HomeMy WebLinkAboutPermit EL08-0668 - CHEVRON GAS STATIONCHEVR I N GAS STATION
220 STRANDER BL
ELO8-668
Cityllf 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:
ELECTRICAL PERMIT
Permit Number: EL08 -668
Issue Date: 06/02/2008
Permit Expires On: 11/29/2008
Tenant:
Name: CHEVRON GAS STATION
Address: 220 STRANDER BL , TUKVVILA WA
Owner:
Name: CHEVRON TEXACO Phone:
Address: PROPERTY TAX DEPT , P 0 BOX 1392
Contact Person:
Name: STEVEN THOMSON 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:
WIRE (1) NEW CANOPY SIGN, CANOPY, LED, SPANNERS AND MONUMENT TO EXISTING
ELECTRICAL CIRCUITS
Value of Electrical: $2,000.00
Fees Collected:
$104.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
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 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 or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
�/
Print Name: (.'41,Y7. 7a xv/?f L I ( /n
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 -4/07
EL08 -668 Printed: 06 -02 -2008
Parcel No.: 2623049104
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: hp: / /www.ci.tukwila.wa.us
220 STRANDER BL TUKW
CHEVRON GAS STATION
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -668
ISSUED
06/02/2008
06/02/2008
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: /(/(Ai7PC--- /77/ (L/(.^ ( Date:
Print Name: (/,'1Sh»Ci m / -ea// � Y /
doc: Cond -Elec EL08 -668
Printed: 06-02 -2008
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www. ci. tkwila. wa. us
Electrical Permit No. E' LO 8— le to 8
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.: C� 3O4
9I04
Site Address: �Q anCar Q! V O Suite Number: Floor:
Tenant Name: 0 vrD eicv s l U lr) New Tenant: ❑ Yes k..N
o
Property Owners Name: C /Y V
T'l c
Mailing Address:
State
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: `..7� e,/V 1 Y , Day Telephone:42-6 —� 9/ / C 9
Mailing Address: I-0 �B `► `I 1 y ! �.u. ' � � p
City Siate Zip
E -Mail Address: S-t-CV Pi) �G'h I G�,S �i{ ,(OV?1 Fax Number: 406— 7 � 7— O/`�
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 1fS S■ ► 1 Inc
Mailing Address: Pc) C /tea
g tn� c44�CCC......I� "f el
Contact Person: ,5t� Ue`► ! 0 rMOrl
E -Mail Address: 1. 0. J t S\, h
Contractor Registration Number:
City /' _State 7 Zip
Day Telephone: /4 9/ 77 c7i? 9
Fax Number: '/c9) — 9/ - 0
Expiration Date: 4 / 1 0/0q
Valuation of Project (contractor's bid price): $ 2& W 1 L
1 7'C) ^ / i �;
Scope of Work (please provide detailed information): tr� can p
r. • . C 9 ..I !,► CJ I f11 11'
elk ri'a Urr,Ui -ts.'
Will service be altered? ❑ Yes L10
Type of Use:
Type of work:
ew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes No
Property Served by:
.,Puget Sound Energy
❑ Seattle City Light
H: ApphcationsWomss- Apphcanons On Ltnek -2007 - Electncal Permit Application doc
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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 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: *�/1,� (�
Print Name: Cl ncL C 4k-k.� ? (� �'�%1 Day Telephone:
Mailing Address: 1 () c)9— t� CJ q ran- b n
City
Date: 5 -9`vr5
:5 p-977-1, 109
G9(4. q t _�
State Zip
Date Application Accepted: Date Application Expires:
1
Staff Initials:
H:VApplications\Fomu- Applications On IJne44-2007 - Electncal Permit Application.doc
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.: 2623049104
Address: 220 STRANDER BL TUICW
Suite No:
Applicant: CHEVRON GAS STATION
RECEIPT
Permit Number: EL08 -668
Status: PENDING
Applied Date: 06/02/2008
Issue Date:
Receipt No.: R08 -01881
Initials: WER
User ID: 1655
Payment Amount: $58.00
Payment Date: 06/02/2008 11:05 AM
Balance: 50.00
Payee: INSIGNIA SIGN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3461 58.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 58.00
Total: $58.00
3124 06/02 9711 TOTAL 58.00
doc: Receiot -06 Printed: 06 -02 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION It-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: w/ C9
�/'V
Type of Inspection: 2---/PV
Address:
U S"7e9N) 44
. :1 vl1\
Date Called:
Special Instructions:
Date Wanted:
%,/
Requester:
Phone No:
'oved per applicable codes. El Corrections required prior to approval.
COMMENTS:
6X- /R
/SStitA ,c < /Pi_i
Inspector ;LL 1)7a77/94c41/61-/
Date: /�
if C'�(/ ?l
LI $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:
ti
Look Up a Contractor, Electrian 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
INSIGSI055JS
Licensee Name
INSIGNIA SIGN INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601507324
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 2849
Address 2
City
RENTON
County
KING
State
WA
Zip
98056
Phone
4259172109
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
4/10/1995
Expiration Date
4/10/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
THOMSBE954L8
Master Electrician Information
License
THOMSBE954L8
Name
THOMSON, BRYAN E
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BOWEN, BRYAN E
01/01/1980
THOMSON, CINDY A
01/01/1980
BOWEN, BRYAN E
AGENT
01/01/1980
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https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= INSIGSI055JS 06/02/2008