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HomeMy WebLinkAboutPermit EL14-0886 - FIVE GUYS BURGERS AND FRIES - SIGNFIVE GUYS BURGERS & FRIES 17100 SOUTHCENTER PKWY suriE 112 EL1 4-0886 CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No.: 7888920020 Permit Number: EL14-0886 Address: 17100 SOUTHCENTER PKWY STE 112 Issue Date: 09/11/04 Project Name: FIVE GUYS BURGERS & FRIES Permit Expires On: 03/15/15 Owner: Name: WIG PROPERTIES Address: 4811 134 PL SE BELLEVUE WA 98006 Contact Person: Name: GREG NYGREEN Phone: (425) 485-9600 Address: 7204 NE 175 ST KENMORE WA 98028 Contractor: Name: CLARITY SIGNSINC Phone: (425) 485-9600 Address: 7204 NE 175 ST KENMORE WA 980028 License No.: CLARISI927BH Expiration Date: 01/13/16 Lender: Name: Phone: Address: Description of Work: HOOK UP ELECTRICAL SIGN TO EXISTING POWER Valuation of single family: $ Fees Collected: $ 68.25 Valuation mf/comm: $ 100.00 Type of Work: SIGN Electrical Service Provided by: PUGET SOUND ENERGY Water District: Sewer District: Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: cdu Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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 agree to the conditions attached to this permit. Signature: Print Name: Date: /// // 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. PERMIT CONDITIONS: 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. PERMIT INSPECTIONS REQUIRED: Permit Inspection Line: (206)438-9350 7001 UNDERGROUND/SLAB 7002 SERVICE 7003 ROUGH -IN ELECTRICAL 2100 ELECTRICAL FINAL CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 1_ 11-k'Q 9 S tQ Project No. t 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 LOCATION King Co Assessor's TaxNo.: .7���7'ZD QZU Site Address: /7/ 400 I�ZSuite Number:/lZ Tenant Name: //(/ 6"ev/5 New Tenant: PROPERTY OWNER Name: tt%`4 ige," 63 Address: , / Gf/ /3Y T7� �-- City: ?0f"?/tr �-7 .a CONTACT PERSON - person receiving all project communication Name: Address: 70ax -- /7ram S.-7_ Cityal_zx2G..- 1`�� i:,_ F�e: Phone:Z r' 1Lr- Fedu yzi-7 y5./77.0i- Email:77�hG 'f 1) /73Yf//i-/-S-• ..e.tc.el Floor: Yes l s% ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name ,0,;; & /4/,.t Address: 70 / /� /7 5 — City:474a44, St e: Zi Phone7.f-- yo. _- Z Fax: 2 �--/7-7167 Contr Reg NoeL 7 ().-yZ,7e xp Date: V //4Tukwila Business License No.;gyy ` 2,3�F- Valuation of Project (contractor's bid price): $ / ffZ' Scope of Work (please provide detailed information): ,TT2,e.�-- Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes E4No Type of Use: 5‘4/-5- Type of work: Neww/ ,o S ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $152.85 (including an attached garage) 0 Garages, pools, spas and outbuildings $81.90 ea O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 O 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 0 Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 0 Manufactured/mobile home service $86.25 (excluding garage or outbuilding) 0 Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUA.RY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: e - Print Name: Mailing Address:72 / C— /'7T 57 - Date: Day Telephone: 1/2-5—Se. 0:77/4( Zip City State H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 0L.Ajy� o/ o J .. Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $68.25 EL14-0886 Address: 17100 SOUTHCENTER PKWY 112 Apn:7888920020 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R3039 0.00 $3.25 $68.25 Date Paid: Thursday, September 11, 2014 Paid By: CLARITY SIGNS INC Pay Method: CHECK 9199 Printed: Tuesday, September 16, 2014 5:12 AM 1 of 1 CITY FORM NO 1 1912 ADOPTED BY DIVISION OF MUNICIPAL CORPORATIONS. CITY OF TUICWILA TREASURER'S RECEIPT E 47854 Date Received of 20 14 CleaL - 6 l L I FOR Dol ars, ELIA- 090(p 000. Cat. oo--©(acoa Ltd° • &—L DEPT TOTAL t9 V N OLYMPIC PRINTERS, INC. WHITE - Finance Dept. CANARY - Customer PINK - Flle INSPECTION RECORD Retain a copy with permit C>✓� I O�♦' ' 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: &Pli Type of Inspection: l 'V Address: - ONO s-c. Pl- Date Called: Date Wanted:"lit f', p Special Instructions: Requester: C Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1` - Inspector: di"' Thi it 7Aitc n REINSPECTION FEE REQUIRED. Prior to next inspecticin, fee must be paid at b300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. t-a Date: CLARITY SIGNS INC Page 1 of 6 10 ' Washington State Department of Labor & Industries CLARITY SIGNS INC Owner or tradesperson CLARITY SIGNS, INC. Principals CLARITY SIGNS, INC. MILLER, ADAM M, PRESIDENT MILLER, ADAM M, SECRETARY NYGREEN, GREG H, TREASURER NYGREEN, GREG H, CHIEF EXECUTIVE OFFICER JOHNSTONE. LARRY A. AGENT 7204 NE 175TH ST KENMORE, WA98028-6516 425-485-9600 KING County License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties SIGN License no. CLARISI927BH Effective — expiration 01/08/2008— 01/13/2016 Designated administrator Nygreen, Greg H License type Electrical Administrator Bond STATE FARM FIRE & CAS CO Bond account no. 98-GU-5133-1 Received by L&I 01/08/2008 Savings No savings accounts during the previous 6 year period. License Violations Active. Meets current requirements. Active. Meets current requirements. License no. NYGREGH919CJ $4, 000.00 Effective date 12/07/2007 Expiration date Until Canceled https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602754457&LIC=CLARISI927BH&SAW= 09/11/2014