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Home My WebLink AboutPermit EL12-0003 - MCDONALDSMCDONALDS 16501 SOUTHCENTERPY EL1 2-0003 City olii'ukwila 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: EL12 -0003 Issue Date: 01/03/2012 Permit Expires On: 07/01/2012 Owner: Name: MCDONALD'S CORP 046 -0069 Address: PO BOX 182571 , COLUMBUS OH Contact Person: Name: RICK ST VINCENT Address: 13350 41 AV NE, STE B , MARYSVILLE WA Contractor: Name: ADVANCED CLASSROOM TCHNLGIES Address: 13350 41 AV NE , MARYSVILLE WA Contractor License No: ADVANCT891BF Phone: 425 328 -6785 Phone: 360 658 -5200 Expiration Date: 12/15/2012 DESCRIPTION OF WORK: INSTALL ADDITIONAL RECEPTACLE TO AN EXISTING CIRCUIT FOR WIRELESS ANTENNA Value of Electrical: NRES: $300.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $67.20 2008 ptii927111- I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • 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 constructiohe performance of work. I am authorized to sign and obtain this electrical permit. Signature Date: • Print Name: F(c_k_ 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 -4/10 EL12 -0003 Printed: 01 -03 -2012 * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL12 -0003 • 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 EL12 -0003 Printed: 01 -03 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.TukwilaWA.gov SITE LOCATION: Electrical Permit No. Project No.' Date Application Accepted: Date Application Expires: (For office use only) of C11-7 It 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 Address: I Gee..5-0( cce.t keel' W T T Tenant Name: (nGrbr►Q(J S King Co Assessor's Tax No.: 52,1 °I V) 0;b1- Suite Number: Floor: New Tenant: ❑ Yes ®..Air 'PROPERTY OWNER, '.. Name: I F. ,c V A 1NttK4T Address: 33 41 /ycGe Name: a cT�Aq l d s Y P)In: 32 V, 67 SAS Fax: Soo. 65-7, S3o d Email:rt 5 4 -o(.c. .-_ Address: City: State: Zip: :CONTACT PERSON - person receiving all project communication Name: I F. ,c V A 1NttK4T Address: 33 41 /ycGe Cit} "lriKV I e State : Zip P)In: 32 V, 67 SAS Fax: Soo. 65-7, S3o d Email:rt 5 4 -o(.c. .-_ ELECTRICAL CO1NTRACTOR INFORMATION Copaty „atd CA 49croe..7;:eihriAo� es Acct s-0 zit I�& co t 't 11�� City,: 'I State0A. 74p;D•7I a�Sv� � Tb Fill D.65%.5n200 Fax: Roo. eio'5,1, S3o0 7nl C y %ocr 91181 EtiDate:K._ / L Tukwila Business License No.: mit ly o -ibi Valuation of Project (contractor's bid price): $ 30° • �— Scope of Work (please provide d tailed information): 14gj9 /I One Re/Abaft ci / cep z w l efe04 ctm Le- A,, 41. 4n ,e)c t S • V/ nj el rGut 4 Will service be altered? ❑ Yes Og/No Adding more than 50 amps? ❑ Yes MoiNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light H:UpplicotionsWorns- Applications On Line\2011 Applications\Electncal Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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) 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 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: i Date: i• 3. Print Name: ! 1 GL 9 me-en-6— Day Telephone: 72i 32(?, C'1 S Mailing Address: f' 350 /" / W 5,,ie fl i'7oiySVi 14- G%x r V7 City/ State Zip H: ApplicationsWorns- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 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.TukwilaWA.gov RECEIPT Parcel No.: 5379200282 Permit Number: EL12 -0003 Address: 16501 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 01/03/2012 Applicant: MCDONALDS Issue Date: Receipt No.: R12 -00010 Payment Amount: $67.20 Initials: JEM Payment Date: 01/03/2012 12:22 PM User ID: 1165 Balance: $0.00 Payee: RICK STVINCENT, ADVANCED CLASSROOM TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 413022 ACCOUNT ITEM LIST: Description 67.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 doc: Receiot -06 Printed: 01 -03 -2012 INSPECTION RECORD 'Retain:e copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 64300-SoufbcenterB1Vd.; #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 431-2451 6z42—oot3 PERMIT NO. 4 70 /00 Project:. Address:/ , -1.05.0.1 Special Instructions; • Type of Inspection: Date Called: Date Wanted: 30 a.m. P. Requester: Phone No: Appr.oVed per applicable codes. _ El Corrections required prior to approval. COMMENTS: • REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be :paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 01/30/i2■— Contractors or Tradespeople Prrer 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 ADVANCED CLASSROOM TCHNLGIES 3606585200 13350 41St Ave Ne Marysville WA 98271 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602696672 Active ADVANCT891BF Electrical Contractor 12/15/2010 12/15/2012 General Unused ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ADVANCT935DR ADVANCED CLASSROOM TCHNLGIES Electrical Contractor Telecommunications 03/16/2007 3/19/2007 3/19/2011 Re Licensed Electrical Administrator INFORMATION License STVINVR900MR Name . ST VINCENT, RICHARD J Status Active Business Owner Information Name Role Effective Date Expiration Date WILLIAMSON, JIM Agent 11/18/2010 Bond Amount WILLIAMSON, JIM President 11/18/2010 SH2171 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 1 CBIC SH2171 03/16/2007 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 11/18/2010 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 EJONV02187 10/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV02189 10/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV02191 10/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV02193 10/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 01/03/2012