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Home My WebLink AboutPermit EL10-0656 - SUNRISE DENTALSUNRISE DENTAL 7100 FUN CENTER WY EL1 0-0656 City at'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.: 2423049092 Address: 7100 FUN CENTER WY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0656 Issue Date: 08/12/2010 Permit Expires On: 02/08/2011 Tenant: Name: SUNRISE DENTAL Address: 7100 FUN CENTER WY , TUKWILA WA Owner: Name: H2 OFFICE LLC Phone: Address: 7100 FUN CENTER WAY STE 100 , TUKWILA WA Contact Person: Name: MIKE LINEBRINK Phone: 360 -671 -7165 Address: 1330 NORTH FOREST ST , BELLINGHAM WA Contractor: Name: SIGNS PLUS INC Phone: 360 671 -7165 Address: 1330 N FOREST ST , BELLINGHAM WA Contractor License No: SIGNSPI954LW Expiration Date: 06/16/2011 DESCRIPTION OF WORK: INSTALL TWO (2) WALL SIGNS. Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 Date: e it L GV 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 w' , whe her specified herein or not. The granting of this permit construction or Signature: Print Name: give authority to violate or cancel the provisions of any other state or local laws regulating e perfoe • work. I . authorized to sign and obtain this electrical permit. r�l ,ca- ,L c duzze / U lz Ac.),5 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 ELI 0-0656 Printed: 08 -12 -2010 • 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.: 2423049092 Address: Suite No: Tenant: 7100 FUN CENTER WY TUKW SUNRISE DENTAL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0656 ISSUED 08/12/2010 08/12/2010 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 complie • with, whether specified herein or not. The granting of this permit does not pr : met• give authority to violate or cancel the provision of any other work or local laws regulating construction __ • -dorm,. ce of work. Signatur Print Name: / l(br !� /�u�, l2 /il�% % G k fi.�JS Date: 8�2 doc: Cond -Elec EL10 -0656 Printed: 08 -12 -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 No. j [40— V ((jgo 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.: .% U Z 304 9 Site Address: 7100 Fun Center Way Tenant Name: Sunrise Dental Suite Number: Property Owners Name: H2 OFFICE LLC 110 Floor: 1 New Tenant: m Yes ❑..No Mailing Address: 7100 FUN CENTER PKWY TUKWILA WA 98188 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: SIGNS PLUS /MIKE LINEBRINK Mailing Address: 1330 N FOREST STREET E -Mail Address: mike @signsplusnw.com Day Telephone: (360) 671 -7165 BELLINGHAM WA 98225 City State Fax Number: (360) 671 -0144 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: SIGNS PLUS /MIKE LINEBRINK 1330 N FOREST STREET Contact Person: SIGNS PLUS /MIKE LINEBRINK E -Mail Address: mike @signsplusnw.com Contractor Registration Number: SIGNSPI954LW BELLINGHAM WA 98225 City State Zip Day Telephone: (360) 671 -7165 Fax Number: (360) 671 -0144 Expiration Date: 06/16/2011 Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): INSTALL TWO (2) WALL SIGNS Will service be altered? ❑ Yes m No Type of Use: sIGNAGE Type of work: m New ❑ Low Voltage Property Served by: m Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes m No Addition ❑ Service Change Generator ❑ Fire Alarm H:\Applications\Fonns- Applications On Line\2010 Applications \7 -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) 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 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 ELE T' CAL FOR: Signatur Print Name: Ai/lam /Lie-ea-4c) Mailing Address: 1330 N FOREST STREET Date: 08/11/2010 Day Telephone: (360) 671 -7165 BELLINGHAM k!A 98225 City State Zip Date Application Accepted: Date Application Expires: _ � Z, 11 Staff Initials: H: Applications\Fonns- Applications On Line \20I0 Applications \7 -2010 - Electrical 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.: 2423049092 Address: 7100 FUN CENTER WY TUKW Suite No: Applicant: SUNRISE DENTAL RECEIPT Permit Number: EL10 -0656 Status: APPROVED Applied Date: 08/12/2010 Issue Date: Receipt No.: R10 -01568 Payment Amount: $75.60 Initials: BLH Payment Date: User ID: ADMIN Balance: 08/12/2010 01:04 PM $0.00 Payee: SIGN PLUS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 96627 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 PAYMENT FCFIVED doc: Receiot -06 Printed: 08 -12 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 610-oste� PERMIT NO. L, CITY OF TUKWILA BUILDING DIVISION I. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project D )144 41irnt V Type of Inspection: Zit, 0 Address: �' / :7/00 Date Called: structions: 1 sMMe/5 / -2— per. Date Wanted: /0i/o 4a. Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: Inspector: 116-nbeic Date: d�c (O n REINSPECTION FEE REQUIRED. Prior.to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Potter Friendly Page • Electrical Contractor A business licensed by LEtI 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 Et 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 Warrant Information Warrants are not filed with the department for this contractor type https: // fortress .wa.gov /lni/bbip /Print.aspx 08/12/2010