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HomeMy WebLinkAboutPermit EL09-0095 - MCDONALD'SMCDONALD'S 15210 TUKWILA INTERNATIONAL BL EL09 -0095 Print Name: doc: EL -4/07 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Sep.,. CityOf 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 ith, ELECTRICAL PERMIT Parcel No.: 0043000090 Permit Number: EL09 -0095 Address: 15210 TUKWILA INTERNATIONAL BL TUKW Issue Date: 02/03/2009 Suite No: Permit Expires On: 08/02/2009 Tenant: Name: MCDONALDS Address: 15210 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: COMISKEY ROBERT Phone: Address: C/O MCDONALD'S , 245 SW 193RD PL Contact Person: Name: SEAN GREENOUGH Phone: 206 255 -1995 Address: 13300 SE 30 ST, STE 202 , BELLEVUE WA Contractor: Name: INSTALLATION & SRVC TECH INC Phone: 913 652 -7000 Address: 8340 MISSION RD #118 , PRAIRIE VILLAGE KS Contractor License No: INSTAST926QD Expiration Date: 11/03/2010 DESCRIPTION OF WORK: RUN LOW VOLTAGE CABLING (CATS) AS WELL AS MISC OTHER LOW VOLTAGE CABLES. Value of Electrical: NRES: $5,000.00 Fees Collected: $170.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /FA National Electrical Code Edition: 2005 EL09 -0095 Date: n 10021 )c) red this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit d• - not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction qz e perfor an of wo I am authorized to sign and obtain this electrical permit. Signature: 1 i Date: This permit shall become null and void if the work is not ommenced 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. Printed: 02 -03 -2009 Parcel No.: 0043000090 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** • 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 15210 TUKWILA INTERNATIONAL BL TUKW MCDONALDS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0095 ISSUED 02/03/2009 02/03/2009 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 + _ ormance of wo Signature: Print Name: doc: Cond -Elec Date: EL09 -0095 Printed: 02 -03 -2009 CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Site Address: 15210 Pacific Hwy McDonalds Tenant Name: Property Owners Name: Bob Cominskey Mailing Address: 15210 Pacific hwy Name: Sean Greenough E -Mail Address: sean.greenough @istservice.com Company Name: Mailing Address: Installation and Service Technologies 13300 se 30th st se Contact Person: Sean Greenough E -Mail Address: sean.greenough @istservice.com Contractor Registration Number: INSTAST926QD H :1Applications\Fom,s- Applications On tUne\I -2109 - Electrical Permit Application.doc bh • Electrical Permit No. ,(/o l -O Ot Project No. (For office use only) 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.: 00 2OO — 00 6 1 0 Suite Number: Floor: New Tenant: ® Yes ❑ ..No Tukwila City City WA 98188 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: (206) 255 -1995 Mailing Address: 13300 se 30th street suite 202 Bellevue WA 98005 State Fax Number: _ Bellevue WA City state Day Telephone: (206) 255 -1995 Fax Number: Zip ELECTRICAL CONTRACTOR INFORMATION 98005 Zip Expiration Date: 11/03/2010 Valuation of Project (contractor's bid price): $ 5,000 Scope of Work (please provide detailed information): Run low voltage cabling (cat5) as well as misc other low voltage call Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy ❑ Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) 5145.60 $78.00 ea $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: I Date Application Accepted: 021n31 di H:Wpplications\Fonns- Apphcefions On Line\1- 2009 - Electrical Pemut Applicahon.doc bh S ?.Ccv— glprtoaLt/ 1t1 *-- Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) 560.00 ❑ 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. 1 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: LI -5 )C 1 9 Day Telephone: Signature: Print Name: Mailing Address: City MULTI- FAMILY AND COMMERCIAL MISCELLANEOUS FEES State Zip Staff Initials: e a, Date Application Expires: Page 2 of 2 Parcel No.: 0043000090 Permit Number: EL09 -0095 Address: 15210 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 02/03/2009 Applicant: MCDONALDS Issue Date: Receipt No.: R09 -00179 Initials: JEM Payment Date: 02/03/2009 12:37 PM User ID: 1165 Balance: $0.00 Payee: SEAN A GREENOUGH TRANSACTION LIST: Type Method Descriptio Amount Payment Check 131 170.00 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 Account Code Current Pmts 000.322.101.00.0 170.00 Total: $170.00 Payment Amount: $170.00 doc: Receiot -06 Printed: 02 -03 -2009 Project: " lcp Q rj D 1 Type of Inspection: loo 3 Z I Address: / 5 2io y'3. Date Called: Special In + ' J (I/ Date Wanted: DWal a:m m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 N Approved per applicable codes. Corrections required prior to approval. to inspection, 0 $60.00 REINSPECTION FEE REQUIRED. Prior p fee m st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. oL P NO. (206)431 ; 6 0 COMMENTS: 0 1 , 1 . ' Gt�url(� c�,�l� Inspector: S� 1 I� j►.�.7dN Date: 0210 yl Receipt No.: Date: Name Role Effective Date Expiration Date NATIONAL REGISTERED AGENTS INC AGENT 11/03/2008 HORWITZ, JACOB PRESIDENT 11/03/2008 BIETEFELD, DENNIS SECRETARY 11/ 03/2008 Untitled Page • Electrical Contractor A business licensed by LEt1 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company INSTALLATION Et SRVC TECH UBI No. INC 9136527000 8340 MISSION RD #118 PRAIRIE VILLAGE KS 66206 OUT OF STATE Corporation Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602161449 ACTIVE INSTAST926QD ELECTRICAL CONTRACTOR 11/3/2008 11/3/2010 GREENSA928PM LIMITED ENERGY UNUSED ADMINISTRATOR INFORMATION License GREENSA928PM Name GREENOUGH, SEAN A Status ACTIVE Business Owner Information Bond Information l Bond Bond • Effective lExpirationlCancellImpairedl Bond Page 1 of 2 Received https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= INSTAST926QD 02/03/2009