS: ,/J/ Type of Inspection: _ �� r)/ — C4a/;- /42-,5 /// X / / 4/L /N6 - ti 4 Date Called: (»ovt Ari°,vn /i%A 7 //w/U'li,�r - F2i a'' I vy -(4 3 /l rs- ,,,t) pm)4(; ;4 off / G, Requester: Phone No: �! /// " 1/ / �/�� J) (A/6 dd`ees Type of Inspection: _ �� ss: J / 72 rr �7/.c[ -1/�'/ (, )Tm �ZW Date Called: Special Instructions: Date Wanted: �� p.m. Requester: Phone No: INSPECTION NO. PERMIT NO. /� CITY OF TUKWILA BUILDING DIVISION ,/ U 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 proved per applicable codes. INSPECTION RECORD Retain a copy with permit LG 7_ vU c( c orrections required prior to approval. R. It0 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.: IDate: Business Owner Information Name Role Effective Date Expiration Date WHITE, RAYMOND J JR 01/01/1980 GUIMOND, DONALD L 01/01/1980 SY, MARILOU 0 01/01/1980 WHITE, RAYMOND J JR AGENT 01/01/1980 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 WHITESSO44JP WHITE SECURITY SYSTEMS INC ELECTRICAL CONTRACTOR 601619689 CORPORATION 18908 HIWAY 99 STE D LYNNWOOD SNOHOMISH WA 98036 4256729774 ACTIVE LIMITED ENERGY UNUSED 4/17/1996 4/17/2008 WHITEEI121NE GUIMODL953BF Electrical Administrator Information License Name Status GUIMODL953BF GUIMOND, DONALD L ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= WHITESSO44JP 08/17/2007