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Home My WebLink AboutPermit EL11-0927 - RAINIER CANCER CENTERRAINIER CANCER CENTER 200 ANDOVER PK E EL1 1 -0927 City okukwila • 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.: 0223100099 Address: 200 ANDOVER PK E TUKW Project Name: RAINIER CANCER CENTER ELECTRICAL PERMIT Permit Number: EL11 -0927 Issue Date: 10/06/2011 Permit Expires On: 04/03/2012 Owner: Name: ANDOVER PLAZA LLC Address: 1501 N 200TH ST , SHORELINE WA Contact Person: Name: TRACIE SKILES Address: 7400 HARDESEN RD , EVERETT WA Contractor: Name: BERRY NEON COMPANY INC Address: 7400 HARDESON RD , EVERETT WA Contractor License No: BERRYNC085L3 Phone: 425 - 776 -8835 Phone: 425 776 -8335 Expiration Date: 06/23/2012 DESCRIPTION OF WORK: INSTALL ONE WALL SIGN Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: lot (o- 1 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 not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction • :7. rformanc - work. I am authorized to sign and obtain this electrical permit. Date: Signa 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 -4/10 ELI 1-0927 Printed: 10 -06 -2011 • PERMIT CONDITIONS • Permit No. EL11 -0927 * *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 -4/10 EL11 -0927 Printed: 10 -06 -2011 , CITY OF.TUKWIL1. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.11www. ci. tukwila. wa. us Electrical Permit No 1 O),2: Project No. (For o to 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.: Site Address:2 rO Altvi t fOtt,tjt .. ' 3 Tenant Name:Ilr�j Q ✓LAC �� Property Owners Name: 6 h l - Mailing Address: Z-OO �, t Cpl rG. TEL p vu ih,L. City State Zip Suite Number: Floor: New Tenant: Yes No CONTACT PERSON - Who do we ontact when your permit is ready to be leaned Name: Y ekt,o Mailing Address: -71100 E -Mail Address: Day Telephone: L (l 5 111J ' E-k 3 S' t\A .1CZ� City _-7 State �/ Zip Fax Number: C(ZS / 7L ii 7Z / ELECTRICAL CONTRACTOR INFORMATION, Company Name T--ll Li 1/� ik) A � t� v ,, Mailing Address:1 l Ct) t SL t `f/ � j ,``��``�� City Zip Contact Person: l l//i `L1r(, � 1(23 Day Telephoner 7 �cli3� E -Mail Address: Fax Number: 1-17-S-77-/ 22 j Expiration Date: % / 1 (I /IS Contractor Registration Number: VV (r�C V-1 76 P-1 Valuation of Project (contractor's bid price): $ ID& Scope of Work (please provide detailed information): c-a) . cam-) Will service be altered? ❑ Yes [( No Adding more than 50 amps? ❑ Yes IQ No Type of Use: ``�` T .e o work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light 11: AApplications \Forms - Applications On Line A2010 Applications \7 -2010 - Electrical Permit Application.doc Eh 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 PER T APP ICATION 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 0 NER OR ELECTRICAL CONTRACTOR: Si Print Name: Mailing Address: 7t-it) V IDate Application Accepted: Date: //! // Day Telephone: %ZI� City State Zip Date Application Expires: Staff Initials: II: AAppl ientions\Foims- Applications On LineA2010 Applications V7 -2010 - Electrical Permit Application.doc hh 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.: 0223100099 Address: 200 ANDOVER PK E TUKW Suite No: Applicant: RAINIER CANCER CENTER RECEIPT Permit Number: EL11 -0927 Status: PENDING Applied Date: 10/06/2011 Issue Date: Receipt No.: R11 -02197 Payment Amount: $63.00 Initials: WER Payment Date: 10/06/2011 02:17 PM User ID: 1655 Balance: $0.00 Payee: BERRY NEON SIGN SYSTEMS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6623 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: 10 -06 -2011 INSPECTION RECORD Retain a copy with permit . INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 4010 Project: "V l Type of Inspection: A,, 1 Address: - w Pit 6 Date Called: Special Instructions: jjj /. -6 A -m, C-444-4-1 n, to). • 514 A Date Wanted:. 42_0 Aa. Requester: Phone No: • Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: / to -C)r ri 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 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 10/06/2011