HomeMy WebLinkAboutPermit EL11-0886 - MCDONALDSMCDONALDS
16501 SOUTHCENTERPY
EL1 1 -0886
City ogukwila
1
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 5379200282
Address: 16501 SOUTHCENTER PY TUKW
Project Name: MCDONALDS
ELECTRICAL PERMIT
Permit Number: EL11 -0886
Issue Date: 09/27/2011
Permit Expires On: 03/25/2012
Owner:
Name: MCDONALD'S CORP 046 -0069
Address: PO BOX 182571 , COLUMBUS OH
Contact Person:
Name: DONNA GREEN
Address: 7204 NE 175 ST , KENMORE WA
Contractor:
Name: CLARITY SIGNS INC
Address: 7204 NE 175 ST STE 204 , BOTHELL WA
Contractor License No: CLARISI927BH
Phone: 425 - 485 -9600
Phone: 425 845 -9600
Expiration Date: 01/11/2012
DESCRIPTION OF WORK:
RUN CONDUIT INTO NEW SIGN FOOTING
Value of Electrical:
NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
I hereby certify that I have read and examined
governing this work will be complied with, wh
s pe
er spe
Date:
$79.80
2008
7 1
and know the same to be true and correct. All provisions of law and ordinances
ied 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 pe . = an • e of wo am authorized to sign and obtain this electrical permit.
Signature:
Print Name: <1.1,) 'i 2 <%
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.
Date:
doc: EL -4/10
EL11 -0886 Printed: 09 -27 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0886
* *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 -4/10
EL1 1-0886 Printed: 09 -27 -2011
CITY OF TUKWI4.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. qov
110
l—�
Electrical Permit No. L - Z9
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
Site Address: 1 lv 5 O I Snot'`'` 6-a'`' P v-k) '.4
Tenant Name: �"t t Do,,c cis
Property Owners Name: 14 L T301— `L t CI C COY?
Mailing Address: P° B° V rl 8 -2-S7 1
King Co Assessor's Tax No.: 1-6-')21 q2-002,S
Suite Number: Floor:
New Tenant: ❑ Yes No
�0futti.. 9 s 19 /44 Cf32("
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
C ame: G CD
ailing Address:
-Mail Address:
LECTRICAL CONTRACTOR INFORMATION
ompany Name:
ailing Address: 12-0 c' /' C 1 7 Sf
Day Telephone:
City
State
Zip
Fax Number:
get vvtor -' WA %81)2-is
City State Zip
Contact Person: 1)(9 e'e " ' Day Telephone: 42-c 4- tic q b 0D
E -Mail Address: 0'k-ft? Fax Number: '[Z S (4 1( % 3 0 &
Contractor Registration Number: C t," (S 1 Q Z 1 l3 Expiration Date: (f 1 t /
1 Z
Ocl
Valuation of Project (contractor's bid price): $ (76C
Scope of Work (please provide detailed information): (2 tacft e
JC/P�.✓ rev o o A'
L
S
L' ts3
New
Will service be altered? ❑ Yes 0 o Adding more than 50 amps? ❑ Yes o
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ $uget Sound Energy
2' Seattle City Light
H:\Applications\Ferms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
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)
Q
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 -
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: Date: f Z � * 1
Print Name: 00 a 6—re--eh
Mailing Address:
17-oL1 rat ,75*` Sf
(4 e 14 $1,r, re
Day Telephone: 2_C `f CJ 91,06
' 0 2.c
IDate Application Accepted:
City
State Zip
Date Application Expires:
H: Wpplications\Forms- Applications On Line 12010 Applications17 -2010 - Electrical Permit Application. doe
Revised: May 2011
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Page 2 of 2
Staff Initials:
0
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.TukwilaWA.gov
RECEIPT
Parcel No.: 5379200282 Permit Number: EL11 -0886
Address: 16501 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/27/2011
Applicant: MCDONALDS Issue Date:
Receipt No.: R11 -02109
Initials: TLS
User ID: 1670
Payment Amount: $79.80
Payment Date: 09/27/2011 09:48 AM
Balance: $0.00
Payee: CLARITY SIGNS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5399 79.80
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
doc: Receipt -06 Printed: 09 -27 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
t24—off4
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: tic 'n jl�
a�c�,l
Type of Inspection:
ov
Address:
f(9 5 of S.(. py..
Date Called:
Special Instructions:
9144
Date Wanted:.
m..
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval. /e)
COMMENTS:
Kf. IN/A
Inspector:
f� ! Date: 04/5 /ti,
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
Gity of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DONNA GREEN
7204 NE 175 ST
KENMORE WA 98028
RE: Permit No. EL11 -0886
MCDONALDS
16501 SOUTHCENTER PY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 03/25/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 03/25/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
ifer Marshall
it Technician
File: Permit File No. EL1 1-0886
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prer Friendly Page
•
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
CLARITY SIGNS INC
4254859600
7204 Ne 175Th St
STE 204
Bothell
WA
980286516
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602754457
Active
CLARISI927BH
Electrical Contractor
1/8/2008
1/11/2012
Sign
Unused
Electrical Administrator INFORMATION
License NYGREGH919CJ
Name NYGREEN, GREG H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLARITY SIGNS, INC.
Violation Amount
01/08/2008
7/1/2009
JOHNSTONE, LARRY A
Agent
01/08/2008
$250.00
NYGREEN, GREG H
Chief Executive Officer
01/08/2008
ELECTRICAL CITATION
MILLER, ADAM M
President
01/08/2008
6/4/2010
MILLER, ADAM M
Secretary
01/08/2008
$250.00
NYGREEN, GREG H
Treasurer
01/08/2008
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
STATE FARM FIRE &
CAS CO
98 -GU- 5133 -1
12/07/2007
Until Cancelled
$4,000.00
01/08/2008
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ECHIR00445
7/1/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHIR00443
6/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00329
6/4/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00341
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00339
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00338
6/4/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 09/27/2011