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Home My WebLink AboutPermit EL08-0265 - AMERICAN FAMILY INSURANCEAMERICAN FAMILY INSURANCE 13038 INTERURBAN AV S ELO8-265 Citllbf 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.: 0003000110 Address: 13038 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -265 Issue Date: 03/18/2008 Permit Expires On: 09/14/2008 Tenant: Name: AMERICAN FAMILY INSURANCE Address: 13038 INTERURBAN AV S , TUKWILA WA Owner: Name: INTERURBAN 13038 LLC Phone: Address: 4616 25TH AVE NE PMB 746 , SEATTLE WA Contact Person: Name: JIM MINAR Phone: 425 822 -1200 Address: 815 8 ST , KIRKLAND WA Contractor: Name: SIGN FACTORY INC, THE Address: 815 8 ST , KIRKLAND WA Contractor License No: SIGNF* *021JB Phone: 425 822 -1200 Expiration Date: 04/02/2008 DESCRIPTION OF WORK: INTALL (1) ILLUM WALL SIGN Value of Electrical: $50.00 Fees Collected: $58.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date:fP), (b 111) I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , whether specified herein or not. The granting o this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction the perfo •� c of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 0- i WI 144 IA eft( Date: /WC) 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 -265 Printed: 03 -18 -2008 • 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.: 0003000110 Address: Suite No: Tenant: 13038 INTERURBAN AV S TURIN AMERICAN FAMILY INSURANCE Permit Number: Status: Applied Date: Issue Date: EL08 -265 ISSUED 03/18/2008 03/18/2008 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 give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Nai'h' /44 Date: 5/1(e.) e.)� u`er< doc: Cond -Elec EL08 -265 Printed: 03 -18 -2008 CITY OF TUK•A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.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 ** !SITE LOCATION King Co Assessor's Tax No.: (% 2,OO Site Address: 13 03g - u ja a I .A tic s a Suite Number :,2 LQ Floor: Name: ' I C L 16u (. — -'S ll✓a c,p New Tenant: Sir Y s ❑..No Property Owners Names t—rf emu j) ,30 LL C.. CO-7'e re V1 l S Mailing Address: 13 p �Ql;,l-tP� uv 131r tiJ .[') L`}+ alp¢ City state CONTACT PERSON - Who do we contact when your permit is ready to be issued Name:3'1 , V41%km< (Z-I4t .. : •. r D. a- y Te� p phone: Address: & �% y� ��) ‘A .4( L o o City Fax Number: Zip 2)-- 822 /'-Uy S °33 E -Mail Address: State Zip Company Name: 7C Mailing Address: 6 /5- & ' 5'1- Contact Person: -17 IAA V14 V t4 r? E -Mail Address: City State Zip Day Telephone: 7—) �Z 2 f 2 U6_ Fax Number: Contractor Registration Number / jk-440 Expiration Date: V ihs Valuation of Project (contractor's bid price): $ 51). e.3 0 Scope of Work (please provide detailed ' formation): RNs c-L /� � .�L L u wr -X•2 c� Sj� Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition Low Voltage ❑ Generator Prope y Served by: ❑ Puget Sound Energy ❑ Seattle City Light No Adding more than 50 amps? ❑ Yes XNo ❑ Service Change ❑ Fire Alarm HAApplications\Fonns- Applications On Line4-2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) $140.00 $75.00 ea $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 Number of concessions $10.00 $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of constriction 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 S WNER OR ELECTRICAL CONTRACTOR: Signature: Print Na Mailing Address: % 1 Date Application Accepted: tdf% I i 1 o `� 1 Date Application Expires: " V1 ; i:craionsTorms- Applications On Line44 -2007. Elect/ cal Pemtii Applicationdoc L•h Day Telephone: Date: 3//2137C--. 92r 8-2-2 /2L ) 14 S6 C State Zip jStaff Initials: 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 RECEIPT Parcel No.: 0003000110 Permit Number: EL08 -265 Address: 13038 INTERURBAN AV S TUI{W Status: PENDING Suite No: Applied Date: 03/18/2008 Applicant: AMERICAN FAMILY INSURANCE Issue Date: Receipt No.: R08 -00812 Initials: User ID: Payee: JEM 1165 Payment Amount: $58.00 Payment Date: 03/18/2008 12:50 PM Balance: $0.00 THE SIGN FACTORY, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1187 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 doc: Receiot -06 Printed: 03 -18 -2008 r 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 Pr 'ect: 0,4'/CA 0,47CAY brier -3/ n Type of Inspection: /0-0 A dress: /3O3 /'4&'4' 14 Date Called: Special Instructions: Date Wanted: tom,, V C //� a.m. p.m. Requester: Phone No: roved per applicable codes. EJ Corrections required prior to approval. OMMENTS: Inspecto iL /2a7,64/9///.6// IDat/.y&r El $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: Look Up a Contractor, Electron or Plumber License Detail 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 SIGNF * *021JB Licensee Name SIGN FACTORY INC, THE Licensee Type ELECTRICAL CONTRACTOR UBI 601848775 Ind. Ins. Account Id Business Type CORPORATION Address 1 815 8TH ST Address 2 City KIRKLAND County KING State WA Zip 98033 Phone 4258221200 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 4/2/1998 Expiration Date 4/2/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License FALLSD* 191 JP Electrical Administrator Information License FALLSD* 191JP Name FALLS, DENNIS Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date RISHER, CAROLYN 01/01/1980 RISHER, JIM 01/01/1980 CARTER, SABRINA 01/01/1980 ENGEL, GREG AGENT 01/01/1980 • Page 1 of 2 https: // fortress. wa. gov /lni /bbip /printer.aspx ?License= SIGNF* *021 JB 03/18/2008