HomeMy WebLinkAboutPermit EL11-0591 - XAVIER - A STYLING LOUNGEXAVIER - A STYLING
LOUNGE
406 BAKER BL
EL1 1 -0591
Parcel No.:
Address:
Tenant Name:
City /Pt 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.c itulcwila.wa.us
0223100037
406 BAKER BL TUKW
XAVIER - A STYLING LOUNGE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0591
07/06/2011
01/02/2012
Owner:
Name: VILLAGE PARTNERS SOUTHCENTE
Address: 1420 5TH AVE #2200 , SEATTLE WA 98101
Contact Person:
Name: MIKE LINEBRINK
Address: 1330 N FOREST ST , BELLINGHAM WA 98225
Contractor:
Name: SIGNS PLUS INC
Address: 1330 N FOREST ST , BELLINGHAM WA 98225
Contractor License No: SIGNSPI954LW
Phone: 360 - 671 -7165
Phone: 360 671 -7165
Expiration Date: 06/16/2013
DESCRIPTION OF WORK:
INSTALL 1 CANOPY MOUNTED SIGN
Value of Electrical Work: NRES: $500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$75.60
National Electrical Code Edition: 2008
Date:
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 with, whether specified herein or not.
The granting of this permit does
construction or the perform . t e rk. I . • authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
give authority to violate or cancel the provisions of any other state or local laws regulating
Signatu
Print Name: ! KG 414g1/2,7/k) c5.76.AUS fits
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 EL11 -0591
Printed: 07 -06 -2011
• r
PERMIT CONDITIONS
Permit No. EL11 -0591
* *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 -0591 Printed: 07 -06 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.00v
Electrical Permit No. L_1 1-- o si (
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: ylOto gA Kee 13 WD
Tenant Name: )(A V l Ea.- A ST'Lt id6 LOU tag New Tenant: 2( Yes ❑ ..No
Property Owners Name: C L4 ESiE flF 1 ELD V►1ORTC A6 g 1 N V 025 1 foci 9 99
S. cATr't,6
King Co Assessor's Tax No.: 0 21.3100037
Suite Number: 140 Floor:
Mailing Address: 1 VO STN AATft 850
City
State
98101
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: ✓t'! , t < OE I 1 ' 4 I.) /5.1& NS T L,JS
Mailing Address: 1 3 3o ■), Fo P- EST ST
E -Mail Address: Wt + k e_ 44b S t5' s p l os r u, ic_ofrA
Day Telephone: 360 -- 67 1- 7 1 1.-5
tI 14A41. tA41 g$°,1 Z•S
City
State Zip
Fax Number: 3 `''7 1' 01 ,-144
ELECTRICAL CONTRACTOR INFORMATION
Company Name: C
Mailing Address: 13 . Con-es-r. ST
Contact Person: 141 ! K e �- r �..�EBlI.1►�K
E -Mail Address: t k e 115 p/ US v1 w• G o wt
Contractor Registration Number: .S'/ c CPi 9 S4 LA.-)
gL=LLl ti6.144 "4 L✓A 90°.2.2-5"
City
State Zip
Day Telephone: 3 6C'- 61/-?/ /
Fax Number: 3 kb o- ‘71-O/ /
Expiration Date: '// //i
Valuation of Project (contractor's bid price): $ 00-6 —d
Scope of Work (please provide detailed information): M PSTA L.+— c2k,E CAt oP rtcAL°
Will service be altered? ❑ Yes ["No Adding more than 50 amps? ❑ Yes ENo
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
El/Puget Sound Energy
❑ Seattle City Light
H:\Applications\Fonns- Applications On Line\2010 Applications \7.2010 - 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
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 E . AL CO RACTOR:
Signatur " Date:
Print Name: 141 , KF /-. erg
Mailing Address: / 3 3.a N e Forme Sr Sr
rs-720//
Day Telephone: ?‘ d - d 7 /- rigs
gez—L its,‘ 4A4
City
k.q F8%25'
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2010 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.TukwilaWA.gov
Parcel No.: 0223100037
Address: 406 BAKER BL TUKW
Suite No:
Applicant: XAVIER - A STYLING LOUNGE
RECEIPT
Permit Number: EL11 -0591
Status: PENDING
Applied Date: 07/06/2011
Issue Date:
Receipt No.: R11 -01377
Payment Amount: $75.60
Initials: WER Payment Date: 07/06/2011 10:30 AM
User ID: 1655 Balance: $0.00
Payee: SIGNS PLUS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 97849 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
doc: Receipt-06 Printed: 07 -06 -2011
:4.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
;too
Address:
a
Date Called:
Special Instructions:
. • 5, 4 „)
s'1Vyy
•
Date Wanted:.
7
a.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
(Inspector: fie / 'Date:
/o /D7 l I)
0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr�er 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
6/16/2013
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
Bond Amount
GRAVNING, DALE
President
06/16/2005
9807860
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
2
Lexon Ins Co
9807860
06/13/2011
Until Cancelled
$4,000.0006/13/2011
1
COLONIAL AM CAS &
SURETY OF MD
LPM4069112
06/13/2005
Until Cancelled
06/13/2011
$4,000.0006/20/2005
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 07/06/2011