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HomeMy WebLinkAboutPermit EL12-1172 - EMBASSY SUITESEMBASSY SUITES 15920 WEST VALLEY HY EL12-1 172 City ("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.: 0005800024 Address: 15920 WEST VALLEY HY TUKW Project Name: EMBASSY SUITES ELECTRICAL PERMIT Permit Number: EL12 -1172 Issue Date: 12/18/2012 Permit Expires On: 06/16/2013 Owner: Name: KOAR - SEATAC PARTNERS LP Address: C/O HASEMAN AMERICA INC , 370 AMAPOLA AVE #210 90501 Contact Person: Name: RON ARNETT Address: 9792 EDMONDS WY #172 , EDMONDS WA, 98020 Contractor: Name: PACIFIC SIGN ERECTORS Address: 14915 22ND AVE W , LYNNWOOD, WA 98037 Contractor License No: PACIFSE965CK Phone: 206 498 -3919 Phone: Expiration Date: 02/23/2014 DESCRIPTION OF WORK: INSTALL (2) SIGNS Value of Electrical: NRES: $500.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY $75.60 2008 Permit Center Authorized Signature: /! Vv JJ\9 ���JIM Date: 1 L I hereby certify that I have read andlexam ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with whether specified herein or not. The granting o t does not pr' su4ne to give authority to violate or cancel the provisions of any other state or local laws regulating construction •r the • ance of wor}c.('I am authorized to sign and obtain this electrical permit. Date:IL((e((Z Signature: Print Name( T1 .(1\ A •12—t1 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 -1172 Printed: 12 -18 -2012 PERMIT CONDITIONS Permit No. EL12 -1172 * *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 -1172 Printed: 12 -18 -2012 CITY OF TUKW Community DevelopmWDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Pe Project No Date; Application Accepted: _.: Date. Application Expires. (For ofce 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 Address: \S LC) W v f4-L'L' `Z *WI y Tenant Name:Erh641 -s-s1 ' t King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes igr.. No PROPERTY OWNER... Name: Address: City: State: Zip: CONTACT._PERSON - person receiving all project' communication Name: n Address: nt 7 F - r.c� o S tti fi.,_( -Et C7 Address: 9/5.2_ et, ,,,,c. NtiS ■h...t 4- t7Z City:„_ State: tit? S Stater l Z�p9Q.o 2t" Phone: Fax: Z J - 44'3 -39tg Email: EL'ECTRICA L,CONTRACTOR. IN FORMATION Company Name;Th.ctFtL St 4,r. tt c� �L co✓'is Address: nt 7 F - r.c� o S tti fi.,_( -Et C7 City ro � State:w A_ Zip:78e. z6 Phone: Fax: -).c.6 -Y4S -- 37(4' 866 - 934'-4$8 t� 1 Contr Reg No.: Exp Date: ' 'PA-cep-5 t=5 E 9C 5 Ct_ a2 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ CUf Scope of Work (please provide detailed information): I IJ 5't &LL a t t- W I t) Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes •JNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications \Forms - Applications On Line \2011 Apphcations\Electncal Permit Application Revised 8- 9- 11.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 $1 1.55 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. 1 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 ORftiLECTRICAL CONTRACTOR: Signature:r2 Date: Print Name: tom— kj R�JL u—'�l Day Telephone: Mailing Address: City State Zip H:\ Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised. August 2011 bh Page 2 of 2 City off ukwilar Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: /Avww.ci.tukwila.wa.us SET RECEIPT RECEIPT NO: R12 -03339 Initials: JEM Payment Date: 12/18/2012 User ID: 1165 Total Payment: 201.60 Payee: PACIFIC SIGN ERECTORS INC. SET ID: 1218 SET NAME: PACIFIC SIGN ERECTORS SET TRANSACTIONS: Set Member Amount EL11 -0618 EL12 -1171 EL12 -1172 TOTAL: 63.00 75.60 63.00 .00 TRANSACTION LIST: Type Method Description Amount Payment Check 4001 ACCOUNT ITEM LIST: Description 201.60 TOTAL: 201.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 �01 -6-0� TOTAL: 201.60 .INSP ECTION RECORD Retain a copy with permit • INSP,ECTION. NO ..::., Buz -117Z PERMIT NO. -CITYOF TU:KWILA BUILDING DIVISION 6300- Southcenter Blvd.; #100, Tukwila. WA 98188 ( _ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: . , A M5 / SJI ill Type of Inspection: 2_ oo Address-: f " 1 J + / c.,� ZD ili• VAR.., l Date Called: --.. SpecialInstructions: Date Wanted :. //22— m. p.m� Requester: f Phone No: ,pproved per applicable codes. COMMENTS: ii ✓ Corrections required prior to approval. 5Z Inspector:. .. :/ Date: 0/ /2-1/ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300'Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD, '7.4 r Retain a copy with permit I (, INSPECTION NO. PERMIT NO. CITY OFTUKWILA BUILDING DIVISION 6300- Southcenter. _Blvd., #100, Tukwila. WA 98188, (206) 431 -3670 Permit. Inspection Request Line (206) 431 -2451 Project:. / Type of Inspection: 2100 Address: 1 ' I6.. Date Called: Special Instrutions: ! ,�J Date Wanted:. J I i I .m. p.m, Requester: I Phone No: Approved' per applicable codes. COMMENTS: Inspector: EJCorrections required prior to approval. kittakebthi (ac Date: • REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople PPter 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 PACIFIC SIGN ERECTORS INC 2064983919 9792 Edmonds Way #172 Edmonds WA 98020 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602362290 Active PACIFSE965CK Electrical Contractor 2/12/2004 2/23/2014 Sign Unused Master Electrician INFORMATION License ARNETRC973L3 Name ARNETT, RONALD C JR Status Active Business Owner Information Name Role Effective Date Expiration Date ARNETT, RON E Cancel Date 02/12/2004 Bond Amount ARNETT, TERESA J 3 02/12/2004 9812448 ARNETT, RON C Agent 02/12/2004 ELECTRICAL CITATION 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 Lexon Ins Co 9812448 02/05/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 02/06/2012 2 COLONIAL AM CAS a SURETY OF MARYLAND LPM4075093 02/05/2008 Until Cancelled 03/20/2012 $4,000.0002/04/2008 1 CBIC SF3972 02/05/2004 Until Cancelled 04/19/2008 $4,000.0002/12/2004 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 EHAGR00405 9/12/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHECD00310 1/5/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 12/18/2012