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Permit EL13-0384 - JOEY'S GRILL - REMODEL
JOEY'S GRILL 758 SOTJThCKNTER MALL EL1 3-0384 City AiTukvvila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.Tukwila WA .gov Parcel No.: 9202470010 Address: 758 SOUTHCENTER MALL TUKW Project Name: JOEY'S GRILL ELECTRICAL PERMIT Permit Number: EL13-0384 Issue Date: 04/24/2013 Permit Expires On: 10/21/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: DAVE OTONICAR Address: 828 POPLAR PL S , SEATTLE WA, 98144 Contractor: Name: S M E INC OF SEATTLE Address: 828 POPLAR PL S , SEATTLE WA 98144 Contractor License No: SMEINS*066DB Phone: 206-391-6845 Phone: 206 329-2040 Expiration Date: 03/02/2014 DESCRIPTION OF WORK: ADD ONE 30 AMP 208 VOLT SINGLE PHASE CIRCUIT FOR COFFEE MACHINE Value of Electrical: NRES: $900.00 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: $92.40 2008 Date: -.)-14- (3 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 does not presume to giv- . uthority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. orized to sign and obtain this electrical permit. Signature: Print Name: Date: Y- Z Y/-/3 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 EL13-0384 Printed: 04-24-2013 • PERMIT CONDITIONS Permit No. EL13-0384 **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 EL13-0384 Printed: 04-24-2013 CITY OF TUKW Community DevelopmNIbepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaW A.gov Electrical Pe t No.. Project No'. Date Application Accepted: Date Application Expires: (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 Address: 758 S'o CF,t. rb-n— -K c- Tenant Name: to y 'S a toe: 6. 2,/Lr_ 1444-/ .PROPERTY OWNER Name:-��dc O-MA/ICA-ie. Address: s Z$ G7oP4.4-z Pt S' , Name: Phone: az. 3ql Co 8 yrFax: Email: / a. v� 0 e.$M� i n c o Sec. e . c_- c,ti 4 / Address: City: State: Zip: 'CONTACT PERSON — person receiving all project communication . Name:-��dc O-MA/ICA-ie. Address: s Z$ G7oP4.4-z Pt S' , City: ..0 Z� State: 4.)4_Zip: 1��`t�i Phone: az. 3ql Co 8 yrFax: Email: / a. v� 0 e.$M� i n c o Sec. e . c_- c,ti 4 / King Co Assessor's Tax No.: Suite Number: Floor: / New Tenant: ❑ Yes RT.. No ELECTRICAL CONTRACTOR INFORMATION' Company Name: SME =.0 Address: $2g3 -po 44.12- PL .. S , City: ..,0...4_77_44..._State: t' Zip: 9,Jf yy Phone:I h .,� 32.5,_.2.040 Fax: Reg egg No.: SM 6rNS d(G DB xp Date: 3 _ Z�/ v Tukwila Business License No.; cj8 _ 6 3 0 Valuation of Project (contractor's bid price): $ QDO m Scope of Work (please provide detailed information): /1-n o DN 6 3o,# A ^a Z,o e v o LT l IP /4-S -6- C— C i ft_c u iT fro 2 eo Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes .® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line \2011 Applicattons\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 ONTRACTOR: Signature: Date: T V' i r) Print Name: D4 Day Telephone?4C 397 8 5" -c - Mailing Address: Z9 /Pte— / -s H \Applications\Forms-Applications On Line\201 1 Apphcations\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh City 24/41— State viState ?7/5 " 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: EL13-0384 Address: 758 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 04/24/2013 Applicant: JOEY'S GRILL Issue Date: Receipt No.: R13-01416 Payment Amount: $92.40 Initials: WER Payment Date: 04/24/2013 02:10 PM User ID: 1655 Balance: $0.00 Payee: SME INC OF SEATTLE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 23070 92.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 92.40 Total: $92.40 ornnte,a• ne_)e_)n11 INSPECTION RECORD Retain a copy with permit INSPECTION -NO. - PERMIT NO. / t` CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t2. (206) 431-3670 Permit Inspection Request Line (206)431-2451 eu3o3s1 _. eiProject: j 3. Type of Inspection: 2/00 Address: �� ! 7Special. Date Called: Instructions: -': ' . Date Wanted:. 47,4 de Requester: Phone No: © Approved per applicable codes. El Corrections required prior to approval. COMMENTS: it it PIA/AL.- Inspector: ,1 �� t / Date: 046/(if? { 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 Inter Friendly Page • General/Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SME INC OF SEATTLE UBI No. 601524252 Phone 2063292040 Status Active Address 828 Poplar Place 5 License No. SMEINIS926QG Suite/Apt. License Type Construction Contractor City Seattle Effective Date 11/5/2008 State WA Expiration Date 11/5/2014 Zip 98144 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SMEINS'066D6 5 M E INC OF SEATTLE Electrical Contractor General Unused 3/2/1994 3/2/2014 Active PACIFFS973PU PACIFIC FIRE AND SECURITY INC Electrical Contractor Limited Energy Unused 10/30/2003 10/30/2009 Expired Business Owner Information Name Role Effective Date Expiration Date BAKER, JON T President 11/12/2010 Bond Amount WITTMAN, JOHN P Secretary 11/05/2008 32S213240 PINSKY, ADAM A Treasurer 11/05/2008 MARVICH, STEPHEN E President 11/05/2008 11/12/2010 BAKER, JON T Vice President 11/05/2008 11/12/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 American States Insurance Co 32S213240 04/20/2012 Until Cancelled $12,000.0005/05/2012 10/06/2012 1 American States Insurance Co 6613252 10/31/2008 04/20/2012 512,000.00 11/05/2008 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 Phoenix Insurance Company, The 4TC0526D960APHX12 10/09/2012 10/09/2013 $1,000,000.00 10/06/2012 3 Phoenix Insurance Company, The 4tco526d960aphx11 10/09/2011 10/09/2012 $1,000,000.00 10/10/2011 2 Security National Ins Co SPP1001805 10/09/2009 10/09/2011 $1,000,000.0010/04/2010 1 SECURITY NATIONAL INSURANCE SPP1001805 10/09/2008 10/09/2009 $1,000,000.0011/05/2008 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period httns://fortress.wa.gov/lni/bbip/Print.aspx 04/24/2013