HomeMy WebLinkAboutPermit EL09-0292 - OLD SPAGHETTI FACTORYOLD SPAGHETTI FACTORY
17100 SOUTHCENTE
STE 160
ELO9-0292
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PY
Parcel No.:
Address:
Suite No:
CitylIf 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
7888920020
17100 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0292
Issue Date: 05/06/2009
Permit Expires On: 11/02/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
OLD SPAGHETTI FACTORY
17100 SOUTHCENTER PY SUITE 160 , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
DEAN NISSEN
:1448 ELLIOT AVE W , SEATTLE WA
LEIBOLD COMMUNICATIONS INC
1.448 ELLIOT AV W , SEATTLE WA
Contractor License No: LEIBOCI115B0
Phone:
Phone: 206 - 286 -8981
Phone: 206 286 -8981
Expiration Date: 01/20/2011
DESCRIPTION OF WORK:
INSTALLATION OF DIRECT DISH UPON ROOF. WIRING WITH ONE LINE OF RG -6 FROM THE
ROOF DOWN TO THE FIRST FLOOR TO A SPLITTER BEHIND BAR. WIRE HOME RUN FROM
SPLITTER TO EACH OF TWO TV LOCATIONS IN THE FIRST FLOOR BAR
Value of Electrical: NRES: $380.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $68.00
National Electrical Code Edition: 2005
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 wall 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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
LZ■c& LASrrr
Date:
6-70
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.
doc: EL -4/07
EL09 -0292 Printed: 05 -06 -2009
Parcel No.: 7888920020
Address:
Suite No:
Tenant:
•
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
17100 SOUTHCENTER PY TUKW
OLD SPAGHETTI FACTORY
PERMIT CONDITIONS
Permit Number:
Status:
Applied :Date:
Issue Date:
EL09 -0292
ISSUED
05/06/2009
05/06/2009
1: ** *ELECTRICAL * **
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: 1GL- LAY
Date:
doc: Cond -Elec
EL09 -0292 Printed: 05 -06 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h+`tp: / /www. ci. t uk wila. wa. us
Electrical Permit No.
Project No.
(For office rise 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
Site Address: 17100 Southcenter Parkway
Tenant Name: The Old Spaghetti Factory
Property Owners Name: OSF
Mailing Address: 17100 Southcenter Parkway Suite 160
King Co Assessor's Tax No.: 1 at o q.) IJo2
Suite Number: 160
New Tenant:
Floor:
® Yes ❑..No
Tukwila
WA 98188
City
State
Zip
CONTACT PERSON = Who do we contact when your permit is ready to be issued
Name: Dean Nissen or Todd Ohashi
Mailing Address:
E -Mail Address:
1448 Elliott Ave. W.
Day Telephone: (206) 286 -8981
Seattle WA 98119
tohashi @leiboldinc.com or dnissen @leiboldinc.cc
City State Zip
Fax Number: (206) 286 -9031
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Leibold Communications, Inc.
1448 Elliott Ave. W.
Seattle
WA 98119
Contact Person: Todd Ohashi
E -Mail Address: tohashi @leiboldinc.com
Contractor Registration Number: LEIOC1115BO
City
Day Telephone:
Fax Number:
Expiration Date:
State
(206) 286 -8981
(206) 286 -9031
01/20/2011
Zip
Valuation of Project (contractor's bid price): $ 380
Scope of Work (please provide detailed information): Installation of DIRECTV dish upon roof.
Wiring with one line of RG -6 from the roof down to the first floor to a splitter behind bar. Wire home run from splitter
to each of two TV locations in the first floor bar.
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
® Low Voltage ❑ Generator
Property Served y:
• Puget Sound Energy
❑ Seattle City Light
® No Adding more than 50 amps? ❑ Yes ® No
❑ Service Change
❑ Fire Alarm
II :Wpplications\Forms- Arphcations On Line \I -2009 - Electncel Permit Apphcation.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: r.;) /
Si q/e
g l�
Print Name: A/IS AI A/
,` Day Telephone:
Mailing Address: I WI ELL /OT "t/6. l✓. JM17Zc !✓9. 9f 0,9
Cry
ii
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single :Family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, fumace thermostat) $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)
MULTI-FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals 575.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTES. -•
1
Date: LC o f
2 04- //1296- -1,9f/
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
11:\Applicaltons\Fonns- Applications On Line \1 -2009 - Electrical Permit Application.doc
bh
Page 2 of 2
•
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.: 7888920020 Permit Number: EL09 -0292
Address: 17100 SOUTHCENTER PY TURIN Status: PENDING
Suite No: Applied :Date: 05/06/2009
Applicant: OLD SPAGHETTI FACTORY Issue Date:
Receipt No.: R09 -00684 Payment Amount: $68.00
Initials: WER Payment Date: 05/06/2009 09:23 AM
User ID: 1655 Balance: $0.00
Payee: LEIBOLD COMMUNICATIONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 28913 68.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 68.00
Total: $68.00
MENT
ECEIVED
doc: Receiot -06 Printed: 05 -06 -2009
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Etuy_o292
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION %4--
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3
Project:
SPA, . l'A r.
Type of Inspection:
/OD
Address:
/7/ 00 S. C .
Date Called:
_ Special Instructions:
1 ,e(c TV
Date Wanted:
O� 1
a.m:
Requester:
Phone No:
tg Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
.K rAbh.
Inspector: /31:5.ItJt:3\
Date: D4 a,
I
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee m st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinsp ction.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
EC0 oZ '1Z
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Ie
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
SPA. -
Type of Inspection:
700
Address:
1710o 5.(-- p
Date Called:
a.m.
.iii
Special Instructions:
C j, ( 1ol
Date Wanted:
a5 7o7
Requester:
Phone No:
NApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
31614
Date: 05
of
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspecti s n, fee mu t
be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
• •
Page 1 of 2
Electrical Contractor
A busine5.s licensed by LW 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
LEIBOLD COMMUNICATIONS
INC
2062868981
1448 ELLIOTT AVE W
SEATTLE
WA
98119
KING
Corporation
UBI No. 601156413
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
ACTIVE
LEIBOCI115B0
ELECTRICAL
CONTRACTOR
1/20/1989
1/20/2011
ADMINISTRATOR INFORMATION
License ILEIBOJN25ONG
Name LEIBOLD, JAMES N
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
LEIBOLD, JAMES N
Cancel
Date
01/01/1980
Bond
Amount
LEIBOLD, VIRGINIAS
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip /Detail.aspx
05/06/2009