HomeMy WebLinkAboutPermit EL10-0994 - PRO GOLF DISCOUNTPRO GOLF DISCOLJNT
17305 SOUTHCENTER PY
EL1 0-0994
Parcel No.:
Address:
Tenant Name:
City* 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
2623049024
17305 SOUTHCENTER PY TUKW
PRO GOLF DISCOUNT
ELECTRICAL PERMIT
Permit Number: EL10 -0994
Issue Date: 12/07/2010
Permit Expires On: 06/05/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
TR5 LLC
117 E LOUISA ST #230 , SEATTLE WA 98102
TRACIE SKILES
7400 HARDESON RD , EVERETT WA 98203
BERRY NEON COMPANY INC
Address: 7400 HARDESON RD , EVERETT WA 98203
Contractor License No: BERRYNC085L3
Phone: 425 776 -8835
Phone: 425 776 -8335
Expiration Date: 06/23/2012
DESCRIPTION OF WORK:
INSTALL ONE LIT WALL SIGN
Value of Electrical Work:
NRES: $100.00
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
governing this work will be complie
The granting • this permit does not pr
constructio or e performanc = of wor
of this permit
Signatu e:
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date: al O1 (19
red this'ermit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
k. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
Print Name:
Date: 7
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 -9/09
ELI 0-0994 Printed: 12 -07 -2010
p •
PERMIT CONDITIONS
Permit No. EL10 -0994
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL10 -0994 Printed: 12 -07 -2010
CITY OF TUKWIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:llwww. ci. tukwila. wa. us
Electrical Permit No. aW _011
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
2 �Kiing Co o Assessor's Tax No.: ZI.9Z 0 L� / D)'/
Site Address: 113 O� S � li r L./Suite Number: Floor:
Tenant Name: PrO D l S
Property Owners Name: fiL-G�
St .e/P - L 141%0(7 /
Mailing Address: / 13 as
New Tenant:
10
Yes ❑..No
ate .64/4 -
City / State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: j�(r _ r, F� ki Day Telephone: - ZS-- 776,
Mailing Address: Lib 0 t 4JC' g( ePev lef203 (j$
tty (` State
E -Mail Address: ne.LA ye y)! / , gkeri /1e(1/lS 1J�i �- ax Number: 7 Z )7h% d 2
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: rVLj tV t0A f 541_,11/13
Mailing Address: 1 f(j -?- 144 ! t [J
City Zip
/'
Day Telephone: `1 ZC-7%0ST 3%–
Fax Number: yZ C- %%L4 €2Z/
Expiration Date: .4/z -f /? _
Contact Person: jr4, - L SF'IIL�
E -Mail Address: n& t v itr S•
yYL� ✓1C°
ft-s-/-1
Contractor Registration Number:
Valuation of Project (contractor's bid price): $ /00—
Scope of Work (please provide detailed information): / A ,C-17.1-4, 6k/...t; f f t" 4)
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: \
Type of work:
New ❑ Addition
ow Voltage ❑ Generator
Property Served by:
gr.Thiget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc
to,
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$140.00
$75.00 ea
$55.00 ea
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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.
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:
Sign, ' ure:
Print Name: / nLe S
Mailing Address: %O) 41�
IDate Application Accepted:
Date: /2/7/A9
Day Telephone: 92577(0 -f(31—'
City State
Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Appltcatton.doc
Page 2 of 2
Cif', 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
SET RECEIPT
Copy Reprinted on 12 -07 -2010 at 11:07:32 12/07/2010
RECEIPT NO: R10 -02445
Initials: JEM
Payment Date: 12/07/2010
User ID: 1165 Total Payment: 487.00
Payee: BERRY NEON SIGN SYSTEMS
SET ID: 1207 SET NAME: BERRY NEON
SET TRANSACTIONS:
Set Member
EL10 -0994
S10 -069
TOTAL:
Amount
63.00
424.00
63.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6195 487.00
TOTAL: 487.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
SIGN PERMIT 000.322.100
63.00
424.00
TOTAL: 487.00
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 2 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
41-® lk ®lk DISCAor<
Ty of Inspection:
% tat)
O
/3 5 5'�° P °
Date Called:
Special Instructions:
Date Wanted:
/�X�
a.m-
s
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
A
Inspector:
Date:
42410
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 Per Friendly Page
IIP
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 BERRY NEON COMPANY INC UBI No. 601363588
Phone 4257768835 Status Active
Address 7400 Hardeson Rd License No. BERRYNC085L3
Suite /Apt. License Type Electrical Contractor
City Everett Effective Date 6/23/1992
State WA Expiration Date 6/23/2012
Zip 98203 Suspend Date
County Snohomish Specialty 1 Sign
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BERRYNC085B3
BERRY NEON
CO
Electrical
Contractor
Sign
Unused
1/23/1992
1/23/1994
Archived
Electrical Administrator INFORMATION
License TORNOSR207RU
Name TORNOW, STEPHEN R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JACOBS, RONALD
01/01/1980
JACOBS, BELINDA
01/01/1980
TORNOW, STEPHEN
Agent
01/01/1980
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
4
COLONIAL AM CAS &
SURETY OF MD
LPM4052314
06/23/2000
Until Cancelled
$4,000.00
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 12/07/2010