HomeMy WebLinkAboutPermit EL12-0620 - OPTOMETRY EYECAREOPTOMETRY EYECARE
16870 SOUTHCENTELR PY
EL1 2-0620
Parcel No.:
Address:
City oiitukwila
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
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16870 SOUTHCENTER PY TUKW
Project Name: OPTOMETRY EYECARE
ELECTRICAL PERMIT
Permit Number: EL12 -0620
Issue Date: 07/03/2012
Permit Expires On: 12/30/2012
Owner:
Name:
Address:
VA11-01ef SQ,Ak#-
r ° Y220)C SVa3 d1 OD
Contact Person:
Name: PETER LAI
Address: 2216 100 ST SE , EVERETT WA , 98208
Contractor:
Name: MIKE'S NEON SIGNS
Address: 2216 100TH ST SE , EVERETT WA 98208
Contractor License No: MIKESNS033CR
Phone:
Phone: 425 337 -2219
Expiration Date: 02/19/2013
DESCRIPTION OF WORK:
INSTALL ONE LED LIT CHANNEL LE,1'1'ER RACEWAY ON BUILDING MOUNTED "OPTOMETRY" SIGN
(S12-041)
Value of Electrical:
NRES: $75.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: P4
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$63.00
2008
Date: 1-5 (‘
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 not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the • - rformance of work. Imo: authorized to sign and obtain this electrical permit.
Signature:
Print Name:
LA-1
Date: .77-3/202-
This permit shall bec • me 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
EL12 -0620 Printed: 07 -03 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0620
* *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
EL12 -0620 Printed: 07 -03 -2012
CITY OF TUKWI4
Community Developmem apartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h tip : /,'www.TukwilaW A.gov
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 **
G p n - (� King Co Assessor's Tax No.: �- �'"► .4112:1
Site Address: O ' 4 l` / v W k C.(/YI r /bi)l Suite Number: Floor:
Tenant Name: L (D f� (�'/ € 7 E C � E New Tenant: �,, Yes ❑.. No
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Name: .e I f %e
-(
Address: 2:2j b
„ 07-C S (, S
City: ---i-T State: Zip: 6-w&
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Name:
. � r
S
e Lic,
. -
Address:
goc s-
1.P.
3 J
City:
lei (-6t1
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am
ip
b
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Name: .e I f %e
-(
Address: 2:2j b
„ 07-C S (, S
City: ---i-T State: Zip: 6-w&
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Phone:
�ZS.- TO -6Of dZ_Y- NZ- 4211
Email:
Valuation of Project (contractor's bid price): $ `)
Scope of Work (please provide detailed information): DNS % N - LED L r
;—E y _&)-F4ONZS Otc
Will service be altered? TO Yes ❑ No
Adding more than 50 amps? ❑ Yes 2: No
Type of Use: 3 ( 1.J C Co 101\1 E-C-T TO `&-) C 5Ttit,C- y0 tt/ -4Z
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro . e erved b :
IL Puget Sound Energy ❑ Seattle City Light
H:\ A..IicatjonsWorms- Applications On Line \20l 1 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
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Company Name: �"
i, A ( /S � Y mu
VcO
Address:
2_2( (OCR S( S.
City: - u mG (i- State: jute* Zip: gs-24
Phone: 425-. 7 S v 0 L4 Fax:42S 5-12•42(1
Contr Reg No.: m 1 e5tki o 33cEip Date: 1 (/1 L j I.
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ `)
Scope of Work (please provide detailed information): DNS % N - LED L r
;—E y _&)-F4ONZS Otc
Will service be altered? TO Yes ❑ No
Adding more than 50 amps? ❑ Yes 2: No
Type of Use: 3 ( 1.J C Co 101\1 E-C-T TO `&-) C 5Ttit,C- y0 tt/ -4Z
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro . e erved b :
IL Puget Sound Energy ❑ Seattle City Light
H:\ A..IicatjonsWorms- Applications On Line \20l 1 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
t\ L) 1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
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: / 7�/ 1 Date: 3 2-P'
Print Name: Day Telephone: .2& S 6 7G1
Mailing Address: l (j 1 co sr .c.6- ; v t.2C/()`
City State Zip
H:Wpplications'Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 2 of 2
• i
C 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
RECEIPT
Parcel No.: Permit Number: EL12 -0620
Address: 16870 SOUTHCENTER PY TUICW Status: PENDING
Suite No: Applied Date: 07/03/2012
Applicant: OPTOMETRY EYECARE Issue Date:
Receipt No.: R12 -02040
Initials: TLS
User ID: 1670
Payment Amount: $63.00
Payment Date: 07/03/2012 11:15 AM
Balance: $0.00
Payee: PETER HO THIEN LAI
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1146 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: 07 -03 -2012
•
a. F
INSPECTION :RECORD'
Retain a copy with permit
INSPECTION NO. .,
.0 .0a -Gay
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION. =
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
OPT hw,tr rtey Es'FUinta
Type of Inspection:
c>2 %c t7
Vr
Address:
A/9 I.) .S c°
Pgwie
Date Called:
1
Special Instructions:
Date Wanted:. a
X - /!�� /2 `.
a.
P.m.
Requester:
Phone No:
\proved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1 —�
Inspector:
G'i1�Y ,�an,N�y
Date: '
n
REINSPECION FEE REQUIRED. Prior to next inspection; fee must
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pri er 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
MIKE'S NEON SIGNS
4257500824
2216 100Th St Se
Everett
WA
98208
Snohomish
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601769546
Active
MIKESNS033CR
Electrical Contractor
2/19/1997
2/19/2013
Sign
Unused
Master Electrician INFORMATION
License COLE *RM976PL
Name COLE, R MICHAEL
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
COLE, ROBERT M
Owner
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
CBIC
SA7548
02/17/1997
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ESTRL00738
1/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESTRL00736
1/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 07/03/2012