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
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•
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
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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