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HomeMy WebLinkAboutPermit EL08-0239 - CHIPOTLE MEXICAN GRILLCHIPOTLE 17250 SOUTHCENTER PY ELO8-23 9 CitAf 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.: 2623049117 Address: 17250 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -239 Issue Date: 03/12/2008 Permit Expires On: 09/08/2008 Tenant: Name: CHIPOTLE Address: 17250 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: MIKE A SCHIFFLER Phone: 425 922 -9198 Address: 11021 128 PL NE , KIRKLAND WA Contractor: Name: METRO AIR INC Address: 11021 128 PL NE , KIRKLAND WA Contractor License No: METROAI9959C Phone: 425 922 -9198 Expiration Date: 12/03/2009 DESCRIPTION OF WORK: INSTALL (2) T -STATS MID WIRING Value of Electrical: $450.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 $66.00 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 'th, Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether 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: �C\ = > ^'�C� Date:3 -1� Print Name:' • V 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 -239 Printed: 03 -12 -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.: 2623049117 Address: 17250 SOUTHCENTER PY TUKW Suite No: Tenant: CHIPOTLE PERMIT CONDITIONS Permit Number: EL08 -239 Status: ISSUED Applied Date: 03/12/2008 Issue Date: 03/12/2008 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: Date: Print Name: '1 ' ,� • \(A- A.k> doc: Cond -Elec EL08 -239 Printed: 03 -12 -2008 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www.ci.tukwila.wa.us Electrical Permit No. Project No. (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No, 3 --'\C\ \ \1 Site Address: \---).DCO SO,,N1 --, c.k.,t Q \W\► Suite Number: Floor: Tenant Name: L-h. , (v� } k 1 New Tenant Yes Property Owners Name\, -.. y r o `] 4 (-f , t. LL( / s Mailing Address: \ \ -..k..\'` P \ SV CS e \lQv.ut City ❑ ..No \)\)\ State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name:? -\GIL iaS 3vML2 r Day Telephone: S iQ ^(z)11 \7 Mailing Address: \\./...\ \ �� Q \. Nr \ r \-\�N� E -Mail Address� ? ' \A-(`\ Z.) r4 o N City state Zip Fax Number. --S. ELECTRICAL CONTRACTOR INFORMATION Company Name: ` ' , \ 0 Q tt C c-' L Mailing Address: \ \1) a \ \ " City State Zip Contact Person: It \ ¶ S3 - S \&r Day TelephoneD E -Mail Address'. �.���, �, �. C' vh.Mza Fax Number: A.MS— , � $ Contractor Registration NumberPlc ,ala GGS .� Expiration Date:) f CY& Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): -S7 - 2 S'\ c 3 t \�s V� 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 H:Wpplicanons\Forms- Apphcations On 1.met4 -2007 - Decrial Permit Application.doc bh Page 1 of 2 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 ❑ Law voltage systems $55.00 (alarm, furnace 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 $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signatur� Print Name: M • Q Mailing Address : \\Q11 Day Teelephone -S tom', D \C- \A .C\1 a City State Zip Date Application Accepted: A17 % �� /17$ Date Application Expires: Staff Initials: H .V■ppl¢ations.Forms- Applwations On Ltne14.2007 - Electrical Parrtmt Apphcanon.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.: 2623049117 Permit Number: EL08 -239 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 03/12/2008 Applicant: CHIPOTLE Issue Date: Receipt No.: R08 -00718 Payment Amount: $66.00 Initials: JEM Payment Date: 03/12/2008 11:40 AM User ID: 1165 Balance: $0.00 Payee: METRO AIR TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 66.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 66.00 Total: $66.00 doc: Receiot -06 Printed: 03 -12 -2008 INSPECTION RECORD Retain a copy with permit INS CTION NO. PER NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: A _ Type of Inspecti n: Addres X72., ��14 AY Date Called: penal Instructions: Date Wanted: a.m. p.m. Requester: Phone No: roved per applicable codes. Corrections required prior to approval. M M ENTS: Inspec Datei//) 3 /u' 0 $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 ft, 01?-2.3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Proje t: (MI0 72/> Type of Inspection: / z9 7 Address: / //. fU )0g7h'G�/� 40y Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: A.. roved per applicable codes. ❑ Corrections required prior to approval. Cr MENTS: OK- ,I fIG nspector� i/ it 4 ' �}1 /Date: T '//7/ � �� I $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: Look Up a Contractor, Electrici 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 METROAI9959C Licensee Name METRO AIR INC Licensee Type ELECTRICAL CONTRACTOR UBI 602156865 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 11021 128TH PL NE Address 2 City KIRKLAND County KING State WA Zip 98033 Phone 4259229198 Status ACTIVE Specialty 1 . HVAC /RFRG LTD ENERGY Specialty 2 UNUSED Effective Date 12/3/2001 Expiration Date 12/3/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License HANLOAT991RC Electrical Administrator Information License HANLOAT991 RC Name HANLON, ASH T Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date SCHEFFLER, MIKE A AGENT 12/03/2001 SCHEFFLER, MIKE A PRESIDENT 12/03/2001 HANLON, ASH T VICE PRESIDENT 12/03/2001 • 1 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= METROAI9959C 03/12/2008