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Permit EL08-0176 - CHIPOTLE MEXICAN GRILL
CHIPOTLE 17250 SOUTHCENTER PY, SUITE 108 ELO8-176 Parcel No.: Address: Suite No: City 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 2623049117 17250 SOUTHCENTER PY TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -176 02/22/2008 08/20/2008 Tenant: Name: CHIPOTLE MEXICAN GRILL Address: 17250 SOUTHCENTER PY SUITE 108 , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: Address: Contractor: Name: Address: SCOTTJERKE 1106 54TH AVE E , TACOMA WA SMITH FIRE SYSTEMS MGMT LLC 110654 AV E , TACOMA WA Contractor License No: SMITHFS946LO Phone: Phone: 253 -248 -2004 Phone: 253 - 926 -1880 Expiration Date: 06/20/2008 DESCRIPTION OF WORK: ADD FIRE SIGNAL EXPANDER AND NOTIFICATION DEVICES FOR TENANT IMPROVEMENT Value of Electrical: $4,916.00 Type of Fire Protection: 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 The granting of this permit oes not p construction or the perfo anc- -,f w Signature: Print Name: Fees Collected: $164.00 National Electrical Code Edition: 2005 Date: J72k1i ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. ume to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. Date: Z —�- ac 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 -176 Printed: 02 -22 -2008 Parcel No.: 2623049117 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 17250 SOUTHCENTER PY TUKW CHIPOTLE MEXICAN GRILL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -176 ISSUED 02/21/2008 02/22/2008 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: 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: Date: z doc: Cond -Elec EL08 -176 Printed: 02 -22 -2008 Site Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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.: 262304908102 17250 SOUTHCENTER PARKWAY, #108 Suite Number: 108 Floor: Tenant Name: CHIPOTLE New Tenant: © Yes ..No Property Owners Name: WIG PROPERTIES LLC. Mailing Address: 4811 134TH. PL. SE. Name: SCOTT JERKE Mailing Address: 1106 54TH AVE E E -Mail Address: BELLEVUE City Day Telephone: TACOMA WA State 98006 (253) 248 -2004 WA Zip 98424 SJERKE@SMITHFIRE.COM Company Name: Mailing Address: SMITH FIRE SYSTEMS MANAGEMENT, LLC. City Fax Number: State (253) 926-0726 Zip 1106 54TH AVE E TACOMA WA 98424 Contact Person: SCOTT JERKE E -Mail Address: SJERKE @SMITHFIRE.COM Contractor Registration Number: SMITHLFS946L0 City Day Telephone: (253) 248 -2004 Fax Number: (253) 926 -0726 Expiration Date: 6/20/08 State Zip Valuation of Project (contractor's bid price): $ 4916 Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD A FIRE SIGNAL EXPANDER AND NOTIFICATION DEVICES PURPOSE OF TENANT IMPROVEMENT. Will service be altered? El Yes No Type of Use: RETAIL Type of work: Adding more than 50 amps? D Yes J No El New 1=1 Addition Service Change Remodel Low Voltage J Generator © Fire Alarm Telecommunication Property Served by: Puget Sound Energy Seattle City Light Tenant Improvement Temporary Service i RESIDENTIAL NEW RESIDENTIAL SERVICE o New single family dwellings $140.00 (including an attached garage) ['Garages, pools, spas and outbuildings $75.00 ea O Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES o Service change or alteration $75.00 (no added/altered circuits) O Service change with added/altered circuits $75.00 number of added circuits $10.00 ea o 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 0 Meter /mast repair $65.00 0 Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES o Temporary service (residential) $58.00 Temporary service (generator) $75.00 o Manufactured/mobile home service $80.00 (excluding garage or outbuilding) Carnivals $75.00 Number of concessions $10.00 ea 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. BUILDING OWNER OR ELEC,JRICAL CONTRA! A . OR Signature: Print Name: ■ SCOWJERKE Mailing Address: 1106 54TH AVE E Day Telephone: TACOMA City Date: 2/2/08 WA State 98424 Zip IDate Application Accepted: � fj Date Application Expires: Staff Initials: G(ii/ 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: EL08 -1 76 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 02/21/2008 Applicant: CHIPOTLE MEXICAN GRILL Issue Date: Receipt No.: R08 -00492 Payment Amount: $164.00 Initials: WER Payment Date: 02/21/2008 01:40 PM User ID: 1655 Balance: $0.00 Payee: SMITH FIRE SYSTEMS MANAGEMENT TRANSACTION LIST: Type Method Description Amount Payment Check 02014 164.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 164.00 Total: $164.00 S }11 02/21 9710 TDT1L 164.:)0 doc: Receiot -06 Printed: 02 -21 -2008 A INSPECTION NO. INSPECTION RECORD Retain a copy with permit1(40?- /2 to PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 m Project: 0 ■ F Type of In-�/y+ w�tio�np: Address: :/ nA�te Called: penal Instructions: ate Wanted: �% %tr 3 a.m. P.m. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect / h,uf��171 / 1jju Date: q /;� /a/ $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -36 Pro ect: %/PO 77—/i Type of Inspe do sib,"! - Ca Address: 72a) Sea ?tic# epf i Date Called: y pecial Instructions: / . Date Wanted: y a.m. P.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. XOMMENTS: c/L — cl4e/4-/4V6- nspec r. x/11 ; 40# Date: liki4 0 $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: INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1E4w-ix, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION W- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: :HIr6722 -4:-. Iris =fir) G/'/ZL Type of Inspection: 7003 Address: � / .c � -wCf A6AdY Date Called: Special Instructions: p R Date Wanted: J 3 a.m. p.m. Requester: Phone No: proved per applicable codes. El Corrections required prior to approval. OMMENTS: ('4 6/4 - Inspector: ,A / /`L 4..) , ,�� /I�� � Date: /�g /ogr $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electriian or Plumber License Detail 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 SMITHFS946LO Licensee Name SMITH FIRE SYSTEMS MGMT LLC Licensee Type ELECTRICAL CONTRACTOR UBI 602601418 Ind. Ins. Account Id PARTNER/MEMBER Business Type LIMITED LIABILITY COMPANY Address 1 1106 54TH AVE E Address 2 City TACOMA County PIERCE State WA Zip 98424 Phone 2539261880 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 6/20/2006 Expiration Date 6/20/2008 Suspend Date Separation Date Parent Company Previous License SMITHFS98ORP Next License Associated License PARKSLD952LC Master Electrician Information License PARKSLD952LC Name PARKS, LEON D Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date GTH CORPORATE SERVICES LLC AGENT 06/20/2006 SMITH, MARK B PARTNER/MEMBER 06/20/2006 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SMITHFS946LO 02/21/2008