HomeMy WebLinkAboutPermit EL14-0053 - CHIPOTLE - SIGNThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL14-0053
CHIPOTLE
2600 Southcenter Mall #FC-02
DIGITAL RECORDS (DR)EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION
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Personal Information –
numbers are redacted to protect those
Social Security Numbers
individuals’ privacy pursuant to 5 U.S.C. sec. 5 U.S.C.sec.
552(a), and are also exempt from disclosure 552(a); RCW
DR1Generally –5 U.S.C. sec.
under section 42.56.070(1) of the Washington 42.56.070(1)
552(a); RCW
State Public Records Act, which exempts under
42.56.070(1)
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information –
expiration dates, or bank or other financial
RCW
account numbers, which are exempt from
10DR2Financial Information –
42.56.230(5)
disclosurepursuant to RCW 42.56.230(5),
RCW 42.56.230(45)
except when disclosure is expressly required by
or governed by other law.
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Driver’s License. –RCW
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& c)
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DR4
RCW
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42.56.070(1)
protects, under the PRA, information exempt or
prohibited from disclosure under another statute.
CHIPOTLE
MEXICAN GRILL
2600 SOUTHCENTER MALL
FC-02
ELi 4-0053
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No: 9202470010 Permit Number: EL14-0053
Address: 2600 SOUTHCENTER MALL Issue Date: 1/21/2014
Permit Expires On: 7/20/2014
Project Name: CHIPOTLE MEXICAN GRILL
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD, WA,
92013
Contact Person:
Name: CONNIE GUFFEY Phone: (253) 473-3323
Address: 909 S 28 ST , TACOMA, WA, 98409
Contractor:
Name: PLUMB SIGNS INC Phone: (253) 473-3323
Address: 909 S 28 ST , TACOMA, WA, 98409-
2613
License No: PLUMBSI077QS Expiration Date: 11/10/2015
Lender:
Name:
Address:
1
DESCRIPTION OF WORK:
HOOK UP NEW WALL SIGN TO EXISTING POWER. SIGN CIRCUIT BY OTHERS.
Valuation of single family: $0.00
Valuation of mf/comm: $1,900.00
Type of Work: TENANT IMP
Fees Collected: $124.53
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date:
I hearby 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 give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agre•to the conditions attached to this permit.
Signature:
Print Name:
llU �`rc/ite/ t (}t
Date: i'
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWi _
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Project ENo
Date Application Elbcepted E ..
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**
OISITE'`LOCATI
King Co Assessor's Tax No.: 9? '/ADO / d
Site Address: agO6' ‘jOtrri5/CSuite Number: le -A Floor:
Tenant Name: e'/i/,O 7 2 nl £ X / .0 6-0 / tL New Tenant: I Yes
?. 'ROPERTY`OWNEI
Name: Zi)TF/F £t) 7eeD,
Address:, 4.36
3 9 4/D
City,State:C A Zipodo3
'CONTACTPERS
communication
anon receiving all proj
Name:
�►/yivi� oromL V,<-1-1//nr3,5/6
Address:
90 9 1/45 • c 2d, L
City:,tMA
State: WA
Zipt1dYa 9
Phone:
s3 •Y73•O3a3Fax:a53 • S/7.1.3167
Email:
❑ „No
ECTRICAL "CONTRACTORINFORMATION,
Company Name: lAle #A215
Address: 949 .6-• et,
City:
Ti5`Co.,l
Phones.s • y �3
•
/aZReg
07.43/ a
Tukwila Business Li
State:
WA
Zip9,7 3
a3a./Fax: �S j . Y7.2 •3i dJ
Anh
e9..5 Exp Date:
Valuation of Project (contractor's bid price): $ / 9De' Df) Scope of Work (please provide detailed information): / fDQ/./4617'1„A
/, / e'A•u 6 e Z-4 " A J.4-1—c ..S/G"1 Ty-0 e 5e/S7,,J6.
/D Gci g-.2 • oi. G Al, . T .B d rr/ S
Will service be altered? ❑ Yes 5 No Adding more than 50 amps? ❑ Yes
Type of Use: ce-ZD £57-i461--/.S%fM .. 1
Type of work: —
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
cg Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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❑ Remodel
❑ Telecommunication
No
❑ 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
El 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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
RMITAPP
CATION NOTE
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: AJO •/y
Print Name: CDId/Yi f 62,sr-1"-Y Day Telephone: c,..2573 • Yy3..�3�
Mailing Address: 90 9 • 02/.6. 47" "79n_,O,rn A 98 Ye),
City State Zip
H:Wpplications\Forms-Applications On Line\2014 Applications'Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I PAID
$124.53
EL14-0053 Address: 2600 SOUTHCENTER
MALL Apn: 9202470010
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R851
R000.322.900.04.00
$5.93
$124.53
Date Paid: Tuesday, January 21, 2014
Paid By: PLUMB SIGNS INC
Pay Method: CREDIT CARD 06223G
Printed: Tuesday, January 21, 2014 11:25 AM 1 of 1
SYSTEMS
INSPECTION RECORD Retain a copy with permit vt- 0)5 7
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
Project: nf+1 /fo Tti
Type of Inspection: ,.i" /v'
Address: f
Z to00
Date Called:
Special Instructions:
5 GA/
Date Wanted: 3/h? a.m
m.
Requester: &lam! r
Phone No: Z5 3 22 5- PO 7
®Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
rokeendNis WIC'
Inspector:
ilrlb`04-16c
Date: 0 yak
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
405-3
P RMIT NO?'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.. #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206)431-2451
Project:(`
Type of Inspection:
., , Address:_oA'W
'4
Date Called:
—
Special Instructions:
FC`Q1,
SillA
Date Wanted:
3 /, j �
a.m m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
piCorrections required prior to approval.
Qa5tro er) 1(c-tof c til -r
tika
clkoty.1
Via--).
Ritve Pos a4 SSr
>ector: f/f D� ltl�l
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
PLUMB SIGNS INC
Page 1 of 3
41111114 Washington State Department of
Labor & Industries
PLUMB SIGNS INC
Owner or tradesperson
MARSTON, ROBERT C III
Principals
MARSTON, ROBERT C III
ROBERT C MARSTON
KARA MARSTON
MARGARET PLUMB
DONN PLUMB
DONN PLUMB
Doing business as
PLUMB SIGNS INC
WA UBI No.
600 455 295
909 S 28TH ST
TACOMA, WA98409-8106
253-473-3323
PIERCE, County
Business type
Corporation
Governing persons
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
SIGN
License no.
PLUMBSI077QS
Effective — expiration
11 /10/1993 —11 /10/2015
Designated administrator
MARSTON, MICHAEL S
License type
Electrical Administrator
Bond
No bonds during the previous 6 year period.
Insurance
No insurance accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
ACTIVE
License no.
MARSTMS951 Q2
$4,000.00
Effective date
10/13/1993
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600455295&LIC=PLUMBSI077QS&SAW= 01/21/2014