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Home My WebLink AboutPermit EL12-0770 - BEVERAGES & MOREBEVERAGES & MORE 17197 SOUTHCENTER PY EL1 2-0770 City th Y 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 Parcel No.: 2623049069 Address: 17197 SOUTHCENTER PY TUKW Project Name: BEVERAGES & MORE ELECTRICAL PERMIT Permit Number: EL12 -0770 Issue Date: 08/15/2012 Permit Expires On: 02/11/2013 Owner: Name: KTM GROUP LLC Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110 Contact Person: Name: CONNIE MAYER Address: PO BOX 928 , SILVERDALE WA, 98383 Contractor: Name: HANSON SIGN CO INC Address: PO BOX 928 , SILVERDALE WA 98383 Contractor License No: HANSOSC 108M7 Phone: 360 613 -9550 Phone: 360 - 613 -9550 Expiration Date: 07/27/2014 DESCRIPTION OF WORK: INSTALL (2) NEW CABINET WALL SIGNS TO BUILDING Value of Electrical: NRES: $200.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKELRS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied with, $63.00 2008 Date: 131`CIA 4'Z 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 pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction a peJtr'e of work. I am authorized to sign and obtain this electrical permit. Signature: V v U Date: 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 EL12 -0770 Printed: 09 -06 -2012 PERMIT CONDITIONS Permit No. EL12 -0770 * *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 -0770 Printed: 09 -06 -2012 City of �'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 Parcel No.: 2623049069 Address: 17197 SOUTHCENTER PY TUKW Project Name: BEVERAGES & MORE ELECTRICAL PERMIT Permit Number: EL12 -0770 Issue Date: 08/15/2012 Permit Expires On: 02/11/2013 Owner: Name: KTM GROUP LLC Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110 Contact Person: Name: CONNIE MAYER Address: PO BOX 928 , SILVERDALE WA, 98383 Contractor: Name: HANSON SIGN CO INC Address: PO BOX 928 , SILVERDALE WA 98383 Contractor License No: HANSOSC 108M7 Phone: 360 613 -9550 Phone: 360 - 613 -9550 Expiration Date: 07/27/2014 DESCRIPTION OF WORK: INSTALL (2) NEW CABINET WALL SIGNS TO BUILDING AND (1) NEW EMC TO FREESTANDING SIGN USING EXISTING CIRCUITS. Value of Electrical: NRES: $200.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKELRS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied whether specified herein or not. $63.00 2008 IZ ed this permit and know the same to be true and correct. All provisions of law and ordinances The granting of this permit does not press fne to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of w rk. I am authorized to sign and obtain this electrical permit. Signature: L�;�2 % / C CA Date: (1 bs 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 EL12 -0770 Printed: 08 -15 -2012 PERMIT CONDITIONS Permit No. EL 12 -0770 * *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 -0770 Printed: 08 -15 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov • Electrical Permit No. Project No. 'EL12- 011 0 Date Application Accepted: Date Application Expires: (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 ?Aloe" tc Ako /� King Co Assessor's Tax No.:a(pa3 d ` q () to -1 Site Address: ') 1 �� S o� e_e),(7 _I eV P kw Suite Number: Floor: New Tenant: [ ' Yes ❑ ..No Tenant Name: e-Peo I • \ 0 PROPERTY OWNER /��v nn Name: K-r Iv1 l rots -.p 1... Lt., Address: (p -S 1 5Th St ee h 001 �} ire( CitYla'. n6Y i (cGe. .LS r1. R Z"I d 1( 0 CONTACT PERSON — person receiving all project communication Name: Address: Sayre c City: State: Zip: Phone: Fax: Email: CiU D0 t o rvt riu P r a LOCI e cab"( ELECTRICAL CONTRACTOR INFORMATION Company Name: 'I l oi nso,v t h CEO Address: 1 ox q - 7 J i Stag d Zip9 f3 ri City. 1 l) /'C 9 Q I Q AC1,c Phone:3 (Db — 6 13 9 (sax: 360 -10 I 3 - l�� Date: Contr Reg Nn.ivSO Td a1 I SIExp Tukwila Business License No.: n , 01 2 thrococA uo d 6'0C Valuation of Project (contractor's bid price): $ aloe Scope of Work (please provide detailed information): • 1n�A -a.11 r\c\ a ne) ca_b ■ yet wall ��gnS 4.O but c irve E C 4 a -� r e e S--ok. Ack r Si- o n 'Vl5 i vt ct Will service be altered? ❑ Yes 0- No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro , e Served b : P Puget Sound Energy ❑ Seattle City Light H:\Applicattons orms- Applicatons On Line\201 I AppItcal,ons\Electncal Permit Application Revised 8 -9 -1 I .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 El 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 Signature: (t 1t42,ce aZiOd t91, 4.�( e0 Date: p 10 1' 1��2U I /" I( Day Telephone: 3 r 0- r -q SS Ioevlale u)s- aF3 3 Print Name: Mailing Address: 9 -10 k ate H:\Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip Page 2 of 2 IP 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.: 2623049069 Permit Number: EL12 -0770 Address: 17197 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 08/15/2012 Applicant: BEVERAGES & MORE Issue Date: Receipt No.: R12 -02358 Initials: JEM User ID: 1165 Payment Amount: $63.00 Payment Date: 08/15/2012 11:14 AM Balance: $0.00 Payee: HANSON SIGN COMPANY, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 46787 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: 08 -15 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit it11-6770 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431-3670 Project: n�� Type of Inspection: 1 � Address: 1 l 1 I L5-C-- Py. Date Called: Special Instructions: Date Wanted: . / /m. Lq ," a (P m, alt Requester: I Phone No: pApproved per applicable codes. COMMENTS: Corrections required prior to approval. / Inspector: Date: (p % .644 rZ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople PrirPFriendly Page Electrical Contractor A business licensed by LEN 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 HANSON SIGN CO INC 3606139550 Po Box 928 Silverdale WA 98383 Kitsap Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600251243 Active HANSOSC108M7 Electrical Contractor 7/27/1990 7/27/2014 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HANSOSC302JZ HANSON SIGN CO INC Electrical Contractor General Unused 4/9/1970 9/30/1990 Archived Master Electrician INFORMATION License HANSOR'962NC Name HANSON, RANDY Status Active Business Owner Information Name Role Effective Date Expiration Date HANSON, RANDY Cancel Date 01/01/1980 Bond Amount HANSON, CINDY 3 01/01/1980 SH7851 HANSON, RANDY 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 3 CBIC SH7851 05/05/2008 Until Cancelled $4,000.0004/11/2008 2 OLD REPUBLIC INS CO YLI223975 05/05/1993 Until Cancelled 06/05/2008 $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 08/15/2012