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HomeMy WebLinkAboutPermit EL10-0265 - GOLFTECGOLFTEC 406 BAKER BL EL1 0-0265 Parcel No.: 0223100037 Address: Suite No: CitOlOof 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 406 BAKER BL TUKW ELECTRICAL PERMIT Permit Number: EL10 -0265 Issue Date: 04/08/2010 Permit Expires On: 10/05/2010 Tenant: Name: GOLFTEC Address: 406 BAKER BL , TUKWILA WA Owner: . Name: VILLAGE PARTNERS SOUTHCENTE Address: 1420 5TH AVE #2200 , SEATTLE WA Contact Person: Name: MIKE LINEBRINK Address: 1330 N FOREST ST , BELLINGHAM WA Contractor: Name: SIGNS PLUS INC Address: 1330 N FOREST ST , BELLINGHAM WA Contractor License No: SIGNSPI954LW Phone: Phone: 360 671 -7165 Phone: 360 671 -7165 Expiration Date: 06/16/2011 DESCRIPTION OF WORK: INSTALL ONE CHANNEL LETTER SIGN Value of Electrical: NRES: $50.00 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 complie The granting of this permit doe construction or the perform Signatur Print Name: Fees Collected: National Electrical Code Edition: 2008 $63.00 Date: 04 VD$ `VD s permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. 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 EL10 -0265 Printed: 04 -08 -2010 Parcel No.: 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 0223100037 406 BAKER BL TUKW GOLFTEC PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date; EL10 -0265 ISSUED 04/08/2010 04/08/2010 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 m 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 pr e to laws regulating construction or t - pe /rmance . f work. da, ve authority to violate or cancel the provision of any other work or local Signature: Print Name: /21/ 1-r- i` /J 4.1 �l Date: doc: Cond -Elec ELI 0-0265 Printed: 04 -08 -2010 CITY OF TUKWILA 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 LOCATIO /, King Co Assessor's Tax No.: O.. 23%O Oc?.3 Site Address: ` . 06, 8 q V-F R S V 1T 112 Tenant Name: a 01...r-roc Property Owners Name: Ve LLA c C PA T N C tt-5 1l'r - c O' fl Mailing Address: ) 9 �4 5t N Avg- W Suite Number: 2.. Floor: % sr New Tenant: 12 Yes ❑ ..No SE111r1.� City State rig 10) Zip CONTACT PERSI permit is read Name: PI t telS t Pl -t6 Mailing Address: 1 33 j20n_>r;T Si E -Mail Address: Y?11 f C e (P S 1S Vl S P l v» 1 ) W. c ©;sl to be issue Day Telephone: 26r. 4"1 1? I GAS (.14 j` vv,_ iAA % Y r; 7^/ City State Zip Fax Number: 3 co - 7 l' O t '^1 y ELECTRICIAL CONTRACTOR INFORMATIC fnr 154.14 `^£'_ ' �x .. 11115,,,: w,' tvriMEM-t` :-'.�'+,t V, ,„t Company Name: 5 A r'1 E •A 3 Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: S 1C, 1-).5 P l S 1 L i..› Expiration Date: 2/14 / State Zip Valuation of Project (contractor's bid price): $ �av� Scope of Work (please provide detailed information): -i fJ ST-A !. r— o Lerr 5; 4.1J Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes [ o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: 'iuget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \1-2010 - Electrical Permit Application.doc bh Page 1 of 2 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 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 T 01. STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECT C Signatur : CTOR: Print Name: h'%/ /6-; L �S 1 N k ,Sl 6 NS' 1—QS' Day Telephone: Mailing Address: /330 h,. C flOS T 'T IDate Application Accepted: I10414441 City Date: 11/4'/,4 i G u„A State Zip Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Line \2010 Applications \I -2010 - Electrical Permit Applicatibn.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.: 0223100037 Address: 406 BAKER BL TUKW Suite No: Applicant: GOLFTEC RECEIPT Permit Number: EL10 -0265 Status: APPROVED Applied Date: 04/08/2010 Issue Date: Receipt No.: R10 -00594 Payment Amount: $63.00 Initials: JEM Payment Date: 04/08/2010 11:18 AM User ID: 1165 Balance: $0.00 Payee: SIGNS PLUS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 96121 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 PAYMENT RECEIVED doc: Receipt -06 Printed: 04 -08 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367' Project: 6 Ck / L Type of Inspection: fio Address: ,/ 6Ke lc Date Called: Special Instructions: 10:00 a. N,. Date Wanted: 6 4ny m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: �i • Date: 0 06/ zoo ri I4 60.00 REINSP CTION FEE REQ IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 049( PERMIT NO. (206)431 -3670 Project: / ���C (CI (/ Type of Inspection: i0D Address: _(06 61-146c ge_. Date Called: Special Instructions: S(4 to. 00 Date Wanted: 4 / 12 2- p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 06 0 $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: Contractors or Tradespeople P ter Friendly Page 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Signs Plus Inc 3606717165 1330 N Forest St Bellingham Wa 98225 Whatcom Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602475651 Active SIGNSPI954LW Electrical Contractor 6/16/2005 6/16/2011 Sign Unused MASTER ELECTRICIAN INFORMATION License LACHAPM973CG Name Lachapelle, Paul M Status Active Business Owner Information Name Role Effective Date Expiration Date Gravning, Dale Agent 06/16/2005 Gravning, Dale President 06/16/2005 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 COLONIAL AM CAS & SURETY OF MD LPM4069112 06/13/2005 Until Cancelled $4,000.00 06/20/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https: // fortress .wa.gov /lni /bbip /Print.aspx 04/08/2010 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONTR SIGNS REGIST. # EXP. DATE CCSX SIGNSPI952LW 6/16/2011 EFFECTIVE DATE 6/16/2005 SIGNS PLUS INC' 1330 N FOREST ST BELLINGHAM WA 98225 F625 -052 -000 (8/97) Detach And Display Certificate DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR SIGN LICENSE # EXP. DATE EC04•:: SIG S I954LW 6/16/2011 EFFECTIVE DATE ' 6/16/2005 SIGNS PLUS INC 1330 N FOREST ST BELLINGHAM WA 98225 F625 -052 -000 (8/97) DEPARTMENT OF LABOR AND INDUSTRIES CERTIFIED AS PROVIDED BY LAW AS MASTER ELEC SIGN CERT. # - EXP. DATE ME04 LACHAPM973CG 2/10/2012 EFFECTIVE DATE 2/7/2003 LACHAPELLE, PAUL M 4857 SEAFAIR DR BLAINE WA 98230 F625- 052 -000 (8/97)