The URL can be used to link to this page

Home My WebLink AboutPermit EL07-358 - TRAVELODGETRAVELODGE 14845 TUKWILA INTERNATIONAL BL ELO7-358 Cityf 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.ci.tukwila.wa.us ELECTRICAL PERMIT Parcel No.: 0041000335 Permit Number: EL07 -358 Address: 14845 TUICWILA INTERNATIONAL BL TUKW Issue Date: 08/02/2007 Suite No: Permit Expires On: 01/29/2008 Tenant: Name: TRAVELODGE Address: 14845 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: OCM ESCROW ADMINISTRATION Phone: Address: 1717 MAIN ST 8TH FL MAILROOM E , DALLAS TX Contact Person: Name: DON NICHOLAS Phone: 800 -925 -6011 Address: 5209 122 ST E , TACOMA WA Contractor: Name: CULBERTSON SIGN SERVICE LLC Phone: 800 925 -6011 Address: 5209 122ND ST E , TACOMA Contractor License No: CULBESS984MU Expiration Date: 08/30/2008 DESCRIPTION OF WORK: HOOK UP NEW SIGN Value of Electrical: $100.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: doc: EL -4/07 r_otJ $58.00 Date: 8_ )_-0 I hereby 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 gran g of permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construc ' on or the • erfo c eof k am authorized to si and obtain this electrical permit Signature: /� L =`� _ Dater -2-07 Print Name: 4 Q ic,C,D.5 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. EL07 -358 Printed: 08-02 -2007 1: * * *FJ * ** 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.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0041000335 Permit Number: ELO7 -358 Address: 14845 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 08/02/2007 Tenant: TRAVELODGE Issue Date: 08/02/2007 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. doc: Cond -Elec R - Date: —2 -0 EL07 -358 Printed: 08 -02 -2007 tiompi CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tkwila. wa. us 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 ** �) King Co Assessor's Tax No.: Q' UOO O ,�Z Site Address:` X5'5' lu Ku) Suite Number: Floor: Tenant Name: G 24VttC �, ,, Property Owners Name: C2Q-1 O - 1,1rUitti Mailing Address: II (1 Hal 1 't- g'k CONTACT PERSON -. Who do we contact when your permit is ready to be issue Name: t 910 fQICAA.iita5 Mailing Address: t5 7 l 'l2, E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: C L) `J cJ t Mailing Address: 57439 1 1r Contact Person: 1 � city ro __ (112 v D : � Day Telephone• E -Mail Address: � , t Fax Number: �� / Contractor Registration Number:l n �� / l Expiration Date: g `7�'�?5 Valuation of Project (contractor's bid price): $ (00 etailed Scope of Work (please provide d information H: Applications\Forms- Applications On line4-2007 - Electrical Permit Application.doc bh Electrical Permit No Project No. or office use on City New Tenant: ❑ Yes X..No State Zip Day Telephone: az & City _ State Zip FaxNumber: ) �� D Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes X Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Date Application Accepted: p - 7 H:Upplications\Forms- Applications On Line4-2007 - Electrical Permit Application.doc bh $140.00 $75.00 ea $55.00 ea MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 El Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION 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. Signatu>'t ti •ems OUL 03 S1lo0 Date: 9. Print Name: D 7 J 1J LC C7C-5 ��/ Day Telephone: � q2-S 6 : Mailing Address: 62.13? 1 7-2- 1°17 S £ - ( / tt4 wg.° State Zip Staff Initials: j he City MISCELLANEOUS FEES Date Application Expires: a )4)k, Page 2 of 2 Receipt No.: R07 -01574 Payee: CULBERTSON SIGN SERVICE ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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.ci.tukwila.wa.us RECEIPT Parcel No.: 0041000335 Permit Number: EL07 -358 Address: 14845 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 08/02/2007 Applicant: TRAVELODGE Issue Date: Initials: WER Payment Date: 08/02/2007 03:01 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 10592 58.00 Account Code Current Pmts 000.322.101.00.0 58.00 Total: $58.00 Payment Amount: $58.00 1016 08/02 9710 TOTAL 58.00 doc: Receipt -06 Printed: 08 -02 -2007 Pr /� JtLd Type of Inspec rit �/ Address: ,-.—• Iy f m AZ-L 14 , A Date Called: Special Instructions: Date Wanted: a.m., Requester: Phone No: Z.. E_ - 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 p pproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: (`7//- /4)/6 /-/ — //l/ oe - F /ti4 �. 'Inspector: �' �� 6 fri, M 1/6# Date: /p $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: • �J[� /J L P� X U�� Type of Inspection: / - / 70 - Address: »/ 'qs / .14w/4,4 I 1 - / Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION V pproved per applicable codes. INSPECTION RECORD Retain a copy with permit d7-3S8 (Inspectpr9/ / ' % o, vc D ��'`� PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Corrections required prior to approval. Business Owner Information Name Role Effective Date Expiration Date CULBERTSON, PAUL PARTNER/MEMBER 07/31/2002 CULBERTSON, PAUL JR PARTNER/MEMBER 07/31/2002 Look Up a Contractor, Electrician or Plumber License Detail Stavv Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License CULBESS984MU CULBERTSON SIGN SERVICE LLC ELECTRICAL CONTRACTOR 602043276 96460401 LIMITED LIABILITY COMPANY 5209 122ND ST E TACOMA PIERCE WA 98446 2538633831 ACTIVE SIGN UNUSED 8/30/2002 8/30/2008 CULBESSO42N2 CULBEP *979QL Master Electrician Information License Name Status CULBEP *979QL CULBERTSON, PAUL ACTIVE Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= CULBESS984MU 08/02/2007