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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