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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 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 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 bh 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