HomeMy WebLinkAboutPermit EL12-0781 - WESTFIELD SOUTHCENTER MALL - LOTUS GRILLLOTUS GRILL
2800 SOUTHCENTER MALL
FC-09
EL1 2-0781
Parcel No.:
Address:
City ATukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.Tukw ila WA .gov
ELECTRICAL PERMIT
9202470010
2800 SOUTHCENTER MALL TUKW
Project Name: LOTUS GRILL
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0781
08/16/2012
02/12/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA 92013
MIKE LINEBRINK
1330 N FOREST ST , BELLINGHAM WA, 98225
Contractor:
Name: SIGNS PLUS INC
Address: 1330 N FOREST ST , BELLINGHAM WA 98225
Contractor License No: SIGNSPI954LW
Phone: 360 -671 -7165
Phone: 360 671 -7165
Expiration Date: 06/16/2013
DESCRIPTION OF WORK:
INSTALL TWO (2) SIGN CABINETS
Value of Electrical:
NRES: $400.00
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:
$71.40
2008
Date: e-( `z
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 pe
construction or the taerf
Signature:
oes not p s e to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of -- ork. I . 1 authorized to sign and obtain this electrical permit.
Print Name:
Date: 1 L Z
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
EL1 2-0781
Printed: 08 -16 -2012
•
PERMIT CONDITIONS •
Permit No. EL12 -0781
* *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 TO - 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 m 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 -0781 Printed: 08 -16 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrio(tr; ruuttNo =
r ; r
i Project ;No
Date ApplicatlonAccepted
Date Applications- Expires;_ '
(E6-t ofceiuse'on1Y)
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 **
King Co Assessor's Tax No.: 9,2 0 2t7-• 001C)
Site Address: 2800 S-04,77" IJ tENTEI) mud._ Suite Number: FC 9 /Floor:
Tenant Name: LOTUS 6P4 C L New Tenant: Yes ❑ ..No
',PROP iliniOWNER `. -
Name: WFsTr)ECD D16P EATY k Den"
i
Address: PO 66034 /30990
City:C,^ �tG S.6A, , Stater Zip: 9,208
.4-. p NCONTAGT PERSON person ecervmg'all o ecf
l' communcation i s w , c _ r --
Name: / /9
l/1/Ke ,[iP -101R /Nib �' /GiL�+S Tivs'
Address: 1330 Ill, Fo2esT Y "
City: 4tazL sad I) 4 AI State: A Zip:9s.:2xs-
Phone:7 a0 - f 71-71 bs Fax: 360-- 67 /' dl LLig
Email: I t k . e ( % 3 /y n Spia Sii w . Loi1
: ELECTRICALCQNTRACTOR `INFORMATi'ONj
,'
Company Name: N / 6N S' PL a-
Address:
/33'6NFLEJST
CityRee_L /Ne Pawl State: kill . , Zip:
;�,
Phone: Fax:
36a - 471 -7/4S 3 o- l7 / -0/IN
Contr Reg No.: Exp Date: / /6/1
Tukwila Business License No.:
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed information):
-j £. L -T w 0 ('Z) r161.. A e,, t-S
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ' No
Type of Use: rO 2 /Re-TA /L
Type of work:
leNew iS1Glo' ❑ Addition ❑ Service Change ❑ Remodel
❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
❑ Temporary Service
Property Served by:
II/Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forms- Applications on Line \2011 Applications \Electrical Permit Application Revised 8.9- 11.docc
Revised: August 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)
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
PERM t ARPLICATION;NOTES =
._m�..,.._i:v:�.:�.ai _..•::,t..+�.ui..t�.:.:J- Ctts�..ntYLa:.S:.�_..s�...�_�„_
•
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 E
PENALTY OF PERJURY BY THE LAW HE S
BUILDING OWNER OR ELE
Signatur
D THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: CSA/.?O/ �—
Print Name: ) 211 KG Day Telephone: J 10" 1 ; 7 1 " 7 / 6 - 5-
Mailing Address: &30 /V, F T S r 57- -' /44/4
City
H.\Appl¢ations \Forms - Applications On Lme\2011 Applications \Electrical Permit Application Revised 8- 9- 11.doet
Revised: August 2011
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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
RECEIPT
Parcel No.: 9202470010 Permit Number: EL12 -0781
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/16/2012
Applicant: LOTUS GRILL Issue Date:
Receipt No.: RI2 -02377
Payment Amount: $71.40
Initials: WER Payment Date: 08/16/2012 02:03 PM
User ID: 1655 Balance: $0.00
Payee: SIGNS PLUS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 96220 71.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
doc: Receiot -06 Printed: 08 -16 -2012
r_.
INSPECTION RECORD
Retain a copy with permit
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 t`_
Project: JS //� a,
Type of Inspection: :-
Address: n
Date Called:
Special Instructions:
Date Wanted:.m.
r1
,"`` q
m
Requester:
-
Phone No:
Approved per applicable codes.
irl
COMMENTS:
ElCorrections required prior to-approval. -
1
\ 14/6\
n REINSPECTION,FEE REQUIRED. Prior to next inspectioryeemust :be'.
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.;
Inspector: 7
Contractors or Tradespeople Prier 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
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 08/16/2012