HomeMy WebLinkAboutPermit EL14-1137 - PETERSON 76 - LED MONUMENT SIGNPETERSON 76
13310 INTERURBAN AVE S
EXPIRED
05/20/15
EL14-1 137
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.gov
ELECTRICAL OTC PERMIT
0003000113
13310 INTERURBAN AVE S
Project Name: PETERSON 76
Permit Number: EL14-1137
Issue Date: 11/21/2014
Permit Expires On: 5/20/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
PETERSON STANLEY & REBECCA
13310 INTERURBAN AVE S , TUKWILA,
WA, 98168
STEVEN THOMSON
PO BOX 2849 , RENTON, WA, 98056
INSIGNIA SIGN INC
PO BOX 2849 , RENTON, WA, 98056
INSIGSI055JS
/11
Phone:
Phone: (425) 917-2109
Expiration Date: 4/10/2015
DESCRIPTION OF WORK:
WIRE NEW REGULAR & DIESEL LED MONUMENT SIGN TO EXISTING ELECTRICAL CURCUIT
S14-0097
Valuation of single family: $0.00
Valuation of mf/comm: $300.00
Type of Work: NEW
Fees Collected: $72.77
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International 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:
2012
2014
2012
Date:��
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: Wee
Date:
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***
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.? 2 `� —l/ 3 -
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 p Jan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: 000300-0113
Site Address: 13310 Interurban Ave S, Tukwila WA 98168
Tenant Name: Peterson 76
PROPERTY OWNER
Name: Stanley & Rebecca Peterson
Address: 13310 Interurban Ave South
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Steven Thomson
Address: PO BOX 2849
City: Renton State: WA Zip: 98056
Phone: (425)917-2109 Fax: (425)917-0153
Email: steven@insigniasign.com
Suite Number: Floor:
New Tenant: ❑ Yes X..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Insignia Sign Inc.
Address: PO BOX 2849
City: Renton State: WA Zip:98056
Phone: (425)917-2109Fax: (425)917-0153
INSIGSI 561 Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 300.00
Scope of Work (please provide detailed information):
Wire new Regular & Diesel LED monument sign to EXISTING electrical circuit.
Will service be altered? ❑ Yes
Type of Use: 20AM P 120V
No
Type of work:
New ❑ Addition ❑ Service Change
3) Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes No
(4 Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Camivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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: CiieUeit
Print Name: Steven Thomson
Mailing Address: PO BOX 2849
H:Wpplications\Fotms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
bh
Date: 11/19/14
Day Telephone: (425)917-2109
Renton
WA 98056
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS (
PermitTRAK
ACCOUNT
QUANTITY
PAID
E114-1137 Address 13310'INTERURBAN AVE S
Apn 0003000113 4 a
$N72 7
ELECTRICAL
$69.30 a
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$69.30
TECHNOLOGY FEE
$3.47
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.47
'.514-0097 Address 13310 INTERURBAN AVE S
Apn 0003000113
$24990
SIGN
$238.00'
PERMANENT SIGN PERMIT FEE
R000.322.100.00.00
0.00
$238.00
TECHNOLOGY FEE
$11.90
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3620
R000.322.900.04.00 0.00
$11.90
$32.2.67
Date Paid: Friday, November 21, 2014
Paid By: INSIGNIA SIGN INC
Pay Method: CHECK 4143
Printed: Friday, November 21, 2014 11:02 AM 1 of 1
CRSYSTEMS
City of Tukwila
Department of Community Development
4/1/2015
STEVEN THOMSON
PO BOX 2849
RENTON, WA 98056
RE: Permit No. EL14-1137
PETERSON 76
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 5/20/2015.
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 5/20/2015, 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 No: EL14-1137
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
INSIGNIA SIGN INC
Page 1 of 2
Washington State Department of
Labor & Industries
INSIGNIA SIGN INC
Owner or tradesperson
THOMSON, CINDY A
Principals
THOMSON, CINDY A, PRESIDENT
THOMSON, CINDY A, AGENT
THOMSON, BRYAN E, MEMBER
BOWEN, BRYAN E
(End: 02/04/2002)
BOWEN, BRYAN E, AGENT
(End: 02/04/2002)
Doing business as
INSIGNIA SIGN INC
WA UBI No.
601 507 324
PO BOX 2849
RENTON, WA98056
425-917-2109
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
SIGN
License no.
INSIGSI055JS
Effective — expiration
04/10/1995— 04/10/2015
Designated administrator
THOMSON, BRYAN E
License type
Master Electrician
Bond
Lexon Ins Co
Bond account no.
9805360
Received by L&I
04/15/2011
Active.
Meets current requirements.
License no.
THOMSBE954L8
$4,000.00
Effective date
04/23/2011
Expiration date
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601507324&LIC=INSIGSI055JS&SAW= 11 /21 /2014