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