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Home My WebLink AboutPermit EL12-0801 - MCDONALD'SMcDONALDS 16501 SOUTHCENTER PY EL1 2-0801 City ofitukwila M 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 -0801 Issue Date: 08/23/2012 Permit Expires On: 02/19/2013 Owner: Name: MCDONALD'S CORP 046 -0069 Address: PO BOX 182571 , COLUMBUS OH 43218 Contact Person: Name: SEAN GREENOUGH Address: 13300 SE 30TH ST , BELLEVUE WA, 98005 Contractor: Name: INSTALLATION & SRVC TECH INC Address: 8340 MISSION RD #118 , PRAIRIE VILLAGE KS 66206 Contractor License No: INSTAST926QD Phone: (206)255 -1995 Phone: 913 652 -7000 Expiration Date: 11/04/2012 DESCRIPTION OF WORK: RUNNING LOW VOLTAGE CABLES FOR THE DT MENU BOARD AND CUSTOMER DISPLAY. Value of Electrical: NRES: $750.00 Fees Collected: $84.00 RES: $0.00 Type of Fire Protection: UKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: / 3// a 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 permit d s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform e of wor . authorize to sign and obtain this electrical permit. Signature: Date: Print Name: evi 6/e. 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 -0801 Printed: 08 -23 -2012 0 PERMIT CONDITIONS Permit No. EL12 -0801 * *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 -0801 Printed: 08 -23 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. E.)- -a-a 0 / Project No. Date Application Accepted: 0.03//,) Date Application Expires: O 01-1?30- (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: l “0( 1601 southcenter parkway McDonalds King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ®..No PROPERTY OWNER Name: Sean Greenough Name: McDonalds City: Bellevue State: WA Zip: 98005 Address: 15601 southcenter parkway Email: sean.greenough @istservice.com City: Tukwila State: wa Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Sean Greenough Address: 13300 se 30th street City: Bellevue State: WA Zip: 98005 Phone: (206) 255 -1995 Fax: Email: sean.greenough @istservice.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Installation and Service Technologies Address: 8340 Mission rd, suite B4 Cit': Prairie Village State: KS Zip: 66206 Phone: (913) 652 -7000 Fax: Contr Reg No.: instast926gd Exp Date: 11/04/2012 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 750 Scope of Work (please provide detailed information): Running low voltage cables for the dt menu board and customer display Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes Q No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement VI Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: VI Puget Sound Energy ❑ Seattle City Light H:\Applications \Fora¢- Applications On Line \2011 Applications \Electrical 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 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 ELECTRICAL CONTRACTOR: Signature: Date: 08/23/2012 Print Name: Sean Greenough Day Telephone: (206) 255 -1995 Mailing Address: 8340 Mission rd suite B4 Prairie Village KS 66206 City H:Wpplications \Forms - Applications On Line12011 Applications\Electrical Permit Application Revised 8- 9- 11.docx 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.: 5379200282 Permit Number: EL12 -0801 Address: 16501 SOUTHCENTER PY TURW Status: PENDING Suite No: Applied Date: 08/23/2012 Applicant: MCDONALDS Issue Date: Receipt No.: R12 -02437 Payment Amount: $84.00 Initials: LAW Payment Date: 08/23/2012 12:26 PM User ID: 1632 Balance: $0.00 Payee: ADAM S PORTER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 012607 ACCOUNT ITEM LIST: Description 84.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 08 -23 -2012 INSPECTION NO. INSPECTION - RECORD Retain a copy with permit 6,41-0goi 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: I 9e,b0JA4,b 5 Type of Inspection: row Address: 1(05 °1 3 - C. Date Called: Special Instructions: Date Wanted:. ,..— a.m: Requester: Phone No: IgApproved per applicable codes. rCOMMENTS: ElCorrections required prior to approval. /e Inspector: y F-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must-be .. paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule' reinspection: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 b (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 fii2-0for Project: wl ) i Type of Inspection: Address: /1 Date Called: Special Instructions: 1 Date Wanted: . ! 0114; ! Requester: t `.— Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: ,StAki lAU.US />I £fe...4r141 *Alp Inspector: Date: %O /Z/f2 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 Proer 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 INSTALLATION & SRVC TECH INC 9136527000 8340 Mission Rd #118 Prairie Village KS 66206 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602161449 Active INSTAST926QD Electrical Contractor 11/3/2008 11/4/2012 Limited Energy Unused Electrical Administrator INFORMATION License GREENSA928PM Name GREENOUGH, SEAN A Status Active Business Owner Information Name Role Effective Date Expiration Date NATIONAL REGISTERED AGENTS INC Agent 11/03/2008 3/14/2011 HORWITZ, JACOB President 11/03/2008 $250.00 BIETEFELD, DENNIS Secretary 11/03/2008 ELECTRICAL CITATION 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 TRAVELERS CAS & SURETY CO 105150491 10/28/2008 Until Cancelled $4,000.00 11/04/2008 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 EHOGG00287 3/14/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOG000286 3/14/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ENESM00403 4/16/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EJEFS00310 6/3/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/23/2012