HomeMy WebLinkAboutPermit EL14-0103 - MEDIFAST - ILLUMINATED WALL SIGNMEDIFAST
17275 SOUTHCENTER PKWY
EXPIRED 10/19/14
EL14-0103
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.Rov
ELECTRICAL OTC PERMIT
2623049063
17275 SOUTHCENTER PKWY
Project Name: MEDIFAST
Permit Number: EL14-0103
Issue Date: 2/4/2014
Permit Expires On: 8/3/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MASAO
117 E LOUISA #230 C/O SCR LLC,
SEATTLE, WA, 98102
JASON TAYLOR
137 ST NW #C, AUBURN, WA, 98001
ADVANCED SIGNS LLC
13701 24 ST E UNIT B-5 , SUMNER,
WA, 98390
ADVANSL923DP
,,,
Phone: (253) 987-5909
Phone: (253) 347-5039
Expiration Date: 3/23/2014
DESCRIPTION OF WORK:
CONNECT ONE ILLUMINATED WALL SIGN TO DESIGNATED EXISTING SIGN CONTACT
Valuation of single family: $0.00
Valuation of mf/comm: $700.00
Type of Work: LOW VOLTAGE
Fees Collected: $90.83
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Dat
2012
2012
2012
I hearby certify that I have read and examined this 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 does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
diIv Q-(_(Aivo
Date: 2/q// V
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Cvnununitjy Development Department
Permit Center
G300 Sauthcerrter Rivd.., Suite 100
Tukwila, W4 98188
trap:/:twww Tukwi1aWA.;7try
Flectrical Permit No,
Project No.
i)ate Application 4ccepteti:
Date Application Expires:
tl•'oroffice use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not bi: accepted through the mail or by fax.
"Please Print "
SiTE i.00ATiON
Tenant Natnc: M&li FA9f Coutteo( Ceoittie S
King Co Assessor's Tax No.: •7 t reiZOO
Site Address: 17 27 S 5o u tl (ir,Get r ftr Pk wij Suite Number: 100
New Tenant: rAr Yes ❑ .. No
Floor: /
PROPERTY OWNER
Name: WiG Properftc Le.G-Ss g2910
Address: WI( /3geAt. PI 55
Cily: lieIlevvt State: toti4 Zip: ggt d6
CONTACT PERSON — pui it receiving all project
communication
Name: j6.SO vt. IA 10 t''
Address: l 37 t i gi'. N) c
City: Aubtirt.. State: WA Zip: WOO/
Phone: 253-927- 5-r0et Fax:
Fina;I:AS 1, lAq (Dv. 1a 9lwtG" I- Cv t.--
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Aioly d &i,t5 LLC
Address: l 37 tk 6,t. N w # c
City: � u bur✓ Slat► :14A Zip:ga'00 l
Phone: Fax:
2 s3-487-5170q
C.tnttr Re T No.: L > a
A�VAA'SL g23DP 3%}2 ?/Li
Tukwila 13usintss License No.; 13U5 -049cJ79
2.
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): CC) 140ee f' IAe- III lout ; let G,f ea( tAk4f
O�e5iyveo.'fC�: G�Xi3��Kt./ Sigvt Circvr'1-
Will service lie altered? ❑ Yes
Type of Use: Si yw-
®"No
Type of work:
❑ New ❑ Addition ❑ Service Change
. Low Voltage ❑ Generator ❑ Fite Alarm
Pruncrcy Surveil by:
81 Riga. Sound Energy ❑ Sealtic C"i ty Light
Ili Al !iaLii,n No,nu:.Apy>lieat iuru i In Lin! 2a14 ApplicatiunAl'tlelareal I`n nth Application R. ia: 1 r-I-14.do
Ravine.11 January
Yd,
Adding more than 50 amps? ❑ Ycs ®No
❑ Remodel
❑ Tciccommunicaiion
❑ Tenant Improvement
❑ Temporary Service
Pagc t of 2
RESIDENTIAL
NFW RFSTIWNTIAI SFRVICF
0 New singlc family ttwc I I ings $132.83
(including an Ittaulted garage)
o Garages, pools, spas and outbuildings $41.90 ea
EJ Lnw N'Oitag:
{alarm, furnace thermostat) $39.85 ea
RESIDENTIAL REMODEL AND SERVICE CILANGES
Service change or alteration $81.90
(no added/alined c.ircuits)
El Service thug c with addetUaltered circuits $81.90
number of aided rcuits $11.55
o Circuits added:L.:dieted without rvice change $54.60
{up 1.0 5 circuits)
0 Circuits addettialterctl without service change $54.(0
rir more circuits) $7.6.5 ea
t:iMI:ter/mast repair $68.25
0 Low voltagc system:. . $39.8.5
(alai m, furnace Chet mostal.)
MULTI -FAMILY AND COMMERCIAL
Fees arc based on the valuation uf the electrical contract.
MISCELLANEOUS FEES
[3 Temporal y service (residential) $133.00
o Tcmporary service tgenrator) $80.90
0 Manufacuiredimobile home set -Nice $86.25
(excluding. garage or outbuilding)
caruivais
Number of concessions $10.80 ca
F.ae.1, ride and guticrator truck . (1 xo ea
***EFFECTIVE JANUARY I, 20I4 EACH
PERMIT WILL EiE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT. APPLICATION NOTES -
Value al -Construction — In all cases, a Value, of construction amount should be entrrred by the applicant. This figure will bc reNiewed and is subject
ED possible revision by the Permit Centr to comply with current fed schedules.
F.xpiration 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 tine extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
ITERERY CERTIFY TTTAT 1 TI "N VP. READ AND EXAMINED TTITS APPLTC ANT) KNOW TTIE SAME TO RE TRUE UNDER
PENALTY OF PER:11112Y RY THE LAWS fW THE. STATE f IF WASI TTNCiTI IN, A.ND T AM AI IORIZED TI) APPLY FOR TT IIS PERMIT.
RIMMING OWNER OR ELECTRICAL CONTRACTOR:
Sigitutture:
Print Name,: (ja40 IGI 0 Day Telephone: 2 6" 3 - q17- S-^ et
qgOo t
Date:
Mai1ingAddr: I 3'7f-L St' • ki-t) 4 C-- Avbtirvi.
Cily
State Zip
111 J Ii..L4n F. ms-AppliLdliurv;4 Yo Lind 21)14 ApplicALiiiroAl!lcusiLdl I'm mit Appl ig.r.1 I -I - I
R.3,4.11 lanudry 1'014
Page 2 tit 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT ( QUANTITY PAID
PermitTR
L14-01(
ddress 17275 SOUTHCENTER PKWY Apn 2623049063 a
ELECTRICAL
$86.50
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$86.50
TECHNOLOGY FEE
$4.33
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1075
R000.322.900.04.00
$4.33
$90.83
Date Paid: Tuesday, February 04, 2014
Paid By: ADVANCED SIGNS LLC
Pay Method: CHECK 3845
Printed: Tuesday, February 04, 2014 2:35 PM 1 of 1
CRWSYSTEMS
City of Tukwila
Department of Community Development
9/2/2014
JASON TAYLOR
1 37 ST NW #C
AUBURN, WA 98001
RE: Permit No. EL14-0103
MEDIFAST
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 10/19/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 10/19/2014, 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,
er Marshall
t Technician
File No: EL14-0103
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
INSPECTION RECORD , �tt
Retain a copy with permit G L O1
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: 1,4,k1`,
1
Type of Inspection: j
N'jl
Address: 1
c. pi
Date Called:
Special Instructions:
Date Wanted: %Z ,
a.m.
Requester:
Phone No: ;53 ?I? go?
.
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
vtr!-scAr`{) J !
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Calf to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
64- 0(03
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: tit..,J, 1 /
Type of Inspection:
,
l
Address: 1717) s-c. P 1 _
Date Called:
Special Instructions:
94 ^1
Date Wanted:
iff°
a.r
Requester:
Phone No:
Approved per applicable codes. n Corrections required prior to approval.
COMMENTS:
/ btt& s t eAktr
d-&& c a Wm/ 2,(c & b ice
Inspector: r� y„
Date: 6 Ati
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADVANCED SIGNS LLC
Page 1 of 3
Washington State Department of
Labor & industries
ADVANCED SIGNS LLC
Owner or tradesperson
FENTON, JASON S
Principals
FENTON, JASON S
JENNIFER FENTON
Doing business as
ADVANCED SIGNS LLC
WA UBI No.
602 635 597
ONE 37TH ST NW STE C
AUBURN, WA98001
253-347-5039
KING, County
Business type
Limited Liability Company
Governing persons
JASONSTEVENFENTON
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
SIGN
License no.
ADVANSL923DP
Effective — expiration
03/17/2008 — 03/23/2014
Designated administrator
FENTON, JASON
License type
Electrical Administrator
Bond
CBIC
Bond account no.
SH7630
Received by L&I
03/17/2008
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
ACTIVE
License no.
FENTOJ*951 NK
$4, 000.00
Effective date
03/12/2008
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602635597&LIC=ADVANSL923DP&SAW= 02/04/2014