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Home My WebLink AboutPermit EL11-1105 - RAINIER CANCER CENTERRAINIER CANCER CENTER 200 ANDOVER PK E EL1 1 -1105 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 -1105 Issue Date: 12/12/2011 Permit Expires On: 06/09/2012 Owner: Name: ANDOVER PLAZA LLC Address: 1501 N 200Th ST , SHORELINE WA Contact Person: Name: TRACIE SKILES Address: 7400 HARDESON RD , EVERETT WA Contractor: Name: BERRY NEON Address: 7400 HARDESON RD , EVERETT, WA Contractor License No: BERRYNC077CM Phone: 425 776 -8835 Phone: 425 776 -8835 Expiration Date: 07/14/2013 DESCRIPTION OF WORK: INSTALL ONE ILLUMINATED 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: I hereby certify that I have read and governing this work will be complie x- with Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: 121 1 R ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 constructio :rformance of work. I am authorized to sign and obtain this electrical permit. Signa Print Name: -1-776t( f Date: p 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 -1105 Printed: 12 -12 -2011 PERMIT CONDITIONS • Permit No. EL 11 -1105 * *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 -1105 Printed: 12 -12 -2011 CITY OF TUKA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htio://www.ci.tukwila.wa.us Electrical Permit No. 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: Tenant Name: g .i/ _, New Tenant: Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 2 1-0-00T1 f%,a_ Suite Number: Floor: ❑ Yes k2r. No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: C/ZS 7 I E -Mail Address: �tty State Zip Fa7 Number: £f L r i77,E / ELECTRICAL CONTRACTOR INFORMATION Company Name: ��pp,,�� q Mailing Address: 1q b ./ F-EL P l � City (,� State Zips Day Telephone: [ Z Fax Number: yZ C 7 y Q G / Expiration Date: ?fr�f �1 1 J jams Contact Person: E -Mail Address: 4" h i i �a' ec?l Contractor Registration Number: dy/ike.... 4% %d� Valuation of Project (contractor's bid price): $/7 Scope of Work (please provide detailed information): a.._Q.._ ‘01- k Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: u361- e, .5jr\ Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Prope y Served by: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- 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 ELECTR CAL CONTRACTOR: La././I Sig Print Name: Mailing Address: I WOO Date: / Day Telephone: `��7740 Grp 4/A 7f2,3 City 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.>;ov Parcel No.: 0223100099 Address: 200 ANDOVER PK E TUKW Suite No: Applicant: RAINIER CANCER CENTER RECEIPT Permit Number: EL11 -1105 Status: APPROVED Applied Date: 12/12/2011 Issue Date: Receipt No.: R11 -02704 Initials: User ID: Payee: JEM 1165 Payment Amount: $63.00 Payment Date: 12/12/2011 12:30 PM Balance: $0.00 TRACIE SKILIES, BERRY NEON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 012188 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt -06 Printed: 12 -12 -2011 INSPECTION NO. INSPECTION RECORD tuJ ` 0T Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Km4 I eity4 CleiS Type of Inspection: Address: Date Called: Special nstructions: Date Wanted:. r l 27 .tq� e..,..._,, Requester: Phone No: gt3 Approved per applicable codes. D Corrections required prior to approval. 3 COMMENTS: r 'Date: , #A 1 n REINSPECT! + N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by LEI 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 BERRY NEON COMPANY INC 4257768835 7400 Hardeson Rd Everett WA 98203 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601363588 Active BERRYNC085L3 Electrical Contractor 6/23/1992 6/23/2012 Sign Unused 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 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 12/12/2011