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Home My WebLink AboutPermit EL10-0047 - FEDEX OFFICEFED EX OFFICE 112 ANDOVER PK E EXPIRED 07 -24 -10 EL 10-0047 Parcel No.: Address: Suite No: Cit=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: htlp: / /www.ci.tukwila.wa.us 0223000045 112 ANDOVER PK E TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0047 01/25/2010 07/24/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: FED EX OFFICE 112 ANDOVER PK E , TUKWILA WA CRIM INVESTMENTS INC PO BOX 1146 , EDMONDS WA BILL BOAD PO BOX 8106 , LACEY WA Contractor: Name: IMAGE NATIONAL INC Address: 16265 STAR ROAD , NAMPA, ID Contractor License No: IMAGENI161NL Phone: Phone: 360 493 -6070 Phone: 208 - 287 -1966 Expiration Date: 12/21/2011 DESCRIPTION OF WORK: INSTALL (2) WALL SIGNS Value of Electrical: Type of Fire Protection: NRES: $660.00 Fees Collected: $84.00 RES: $0.00 UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied Date: oil 1 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres construction or the perfor9an e f wor Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating d to sign and obtain this electrical permit. cfreke_c Date: / -2-S ` 2.6%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 ELI 0-0047 Printed: 01 -25 -2010 Parcel No.: 0223000045 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 112 ANDOVER PK E TUKW FED EX OFFICE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0047 ISSUED 01/25/2010 01/25/2010 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: IJf t 1 ,,594 Date: r' IS -28 (1 doc: Cond -Elec EL10 -0047 Printed: 01 -25 -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 1( Tenant Name: 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 ** Property Owners Name: Mailing Address: Name: Mailing Address: E -Mail Address: (ol'dvc-✓ 4 -1- OF-F(<e_ ttr,( tpF�.� King Co Assessor's Tax No.: 't tt. A-6( 6 F3 o x 8 c b(P e_ Sol c P Qua-. tor- Suite Number: Floor: New Tenant: ❑ Yes ait.. No CTRICAL CONTRACTOR .INFORMATION Company Name: Mailing Address: / (o 2(c. S City State Zip Day Telephone: 340 41 City +� Sta'te/ p / Zip Fax Number: J GD ` 5 J f — 6 t( 4 Contact Person: ) 1* Co 6b b E -Mail Address: J� A / / Contractor Registration Number: ,,TO A € 14 b 1 / 1A-mpiA- .4!) 3 lp City State Zip Day Telephone: 2.0,5 t 7I - 537? Fax Number: Expiration Date: 1 q 7-k t 2-6 1k Valuation of Project (contractor's bid price): $ 'F' C� (.1 j Scope of Work (please provide detailed information): tit S 1 `%) 1 l lo S Will service be altered? ❑ Yes -No Adding more than 50 amps? ❑ Yes A..No Type of Use: Type of work: ❑ New VI Addition ❑ Service Change Tenant Improvement ❑ Low Voltage ❑ Generator ❑ 'Fire Alarm ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Telecommunication 1r: 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)' 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 _ �1 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: Print Name: 0 Ls 1� e ‘` l-. [3D, - Mailing Address: FP0 3 Dk ( ()Co Date Application Accepted: 61 C7,1, I,.2 Day Telephone: Date: I— (0 36D L/ 73 e76 City Oi 9Bsac State Zip Date Application Expires: H:Wpplications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh Page 2 of 2 Staff Initials: 0------/ Ct 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. tukw ila. wa. us SET RECEIPT Copy Reprinted on 01 -25 -2010 at 12:46:53 01/25/2010 RECEIPT NO: R10 -00113 Initials: JEM Payment Date: 01/25/2010 User ID: 1165 Total Payment: 219.00 Payee: BDM ENTERPRISES, INC. SET ID: 0125 SET NAME: IMAGE NATIONAL SET TRANSACTIONS: Set Member EL10 -0047 S10 -003 TOTAL: Amount 84.00 135.00 84.00 TRANSACTION LIST: Type Method Description Amount Payment Check 14008 219.00 TOTAL: 219.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 SIGN PERMIT 000.322.100 84.00 135.00 TOTAL: 219.00 PAYMENT RECEIVED 06 -01 -2010 BILL BOAD PO BOX 8106 LACEY WA 98509 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL10 -0047 112 ANDOVER PK E TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 07/24/2010 , 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, '1,(1Q 7,AL_ Bill Rambo Permit Technician xc: Permit File No. EL10 -0047 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company IMAGE NATIONAL INC 2083454020 16265 STAR ROAD NAMPA ID 83687 OUT OF STATE Corporation UBI No. 409015114 Status ACTIVE License No. IMAGENI161NL License Type CONSTRUCTION CONTRACTOR Effective Date 8/13/1984 Expiration Date 12/21/2011 Suspend Date Specialty 1 SIGNS Specialty 2 UNUSED Business Owner Information Name Role Effective Date Expiration Date HANSBERGER, ROBERT V PRESIDENT 08/14/1984 Bond Amount LLOYD, BRENT F PRESIDENT 05/20/1998 0310474 BARS, VICKI SECRETARY 05/20/1998 LLEWELLYN, FRANK VICE PRESIDENT 05/20/1998 TRAVELERS CAS & STY CO OF AMER COBB JR, DON VICE PRESIDENT 04/30/1996 08/20/2008 ALDEN, JAN SECRETARY 08/14/1984 08/04/1997 URRUTIA, SHARON TREASURER 05/27/1994 08/04/1997 EARDLEY, RONALD VICE PRESIDENT 03/25/1991 08/04/1997 ANTON, CHRIS PRESIDENT 05/27/1994 04/30/1996 BESS, DAN L VICE PRESIDENT 05/27/1994 04/30/1996 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 CINCINNATI INS CO 0310474 08/20/2008 Until Cancelled $6,000.0008/18/2008 4 TRAVELERS CAS & STY CO OF AMER 104688943 05/01/2006 Until Cancelled 08/20/2008 $6,000.00 04/04/2006 3 SAFECO INS CO 5131765 10/01 /2001 Until Cancelled 08/24/2006 $6,000.0012/21 /2001 2 CO SAFECO INS 5131765 07/02/1985 10/01 /2001 $4,000.00 https://fortress.wa.gov/lni/bbip/Detail.aspx Page 1 of 3 01/25/2010