HomeMy WebLinkAboutPermit EL18-0405 - CHICK-FIL-A - NEW LIGHTING FOR NEW PEDESTRIAN DECORATIVE LIGHTSCHIK-FIL-A
17333 SOUTHCENTER PKWY
ELI 8-0405
Parcel No:
Address:
City of Tukwila
of
_-,__-_'Community Development
6300 Southcenter BoulevardSuite #100
Tukwila, Washington 98188
Phone: 206'431'3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL PERMIT
2623049066
17333 SOUTHCENTER PKWY
Project Name: CHICK-FIL-A
Permit Number: EL18-0405
Issue Date: 7/31/2018
Permit Expires On: 1/27/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KOMETANI MICHAEL
1823 HALKOADR,HONOUJU1OA,
96821
CARLOS ARIAS
POBOX 270S71,SAN DIEGO, CA,
92198
SOUTHGATE ELECTRIC INC
23444 ]UTHAVE S#1O1,KENT, WA,
98032-2807
SOUTHEI366P1
'''
Phone: (951) 970-9138
Phone: (206) 878-2866
Expiration Date: 8/30/2019
DESCRIPTION OF WORK:
NEW LIGHTING FOR NEW PEDESTRIAN DECORATIVE LIGHTS
Valuation of sirigle family: $0.00
Valuation of mf/comm: $20\000.00
Type of Work: NEW
Fees Collected: $612.89
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
Date:2015
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 presu - to give authority to violate or cancel the provisions of any other
state or local laws regulating constructio or the performance of work. I am authorized to sign and obtain this
development permit and agree to • •nditions attached to this permit.
Signature: / Date: 7
Print Name: (ffQ f 5 es/7� «2S'
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 and the Washington Cities Electrical Code.
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
Electrical Permit No.
Project No.
�Ug-WD�1
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
Site Address: 17333 Southcenter Parkway
Tenant Name: Chick-ftl-A, Inc.
King Co Assessor's Tax No.: 2623049066
Suite Number:
New Tenant: 0 Yes ❑ .. No
PROPERTY OWNER
Name: Carlos Arais
Name: Michael Kometani
City: San Diego State: CA
Address: 1823 Halekoa Drive
Phone: (951) 970-9138 Fax:
City: Honolulu State:
HI
Zip: 96821
CONTACT PERSON — person receiving all project
communication
Name: Carlos Arais
Address: PO Box 270571
City: San Diego State: CA
Zip: 92198
Phone: (951) 970-9138 Fax:
Email: carias@4gdev.com
State:
Floor:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: TBD
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 20,000
Scope of work (please provide detailed information): New lighting for new pedestrian decorative lights
Will service be altered? m Yes ❑ No
Type of Use:
Type of work:
New ❑ Addition
0 Low Voltage ❑ Generator
Property Served by:
is Puget Sound Energy
To service a 1200 amp service panel
Adding more than 50 amps? ❑ Yes IJ No
❑ Service Change
❑ Fire Alarm
0 Seattle City Light
W:1Perml CenteAApplieniow-HasdoutsTennii ApplieatianlPDF't1Electrics1Permit Application Revised 1-1.17.doc,
Revised: January 2017
bb
❑ Remodel
0 Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
1
RESIDENTIAL
NEW RESIDENTIAL SERVICI
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits......... $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals 582.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNFR OR ELECTRICAL CONTRACTOR:
•�1f 2�
Signature: Date: ! /8
Print Name: 04/114., Day Telephone: r57 -970- 9/32
Mailing Address: Po be% 2 70S- 7f
W:\Pemtil Cenie iApplicatimr,Haedo tPetmit Applicatians\PDFAE
Revised: January 2017
bh
S'4"./ ?,t o
City
used 1 -I -t7
cam- 92/98
State Zip
Page 2 of 2
•
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$612.89
EL18-0405 Address: 17333 SOUTHCENTER PKWY Apn: 2623049066
$612.89
Credit Card Fee
$17.85
Credit Card Fee
R000.369.908.00.00
0.00
1
L
$17.85
ELECTRICAL
$572.15
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00$457.72
PLAN CHECK FEE
R000.345.832.00.00
0.00
$114.43
TECHNOLOGY FEE
$22.89
TECHNOLOGY FEE
R000.322.900.04.00
0.00
!
$22.89
TOTAL FEES PAID BY RECEIPT: R14376
$612.89
Date Paid: Tuesday, May 01, 2018
Paid By: CARLOS ARIAS
Pay Method: CREDIT CARD 05359D
Printed: Tuesday, May 01, 2018 9:07 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD en
R1-110- 0A10
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
CWI%441 14-
Type of Inspection:
—, \ i
rsi 'WI
Address:641... pleAt
11S33
7
Date Called:
Special Instructions:
'
Wists+rl'A Li 1115
Date Wantia:
fa.m.
Requester:
Phone No:
JJApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTI N FEE REQUIRED. Prior to next inspection. fee ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD ttd-10'd
Retain a copy with permit INSPECTION NO.PER.
CITY OF TUKWILA BUILDING DIVISION �I
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: Olt /l -I4-
Type ofdection: g:fr4::J:;;/ 1i
Address:
7 i_�. Pt,
Date Called:
Special InstrLctions:
,,),"<cgd:
Date Wanted:
t 3v p•my
Requester:
Phone No:
4,'7 2 '(h
EiApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
014-tK,. 56-(Wici
o iflo4 cr>
Date: ( jv I g
REINSPECTION` FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
P
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMtT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43
Permit Inspection Request Line (206) 438-9350
Project: /i4tc.e...... ri _ Ar
Type of Inspection:A 04 a.... Id
Address:
70 -C.0 ' Pii..
Date Called:
Special Instructions:
i)tilLi1/44)
Date Wanted:
. .
Requester:
Phone No: 7.06, vg iltoto
EJApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
9
FANNPen,
inspector:
dt
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fe must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
4/1/2019
City of Tukwila
Department of Community Development
CARLOS ARIAS
PO BOX 270571
SAN DIEGO, CA 92198
RE: Permit No. EL18-0405
CHICK-FIL-A
17333 SOUTHCENTER PKWY
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
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 5/29/2019.
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 5/29/2019, 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,
Kandace Nichols
Permit Technician
File No: EL18-0405
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
9ERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: EL18-0405 DATE: 11/09/18
PROJECT NAME: CHICK-FIL-A
SITE ADDRESS: 17333 SOUTHCENTER PKWY
Original Plan Submittal
Revision # before Permit Issued
Response to Correction Letter # X Revision # 1 after Permit Issued
DEPARTMENTS:
Building Division
Public Works
s
Fire Prevention
Structural
Planning Division
nPermit Coordinator
n
its
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 11/13/18
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 12/11/18
Approved
Corrections Required
❑ Approved with Conditions
❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW ❑ Staff Initials:
12/18/2013
CPERM1T COORD COPYO
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: EL18-0405 DATE: 04/30/18
PROJECT NAME: CHICK-FIL-A
SITE ADDRESS: 17333 SOUTHCENTER PKWY
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
S-44-46
Building Division IN
Public Works
n
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
LI
PRELIMINARY REVIEW:
Not Applicable r
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 05/01/18
Structural Review Required
DATE:
LI
APPROVALS OR CORRECTIONS: DUE DATE:
Approved Approved with Conditions
Corrections Required Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
05/29/18
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire El Ping LJ PW 1:1 Staff Initials:
12/18/2013
PERMIT NO:
PROJECT NAME: Ci-\ ct
SITE ADDRESS: t-7 -V33 ,Sov-irews_ ?1(.44 ORIGINAL ISSUE DATE: 7-3 —fe
REVISION LOG
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
117946
4'31
Summary of Reviqion: .-.1-1--e-ci--yoto
10 catA-6,e, ea
cLet-ek'ts .
Received by: e$8, c_ v_.. U,1€ 0 VII ik/
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
please print
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: 1i—q—i
a
Plan Check/Permit Number: PL I S - c)
L ��
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
®- Revision # 1 after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
Project Address:
Contact Person:
Ch -A
11 3 33 S C -1-,,, ?kbiq
Qsar
Summary of Revision:
kv
Phone Number:
67 6- .;--S c k
(LP [Gr vrt0
fEC.mED
1 U r SLA
IJV 09 2018
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center
Center by:
Entered in TRAKiT on 1‘ — -I "( C
W:1Permg Center \Templates\Forms\Revision Submittal Formdoc
Revised August 20I 5
SOUTHGATE ELECTRIC INC
0
Washington State Department of
Labor & Industries
110111C Espanol COM: :let
Safety & Health
Claims & Insurance
Page 1 of 3
AZ Index Help My ILM
Workplace Rights Trades & Licensing
SOUTHGATE ELECTRIC INC
Owner or tradesperson
Principals
PSACHOS, CHRIS, PRESIDENT
Brennan, Pat J, VICE PRESIDENT
Psachos, Debbie K, SECRETARY
PSACHOS, CHRIS, AGENT
PSACHOS, BARBARA, SECRETARY
(End: 08/03/2001)
STEIGERS, HERBERT C
(End: 09/30/2011)
Doing business as
SOUTHGATE ELECTRIC INC
WA UBI No
578 089 488
23444 30TH AVE S STE 101
KENT, WA 98032
206-878-2866
KING County
Business type
Corporation
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
SOUTHEI366P1
Effective expiration
10/21/1964— 08/30/2019
Designated administrator
BRENNAN, PATRICK JOSEPH
License type
Electrical Administrator
Bond
CBIC
Bond account no,
611625
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
License no,
BRENNPJ066RC
$4,000.00
Effective date
10/28/1978
Expiration date
Until Canceled
Help us improve
haps://secure.lni.wa.gov/verify/Detail.aspx?UBI=578089488&LIC=SOUTHEI366Pl&SAW= 7/31/2018
SOUTHGATE E;.ECTRIC INC
Infraction no.
EDORN00251
Issue date
03/20/2014
Violation city
Kent
Type of violation
ELECTRICAL CI': ATION
Description
Failing to get an ;nspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced In WAC
296-46B-901.
Infraction no.
EJONV02984
Issue date
04/30/2013
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or al,Lration as referenced in WAC
296-46B-901.
Infraction no
EBJOR00314
Issue date
01/02/2013
Violation city
Kent
Type of violation .
ELECTRICAL CI'"ATION
Description •
Covering or concealing installations prior to
inspection.
Infraction no.
EBJOR00313
Issue date
01/02/2013
Violation city
Kent
Type of violation
ELECTRICAL CFATION
Description
Failing to obtain or post an
electrical/teleco,.imunications work permit
prior to beginnii..3 the
electrical/telecor.imunication installation or
alteration as ref„renced in WAC 296-4613-900
(3)(6), effective :ter 12/30/2008 see WAC 296-
46B-901.
Satisfied
....._..._ ._....
RC VV/WAC
19.28.101 RCW
Violation amount
$4,000.00
Satisfied
RC WNVAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
....................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
.................... .
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Workers' camp
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
Account is current.
Page 2 of 3
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