HomeMy WebLinkAboutPermit EL15-0557 - CHIPOTLE MEXICAN GRILL - CIRCUIT FOR WATER PUMPCHIPOTI.E
MEXICAN GRILL
17250SOLJTHCENTER PKWY
EXPIRED
12115115
EL15-0557
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: 7888920020
Permit Number: EL15-0557
Address: 17250 SOUTHCENTER PKWY
Issue Date: 6/18/2015
Permit Expires On: 12/15/2015
Project Name: CHIPOTLE MEXICAN GRILL
Owner:
Name: WIG PROPERTIES LLC-SS
Address: 4811 134TH PL SE , BELLEVUE, WA,
98006
Contact Person:
Name: SCOTT LAUTT
Phone: (253) 475-8884
Address: 5113 PAC HWY E #13 , FIFE, WA,
98424-2640
Contractor:
Name: IDEAL SERVICES NW LLC
Phone:
Address: 5113 PACIFIC HWY E #13, FIFE, WA,
98424-2640
License No: IDEALSN876MW
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADDING 1- 20 AMP 120 VOLT CIRCUIT FOR WATER PUMP
Valuation of single family: $0.00
Fees Collected: $124.53
Valuation of mf/comm: $1,500.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: VI�dkl
l ' y8im
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 per it and ag to a conditions attached to this permit.
Sisnature: � Date.b-
Print Name:
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 TUKW,-A
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Site Address:
Tenant Nam
Electrical Permit No. 7/
Project No.
Date Application Accepted:
Date Application Expires:
(For office use onl))
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"
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON person receiving all project
communication 1
Name:
Address:
City: 71 State: �� Zip:
Phone:-t0 , Fax:
Email:
V King Co Assessor's Tax No.:
r Suite Number: Floor:_
New Tenant: ❑ ..... Yes No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address: P13C
HGt/�•
City: _
State: Wd
Zip yaly
Phone: 253-
tax:
Contr Reg No.:
E3-7&, • w] xp Date:
Tukwila Business License No.;
F4 O9 SS
Valuation of Project (contractor's bid price): $ f <170
Scope of Work (please provide detailed information):-r�NJ104S - ZC::) 4rywo / Won(—T• C)kc, lT
�CD�-yeIf r� AA
Will service be altered? ❑ Yes— -Z No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
-----`B Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1.14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes—Z No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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)
PERMIT APPLICATION NOTES -
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***
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.
Print Name: �S C C5 / 7 Z - ' iA-
Mailing
Date: bi 0 ^/
Day Telephone: Z-3
City
State Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$124.53
EL15-0557 Address: 17250 SOUTHCENTER PKWY Apn: 7888920020
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID
$5.93
Date Paid: Thursday, June 18, 2015
Paid By: IDEAL SERVICES NW LLC
Pay Method: CREDIT CARD 023328
Printed: Thursday, June 18, 2015 8:42 AM 1 of 1
SYSTEMS
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
11/2/2015
SCOTT LAUTT
5113 PAC HWY E #13
FIFE, WA 98424-2640
RE: Permit No. EL15-0557
CHIPOTLE MEXICAN GRILL
17250 SOUTHCENTER PKWY
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/15/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/15/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL15-0557
6300 Southcenter Boulevard Suite #100 0 Tukwila, Washington. 98188 • Phone 206-431-3670 • Fax 206-431-3665
IDEAL SERVICES NW LLC
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Safety
Washington State Department of
Labor & Industries
IDEAL SERVICES NW LLC
Owner or tradesperson
Principals
SALZER INDUSTRIES
LLC,PARTNER/MEMBER
SALZER, CATHY ANN, PARTNER/MEMBER
SALZER, RAY DEAN, AGENT
Doing business as
IDEAL SERVICES NW LLC
A-Z Index Help My Secure I_&I
Claims & Insurance Workplace Rights Trades & Licensing
5113 PACIFIC HWY E STE 13
FIFE, WA98424-2640
253-475-8884
PIERCE County
WA UBI No. Business type
603 307 202 Limited Liability Company
Governing persons
CATHY
ANN
SALZER
LLC SALZER INDUSTRIES;
RAY D SALZER;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
..............................................................
Meets current requirements.
License specialties
GENERAL
License no.
IDEALSN8764W
Effective — expiration
07/16/2013— 07/16/2015
Designated administrator
_._..._..._ .....................
SALZER, RAY D
License type
Master Electrician
Bond
........_.......
Lexon Ins Co
Bond account no.
9816859
Received by L&I
0711612013
Savings
.No.savin.
gs accounts during the previous 6 year period.
License Violations
......................................._..._..........
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no.
SALZERD979M2
$4,000.00
Effective date
06/28/2013
Expiration date
Until Canceled
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603307202&LIC=IDEALSN8764W&SAW= 6/18/2015
IDEAL SERVICES NW LLC Page 2 of 2
IWorkers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
266,463-00
................... _............
Doing business as
IDEAL SERVICES NW LLC
Account is current.
Estimated workers reported
Quarter 1 of Year 2015 "31 to 50 Workers"
L&I account representative
T2 / DAN STRATE (360)902-4635 - Email: STRE235@lni.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603307202&LIC=IDEALSN8764W&SAW= 6/18/2015