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Home My WebLink AboutPermit EL08-1125 - LA PANZANELLALA PANZANELLA 18475 OLI'MPIC AV S ELO8-1 125 CitAlf 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.: 78E/8903111 Address: 18475 OLYMPIC AV S TUKW Suite N::: ELECTRICAL PERMIT Permit Number: EL08 -1125 Issue Date: 08/14/2008 Permit Expires On: 02/10/2009 Tenant: Flame: LA PANZANELLA Address: 18475 OLYMPIC AV S , TUKW LA WA Owner: Name: RRP LA PANZANELLA LLC Phone: Address: 1808 PARKSIDE DR E , SEATTLE WA Contact Person: Name: HOLLY HILL Phone: 425 -485 -4321 Address: PO BOX 1095 , WOODINVILLE WA Contractor: Name: HILL ELECTRIC CORPORATION Phone: 425 485 -4321 Address: PO BOX 1095 , WOODINVILLE WA Contractor License No: HILLEC *045B9 Expiration Date: 01/29/2010 DESCRIPTION OF WORK: INSTALL POWER FOR OVEN AND RELATED COOKING EQUIPMENT Value of Electrical: $35,000.00 Fees Collected: $656.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit C( ntar Authorized Signature: Date: e-IH-00 I hereby c ,irtify t 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 no res - to •eve authority to violate or cancel the provisions of any other state or local laws regulating construction or . e pe • rm. ce /ork.thorized to sign and obtain this electrical permit. Signature • / Date: Z D Print Na V,Aso/J &AES -qK 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 EL08 -1125 Printed: 08-14 -2008 • 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 Parcel No.: 7888900111 Address: 1 8975 OLYMPIC AV S TUKW Suite Nc: Tenant: LA i ,"NZANELLA PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1125 ISSUED 08/14/2008 08/14/2008 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: Wh'- r, any portion of the electrical installation is to be hidden from view by permanent placement of parts of the buildi::',3, 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 gri tit ing of thi; : mit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating cons:: •1ction or the performance of work. Date: g — 61- 6'c& doc: Cond -Elec EL08 -1125 Printed: 08-14 -2008 CITY OF TUKWILA" Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci tukwila. wa. us Electrical -JOg - ,, t 12�atri�a�l� Permit No. Project No. (For o e 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.: 1 Er kkq tt7 - 0 i t 12) 15 OI9mplc Ave NO t► Site Address: �� d Suite Number: Floor: Tenant Name: La_ Pc-4 n z-a n e I ( Cc_ New Tenant: ' Yes ❑ .. No Property Owners Name: 1-0-Pan rt€11& Mailing Address: l g 415 01 t j m ptc. Au-e 3 i L<k�v City State Zip CONTACT PERSON -Who do we contact hen your permit is:ready to be issued Name: Ho11c - 11 , i-U1 I C- lecfric_ Mailing Address: O e O X i 0 `^i 5 E -Mail Address: \110 t j h.11 e 1-e cFci(C c; c 1. co M Day Telephone: 4a J-- (RS- 43.2.1 Luova i n ui l k U) A c N O City State Zip Fax Number: 4aS - U - 4 3 a i ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: \4w Ea-e r ►c:._ Po 6c»c I o ci Role cNt11 Contractor Registration Number: H-1 LL J Jr 0 4.5 ' q UJ00,1 (Ilk LUA GMo -y City State Zip Day Telephone: -k -S - feS - 1 Fax Number: S - 3 .� O Expiration Date: ° i°)Vc9 v 1 0 Valuation of Project (contractor's bid price): $ .35, o o O Scope of Work (please provide detailed information): 11J57 e_e.._ po0e7Z Foe_ eve-NI b tab GooKipiet E4vt p Will service be altered? ❑ Yes gl No Adding more than 50 amps? Type of Use: //y -/ �i-4 Type of work: / ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light 11 \Applicahons\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc ❑ Yes /2r No ❑ Remodel ,Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 meaakiEnroAllio 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, fumace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. 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 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJUR : THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN ' OR ECTRICAL CONTRACTOR: Signature: Print Name: Date: Day Telephone: Mailing Address: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H.\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc 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 Parcel No.: 7888900111 Address: 18475 OLYMPIC AV S TUKW Suite No: Applicant: LA PANZANELLA RECEIPT Permit Number: EL08 -1125 Status: PENDING Applied Date: 08/14/2008 Issue Date: Receipt No.: R08 -02942 Initials: WER User ID: 1655 Payment Amount: $656.00 Payment Date: 08/14/2008 01:03 PM Balance: $0.00 Payee: HILL ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18165 656.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 656.00 Total: $656.00 tint. Rpcaint -f6 Printwrl. OR- 14 -700R INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - INSPECTION RECORD Retain a copy with permit fig$- IIl.0 PERMIT NO. Project: L A � Z�!u� Type of Inspection: 10 � /Z1OD Address: � _ •� � y! nL U �'� �' Date Called: Special Instructions: Date Wanted: 02- i0C ce. m Requester: Phone No: 0 Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 611Pribkir cON-rkrKfir toAl copcts6 Inspector: Date: a/o/o7 EJ$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 t-L0Y -117 S (206)431 - Project: L EfJ2 AN Type of Inspection: 7603 - `I ka•c. SU6ETTt, Address 3 `11 ` oo c A . Date Called: ,----■ Special Instructions: Date Wanted: 7/(1 (.m Requester: O.K. -ro si K-05 knot Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: iK-r%ct(A'fl ! R 4,Jo2 04 FO LOW,nlG\ 6#1.i'PANT - 11 ‘alk - `I ka•c. SU6ETTt, - R 4Cato,4 ,,L -Q. - 6,111,0)114( 6014 r O.K. -ro si K-05 knot Inspector: Date: 07 /0Y/D$ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 02 -02 -2009 Department of Community Development HOLLY HILL PO BOX 1095 WOODINVILLE WA 98072 RE: Permit No. EL08 -1125 18475 OLYMPIC AV S TUKW Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 03/07/2009 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, -to-ZILQ R—'6(J\ Bill Rambo Permit Technician xc: Permit File No. EL08 -1125 6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 a Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 IV/LZ/ZVVO 13.Z I rrin RECEIVED . 2:. 2008 comMUNITY DEvELOPuErn Fax Dept. of Labor and Industries (360) 902-5210 FAX: 360-902-5595 (lzo\C HS 2, 112c To: Robert Benedicto From: Ron Fuller, Chief Electrical Inspector Fax: 206-431-3665 Date: October 22, 2008 Phone: ( Pages: Including cover 5 Re: Third Party Field Evaluation 0 Urgent Company: Intertek 0 For Review 0 Please Comment 0 Please Reply 0 Please Recyde •Comments 08-522 out I/I-WO IV /LL/LVVO IJ.LI rf%A OCT -E2 -2008 07:35A FROM:INTERTEK BEAVERTON 503-626-7:3F-0 Intertek Fax cover sheet WJ vvc/ vv,) TO: 1,36090255�9S P. 1 To: Department of Labor and Industries From: Melissa Arnell Of: Washington State Date: 10/21/08 Phone: (360) 902-5249 Phone: (503) 626 -6694 Fax: imp) 902 -5595 Fax: (503) 626 -7328 CC: Total pages 5 (Including cover shoot) Re: Request for Field Evaluation at La Panzanella LLC in Tukwila, WA 98188 RECEIVED OCT 2 2 2008 CHIEF ELECTRICAL INSPECTOR'S OFFICE. Contlaenusltty Notice: Tne Information contained in mis facsimile transmittal Is pnv1lo00d arid confidential. It 1s Intended (guy for mo use of the addressee. If the reader ed this mass0201e not the Intended redpient or parson responsible to deliver 11 to ttto Intended recipient. you ere hereby notified Hull any dissemination, dlflributi0n of copy of alts facsimile trenernntct le olriedy prohibited. If you have red :lveo this transmittal In error. please notify UV Immediately by telephone and piton° return the er1 lnol transmittal to the address above. Thank you, IV/ LL/ L V V O 1 J. L 1 r r1A ut. I -e -euuti 07:36R 1 FROM: INTERTEK BEAUERTOIN 503 -626 -7329 Depnnmcnt of Lathor and Industries Electrical Section PO Box 44400 Olympian WA 98504-4460 www, Ln I.wa,gov /scs/ciccuical w_j vv;/ VV..) TO:1360902559S P.2 REQUEST TO PERFORM ELECTRICAL PRODUCT FIELD EVALUATION For Department Use Only: Project ID #: 0 :, r Testing Lab Performing Field Evaluation Company Name: lntertek Testing Services 1 Contact Person: Lawrence Todd Address: 2595 SW 153rd Drive Reference #: 500070281 Ciry: Beaverton State: OR ZTP fi 4: 97006.5144 Phone Number: 800- 380 -4548 , Fax Number: 503. 626 -7328 Customer Requesting Field Evaluation Name: La Penuulclla LLC --Ron Hacker Address: 18475 Olympic Ave S City: Tukwila State: WA 1 ZIP +4: 98188 l'hono Number: 425.318 -2410 Ext. Fax Number: 206. 903.0698 Job Site /Equiptnent Location Facility Name: La Panznnella LLC Street Address: 18475 Olympic Ave S Building/Column it: City: Tukwila 1 State: WA 1 ZIP + 4: 98188 Product Information ui ment Manufncturer's Name: Thomas L Green Equipment Serinl Number: SH40I -024. 2002 -1690 I Component Model Number: TBD Voltage and Ampere Ratings: t'L0\/ ( 0 Hazardous Location: ]YES NO Detailed description and purpose of electrical equipment or components being evaluated: Fnur Roll Shectcr used to reduce the thickness of baking dough. Standards used for evnitlnting this product: UL 763 Issued: 2000/11/30 Ed: 3 Rev:2007/12/19 UL Standard for Safety Motor - Operated Commercial Food Preparing Machines F500- 062 -000 request to perform electrical field evaluation 10 -01 RECEIVED OCT 2 2 2006 • _:�THfCAI 1r) FILE Page 1 o f 2 IV /ZZ /ZVVt3 I4:ZI rxn OCT-22-2008 07 :36A FROM:iNTERTEK BEAVERTON Dcpnnmcnt ar Lehor and Industries Clcctrical Section PO Box 44460 OI>mpien WA 98504.4460 www. Lni.wa,gov /scs/eleetrical 503 - 1:26- 1328 TO:1360902$59s IFIvv4 /VVo REQUEST TO PERFORM ELECTRICAL PRODUCT FIELD EVALUATION For Department Use Only: Project ID 4: C S) "- c� Testing Lab Performing Field Evaluation — Company Name: intertek Testing Services j Contact Person: Lawrence Todd Address: 2595 SW 153rd Drive Reference ff: 500070281 Ci y: Beaverton State: OR ZIP + 4: 97006 -5144 Phone Number: 800.380548 Fax Number: 503 -626 -7328 Customer Requesting Field Evaluation Nance: La Panzanella LLC- Ronald Hacker Address: 18475 Olympic Ave S City: Tukwila State: WA ------ 1 ZIP + 4: 98188 Phone Number: 425 - 318.2410 Ext. Fax Number: 206- 903 -0698 Job Site/Equipment Location Facility Name: La Panzanella LLC Street Address: 18475 Olympic Ave S 1 Building/Column 0: City: Tukwila 1 State: WA I ZIP + 4: 98188 Product Information Equipment Manufnemrer'SName: Kcss Industries E•ui merit Serial Number: 0306W07185 Com.onent Model Number: TBD Voltalo and Amtcrc Ratings: V230 A52 Hazardous Location: OYES ONO NO Detailed description and purpose of electrical equipment or components being evaluated: Reduction Roller used to reduce the thickness of baking dough. Standards used for evaluating this product: UL 763 issued: 2000 /11/30 Ed: 3 Rev :2007 /12/19 UL Standard for Safety Motor- Operated Commercial Food Preparing Machines F500. 062.000 request to perform electrical field evaluation 10 -01 Page Iof2 1v /44 /4vuo 13.41 rnn OCT -22 -2008 07 : :3EA FROM:INTERTEK BEALiERTON 503 -626 -7328 t2Jvvv /vvv TO: 1360'904=.5595 P . 5 For Department Use Dap: Project ID #: (7) -- �� The approval of this request to perform field evaluation(s) as listed above, will depend upon the submitter meeting all requirements of RCW 19.28. All requests for field evaluation services must ho submitted to rho department in writing at least 2 days (48) hours prior to the project inspection date. The product evaluation process may not begin until approval is granted by the State of. Washington. All certified product evaluations must result in a Field Evaluation Label being placed on the equipment receiving the review. Copies of the final report must be provided to the Chief Electrical Inspector. Electrical Field Supervisor/Local .Jurisdiction Electrical inspector for the area where the equipment will be installed, and the client requesting the review. If you have any questions regarding this application or need additional information please direct your inquiries to the Chief Electrical Inspectors Office. Date of Request: /C).- 2,/ -0ills., For Department'•Use 'Only Requcstor's re• , Date, of Approval: /� / 0. -2 2 —'0 5 Print Nome Melia Amell Signature of Chief E trical- +ospector or Designee lam'. ;-„ir—_ Title: Administrative Assistant Local Electrical upervisor Name :.� . Company Name: Intcrtck Testing Services Email to send completed Evaluation: Phone Number: 503.626.6694 Office of inspection:._ • A ,t.,1 e? '.,\ k V i \ L A Fax Number: 503.626.7328 Telephone Number: N.'. Q b --.. , �3 .3 :7 ,A. .. 1 --- i Fax Number. P500 -062 -000 request to perform electrical field evaluation 10.01 Page 2 of 2 Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by Lftl 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. HILL ELECTRIC CORPORATION Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company HILL ELECTRIC CORPORATION 4254854321 PO BOX 1095 WOODINVILLE WA 980721095 KING CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Separation Date Previous License Next License Associated License Specialty 1 Specialty 2 601684223 ACTIVE HILLEC *045B9 ELECTRICAL CONTRACTOR 1/29/1996 1/29/2010 HILLE * *137BA HILL *RD964KG GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License HILL *RD964KG Name HILL, ROGER D IStatus ACTIVE Business Owner Information Name Role Effective Date Expiration Date HILL, ROGER D 01/01/1980 HILL, CHERI L 01/01/1980 HILL, CHERI L AGENT 01/01/1980 h ttp s: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= HILLEC *045B9 08/14/2008