HomeMy WebLinkAboutPermit EL12-1151 - STARBUCKSSTARBUCKS
17480 SOUTHCENTER PY
EL12 -1151
City oftukwila
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.: 2623049110
Address: 17480 SOUTHCENTER PY TUKW
Project Name: STARBUCKS
ELECTRICAL PERMIT
Permit Number: EL12 -1151
Issue Date: 12/10/2012
Permit Expires On: 06/08/2013
Owner:
Name: KIR TUKWILA 050 LLC
Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020 11042
Contact Person:
Name: KEN OSAGE
Address: 15107 50 AV E , TACOMA WA , 98446
Contractor:
Name: O'SAGE SIGNS LLC
Address: 15107 50 AV E , TACOMA WA 98446
Contractor License No: OSAGESL8805A
Phone: 206 - 396 -1036
Phone: 206 - 396 -1036
Expiration Date: 08/01/2014
DESCRIPTION OF WORK:
REPLACE FLUORESCENT WITH LED IN REFACE OF WALL SIGN (S12 -090)
Value of Electrical: NRES: $150.00
RES: $0.00
Fees Collected:
$63.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SO ' ENE RGY
Center Authorized Si ature: AIfif _ / /: Date: (P2 7 t
I hereby certify that I have read and exami ed thi •� d 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 • - • • ance • work. am . ut orized to sign and obtain this electrical permit.
� � — /O -- /Z
Signature: _ -"'� Date:
Print Name:
-SDK Pcn4E4J M o'S i-
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 -1151 Printed: 12 -10 -2012
Ill III
PERMIT CONDITIONS
Permit No. EL12 -1151
* *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 TO - 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 -1151 Printed: 12 -10 -2012
CITY OF TUIff*
Community Develop epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukw laW A .gov
Electrical PtNo.
Project No.
Date Application Accepted:
Date Application Expires:
(For offee 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
King Co Assessor's Tax No.:
Site Address: 1'71450 Surrie.aJTEg_ Mucio#0( 7ukcsau4wk Suite Number: Floor:
Tenant Name: STAIR-Uttr--S New Tenant: Yes ,'.. No
PROPERTY OWNER
Name: kiii) 0 6A elc
. ,
Name:
Phone: 2(, st76 le), Fax:
Email: 05Acte m Ho-auuL -calk
Address:
Contr Reg No.: Exp Date:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: kiii) 0 6A elc
Address:
/6267 4-64kAVC
City: Theewity State: .4 Zip: er%
Phone: 2(, st76 le), Fax:
Email: 05Acte m Ho-auuL -calk
ELECTRICAL CONTRACTOR:INFORMAtION
Company Name: csw- 5.0V5
Address:/670 7 ce rrg. Ava E
City: vicomos State: (1314.
Zip: 0..reic
Phone 10 x:. Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ A
Scope of Work (please provide detailed information): FER-,4i Fhe or csce,rt
to;-IL. LED
Will service be altered? El Yes Adding more than 50 amps? El Yes A. No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel - ' 0. tenant Improvement
O Low Voltage 0 Generator Fire Alarm 0 Telecomrnunication 0 Temporary Service
Property Served by:
O Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\ 2011 Applications\Eleancal Permit Application Revised 8-9-1I.docx
Revised: August 2011
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Page 1 of 2
■ c‘ A
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 $10.50 ea
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print
_. r
Mailing Address:
11 \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx
Revised. August 2011
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Date: /Z - /0 —
Day Telephone: 3 6c2cp•
City
State Zip
Page 2 of 2
o
C J��1�A wq� City of Tukwila
Q " +a � - p
190$
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.: 2623049110 Permit Number: EL12 -1151
Address: 17480 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 12/10/2012
Applicant: STARBUCKS Issue Date:
Receipt No.: R12 -03288
Payment Amount: $63.00
Initials: TLS Payment Date: 12/10/2012 02:00 PM
User ID: 1670 Balance: $0.00
Payee: OSGE SIGNS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10081 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: 12 -10 -2012
INSPECTION. NO.
CITY OF'TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
INSPECTION' RECORD 61_ Retain a copy with permit
PERMIT N0.
Project: "r 06
Type of Inspection:
.J
Address: —.Argo (64. py.
Date Called:
Special Instructions:
Date Wanted:.
/ Q rp
///y
a.m.
p.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
•
—it
Inspector:
.e
N /`�
Date :ash 5
ri 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
Southcenter Blvd., #100, Tukwila. WA 98188 sk.T (206) 43.1 -3670'
Permit Inspection Request Line (206) 431 -2451
Project:
CA le)
Type of Inspection:
/
0
,(")'kec&J
Address:
iell o5.C.1_
Date Called:
Special Instructions:
5iti Ai
Date Wanted:.
1 r 7
'm:
Am.
Requester:
Phone No: .
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
' 1 ., (&� � 6-k
Inspector:
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 Pier Friendly Page
•
Electrical Contractor
A business licensed by L &I 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
O'SAGE SIGNS LLC
2063961036
15107 50Th Ave E
Tacoma
WA
98446
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603223575
Active
OSAGESL8805A
Electrical Contractor
8/1/2012
8/1/2014
Sign
Unused
Master Electrician INFORMATION
License OSAGEKM951CM
Name OSAGE, KENNETH M II
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
O'SAGE, KENNETH MARION
Partner /Member
08/01/2012
LENBERG, ANTHONY THOMAS
Partner /Member
08/01/2012
MADDRY, ROBERT E.
Partner /Member
09/01/2012
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
1
American Contractors
Indem CO
100202030
08/01/2012
Until Cancelled
$4,000.00
08/01/2012
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 12/10/2012