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HomeMy WebLinkAboutPermit EL08-0484 - CHIPOTLE MEXICAN GRILLCHIPOTLE MEXICAN GRILL 17250 SOUTHCENTER PY ELO8-484 City.f 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 PT TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -484 Issue Date: 04/28/2008 Permit Expires On: 10/25/2008 Tenant: Name: CHIPOTLE MEXICAN GRILL Address: 17250 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: SCOTT CLIFFTON Phone: 425- 317 -8259 Address: 4003 SMITH AVE , EVERATT WA Contractor: Name: SEACOM CABLING INC Phone: 425 - 317 -8259 Address: 4003 SMITH AV , EVERETT WA Contractor License No: SEACOCI944DO Expiration Date: 03/20/2010 DESCRIPTION OF WORK: INSTALL VOICE AND DATA Value of Electrical: $900.00 Fees Collected: $86.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 11 14, -0 k 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 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: 1. u.T y' Print Name: t' L 1 f`-F T-0 tQ Date: /0g 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 -484 Printed: 04 -28 -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 -484 ISSUED 04/28/2008 04/28/2008 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: Arty 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. Print Name: ` .C\7 T CL l F E T D Date: CLOW6e doc: Cond -Elec EL08 -484 Printed: 04 -28 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Electrical Permit No. Project No. L08 -1-824 (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.: c)-2361i ( 11 7 Site Address: 1 9- a S0 'emu -N c_SNLiEF. Suite Number: IDa Floor: I New Tenant: Yes ..No Tenant Name: L44%F ©Tl,E \Ext Property Owners Name: tiJ \ Mailing Address: c-1 Q;Pl 1 \ 34 t?t- 5. 3•L--E\iUE City 1/4.JtiS\ State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: -.!1IDT U- tEQ -- N Mailing Address: '-I On 3 St-'l c-n-t A U E -Mail Address: Day Telephone: t-1 aS- - �i?ETi _J °l(60 1 City State Zip Fax Number: L1 D,S - 31 - e -Io t ELECTRICAL CONTRACTOR INFORMATION Company Name: 3 CO M CAUL 1 MC-1 C Mailing Address: 1-1b0- \i Contact Person: C A 5 ,`C E 9e);0 E -Mail Address: LZ`'(e. k-1/4-v, RS C_ OM Contractor Registration Number: se P'SC_0LI °l L L D City State Zip Day Telephone: LI a S - 3%4 - "DS-9 Fax Number: c-i a S - 31 '4 i l9 1 Expiration Date: Valuation of Project (contractor's bid price): $ 0t00. 00 Scope of Work (please provide detailed information): 1 NS S'c P LA- V C' \ C- E/ pf�T A /4 tit D E QLL t P ME •c T Will service be altered? ❑ Yes 3 No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change • Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplicanons\Forms- Applications On tane44-2007 - Electncal 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 S50.00 (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 PERMIT APPLICATION NOTES - 1 Date 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: VI c_ c)7 L i r f= TC:t.1 Mailing Address: H003 �t`4 t A E Date: 61-f PS /06 Day Telephone: Li ` O I 95:3 I, City State Zip Date Application Expires: Staff Initials: H Upphcations\Forms- Appbcations On Gne\4 -2007 - Electrical Pemut Appbcation.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 -484 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/28/2008 Applicant: CHIPOTLE MEXICAN GRILL Issue Date: Receipt No.: R08 -01383 Payment Amount: $86.00 Initials: WER Payment Date: 04/28/2008 04:07 PM User ID: 1655 Balance: $0.00 Payee: SEACOM CABLING INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5781 86.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 86.00 Total: $86.00 1781 04/29 9711 TOTAL 8600 doc: Receiot -06 Printed: 04 -28 -2008 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670 Project: lam) a.to Type of Inspection: Address:: C t% Date Called: Special Instructions: Date Wanted: H li a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: rif\1114, Inspector: J710/4r-deft-c (Date: Dy Z G El $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, Electric 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 SEACOCI944DO Licensee Name SEACOM CABLING INC Licensee Type ELECTRICAL CONTRACTOR UBI 601974703 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 4003 SMITH AVE Address 2 City EVERETT County SNOHOMISH State WA Zip 98201 Phone 4253178259 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 3/20/2006 Expiration Date 3/20/2010 Suspend Date Separation Date Parent Company Previous License SEACOC1005LH Next License Associated License TALLMG *941BZ Electrical Administrator Information License TALLMG *941 BZ Name TALLMAN, GARY Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HICKS, HEATHER L AGENT 03/20/2006 HICKS, HEATHER L PRESIDENT 03/20/2006 SOUTHWICK, JACKSON VICE • Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SEACOCI944DO 04/28/2008