HomeMy WebLinkAboutPermit EL10-0028 - X-TREME FLOORSX -TREME FLOORS
1055 ANDOVER PK E
EXPIRED
07 -26 -10
EL1 0-0028
Parcel No.: 2623049019
Address:
Suite No:
CitA f 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.cLtukwila.wa.us
1055 ANDOVER PK E TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0028
01/14/2010
07/13/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
X -TREME FLOORS
1055 ANDOVER PK E , TUKWILA WA
M3 PROPERTIES LLC
C/O JSH PROPERTIES INC , 555 S RENTON VILLAGE PL # 100
Contact Person:
Name: JASON TAYLOR
Address: 14107 PIONEER WY E , PUYALLUP WA
Contractor:
Name: M C SIGNS & BANNERS INC
Address: 14107 PIONEER WAY E , PUYALLUP WA
Contractor License No: MCSIGSB911P3
Phone:
Phone: 206 459 -3469
Phone: 253 370 -7716
Expiration Date: 10/23/2011
DESCRIPTION OF WORK:
CONNECT SIGN TO EXISTING 120 V DESIGNATED SIGN CIRCUIT
Value of Electrical: NRES: $300.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
112
Fees Collected:
National Electrical Code Edition: 2008
$67.20
Date: Oil 114 I 10
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr
construction or the performance of work.
Signature: ill I
Print Name: JO
to give authority to violate or cancel the provisions of any other state or local laws regulating
m authorized to sign and obtain this electrical permit.
Date: / /`f /%v
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
ELI 0-0028 Printed: 01 -14 -2010
Parcel No.: 2623049019
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
1055 ANDOVER PK E TUKW
X -TREME FLOORS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0028
ISSUED
01/14/2010
01/14/2010
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 art 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:
Date: %/ /V/C%
doc: Cond -Elec
ELI 0-0028 Printed: 01 -14 -2010
Site Address:
CITY OF TUKWIL'
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 **
King Co Assessor's Tax No.: 262 3 C L-I 9'O 1 cl
4, A0-10,e, i F Suite Number:
Tenant Name: X— i v-et-ZL'. e f'ldv✓' 6
Property Owners Name: 1-4,14_
Mailing Address:
New Tenant:
Floor:
Yes ❑ .. No
/0,7 5—At,.,lovr4, 4..-k Cust
City
CONTAC IERSON ;Who do we contact when your,permit'is ready`to be rssue}d;:
Name:SJ6 o I /ow-
Mailing Address: MO? Piovree✓. f-> ( Pvj�..l jo LAM City
E -Mail Address: V▪ iaR9 Jrti ±&, it, d 1/41 &-z 1- Gov`"- Fax Number:
State
Zip
Day Telephone: 2e'6 ` `isr-/-3414 °i'
State
Zip
ELECTRICAL` CONTRACTOR INFORMATION,
.i:
:. v,
Company Name: (vie- St w S
Mailing Address: 1'4107 P'rv» e e v-
11 ,--
Contact Person:
E -Mail Address: 'to L- F'?'Q 4.1,-,'/* to Fax Number:
M6g,C,s.gct11 P3
P�"
,
City
Day Telephone:
W G337
State Zip
206 - Lis q - 3 �-1d
Contractor Registration Number:
Expiration Date: /6/2 3 /z 0 1,-
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): lv vt ee t - t �o c'�`cJ ft /zU of es �,1�4 fec�
Will service be altered? ❑ Yes <a-No
Type of Use: �; cr </L-
Type of work:
❑ New ❑ Addition
▪ Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes (No
❑ Service Change
❑ Fire Alarm
H:\ Applications\Porms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
•PPLICATION"NOTE
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
°PERMIT
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:
Signatur
P' N S
Print Name:
v t�-
Mailing Address: 2 0S3 S Zz ua4 Ave
Date Application Accepted:
Date: //' G/I d
Day Telephone: 206 — U y 9 - 3 `'(6 C(
City
State Zip
01
Date Application Expires:
r
H:\Applications\Forms- Applications On Lme\2010 Applications \1 -2010 - Electrical Permit Application.doc
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Page 2 of 2
Staff Initials: ,/ ,
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.: 2623049019
Address: 1055 ANDOVER PK E TUKW
Suite No:
Applicant: X -TREME FLOORS
RECEIPT
Permit Number: EL10 -0028
Status: APPROVED
Applied Date: 01/14/2010
Issue Date:
Receipt No.: R10 -00059
Payment Amount: $67.20
Initials: JEM Payment Date: 01/14/2010 01:33 PM
User ID: 1165 Balance: $0.00
Payee: MC SIGNS & BANNERS, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2388 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -14 -2010
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
WO -002S
PERMIT NO.
(206)431 -3670
Project: I �� ���
P14 I NN4i.F.R 1 %/1/o + cam
Type of Inspection:
;,..../00
Addres : 055 YVrWM
tz `
Date Called:
Special Instructions:
S1 ti rY
Date Wanted:
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes.
ItCorrections required prior to approval.
COMMENTS:
P14 I NN4i.F.R 1 %/1/o + cam
;uu►nl Ftt Rol 2 GrzzAi rj
MN( DE Aca-65 .Eul F�2 idsPK-rio,
of wie_144t tiMoD5 AR.00tbfa (304131
Inspector:
Date: 01/2 7 I0
❑ $60.00 REIN9'PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
06 -01 -2010
JASON TAYLOR
14107 PIONEER WY E
PUYALLUP WA 93372
City of f Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL10 -0028
1055 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 07/26/2010 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
—414d61
Bill Rambo
Permit Technician
xc: Permit File No. EL10 -0028
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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Electrical Contractor
A business licensed by LW 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
MC Signs it Banners Inc
2533707716
14107 Pioneer Way E
PUYALLUP
WA
98372
PIERCE
Corporation
UBI No.
Status
License No.
602663008
ACTIVE
MCSIGSB911P3
License Type ELECTRICAL CONTRACTOR
Effective Date 10/23/2009
Expiration Date 10/23/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License POPACY*918DB
Name POPACH, YURIY
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
Cheban, Mikhail M
PRESIDENT
10/23/2009
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
Lexon
Insurance
Company
9800627
10/22/2009
Until
Cancelled
$4,000.00
10/23/2009
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/14/2010