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HomeMy WebLinkAboutPermit EL12-0955 - CITY OF TUKWILA - CITY HALLCITY OF TUKWILA 6200 SOUTHCENTER BL EL1 2-0955 City oikukwila 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.: 3597000282 Address: 6200 SOUTHCENTER BL TUKW Project Name: CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0955 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKVVILA WA 98188 Contact Person: Name: BOB GIBERSON Address: 6300 SOUTHCENTER BL, STE 100 , TUKWILA WA, 98188 Contractor: Name: SIGNS PLUS INC Address: 1330 N FOREST ST , BELLINGHAM WA 98225 Contractor License No: SIGNSPI954LW Phone: 206 431 -2457 Phone: 360 671 -7165 Expiration Date: 06/16/2013 DESCRIPTION OF WORK: INTERCEPT EXISTING POWER, EXTEND CONDUIT TO NEW SIGN, AND CONNECT SIGN TO POWER. (MONUMENT SIGN - INTERNAL FLUORESCENT LIGHTING) Value of Electrical: NRES: $1,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $96.60 2008 Date: !/ I hereby certify that I have read and examined . 's 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 s not p me to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th ance ork. I am authorized to sign and obtain this electrical permit. Signature: Date: / Q 7- % 2- Print Name: Cdr) "S'S e This permit shall become null and void 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 -0955 Printed: 12 -07 -2012 • PERMIT CONDITIONS Permit No. EL 12 -0955 * *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 -0955 Printed: 12 -07 -2012 CITY OF TUKLA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.TukwilaWA.gov • Electrical Permit No. Project No. Date Application Accepted: °In Date Application Expires: 0C4 V�� (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 r�,,,, King Co Assessor's Tax No.: I t0 OW— Site Address: 6200 5001-lice AireljZ gLvi) Suite Number: Floor: Tenant Name: PROPERTY OWNER Name: 5..� L% (S i2 -s010 Name: i Ty (o 6� v, B n k [�—w_%�1 Address: /' j 5 OV•.� -i gLAO City: Tv vit* State Zip:�st CONTACT PERSON — person receiving all project communication Name: 5..� L% (S i2 -s010 Address: 6300 Phone: Fax: 50v r 1, -tL 31_14))< City: cuKtA/li, State: wk k Zip: qG 1 g Phone: 4...1.......z4,5-7 Fax: 431.3665 Email: Gam' ���`r' 6 New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: —T-0 .iw E_. 7eotl'kINd Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: re /D-c ,. /-rloV Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): WE SIGN SST .* !t 080 co A40 (1 l7 T6 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes g No Type of Use: MO k/V114, 7 5716I1.) A/ /t/44._ CO -14/7 46f1 ' /�i7 Tvpe of work: New s(62,J ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H: \ApplicationsWorms- Applications On Line \201 I Applications\Electrical 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 I:e Service change or alteration $8 L90 T (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 ELECTRICAL CONTRACTOR: Signature: //?? Print Name: 0�1 G Mailing Address: Date: /0.-4 Z Day Telephone: 431 Z157 63oo SavrH — CE-, OLVD svt� /doy —r u.n k4 'MI E" City State Zip H. \Applications \Forms-Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 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.gov Parcel No.: 3597000282 Address: 6200 SOUTHCENTER BL TUKW Suite No: Applicant: CITY OF TUKWILA RECEIPT Permit Number: EL12 -0955 Status: APPROVED Applied Date: 10/10/2012 Issue Date: Receipt No.: R12 -02819 Payment Amount: $96.60 Initials: JEM Payment Date: 10/10/2012 10:24 AM User ID: 1165 Balance: $0.00 Payee: PUBLIC WORKS ACCT 303.98.594.190.41.00 TRANSACTION LIST: Type Method Descriptio Amount Payment Other Authorization No. ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 10 -10 -2012 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. 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: /! 7 i )(r " Al 1 Type of Inspection: Address: 4 p o n S.C. gi- - Date Called: ---^- Special Instructions: Date Wanted: . (a.m. P_;p{ Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (,k/od5 ts4.te Inspector: Date: 05*. ,3 . n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD thi_0755) Retain a copy with permit INSPECTION NO. PERMIT NO. CITY,OF" TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 lD, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 7� il Type of Inspection: 2/00 Address: Q Z-00 ,54° gi''° Date Called: Special Instructions: Date Wanted: aloft' �® Requester: '® Phone No: Approved per applicable codes. NCorrections required prior to approval. COMMENTS: - %/tt NS CIDAP.01oAls for r E rfif 11k3 4O KE(4ts&ecrioi4 F rOD 0014,- Inspector: �� r4 &4vi Date:95 /02 ,2. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid. at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING. DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 im (206)431 -3670: Permit Inspection Request Line (206) 431 -2451 EUC-(?T55 Project: ./,' tlif< Type of Inspection: ` / IQ C.1 Address: 6,1 gi Date Called: Special Instructions: Date Wanted:. / ' a rn, r Requester: Phone No: ElApproved per applicable codes. ® Corrections required prior to approval. COMMENTS: 05( p c -"v BSI X045 (4P d�r ifirfRu40 t1C D : &Amok"( sti no kr Inspector: Cifik9Nritik n REINSPECTION FEE REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to "scheduleieinspection: �• s, .City of Tukwila Department of Community Development Jack Pace, Director 1908 Jirit Haggerton, Mayor 05 -01 -2013 BOB GIBERSON 6300 SOUTHCENTER BL, STE 100 TUKWILA WA 98188 RE: Permit No. EL12 -0955 CITY OF TUKWILA 6200 SOUTHCENTER 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 06/12/2013. 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 06/12/2013, 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, / V` enni er Marshall e t Technician File: Permit File No. ELI2 -0955 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 . Fax 206 -431 -3665 Contractors or Tradespeople Py ter Friendly Page Electrical Contractor A business licensed by LEti 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 SIGNS PLUS INC 3606717165 1330 N Forest St Bellingham WA 98225 Whatcom Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602475651 Active SIGNSPI954LW Electrical Contractor 6/16/2005 6/16/2013 Sign Unused Master Electrician INFORMATION License LACHAPM973CG Name LACHAPELLE, PAUL M Status Active Business Owner Information Name Role Effective Date Expiration Date GRAVNING, DALE Agent 06/16/2005 Bond Amount GRAVNING, DALE President 06/16/2005 9807860 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 2 Lexon Ins Co 9807860 06/13/2011 Until Cancelled $4,000.0006/13/2011 1 COLONIAL AM CAS Et SURETY OF MD LPM4069112 06/13/2005 Until Cancelled 06/13/2011 $4,000.00 06/20/2005 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 No records found for the previous 6 year period https:// fortress .wa.gov /lni/bbip/Print.aspx 12/07/2012