HomeMy WebLinkAboutPermit EL12-0918 - PANDA EXPRESSPANDA EXPRESS
17100 SOUThCENTER PY
EL12 -0918
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.: 7888920020
Address: 17100 SOUTHCENTER PY TUKW
Project Name: PANDA EXPRESS
ELECTRICAL PERMIT
Permit Number: EL12 -0918
Issue Date: 09/28/2012
Permit Expires On: 03/27/2013
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
Contact Person:
Name: JEFF CRIST Phone: 206 250 7446
Address: 12226 FREMONT AV N , SEATTLE WA, 98133
Contractor:
Name: CRIST SIGN Phone:
Address:
Contractor License No: CRISTSS923KB Expiration Date: SI Cpl (9
DESCRIPTION OF WORK:
HOOK UP NEW SIGN CABINET TO EXISTING WALL CIRCUIT (SEE S 12 -069)
Value of Electrical: NRES: $350.00
RES: $0.00
Fees Collected:
$67.20
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
S
I hereby certify that I have read and ex
governing this work will be complied
th,
Date:
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres = to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th- • erformance of work. I am authorized to sign and obtain this electrical permit. r
Signature: i t_� %i'! . A01 1 ' Date: / 2. —
W. Print Name: I Q/VIA
This permit shall become null an oid 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 -0918
Printed: 09 -28 -2012
•
PERMIT CONDITIONS •
Permit No. E1.112 -0918
* *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 -0918 Printed: 09 -28 -2012
CITY OF TUKWII
Community Developmem epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
ElectrcalP.ern _ ,r
Project No.
Date Application Accepted
Date, Application Expires:
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:
King Co Assessor's Tax No.: f D Cl Z '0O7-0
7 d 0 5jat 0-e/tAt1 Suite Number: 100 Floor:
New Tenant: ❑ Yes t : No
PROPERTY OWNER
Name:
Vr_ 19 V" c
City: .,� �j _ State: �j Zip: pe i
Address:
L 4' 1 ; p� ��
Li
City:
pi u,,, c State: yv p
Zip: q
CONTACT PERSON
communication
person receiving all project ?'
Name: Je ff c L
Address ZZ �/ v tr-e- 40yA.+ Au e , k)
City: State: wk.. Zip:
Phone:( 250, 7 ,Fax: \
Email: yg
C
c_ I S g'e irk; t cely✓A
ELECTRICAL CONTRACTOR INFORMATION
Company Name:G+ i &, �E' V t( CG
Address: B
P• 0 . in 3 ii a
City: .,� �j _ State: �j Zip: pe i
;
Phone:(2002 o,7t4 � Fax:
?
Contr Reg No.: Exp Date: (�
Tukwila Business License No.;tcgIZ 43
Valuation of Project (contractor's bid price): $ ';5D
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served b
Puget Sound Energy ❑ Seattle City Light
Adding more than 50 amps? ❑ Yes
H- \Appl}Eations \Forms - Applications On Line\2011 Applications\F.lectrical Permit Application Revised 8 -9 -11 docx
Revised. August 2011
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❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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.APPLICATIONNOTE
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.
1 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:
iii_diLli....../-:
14L#:7' 0
t Signa
Print
Mailing Address: go( k. LAAAAj L
H. \Applications \Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx
Revised. August 2011
bh
Date: l Z t// Z�
Day Telephone: (wC,) (46— — f 1 e 2_
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
RECEIPT
Parcel No.: 7888920020 Permit Number: EL12 -0918
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/28/2012
Applicant: PANDA EXPRESS Issue Date:
Receipt No.: R12 -02731
Payment Amount: $67.20
Initials: JEM Payment Date: 09/28/2012 03:34 PM
User ID: 1165 Balance: $0.00
Payee: CITY SIGNS SERVICE & LIGHTING LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1017 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt -06 Printed: 09 -28 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION L
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
al55
Type of Inspection:
Address: NO `- p7'
ONO c.
`
Date Called:
,--
Special Instructions:
Date Wanted:.
/O /� I
(m:
Requester:
'
Phone No:
r
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
f
Inspector:
c/i561/d6q
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date: 40/3 /fa,
Contractors or Tradespeople Prior 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
CRIST SIGN SERVICE
2062507446
Po Box 33178
Seattle
WA
98133
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601746949
Active
CRISTSS923KB
Electrical Contractor
5/2/2008
5/5/2014
Sign
Unused
Electrical Administrator INFORMATION
License CHRISJ "927K0
Name CHRIST, JEFF
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CHRIST, JEFF E
Owner
05/02/2008
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
TRAVELERS CAS &
SURETY CO
105268642
04/30/2009
Until Cancelled
$4,000.0004/30/2009
1
GREAT AMERICAN
INS. CO.
3602801
04/15/2008
Until Cancelled
04 /30/2009
$4,000.0005/02/2008
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
EJONV02651
6/1/2012
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/28/2012