HomeMy WebLinkAboutPermit EL11-0285 - BENCABENCA
200 ANDOVER PK E
EL1 1 -0285
Parcel No.: 0223100099
City* 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.ci.tukwila.wa.us
Address: 200 ANDOVER PK E TUKW
Tenant Name: BENCA
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0285
03/28/2011
09/24/2011
Owner:
Name: ANDOVER PLAZA LLC
Address: 1501 N 200TH ST , SHORELINE WA 98133
Contact Person:
Name: TRACIE SKILES
Address: 7400 HARDESEN RD , EVERETT WA 98203
Contractor:
Name: BERRY NEON COMPANY INC
Address: 7400 HARDESON RD , EVERETT WA 98203
Contractor License No: BERRYNC085L3
Phone: 425 766 -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 compli
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date:
Onitl
ex. 'ned this permit and know the same to be true and correct. All provisions of law and ordinances
wit whether specified herein or not.
The granting of this permit does not p e 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
Signa I /� ,�
Print N �A iLt L
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 -9/09
EL 11 -0285 Printed: 03 -28 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0285
* *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 -0285 Printed: 03 -28 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto:ll www. ci. tukwila. wa. us
..•---,
Electrical Permit No t..4 1 33
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 Address: ZbV - C
Tenant Name: - 'Gt4'y)`I ti. I oc 14-,n
Property Owners Name: DU-0-e,
Mailing Address: 1,AGfc_
King Co Assessor's Tax No.:]) Z731 o 2 l
Suite Number: el Floor:
New Tenant:
Yes ❑ .. No
City State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: / /Y(t- , Set lei
Mailing Address:1 /lb D - L` E�rt f it
E -Mail Address:W(AD /1/1150X{fYjaa i Si Cj • L{LYj
Day Telephone:I—QC77(4.43 3(
lit 1g7l�3
City / State Zip
Fax Number: S
7 7 7L-f z,
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address: b
�Cvl .)(Y\
Contact Person: 1 f A/ �,, S? t 1 G
E -Mail Address:
g'J , f -if 41-1 `f eze3
city State c1 Zip
Day Telephone: LO710, >56 Fax Number: Vs----7 %LJ ,f-z%j
Contractor Registration Number:
Expiration Date:
100/2
Valuation of Project (contractor's bid price): $ 16
Scope of Work (please provide detailed information): Ciali
Will service be altered? ❑ Yes
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes No
❑ Remodel ❑ Tenant Improvement
Proneitv.Served b
Sound Energy
❑ Seattle City Light
H Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicalion.doc
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Page 1 of 2
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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 -
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:
Signa
Print Name: 1 V �l� 1eS
Mailing Address: .��Gi�( dhA— 4 t
City
�L j
Date Application Accepted:
09,114 (
Day Telephone:
Date:
Date Application Expires:
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicatinn.dnc
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Page 2 of 2
Staff Initials: d
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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.tukwila.wa.us
Parcel No.: 0223100099
Address: 200 ANDOVER PK E TUKW
Suite No:
Applicant: BENCA
RECEIPT
Permit Number: EL11 -0285
Status: APPROVED
Applied Date: 03/28/2011
Issue Date:
Receipt No.: R11 -00596
Payment Amount: $63.00
Initials: JEM Payment Date: 03/28/2011 01:14 PM
User ID: 1165 Balance: $0.00
Payee: BERRY NEON SIGNS SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6349 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
doc: Receiot -06 Printed: 03 -28 -2011
INSPECTION RECORD
Retain a copy with permit
614 4S&
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 =367
Permit Inspection Request Line (206) 431 -2451
Project: 16�
Type of Inspection:
Address:
Date Called:
Special Instructions: 14
St V
1
Date Wanted:
9/3
p.m.
Requester:
Phone No:
0 a1 SCI Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:'
Inspector:
Date:
Ott/ 3 11
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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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
BERRYNC08563
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 a
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 03/28/2011