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Home My WebLink AboutPermit EL08-1236 - CHEVRONCHEVRON 220 STRANDER BL ELO8-1 236 CitAhf Tukwila �1 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.: 2623049104 Address: 220 STRANDER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -1236 Issue Date: 09/15/2008 Permit Expires On: 03/14/2009 Tenant: Name: CHEVRON Address: 220 STRANDER BL , TUKWILA WA Owner: Name: CHEVRON TEXACO Phone: Address: PROPERTY TAX DEPT , P 0 BOX 1392 Contact Person: Name: ARLEN LANGETEIG Phone: 425 917 -2109 Address: PO BOX 2849 , RENTON WA Contractor: Name: INSIGNIA SIGN INC Address: PO BOX 2849 , RENTON WA Contractor License No: INSIGSI055JS Phone: 425 917 -2109 Expiration Date: 04/10/2009 DESCRIPTION OF WORK: REMOVE EXISTING MONUMENT SIGN, REPLACE WITH SMALLER UNIT AND RE- CONNECT POWER. Value of Electrical: $250.00 Fees Collected: $58.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile The granting of construction or Signature: Print Name: S1eve 7—h01/4, cQ Date: ol J ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. ermit does not pr : % e to give authority to violate or cancel the provisions of any other state or local laws regulating performance of w• f I am authorized to sign and obtain this electrical permit. Date: J_Cycy 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 EL08 -1236 Printed: 09 -15 -2008 Parcel No.: 2623049104 Address: Suite No: Tenant: CHEVRON • 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 220 STRANDER BL TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1236 ISSUED 09/15/2008 09/15/2008 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 es' e authority to violate or cancel the provision of any other work or local laws regulating co lion or the performan /of work. Signature: A. Date: 17//5/0/ Print Name: L e / / 1, t/ / 4411414 1 doc: Cond -Elec EL08 -1236 Printed: 09 -15 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http. //www. ci. tukwila. wa- us Electrical Permit No. ail - I2( Project No. (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.: 2—(19Zbil IOC/ Site Address: ,:a.=2 0 Si-Y.I cr- Z3/act Suite Number: Floor: Tenant Name: c eA /rer . New Tenant: ❑ Yes ❑..No Property Owners Name: CA et/ro)x 1:-.,? -6-e-e` Mailing Address: /. v(,..1 -7-4;), D707a PGA 132.1- /39? City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 4r��.1 Z62/1 th; Mailing Address: o471/ 9 Gr�r'h /Fp •■' d5��'C4" E -Mail Address: Day Telephone: 7':2S'- 9/ 7- 2/01 City Fax Number: y.2S V/7-, O/.53 ,fe,, / . 44.d 9iO.s6 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: Si y1 PO /lad V9 E -Mail Address: £iy'c... / 018 ,i, Si r,t' 4 si4 !-+'i7N Contractor Registration Number: Zit/52-6. Si- OS5 Z S /ft' YeI City Day Telephone: S/ i - 9/ % '.2./a 9 4s to 9 205 t( Zip Fax Number: 272-5- 9/ 7 - 0/C3 Expiration Date: 11/4/ (4 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ge.r-Ao e tYsf'hi/ 707C/1 4,,,c""4 't /'rc.e L./r 5 a e� !4011/ a*-,�' /� -1.1,2"erte(ii rar+ -rte Will service be altered? ❑ Yes 'J No Adding more than 50 amps? ❑ Yes No 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 H:Wpplications\Forms- Applications On Lineal -2007 - Electrical Permit Application doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea 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) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all eases, 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:_ Print Name: Mailing Address: Date Application Accepted: Date: 9 .1-5-'06? Day Telephone: S'd S 9/ l ' /a9 City 1144e1 State Zip Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Lute \4-2007 - Electrical Permit Applicauon.doc bh Page 2 of 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (L611-i236. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: (.`u R a Type of Inspection: 2/ DO Address: �� /n Q,j j ° r Date Called: Special Instructions: Date Wanted: 0 O( .m. Requester: Phone No: igiApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: Date: LJ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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 -36'0 Proje t Type of Inspection ‘ Address: �� Date Called: Special Instructions: Date Wanted: T /� a.m. P.m. Requester: Phone No: 0 Approved per applicable codes. rrections required prior to approval. COMMENTS: (Pm ploy/ lc 7- 112 6A. GA I- i /A( V/ ..s: /1/7/.4- AA :- (90-0,3 Alf-c- 6001 H61) 9/10 /X 71-/V141)-- 4/SC- 6A</if c. %',r% 6 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 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.: 2623049104 Address: 220 STRANDER BL TUKW Suite No: Applicant: CHEVRON RECEIPT Permit Number: EL08 -1236 Status: PENDING Applied Date: 09/15/2008 Issue Date: Receipt No.: R08 -03252 Payment Amount: $58.00 Initials: JEM Payment Date: 09/15/2008 09:01 AM User ID: 1165 Balance: $0.00 Payee: INSIGNIA SIGN, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3508 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 dor.• RAr.Pint -(1R PrintAri• 09-- 1s-9MR GC Contractor License: INSIGSI062QZ — expires 2/16/09 ELEC Contractor License: INSIGSI055JS — expires 4/10/09 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 INSIGSI062QZ 02/16/2009 EFFECTIVE DATE 11/09/1994 INSIGNIA SIGN INC PO BOX 2849 RENTON WA 98056 LICENSED AS PROVIDED BY LAW AS ELEC CONTR SIGN LICENSE # EXP. DATE ECO4 INSIGSI055JS 04/10/2009 EFFECTIVE DATE 04/10/1995 INSIGNIA SIGN INC PO BOX 2849 RENTON WA 98056 I, Cindy Thomson, President of Insignia Sign, Inc., do hereby declare that the above are true and correct copies of our General Contractor and Electrical Licenses. Dated: Hatq , -771 State of Washington ) ) ss County of King ) Notary Stole /�ashington CNRISnNA WATSON Ma/ Appointment des Jul 27, 2010 Cindy T Insignia ign, Inc. mson, President ,Q‘ NOTARY PUBLIC My Commission Expires: 1AI r .2D1(0 Untitled Page • Page 1 of 2 Electrical Contractor A business licensed by L£tI 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 Previous License Next License Associated License Specialty 1 Specialty 2 601507324 ACTIVE INSIGSI055JS ELECTRICAL CONTRACTOR 4/10/1995 4/10/2009 THOMSBE954L8 SIGN UNUSED MASTER ELECTRICIAN INFORMATION License THOMSBE954L8 Name THOMSON, BRYAN E Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date BOWEN, BRYAN E Cancel Date 01/01/1980 Bond Amount THOMSON, CINDY A 01/01/1980 BOWEN, BRYAN E AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date COLONIAL AM CAS 1t Until https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= INSIGSI055JS 09/15/2008