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Home My WebLink AboutPermit EL12-0823 - CASH AMERICA PAWNCASH AMERICA PAWN 3920 S 146 ST EL12-0823 City o ukwila • 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 Parcel No.: 0040000254 Address: 3920 S 146 ST TUKW Project Name: CASH AMERICA PAWN ELECTRICAL PERMIT Permit Number: EL12 -0823 Issue Date: 08/30/2012 Permit Expires On: 02/26/2013 Owner: Name: POLL TUKWILA LLC Address: 8915 SE 44TH ST , MERCER ISLAND WA 98040 Contact Person: Name: SARA LUCAS Address: PO BOX 2849 , RENTON WA , 98056 Contractor: Name: INSIGNIA SIGN INC Address: PO BOX 2849 , RENTON WA 98056 Contractor License No: INSIGSI055JS Phone: 425 - 917 -2109 Phone: 425 917 -2109 Expiration Date: 04/10/2013 DESCRIPTION OF WORK: WIRE (1) NEW BUILDING MOUNTED SIGN (S12 -063) Value of Electrical: NRES: $250.00 RES: $0.00 Fees Collected: $63.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEA C V GHT Permit Center Authorized Signature: Dat ✓ �v ( I hereby certify that I have read and examined t '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 thi construction or th Signature' permit does not pres perform. i - 'f w•rk. to give authority to violate or cancel the provisions of any other state or local laws regulating m authorized to sign and obtain this electrical permit. 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. doc: EL -4/10 EL12 -0823 Printed: 08 -30 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0823 * *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 EL12 -0823 Printed: 08 -30 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.eov Electrical Permit No. OS A3 3 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 LOCATION King Co Assessor's Tax No.: 004000 -0254 Site Address: 3920 South 146th Street Suite Number: Floor: Tenant Name: Cash America Pawn PROPERTY OWNER Name: Sara Lucas Name: Poll Tukwila LLC City: Renton State: WA Zip: 98056 Address: 3920 South 146th Street Email: Sara @insigniasign.com City: Tuwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Sara Lucas Address: PO BOX 2849 City: Renton State: WA Zip: 98056 Phone: (425) 917 -2109 Fax: (425) 917 -0153 Email: Sara @insigniasign.com New Tenant: ❑ Yes z..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Insignia Sign Inc Address: PO BOX 2849 City: Renton State: WA Zip: 98056 Phone: (425) 917 -2109 Fax: (425) 917 -0153 Contr Reg No.: INSIGSI055JS Exp Date: 04/10/2013 Tukwila Business License No.: BUS - 0992284 Valuation of Project (contractor's bid price): $ 250 Scope of Work (please provide detailed information): Wire (1) new sign to existing electrical circuit Will service be altered? ❑ Yes Z No Type of Use: Sign Adding more than 50 amps? ❑ Yes I No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: • Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2011 Applications'Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication m 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 ❑ 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 CONTRACTOR: Signature; Date: V /2012— Print Name Sara Lucas Day Telephone: (425) 917 -2109 Mailing Address: PO BOX 2849 Renton WA 98056 City H:'Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State 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 Parcel No.: 0040000254 Address: 3920 S 146 ST TUKW Suite No: Applicant: CASH AMERICA PAWN RECEIPT Permit Number: EL12 -0823 Status: PENDING Applied Date: 08/30/2012 Issue Date: Receipt No.: R12 -02502 Initials: TLS User ID: 1670 Payment Amount: $63.00 Payment Date: 08/30/2012 10:57 AM Balance: $0.00 Payee: INSIGNIA SIGN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3967 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 08 -30 -2012 INSPECTION RECORD Retain a copy with permit INS CTION.: NO. CITY .OFIUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tr_ (206) 431 -3670 Permit" Inspection.` Request Line (206) 431 -2451 PERMIT NO. Protect (01- 4) Type of Inspection: too Address: 10 5 Date Called: Special Instructions: Date Wanted: . (a.m. (Pint Requester: 1 Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: APAiriftoN) eitorbe Njer\ Date: REINSPECTION -FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ,Y INSPECTION RECORD Retain a copy with permit INSPECTION CITY OF :TUKWILA BUILDING DIVISION 6300 Southcenter Blvd #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 M-o8z3 PERMIT NO. Project:: ?• • . 3 Type of Inspection: .Grp Address: c� {" _ / Date Called: Special Instructions:_ = -`r : Date Wanted:.. �,,,/ J a.m. p.m. Requester: Phone No: Approved per codes. COMMENTS: OCorrections required prior to approval. Inspector: �( P Ji Date: f.y r 1, 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 647, -agZ3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ¢ (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 I Project: 6 A _ PAtAidjYpe of Inspection: -- ?fit( 's rP IkC 4)k f Pk tt4S Pry / or (A/R taY% Address: 372.0 S tc/6 Date Called: Special Instructions: S [ t � (I�NNN Date Wanted:. /2 iy f (p.; ' Requester: `/ Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: . -- ?fit( 's rP IkC 4)k f Pk tt4S Pry / or (A/R taY% 1-16m0M (oleo/46175 , AJD aJrPK 1 6R-0A b iv .n Inspector: Jfr1rIJfftif6Q4\ Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prir Friendly Page • Electrical Contractor A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company INSIGNIA SIGN INC 4259172109 Po Box 2849 Renton WA 98056 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601507324 Active INSIGSI055JS Electrical Contractor 4/10/1995 4/10/2013 Sign Unused Master Electrician INFORMATION License THOMSBE954L8 Name THOMSON, BRYAN E Status Active Business Owner Information Name Role Effective Date Expiration Date THOMSON, CINDY A Agent 02/04/2002 Bond Amount THOMSON, BRYAN E Member 02/04/2002 9805360 THOMSON, CINDY A President 01/01/1980 BOWEN, BRYAN E 01/01/1980 02/04/2002 BOWEN, BRYAN E Agent 01/01/1980 02/04/2002 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 Lexon Ins Co 9805360 04/23/2011 Until Cancelled $4,000.0004/15/2011 3 COLONIAL AM CASE SURETY OF MD LPM4051223 04/23/2000 Until Cancelled 05/26/2011 $4,000.00 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EHRAL00569 1/30/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/30/2012