HomeMy WebLinkAboutPermit EL11-0125 - JOS A BANKJOS A BANK
321 STRANDER BL
EL1 1 -0125
Parcel No.:
Address:
Tenant Name:
Cit" Tukwila
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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.c1.tukwila.wa.us
2623049064
321 STRANDER BL TUKW
JOS A BANK
ELECTRICAL PERMIT
Permit Number: EL11 -0125
Issue Date: 02/16/2011
Permit Expires On: 08/15/2011
Owner:
Name: REGENCY CENTERS LP
Address: C/O PROPERTY TAX DEPT , PO BOX 790830 78279
Contact Person:
Name: STEVEN THOMSON Phone: 425 917 -2109
Address: PO BOX 2849 , RENTONW A 98056
Contractor:
Name: INSIGNIA SIGN INC
Address: PO BOX 2849 , RENTON WA 98056
Contractor License No: INSIGSI055JS
Phone: 425 917 -2109
Expiration Date: 04/10/2011
DESCRIPTION OF WORK:
WIRE (3) SETS OF LED CHANNEL LETTERS TO EXISTING ELECTRICAL CIRCUITS
Value of Electrical Work: NRES: $1,500.00 Fees Collected:
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
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
x.
wit
$115.50
National Electrical Code Edition: 2008
Date:
ned 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature: �. Date: Z - 1 • I
Print Name:
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
EL11 -0125 Printed: 02 -16 -2011
a •
PERMIT CONDITIONS
Permit No. EL11 -0128
* *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 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.
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
EL11 -0125 Printed: 02 -16 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.cL tkwila. wa. us
Electrical Permit No.
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
Site Address: 321 Strander Blvd
Tenant Name: Jos A Bank @ South Center Plaza
King Co Assessor's Tax No.: 2623049064
Suite Number: Floor:
New Tenant: m Yes ❑ ..No
Property Owners Name: Regency Centers LP
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Steven Thomson @ Insignia Sign Inc
Mailing Address: PO BOX 2849
E -Mail Address: steven @insigniasign.com
Day Telephone:
Renton
City
Fax Number:
(425) 917 -2109
WA 98056
State
(425) 917 -0153
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Insignia Sign Inc.
Mailing Address: PO BOX 2849 Renton WA 98056
Zip
Contact Person: Insignia Sign Inc.
E -Mail Address: steven @insigniasign.com
Contractor Registration Number: INSIGSI055JS
City State
Day Telephone: (425) 917 -2109
Fax Number: (425) 917 -0153
Expiration Date: 04/10/2011
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information): Wire 3 sets of led channel letters to existing electrical circuits.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use: ILLUMINATED SIGNAGE
Type of work:
DI New ❑ Addition
m Low Voltage ❑ Generator
Property Served by:
gf Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Forms- Applications On Line\20I0 Applications \7 -2010 - Electrical Permit Applicatioa.doc
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Page 1 of 2
m 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 ELECTRICAL CONTRACTOR:
Print Name:
Date: l to -11
IN5i q/\ b4- Si gni, in/c. 1 : f. . . Day Telephone: (425) 917 -2109
Mailing Address: PO BOX 2849 Renton
98056
Date Application Accepted:
b2lll,et I,1
City
State
Zip
Date Application Expires:
Staff Initials:
H:\Applications\Fomu- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
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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. tukwi la. wa. us
Parcel No.: 2623049064
Address: 321 STRANDER BL TUKW
Suite No:
Applicant: JOS A BANK
RECEIPT
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Permit Number: EL11 -0125
Status: APPROVED
Applied Date: 02/16/2011
Issue Date:
Receipt No.: R11 -00297
Payment Amount: $115.50
Initials: JEM Payment Date: 02/16/2011 11:18 AM
User ID: 1165 Balance: $0.00
Payee: INSIGNIA SIGN, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3835 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt-06 Printed: 02 -16 -2011
r.% - : r .. ..v;' -7'r ;• _: ,'" A7 :1 1y' r:t +: '.i" ` v. •
INSPECTION RECORD ,' •
Retain a co with permit 4Id I 0(
copy P PERMIT NO.
r
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12(206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Projects 64.41(
Type of Inspection:
Address: ,'
Date Called:
Special Instructions:
Date Wanted:
// 2,
to O
.
P. m
Requester:
Phone No:
0 Corrections required prior to approval,
cg Approved per applicable codes.
/COMMENTS:
Date:
otg 644
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 Pifer Friendly Page
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Page 1 of 2
Electrical Contractor
A business licensed by L81 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 INSIGNIA SIGN INC UBI No. 601507324
Phone 4259172109 Status Active
Address Po Box 2849 License No. INSIGSI055JS
Suite /Apt. License Type Electrical Contractor
City Renton Effective Date 4/10/1995
State WA Expiration Date 4/10/2011
Zip 98056 Suspend Date
County King Specialty 1 Sign
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License THOMSBE954L8
Name THOMSON, BRYAN E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
THOMSON, CINDY A
Agent
02/04/2002
Bond
Amount
THOMSON, BRYAN E
Member
02/04/2002
LPM4051223
THOMSON, CINDY A
President
01/01/1980
BOWEN, BRYAN E
01/01/1980
02/04/2002
BOWEN, BRYAN E
Agent
01/01/1980
02/04/2002
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
COLONIAL AM CAS
£t SURETY OF MD
LPM4051223
04/23/2000
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
https: / /fortress.wa. gov /lni/bbip /Print. aspx
02/16/2011