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HomeMy WebLinkAboutPermit EL12-1114 - ADVANTAGE STAFFINGADVANTAGE STAFFING 17045 SOUTHCKNTER PY EL12 -1114 City o'ukwila 4IP 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: 17045 SOUTHCENTER PY TUKW Project Name: ADVANTAGE STAFFING ELECTRICAL PERMIT Permit Number: EL12 -1114 Issue Date: 11/28/2012 Permit Expires On: 05/27/2013 Owner: Name: KTM GROUP LLC Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110 Contact Person: Name: LORI HENRY Address: 4208 AUBURN WY N #1 , AUBURN WA, 98002 Contractor: Name: ADVANCED SIGNS LLC Address: 13701 24ST E UNIT B -5 , SUMNER WA 98390 Contractor License No: ADVANSL923DP Phone: 253 854 -2333 Phone: 253 347 -5039 Expiration Date: 03/23/2014 DESCRIPTION OF WORK: CONNECT WALL TO EXISTING DESIGNATED SIGN CIRCUIT Value of Electrical: NRES: $300.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e amin governing this work will be complied th, 1 Date: $67.20 2008 ?.d 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 pre'uz a to give authority to violate or cancel the provisions of any other state or local laws regulating construction or • • . erformance of f i . I am authorized to sign and obtain this electrical permit. Signature: Print Name: yvi-7 vex_ C 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 EL12 -1114 Printed: 11 -28 -2012 PERMIT CONDITIONS '- Permit No. EL12 -1114 * *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 -1114 Printed: 11 -28 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.eov Electrical Permit No. El/� 2 Project No. ' ��i (4/ 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 Site Address: /•V Pfd Tenant Name: fC1 l/Q 4Q0 - --ct PROPERTY OWNER Name: . �/h,1q,/� Ate, /7 � (6 I1 1e.` Address: 3 J �V,„,r. pK w i b7 ip City. kr,A t / 6_ State:w Z` :gi g 3 hi CONTACT PERSON — person receiving all project communication Company Na d votnGt° d sici,r„4 1.16k 4vi5 Name: Xto te,/ e.nry �p Cit 0 VIA Pr) 'e2(- A :9I). Address: !J 7 -,y (c 1t36cAr n Z,Otq y /v # Contr Re o.: Exp nvl4n_9a3op Date: 3jt -iji3 City F JS State /4 1 Zips, g Phone ? 3' '54 -a333axai53-- 2S; -(b kz. Email: Lort' g I nalk-frt/OrG> -DktC c • CD King Co Assessor's Tax No.:�(oA ,v L�j'O(/ Suite Number: Floor: New Tenant: 2- Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Na d votnGt° d sici,r„4 1.16k 4vi5 Address:1 317 1 A 4/ s c Q 5 t`{'O ��7�7��'3 �p Cit 0 VIA Pr) 'e2(- A :9I). Phone: �t673 - 54 7- X77 3 Fax: Contr Re o.: Exp nvl4n_9a3op Date: 3jt -iji3 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 6Od Scope of Work (please provide detailed information): 0 L. . l uaL/2—P 5/4/1 tb e g:r g-t, ,� 5 Will service be altered? ❑ Yes ['-No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Er-- Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service A es I qrt aJed, n L► t tact_ ; Adding more than 50 amps? ❑ Yes ®- No Property Served by: Er Puget Sound Energy ❑ Seattle City Light H:\ApplicationsTorms- 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 ❑ 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 ELECTRICAL CONTRACTOR: Signature,. Print Name: Mailing Address: Date: Day Telephone: City H:\Applications \Forms - Applications On Line \201 I Applications \Electrical Permit Application Revised 5 -9 -1 I.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.gov RECEIPT Parcel No.: 2623049069 Permit Number: EL12 -1114 Address: 17045 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/28/2012 Applicant: ADVANTAGE STAFFING Issue Date: Receipt No.: R12 -03204 Initials: JEM User ID: 1165 Payment Amount: $67.20 Payment Date: 11/28/2012 11:27 AM Balance: $0.00 Payee: INDUSTRY SIGN & GRAPHICS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8677 67.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 rinn. Peiaint -(1R PrintArl• 11 -2R -2(117 INSPECTION RECORD Retain a copy with permit INSPECTION -NOr- PERMIT NO. I ':.CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd:, #100, Tukwila. WA 98188 4. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 6,{2.--it 11 Project: ,�i7- /�,� = 'T' `r ! <'i v;( —.Type � of Inspection: /nom v0 N Address: 7vq5- - .: 5.( - 7 Date Called: Special Instructions: Date Wanted:. �� �a m. Requester: 1 /j Phone No 14pproved per'applicable codes. 0 Corrections required prior to approval. COMMENTS:.. 1k6-1,0n15 h flb(`i 1/, u -t Inspector: /�� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be at6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: /, f 11 INSPECTION RECORD 642 �� t Retain a copy with permit ! INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISIO'f 6300 Southcenter Blvd.,, #100, Tukwila. WA 98188 V., (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Ali r C ,w-t- 1 of Inspection: oo Address: Date Called: Special Instructions: j /4 A) 6414/ IA)/ ! Date Wanted:. y y y a.m p.m. Requester: / Phone No: / q 7 7t V t��" Approved per applicable codes. Corrections required prior to approval. COMMENTS: -- SE PfPL th trrvi LL Inspector: Date: 4J j 1 t REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 it. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: If s Type of Inspection: 2i 'PO '" kDi t' k. RC S ,,J 9,itcAji Fok Address: Date Called: Special Instructions: Date Wanted:. 0 / � a.m.; p. 1 Requester: f Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: '" kDi t' k. RC S ,,J 9,itcAji Fok - 1,3 Cf346C OPJ SOAi-ktt eAru J1 i bJDJ+r - IAJE k'& IT" F.05 Inspector: Date: o,r ©y�f' ri E REINSPECTION FEE REQUIRE Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 04 -02 -2013 r � City of .Tukwila Jim Haggerton, Mayor Departnzeni of Community Development Jack Pace, Directo LORI HENRY 4208 AUBURN WY N #1 AUBURN WA 98002 RE: Permit No. EL12 -1114 ADVANTAGE STAFFING 17045 SOUTHCENTER PY 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 05/27/2013. 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 05/27/2013, 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, Bill Rambo Permit Technician File: Permit File No. ELI2 -1114 6300 Southcenter Boulevard., Suite # 100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431-3665 Contractors or Tradespeople Pri er Friendly Page • Electrical Contractor A business licensed by Lai 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 ADVANCED SIGNS LLC 2533475039 13701 24Th St E Unit B -5 Sumner WA 98390 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602635597 Active ADVANSL923DP Electrical Contractor 3/17/2008 3/23/2014 Sign Unused Electrical Administrator INFORMATION License FENTOJ'951 NK Name FENTON, JASON Status Active Business Owner Information Name Role Effective Date Expiration Date FENTON, JASON S Partner /Member 03/17/2008 8/6/2012 FENTON, JENNIFER E Partner /Member 03/17/2008 $250.00 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 SH7630 03/12/2008 Until Cancelled $4,000.00 03/17/2008 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 ESHA000720 8/6/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00483 10/12/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00707 10/27/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/28/2012