Loading...
HomeMy WebLinkAboutPermit EL10-0004 - MIDWEST SIGN & SCREENMIDWEST SIGN & SCREEN 401 EVANS BLACK DR EL1 0-0004 Cityglf 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: EL10 -0004 Issue Date: 01/06/2010 Permit Expires On: 07/05/2010 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 Phone: (425)255 -8666 Address: PO BOX 179 , RENTON WA Contractor License No: HOLMEEC549BH Expiration Date: 10/31/2010 DESCRIPTION OF WORK: INJSTALL DEDICATED CIRCUIT TO HEATER Value of Electrical: NRES: $1,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $96.60 National Electrical Code Edition: 2008 Date: 1-1,9-( D 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 o wor.. I am authorized to sign and obtain this electrical permit. Signature: Print Name: !Y Date: 76 /O 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 EL10 -0004 Printed: 01 -06 -2010 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: EL10 -0004 ISSUED 01/06/2010 01/06/2010 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 Name: g/44-/7 le„.„4/ Date: % A //O doc: Cond -Elec EL10 -0004 Printed: 01 -06 -2010 CITY OF TUKWI• Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.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.: 0 -sZ 3 10 — Do 33 Site Address: LQ' 3\-.)S --BLP &) .v.. Suite Number: Floor: Tenant Name: C \Vaw\ c�■(„pki "* Sf,6``.) New Tenant: ❑ Yes ..No Property Owners Name: Mailing Address: (401 ICV I &S --r)L- IAe.,1_ U.. Name: 2lFa ETT— 0.4\ 011L-IL..- Mailing Address: P 0 • 47;1r 33 Si E -Mail Address :TAA C'O1;=1. l3\lsb1L.l.j)UE(..(`nt`S, 6DIVN Company Name: j iiin e-.S EL.kfGT; Mailing Address: P. 0 . A5,7 IC 33 . Contact Person: ...B1L (DQ T OktiNL. E -Mail Address: T L_O T; /fii1O I L1L 101.111 ES, t et Contractor Registration Number: ,f 13L/11 E E .5-4147 'rvv u1 LA- City State Zip Day Telephone: a53 D3L 07(142: el S1613S City State Zip Fax Number: , 5 3 3'-i 0�9 a ,S' e IA/ 7— cticas- City State Zip Day Telephone: S3 c L/ ' / Fax Number: c:25- Expiration Date: /0 --3 /L? Valuation of Project (contractor's bid price): $ 0 f)t) 0 Scope of Work (please provide detailed information): /081 i , %1EA)1 ttaut`t'" tQ Will service be altered? ❑ Yes VI No Type of Use: Type of work: ❑ New ddition ❑ Service Change ❑ Low Voltage 0 Generator , Fire Alarm 0 Telecommunication 0 Temporary Service Adding more than 50 amps? ❑ Yes li°No ❑ Remodel ❑ Tenant Improvement Property Served by: %Puget Sound Energy ❑ Seattle City Light H: Applications \Pomts - Applications On Line \I -2009 - L•lectncal Pemut Applicatton.doc bh Page 1 of 2 RESIDENTIAL 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) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) ITAPPLIyyCATION' NOTE • 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 additional 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature Print Name lefi (;4)1))1.L Date: ja1314 9 ' n Day Telephone: r53,:Q,�-31 70 e' Mailing Address: &(V / 9A6AUU /I I Vi 66 T 1,t�I'� City State Date Application Accepted: H:\ApplicationsWomu- Applications On Line \1.2009. Electrical Pemiit Application.doc bh Date Application Expires: Staff Initials: Zip Pagc 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: EL10 -0004 Status: PENDING Applied Date: 01/06/2010 Issue Date: Receipt No.: R10 -00009 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 01/06/2010 08:59 AM Balance: $0.00 Payee: HOLMES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 051924 92.00 Payment Cash 4.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 PAYMENT RECEIVED doc: Receiot -06 Printed: 01 -06 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,to-000ll PERMIT NO. (206)431 -3670 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project m� �-s, i5att Typ of Inspection: 2ioo Address: I/©(C 5 5b1-44, Date Called: Special Instructions: Date Wanted: 0� a.m .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 0 0'1 0 a $60.00 REINSP CTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: `. �; tl:.,. �+... �-> �c ,;- .d•�ra..r�:�_.yr._+- a,hv�.r t x- ww�.-., Y•*' S- c�. h; �•,-- ...- ;x- S�- '.r....t,'S'w'4:'�r 5 ^.a•�t'�; Untitled Page • Page 1 of 2 Electrical Contractor A business licensed by L8t1 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 52BSBFB9243 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 52BSBFB9243 12/08/2008 Until Cancelled $4,000.00 12/09/2008 AMERICAN Until https://fortress.wa.gov/lni/bbip/Detail.aspx 01/06/2010