HomeMy WebLinkAboutPermit EL09-0777 - MIDWEST SIGN AND SCREENMIDWEST SIGN & SCREEN
401 EVANS BLACK DR
ELO9-0777
Cityef Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 0223100033
Address: 401 EVANS BLACK DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0777
Issue Date: 12/08/2009
Permit Expires On: 06/06/2010
Tenant:
Name: MIDWEST SIGN & SCREEN
Address: 401 EVANS BLACK DR , TUKWILA WA
Owner:
Name: RAINBOW ASSOCIATES LTD Phone:
Address: 22820 148TH SE , KENT WA
Contact Person:
Name: BRIGET CAUDILL Phone: 253 234 -2842
Address: PO BOX 338 , KENT WA
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA
Contractor License No: HOLMEEC549BH
Phone: (425)255 -8666
Expiration Date: 10/31/2010
DESCRIPTION OF WORK:
iNt�Cp(1.1, N'G4 CitkAC 'N l t ag
Value of Electrical: NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Fees Collected: $92.00
National Electrical Code Edition: 2008
Permit Center Authorized Signature: / Date: 11- 1(2 U 1 "0�
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t 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 the performan of work. I am authorized to sign and obtain this electrical permit.
Signature:
C
Print Name: -12 LCD e400/2---(
Date: 4:2//-/)
/
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 -4/07
EL09 -0777 Printed: 12 -08 -2009
Parcel No.: 0223100033
Address:
Suite No:
Tenant:
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
401 EVANS BLACK DR TUKW
MIDWEST SIGN & SCREEN
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0777
ISSUED
12/08/2009
12/08/2009
1: ** *ELECTRICAL * **
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.
Signature: 6-?4,(10it
Print Name:,L(0:T CTh u C
Date: /V/09
doc: Cond -Elec
EL09 -0777 Printed: 12 -08 -2009
CITY OF TUKWI
Community Development Department 14_ Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, . c 98188 \ � (.� �j „
h tto: / /www. ci. tukwila. wa. us 5 4)k *
1..
Electrical Per No. `1 1
Project No. •
:(For, ohs • 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 **
King Co Assessor's Tax No.: C2-12,1 0 —
Site Address: 9\ �;'(4 -- 13U\ -- S ,
Tenant Name: 1111p'U;;L--3T 5S(t<*j (4'�('xll %;��
Property Owners Name: I`VN),1 t--ic ,`� \� LO- - SQU4 ,
Mailing Address: ',L \
Suite Number: Floor:
New Tenant: ❑ Yes TeNo
11)v v3 Lei
City
State Zip
CONTACT PERSON = V'fla:do we conti ct.whenyour pei•mlit is iready:io.be issued •
Name: Q10- Vri Day Telephone: 3 a3-1 42 (611D.
Mailing Address: P t? • ;t 3- cA,/r'"
City State Zip
E -Mail Address1 L , (N \\k_r -t- j §vLLX *b, (t Fax Number:
L-_; `) Ye 3.s
Company Name: Li es -c,:—.c>rie
Mailing Address: P• 0
Contact Person:
(u. t (111\v�
4,414
City
State Zip
Day Telephone: 353 3L:9ftfd
t�53 a3-f aqa
E -Mail Address:' �j�1("Z � � ��.i�l�,D1�� WD�� . C(���/ Fax Number: S
Contractor Registration Number: /7�0L/?7 E EC .�4� ig �7 Expiration Date: /0 —31 r „2o/o
Valuation of Project (contractor's bid price): $ 1 WC)
Scope of Work (please provide detailed information): ii3f-XPALL Nte0 CAYS,U11- (10 --k,Ic -TEN-.s
Will service be altered? ❑ Yes ®' No Adding more than 50 amps? ❑ Yes le No
Type of Use: 1C1)- V.V-:}i'j Vie..
Type of work:
❑ New Er Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
f' Puget Sound Energy
❑ Seattle City Light
H:'Applications\Fomu- Applications On Line] -2009 - Electrical Permit Applicalion.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTI
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) ... $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) S7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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 additionai period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature: AO- (/,t1!LJ
Print Name: i(G — 13' D1 ZL.
Mailing Address: ' (1 a '3 `
>al �)C
Date: 4
Day Telephone: (Q5 3 < 3t-( cwsL/
City State Zip
HAApplicatio, .Fornu•Appltcations On Line 1•2009 • Electrical Permit AppI,catioadoc
bh
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.ci.tukwila.wa.us
Parcel No.: 0223100033
Address: 401 EVANS BLACK DR TUKW
Suite No:
Applicant: MIDWEST SIGN & SCREEN
RECEIPT
Permit Number: EL09 -0777
Status: PENDING
Applied Date: 12/08/2009
Issue Date:
Receipt No.: R09 -01959
Payment Amount: $92.00
Initials: JEM Payment Date: 12/08/2009 12:23 PM
User ID: 1165 Balance: $0.00
Payee: HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 051713 92.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 92.00
Total: $92.00
PAYMENT
RFCFIVED
doc: Receiot -06 Printed: 12 -08 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6.°7 -0777
P RMIT
NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
P
het&Akcr5tciA/f �7�Q, _ _Type
of Inspection:
e)
Address: 110 � 5 ��e
Called:
Special Instructions:
Date Wanted:
Q
1
p.m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
0K. .
Inspector:
�
Date: /210?/07
ri $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee nlust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
Untitled Page
Q
Page 1 of 2
Electrical Contractor
A business licensed by LRI 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 HOLMES ELECTRIC CO UBI No. 177003752
Phone 2534794000 Status ACTIVE
Address PO BOX 338 License No. HOLMEEC549BH
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City KENT Effective Date 1/8/1946
State WA Expiration Date 10/31/2010
Zip 98035 Suspend Date
County KING Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
ADMINISTRATOR INFORMATION
License RICHAM *178LZ
Name RICHARDS, MICHAEL
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICHARDS, MICHAEL W
Cancel
Date
01/01/1980
Bond
Amount
RICHARDS, EUGENE M
3
01/01/1980
52BSBFB924312/08/2008
HOLMES, MICHAEL J
Until
Cancelled
01/01/1980
HOLMES, JERAY A
AGENT
01/01/1980
AMERICAN
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
HARTFORD
FIRE INS
CO
52BSBFB924312/08/2008
Until
Cancelled
$4,000.0012/09/2008
AMERICAN
Until
https: // fortress .wa.gov /lni/bbip/Detail.aspx
12/08/2009