HomeMy WebLinkAboutPermit EL11-1091 - 76 GAS STATION76 GAS STATION
15060 TUKWTILA
INTERNATIONAL BL
EXPIRED
12 -I1 -12
EL1 1 -1091
Parcel No.:
Address:
City olk'ukwila
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
ELECTRICAL PERMIT
0041000680
15060 TUKWILA INTERNATIONAL BL TUKW
Project Name: 76 GAS STATION
Permit Number:
Issue Date:
Permit Expires On:
EL11 -1091
12/07/2011
06/04/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
DESMOIRE FRANK SR
FAMILY TRUST , 5245 BALL CT
STEVEN THOMSON
PO BOX 2849 , RENTON WA
INSIGNIA SIGN INC
PO BOX 2849 , RENTON WA
Contractor License No: INSIGSI055JS
Phone: 425 - 917 -2109
Phone: 425 917 -2109
Expiration Date: 04/10/2013
DESCRIPTION OF WORK:
WIRE (1) NEW LED PRICE SIGN, 3 NEW WALL SIGNS, & 92' OF LED DOWNLIGHTING. ALL
WIRED TO EXISTING ELECTRICAL
Value of Electrical:
NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
4 /4
I hereby certify that I have read and examined this pe.% 't 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 •r the performance of work. I • uthorize;j sign and obtain this electrical permit.
f r °U___
Fees Collected:
National Electrical Code Edition:
Date:
$96.60
2008
Signature:
Print Name: 1�1C'9----\--\(\ 0■\(\
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 -4/10
EL11 -1091
Printed: 12 -07 -2011
• PERMIT CONDITIONS •
Permit No. EL 11 -1091
* *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
EL11-1091 Printed: 12 -07 -2011
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. C L 1 \-- `_Q .l
Project No.
Date Application Accepted:
Date Application Expires:
(Foroi we use onl oL
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:
Tenant Name:
-T 123
15060 h
76 Gas Station
King Co Assessor's Tax No.: 0041000680
Suite Number: Floor:
New Tenant: ❑ Yes I..No
PROPERTY OWNER
Name: Steven Thomson
Name: Frank Desmoire Sr
Address: PO BOX 2849
Address: 15060 Pacific Highway South
City: Renton State: WA
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Steven Thomson
Address: PO BOX 2849
Address: PO BOX 2849
City: Renton State: WA
Zip: 98056
Phone: (425) 917 -2109 Fax: (425)
917 -0153
Email: steven @insigniasign.com
Fax:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Insignia Sign Inc.
Address: PO BOX 2849
City: Renton
State: WA
Zip: 98056
Phone: (425) 917 -2109
Fax:
(425)
917 -0153
Contr Reg No.: INSIGSI055JS
Exp Date: 04/10/2013
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information):
Wire 1 new led price sign, 3 new wall signs, & 92' of led downlighting (ALL WIRED TO EXISTING ELECTRICAL):
Will service be altered? ❑ Yes j No Adding more than 50 amps? ❑ Yes ® No
Type of Use: Commercial
Type of work:
VI New ❑ Addition ❑ Service Change 21 Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Form- Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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, fumace 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:
Signature:
Date: l Z (O 5itt
Print Name: Steven Thos n Day Telephone: (425) 917 -2109
Mailing Address: PO BOX 2849 Renton WA 98056
City
H: \Applications\Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
State Zip
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.aov
RECEIPT
Parcel No.: 0041000680 Permit Number: EL11 -1091
Address: 15060 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED
Suite No: Applied Date: 12/07/2011
Applicant: 76 GAS STATION Issue Date:
Receipt No.: R11 -02661 Payment Amount: $96.60
Initials: TLS Payment Date: 12/07/2011 03:44 PM
User ID: 1670 Balance: $0.00
Payee: INSIGNIA SIGN INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3897 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 12 -07 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (0. (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 76 645 j ,
�(�
Type of Inspection:
,./11747
Address:
15-640 TJA `
Date Called:
�..
Special Instructions:
Date Wanted:.
m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
/ A A& 5- cJTO g
**nu) 6416A164r5 4141)
&Jll t'1 c ti m u- 5 K(Q U I
Inspector:
Date: 06 I,1 1
❑ REINSPECT! N FEE REQ !RED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
11 -01 -2012
STEVEN THOMSON
PO BOX 2849
RENTON WA 98056
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL11 -1091
76 GAS STATION
15060 TUKWILA INTERNATIONAL BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 12/11/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/11/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
'--tW
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -1091
6300 Southcenter Boulevard, Suite 4100 • Tukwila. Washington 98188 • Phone 206 - 431 -3670 • Fax 206-431 -3665
June 6, 2012
•
Gity of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Steven Thomson
Insignia Sign & Reimaging
PO Box 2849
Renton, WA 98056
RE: Request for Extension
Electrical Permit Number EL11 -1091
76 Gas Station —15060 Tukwila International BI
Dear Mr. Thomson,
This letter is in response to your written request for an extension to Permit Number and EL11-
1091. The Building Official has reviewed your letter and considered your request to extend the
above referenced permit. The City of Tukwila Building Division will be extending your permit
an additional 180 days from the date of expiration, December 3, 2012.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
1�!
AkM96,0
fer ar hall
Pe it T ician
File: Permit No. EL11 -1091
W:\Pennit Center \Extension Letters \Pennits\2011\EL 11 -1091 Permit Extension.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
+y
+oQ
et
May 25, fl2
(I#IS1DN/R}
& Re-/a aggiig
RE: Request for Permit Extension
To Whom It May Concern:
We are requesting a permit extension on Permit# ELu -1o91. The permit will expire on
June 04, 2012. Due to hold backs from our manufacturer, the project is not yet completed
and signs still need to be installed. Therefore, please provide us with an extension.
Thank -You,
Steven Thomson
Project Manager
Insignia Sign, Inc.
(425) 917-2109 - Phone
(425) 917 -0153 - Fax
Enclosure
Physical / Shipping Address:
325 Burnett Avenue North
Renton, WA 98057
>12hes le- --0,
took 121 b)
Telephone: 425 917-2109
Fax: 425 917 -0153
Mailing Address Only
PO BOX 2849
Renton, WA 98056
05 -01 -2012
STEVEN THOMSON
PO BOX 2849
RENTON WA 98056
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. ELII -1091
76 GAS STATION
15060 TUKWILA INTERNATIONAL BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 06/04/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 06/04/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Bill Rambo
Permit Technician
File: Permit File No. EL11 -1091
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Pryer Friendly Page
•
Electrical Contractor
A business licensed by L£sl 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
INSIGNIA SIGN INC
4259172109
Po Box 2849
Renton
WA
98056
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601507324
Active
INSIGSI055JS
Electrical Contractor
4/10/1995
4/10/2013
Sign
Unused
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
9805360
THOMSON, CINDY A
President
01/01/1980
ELECTRICAL CITATION
BOWEN, BRYAN E
$250.00
01/01/1980
02/04/2002
BOWEN, BRYAN E
Agent
01/01/1980
02/04/2002
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
Lexon Ins Co
9805360
04/23/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.0004/15/2011
$250.00
3
COLONIAL AM CAS &
SURETY OF MD
LPM4051223
04/23/2000
Until Cancelled
05/26/2011
$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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ESHA000208
1/23/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHRAL00569
1/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 12/07/2011