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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 bh 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: (7 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�� �( 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