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Home My WebLink AboutPermit EL08-0339 - PANDA EXPRESSPANDA EXPRESS 17100 SOUTHCENTER PY SUITE 100 ELO8-339 CitAlf Tukwila 0 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.: 2623049081 Address: 17100 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -339 Issue Date: 04/01/2008 Permit Expires On: 09/28/2008 Tenant: Name: PANDA EXPRESS Address: 17100 SOUTHCENTER PY SUITE 100 , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: DON NICHOLAS Phone: 800 - 925 -6011 Address: 5209 122 ST E , TACOMA WA Contractor: Name: CULBERTSON SIGN SERVICE LLC Phone: 800 925 -6011 Address: 5209 122ND ST E , TACOMA Contractor License No: CULBESS984MU Expiration Date: 08/30/2008 DESCRIPTION OF WORK: HOOK UP EXISTING SIGN Value of Electrical: $100.00 Fees Collected: $58.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY . I Permit Center Authorized Signature: H 1 -0 Date: l8 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 will be complied with, whether specified herein or not. The gran . - - s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating const : pe orm- • o work. I am authorized to sign and obtain this electrical permit. Date: cG J V t -QQ tion or th Signature: Print Name: 0 C� CGL -5 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 -339 Printed: 04 -01 -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.: 2623049081 Address: 17100 SOUTHCENTER PY TUKW Suite No: Tenant: PANDA EXPRESS PERMIT CONDITIONS Permit Number: EL08 -339 Status: ISSUED Applied Date: 04/01/2008 Issue Date: 04/01/2008 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:< 7 ) K � ("L L3 Date: doc: Cond -Elec EL08 -339 Printed: 04 -01 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. L--LO g - 3 37 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 t-7 100 King Co Assessor's Tax No.: Site Address: They /ye Suite Number: / Lig Floor: Tenant Name: mow 'j C New Tenant: ❑ Yes P�:Property Owners Name: E yjS Mailing Address: /-72-57) .,qa)rieliFIZ 7kLbt -i /`ig T(i�wk44 {"%14 eig . No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 7J rr�i IC.iitd e LX Day Telephone: c 7g- cell Mailing Address:4 2M' 17Z i iP S7 E 7 t-(a4 gef3K. City State E -Mail Address: Fax Number: Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: £U' LgE . -9ecti Mailing Address: 520z C 27- 1D gU E 7 as P IiA 9 B "-I Contact Person:VC-13 E -Mail Address: Fax Number: 253 536 t'7 i Contractor Registration Number: C ucEe%cm4 N () Expiration Date: —50 —41°[3 City State Zip Day Telephone��j Valuation of Project (contractor's bid price): $ (� f n / Scope of Work (please provide detailed information): V`) /1� cam/ Will service be altered? ❑ Yes t", No Adding more than 50 amps? ❑ Yes X 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 \Applications\Forms- Applications On Line \4-2007 - Electncal Pemw 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 ❑ Low 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 PERNIIT APPLICATION NOTES - IDate Application Accepted: 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 ELECTRICAL CONTRACTOR: Signature: Print Name: -W1-616064 ccamtwo a6k1) ?L1 lC.4oL.0- r Mailing Address: JZ-07 1 T 'UP Date: 1 Day Telephone: (12.- (co l/ L -Gay -tom vsa4 City State Zip Date Application Expires: Staff Initials: 11 `,ApplicatiomlFornu -Appl■canons On Lanett -2007 - Electoral Pemal Application dot Oh 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.: 2623049081 Permit Number: EL08 -339 Address: 17100 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/01/2008 Applicant: PANDA EXPRESS Issue Date: Receipt No.: R08 -00994 Initials: WER User ID: 1651 Payment Amount: $58.00 Payment Date: 04/01/2008 01:22 PM Balance: $0.00 Payee: CULBERTSON ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11265 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 doc: Receiot -06 Printed: 04 -01 -2008 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Y" 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 eLN - 33 7 Project: .-, rfillipii f/F4655 Type of Inspection: 2, f 00 Address: Date Called: Special Instructions: Date Wanted: h�m. V p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Lr7 Sailec Date: 101 IA ❑ $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: 2 Look Up a Contractor, Electrican 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 CULBESS984MU Licensee Name CULBERTSON SIGN SERVICE LLC Licensee Type ELECTRICAL CONTRACTOR UBI 602043276 Ind. Ins. Account Id 96460401 Business Type LIMITED LIABILITY COMPANY Address 1 5209 122ND ST E Address 2 City TACOMA County PIERCE State WA Zip 98446 Phone 2538633831 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 8/30/2002 Expiration Date 8/30/2008 Suspend Date Separation Date Parent Company Previous License CULBESSO42N2 Next License Associated License CULBEP *979QL Master Electrician Information License CULBEP *979QL Name CULBERTSON, PAUL Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CULBERTSON, PAUL PARTNER/MEMBER 07/31/2002 CULBERTSON, PAUL JR PARTNER/MEMBER 07/31/2002 0 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= CULBESS984MU 04/01/2008