HomeMy WebLinkAboutPermit EL11-0280 - SEATTLE BAGEL BAKERYSEATTLE
BAGEL BAKERY
4445 S 134 PL
EL1 1 -0280
Parcel No.:
Address:
Citylif Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
4445 S 134 PL TUKW
Tenant Name: SEATTLE BAGEL BAKERY
ELECTRICAL PERMIT
Permit Number: EL11 -0280
Issue Date: 03/28/2011
Permit Expires On: 09/24/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BOB MACHHOLZ Phone: 425 985 -7923
15224 474 AV S , NORTH BEND WA 98045
Contractor:
Name: BOB'S ELECTRIC
Address: 15224 474 AV SE , NORTH BEND WA 98045
Contractor License No: BOBSE * *088NO
Phone: 425 888 -0701
Expiration Date: 08/26/2012
DESCRIPTION OF WORK:
RUN A 3 -PHASE 80 AMP CIRCUIT TO A SUB -PANEL AND WIRE (1) PIECE OF EQUIPMENT.
Value of Electrical Work: NRES: $4,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
The granting of this pe
construction or the pe
of this permit.
Signature:
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
es not pre
ance of work.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit and agree to the conditions on the back
Print Name:
AdL/L
Date:
3-21-20/(
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 -9/09
EL11 -0280
Printed: 03 -28 -2011
PERMIT CONDITIONS
Permit No. EL11 -0280
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
E L 11 -0280 Printed: 03 -28 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto.1/www.ci.tukwila.wa.us
Electrical Permit No. 02110
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
�]y ,� . I I - King Co Assessor's Tax No.:
Site Address: H LI -I 5— S 1 l 1 ft-- S1"`° Suite Number: Floor:
Tenant Name:S i-�L . a 5 e. l ( I -4 New Tenant: ❑ Yes .No
Property Owners Name: (.1.. Vv-e..___
Address: t'`
l'3(-LL- p L ..s c c L` ---7-,,,b_., 14 LA- " $ 1(o 8
State
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: o le ` Day Telephone: L(2 S - ?c2.3
/U r 44 /e..o Q LA c7 o'-/
rnLiL Z / D S
Mailing Address: 11- 2- Z `( IL/' , `1
City State Zip
r) / � � Fax Number:
O c .O S'% < 1L e L G O /'y�
E -Mail Address: G h
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 13 O ') /� C L AM, tL-
Mailing Address: 1 2 `t LI 7 Li 1� �I vL S
Contact Person:
i.�
E -Mail Address: in C s Cg
Contractor Registration Number: O 6 S C O° B A-2 0
City ` / Stat 4 J _ Zip
Day Telephone:`) Z. �- O - )ct 2-3
Fax Number:
Expiration Date: r 2 (,^ 2.D 1 L
Valuation of Project (contractor's bid price): $�_r
Scope of Work (please provide detailed information): 2�h Gt p\,-{A‘,2-
C_l.i cam,. >5-- c._ tn,-oA f-e l yO ‘e e c.7,
Will service be altered? ` ❑ Yes es Ld (N�o
Type of Use: � C__ ` - r T I S� S
Type of work:
! `New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
OPuget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application doc
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Page 1 of 2
Adding more than 50 amps? 2' Yes ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
1
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 l 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 CTRICAL CO RACTOR:
Signature:
Print Name: 12 ()C__T-A-- / ,p T r 1 �/Y� \CtC tro
Mailing Address: 1 S. 2- 2 `I L `I A--/-e- 3
Date iii
Day Telephone:
/Lt. LA c-12
City
State Zip
Date Application Accepted:
090(
Date Application Expires:
K ApplicatimsWorms- Applicatims On Iine\2010 Applications \7-2010 - Electrical Permit Applcation.doc
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Page 2 of 2
Staff Initials:
•
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.:
Address: 4445 S 134 PL TUKW
Suite No:
Applicant: SEATTLE BAGEL BAKERY
RECEIPT
Permit Number: EL11 -0280
Status: PENDING
Applied Date: 03/28/2011
Issue Date:
Receipt No.: R11 -00589
Initials: JEM
User ID: 1165
Payment Amount: $178.50
Payment Date: 03/28/2011 10:17 AM
Balance: $0.00
Payee: BOB'S ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5507 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 03 -28 -2011
j^ '":"Y'.`l�'i�;:c]�ia- cY:+.'c*"• y .W :
INSPECTION RECORD x: a
Retain a copy with permit
INSPECTION NO.
�L //-.46c,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
S Arrc, 444 #A �A►tkn
Type of Inspection:
«• vZ /0 c'
Address:
41/Vii. . S Min%
Date Called:
Special Instructions:
Date Wanted:
‘/- V //
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.
Inspectr:
i?Y 47tIv?,
Date:
n REI�PECTION FEE REQUIRED. Prior to next inspection. fee must be
pat at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
i
INSPECTION RECORD
Retain a copy with permit + 'oZo
INSPECTION NO. ERMIT N0. _
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -33
Permit Inspection Request Line (206) 431 -2451
Projee5 1 1( 6.1460....
TYPe of Inspection:
()°
Address: q5 5 /V P .
Date Called:
Special Instructions:
/� f 3 d
t
Date Wanted:
3 3a
a.m.
P.
Requester:
Phone No:
DApproved per applicable codes. Corrections required prior to approval. .
COMMENTS:
kergAil" /S 0.41usr�
3d PAik Foa.p c- okwnvr1o,l
REQ0
\J ' Ofilfriet
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
Contractors or Tradespeople Printer Friendly Page
J
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
BOB'S ELECTRIC
4258880701
15224 474Th Ave Se
North Bend
WA
98045
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600429730
Active
BOBSE "088N0
Electrical Contractor
8/20/1992
8/26/2012
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BOBSE "099CA606'S
ELECTRIC
Electrical
Contractor
General
Unused
2/1/1991
2/1/1993
Archived
BOBSE "103C6
BOB'S
ELECTRIC
Electrical
Contractor
General
Unused
2/2/1990
2/2/1992
Archived
Master Electrician INFORMATION
License MACHHR *975MM
Name MACHHOLZ, ROBERT
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MACHHOLZ, ROBERT A
Owner
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
STATE FARM FIRE &
CASUALTY CO
980871172
02/01/1993
Until Cancelled
$4,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/28/2011