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HomeMy WebLinkAboutPermit EL13-0596 - WASHINGTON CENTER FOR PAIN - LOW VOLTAGEWASHINGTON CENTER FOR PAIN 7200 S 180 ST EXPIRED 12-17-13 ELi 3-0596 City okukwila • 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 ELECTRICAL PERMIT Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Project Name: WASHINGTON CENTER FOR PAIN Permit Number: EL13-0596 Issue Date: 06/20/2013 Permit Expires On: 12/17/2013 Owner: Name: KHK INVESTMENT LLC Address: 26329 8TH AVE S , DES MOINES WA 98198 Contact Person: Name: SHAWN BOWEN Address: 11715 SE 5 ST , BELLEVUE WA , 98005 Contractor: Name: TUBE ART DISPLAYS Address: 2730 OCCIDENTAL AVE S , SEATTLE, WA 98124 Contractor License No: TUBEADI110NH Phone: Phone: 206 223-1122 Expiration Date: 08/08/2013 DESCRIPTION OF WORK: INSTALL ONE ILLUMINATED WALL SIGN (S 13-043) Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $63.00 2008 I hereby certify that I have read and examined thi ermit 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction ort performance of work. I am authorized to sign and obtain this electrical permit. / Signature: / � Date: 6 /20 hog Print Name: Pro 0Ci , i') ( Itt 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 ELI 3-0596 Printed: 06-20-2013 0 • PERMIT CONDITIONS Permit No. EL13-0596 **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 EL13-0596 Printed: 06-20-2013 • 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.. '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: 72 S , I Orn . Tenant Name: ‘44 o6Wt('GOn CQA"1/4-CLC CCC co,‘ C\ PROPERTY OWNER Name: CI(taw n �VJB`n J Address: I 7 (5 5 r f� {� C.:1 , 1 Name: Ki..[k I.,qe 'Meir City: e 1 `eJ./..e State: \1st vv�� Address: Phone: Q� I I Fax: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: CI(taw n �VJB`n J Address: I 7 (5 5 r f� {� C.:1 , 1 Address: 17 p 5 5E St A.-' Phone: Cao6r)223 "ItaFax: City: e 1 `eJ./..e State: \1st vv�� Zip: 01Zo ' '��)1.�r��J'J� Phone: Q� I I Fax: Email: SteIrmA Qi i1.`02AK.CCIM King Co Assessor's Tax No.: 2/%0°1 1311(57 Suite Number: f 02 Floor: .( M@cit- New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION - Company Name: T1/4jAzle Art Address: I 7 (5 5 r f� {� C.:1 , 1 City: me,xxe1Statey N Zip: cwtt v' c Phone: Cao6r)223 "ItaFax: Contr Reg No.:' -L' \ K A vit-, (Exp Date: G/3 N K, J Tukwila Business License No.: (AQ ---Th on Valuation of Project (contractor's bid price): $ 1©Q Scope of Work (please provide detailed information): T ©cue ;Ilvmcif e ;,aAft stojc\ Will service be altered? ❑ Yes ❑ No Type of Use: Type of work: g New ❑ Addition • Low Voltage Generatoi Adding more than 50 amps'' Yes ❑ No ❑ Service Change I hire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light II.\Applicauonsll'umu-:\ppli.atiuns Ou Lille \201 I Appbcaiioustrleaii.,d I'euuil A1,1,h ,tion Res ised 0-9-I1.doea Revised: August 2011 bh I _ 0-1 cso ❑ Remodel U Telecommunn:ation ❑ Tenant Improvement Q l emporary Service Page I 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 O 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 TI -IAT I I -LAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY TIIE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: ` r Print Name: Vlin0\C\ ' % IO% - O( tv Mailing Address: \ Day Telephone: Date: 6AaI2013 L:—(2cA) 223 -\ ) 5k t \kE.V "r N ay City II',Appli,auou.,,roi m.,-Applk,mou, Ou LunC011 AppLLaiion.;,Cleott a. I'ruun AppL.. vii 'AM Re,„<J S-9.1 Ldo.s 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.ov RECEIPT Parcel No.: 3623049013 Permit Number: EL13-0596 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 06/20/2013 Applicant: WASHINGTON CENTER FOR PAIN Issue Date: Receipt No.: R13-01929 Payment Amount: $63.00 Initials: TLS Payment Date: 06/20/2013 02:32 PM User ID: 1670 Balance: $0.00 Payee: TUBE ART DISPLAYS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3057 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 ..lnr• Rctrninf_AC. arnta i• 11-01-2013 • City of Tukwila Jim 1-Iaggerton..Mayor Department of Community Development Jack Pace. Director SHAWN BOWEN 11715 SE 5 ST BELLEVUE, WA 98005 RE: Permit No. EL13-0596 WASHINGTON CENTER FOR PAIN 7200 S 180 ST 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 12/17/2013. 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 12/17/2013, 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, R,40 Bill Rambo Permit Technician File: Permit File No. EL13-0596 6300 Southcenter Boulevard Suite 4100 • Tukwila. Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeopl1inter 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 TUBE ART DISPLAYS INC 2062231122 11715 Se 5Th St Bellevue WA 98005 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 178073073 Active TUBEAD1110NH Electrical Contractor 8/8/1989 8/8/2013 Sign Unused Master Electrician INFORMATION License HARGEJP974OS Name HARGETT, JEFFREY P Status Active Business Owner Information Name Role Effective Date __Expiration Date __ KTC SERVICE CORPORATION, Agent 09/19/2003 DUPAR, SKIP President 09/16/2003 Satisfied HARGETT, JEFFREY Secretary 09/16/2003 19.28.101 RCW MONTERO, WILLIAM Vice President 01/01/1980 ECHAE00606 SCHMOLL, DON 19.28.101 RCW 01/01/1980 09/16/2003 DUPAR, FRANK A III Agent 01/01/1980 09/16/2003 MAAS, WALTER M III Agent 01/01/1980 09/16/2003 COLLINS, JAMES Secretary 01/01/1980 09/16/2003 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 TRAVELERS CAS & SURETY CO 103378976 08/08/2000 Until Cancelled $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 Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EKENJ00252 2/17/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EKENJ00253 2/17/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECHAE00606 4/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEHU02871 7/28/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 ECHAE00604 4/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa_gnv/lni/hhin/Printasnx nAnn/7n1 z