HomeMy WebLinkAboutPermit EL12-0198 - APPLEBEE'SAPPLEBEES
17790 SOUTHCENTER PY
EL12 -0198
City oftukwila
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.: 2623049110
Address: 17790 SOUTHCENTER PY TUKW
Project Name: APPLEBEE'S
ELECTRICAL PERMIT
Permit Number: EL12 -0198
Issue Date: 02/29/2012
Permit Expires On: 08/27/2012
Owner:
Name: KIR TUKWILA 050 LLC
Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020
Contact Person:
Name: MIKE LINEBRINK/SIGNS PLUS Phone: (360)671 -7165
Address: 1330 N FOREST STREET , BELLINGHAM WA
Contractor:
Name: SIGNS PLUS INC
Address: 1330 N FOREST ST , BELLINGHAM WA
Contractor License No: SIGNSPI954LW
Phone: 360 671 -7165
Expiration Date: 06/16/2013
DESCRIPTION OF WORK:
INSTALL SIGN TO SOUTH ELEVATION
Value of Electrical: NRES: $500.00
RES: $0.00
Fees Collected:
$75.60
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
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 • ermit •.- s • re o give • thority to violate or cancel the provisions of any other state or local laws regulating
construction or t • pe, ,c � work. a autho ' d to sign and obtain this electrical permit.
Signature: �� Date: a- a l / P--
Print Name:
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 -0198 Printed: 02 -29 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0198
* *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
EL12 -0198 Printed: 02 -29 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA. gov
Electrical Permit No. FIN / "0/ 9 e
Project No.
Date Application Accepted: /a% // a
Date Application Expires: Dd /? 1/ a-
(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:
Tenant Name:
17790 Southcenter Parkway
Applebee's
PROPERTY. OWNER
Name: KIR TUKWILA 050 LLC/KIMCO 441958
Address: 3333 NEW HYDE PARK STE 100
City: NEW HYDE PARK State: NY Zip: 11042
CONTACT PERSON — person receiving all project
communication -
Name: Mike Linebrink/Signs Plus
Address: 1330 N Forest Street
City: Bellingham State: WA Zip: 98225
City: Bellingham State: WA
Zip: 98225
Phone: (360) 671 -7165 Fax: (360)
671 -0144
Email: mike ®signsplusnw.com
King Co Assessor's Tax No.: 352304 -9005
Suite Number: Floor:
New Tenant: ❑ Yes 0 ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Signs Plus
Address: 1330 N Forest Street
City: Bellingham State: WA Zip: 98225
Phone: (360) 671 -7165 Fax: (360) 671 -0144
Contr RegNo.: SIGNSPI954LW Exp Date: 06/16/2013
Tukwila Business License No.: BUS- 0992358
Valuation of Project (con actor's bid price): $ SO.0. 00
Scope of Work (please pro 'de detailed information):
2ius -A &e_ Y-
To SOL) 4.) 6-Z v„O-; /o1J
Will service be altered? Yes Ij No Adding more than 50 amps? ❑ Yes Q No
Type of Use: Restauran
Type of work: I
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
m Puget Sound Energy ❑ Seattle City Light
HAApplicationsTorms- Applications On Line \ 2011 Applicationa\Electrical Permit Application Revised 8- 9.11.docx
Revised August 2011
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m Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 -
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 ELECTRIC -At � —2
Signature:
Print Name:
Mike Linebrink/Project Manager /Signs Plus Inc
Mailing Address: 1330 N Forest Street
H:WpplicationsTorms- Application On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised August 2011
bh
Date: aPIn' -d 0 -
Day Telephone: (360) 671 -7165
Bellingham WA 98225
City State Zip
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
Parcel No.: 2623049110
Address: 17790 SOUTHCENTER PY TUKW
Suite No:
Applicant: APPLEBEE'S
RECEIPT
Permit Number: EL12 -0198
Status: APPROVED
Applied Date: 02/29/2012
Issue Date:
Receipt No.: R12 -00861
Initials:
User ID:
LAW
1632
Payment Amount: $75.60
Payment Date: 02/29/2012 12:22 PM
Balance: $0.00
Payee: SIGNSPLUS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 96967 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
doc: Receipt -06 Printed: 02 -29 -2012
INSPECTION RECORD te�rr''' niQco
Retain a copy with permit CU yr ut
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: ;IR
Type of Inspection:
Address:
lir0 i. . Cat.
Date Called:
r-
Special Instructions:
Date Wanted:.
�, GT, m.
Requester:
P hone No:
Approved per applicable codes. E Corrections required prior to approval.
OMMENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tL (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
6(7-ollt
PERMIT NO.
Project:
tufts
Type of Inspection:
<w
Address: / 71 / o !�
Date Called:
Special Instructions:
Date Wanted:.
m.
Requester:
Phone No:
EjApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
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Altem-(9div cok
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD LH 4- mono
Retain a copy with permit 711( I
INSPECTION NO. 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: �� • C
>
Type of Inspection:
r��
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Address:✓
I17705 4o Py a
Date Called:
Special Instructions:
9 1-2A1
Date Wanted:.
%
7f 07
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
(A4\166(uNp
Inspector:
Date: 3/07(1 i 1_
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
1
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
SIGNS PLUS INC
3606717165
1330 N Forest St
Bellingham
WA
98225
Whatcom
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602475651
Active
SIGNSPI954LW
Electrical Contractor
6/16/2005
6/16/2013
Sign
Unused
Master Electrician INFORMATION
License LACHAPM973CG
Name LACHAPELLE, PAUL M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GRAVNING, DALE
Agent
06/16/2005
Bond Amount
GRAVNING, DALE
President
06/16/2005
9807860
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
Lexon Ins Co
9807860
06/13/2011
Until Cancelled
$4,000.0006/13/2011
1
COLONIAL AM CAS &
SURETY OF MD
LPM4069112
06/13/2005
Until Cancelled
06/13/2011
$4,000.0006/20/2005
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 02/29/2012