HomeMy WebLinkAboutPermit EL15-0219 - SOUTHCENTER PLACE - POWER AND SIGN DAMAGED REPAIRSOUTHCENTER PLACE
16400 SOUTHCENTER PKWY
BLDG
EL15-0219
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: htto://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No: 2623049021 Permit Number: EL15-0219
Address: 16400 SOUTHCENTER PKWY BLDG Issue Date: 3/10/2015
Permit Expires On: 9/6/2015
Project Name: SOUTHCENTER PLACE
Owner:
Name: LEGACY PARTNERS COMMERCIAL
Address: PO BOX 130639, CARLSBAD, WA,
92013
Contact Person:
Name:
BLAKE JACOBS
Address:
7400 HARDESON RD , EVERETT, WA,
98203
Contractor:
Name:
BERRY SIGN SYSTEMS
Address:
936 N 34 ST SUUITE 409, SEATTLE,
WA, 98103
License No:
BERRYSS853W7
Lender:
Name:
Address:
Phone: (425) 776-8835
Phone: (206) 257-7133
Expiration Date: 1/27/2017
DESCRIPTION OF WORK:
HOOK UP POWER WHILE REFURBISHING DAMAGED ADDRESS SIGN
Valuation of single family: $0.00 Fees Collected: $68.25
Valuation of mf/comm: $100.00
Type of Work: REMODEL Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:.
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
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: t Date: O ��
Print Name:� —Toca f
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
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.izov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
use on
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.:G�3Ca 9 i
Site Address: 16400 Southcenter Parkway Suite Number: Floor:
Tenant Name: Southcenter Place New Tenant: ❑ .....Yes ®..No
PROPERTY OWNER
Name: ✓mit fj l e bidS' CFi�'1tMt?fct�tf
Address: l/
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: Blake Jacobs
Address:
City: State: Zip:
Phone: Fax:
Email: 1 F
. (:� i'111,$ �IOG(Y s!►1s sv�MS.Cr�ih
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Berry Sign Systems
Address: 7400 Hardeson Rd
City: Everett State: WA Zip: 98203
Phone: (425) 776-8835 Fax:
Contr Reg No.: BERRYSS853WIxxp Date: 01/27/2017
Tukwila Business License No.; BUS-0996126
Valuation of Project (contractor's bid price): $ 100
Scope of Work (please provide detailed information): Hook up power while refurbishing damaged address sign.
Will service be altered? ❑ Yes m No
Type of Use:
Tvoe of work:
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by:
❑
Puget Sound Energy
❑
Seattle City Light
HAApplicationsTortns-Applications On Line\2014
ApplicationsTlectrical Permit Application Revised 1-1-14.do"
Revised: January
2014
bh
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel [I Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page] 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)
PERMIT APPLICATION NOTES -
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)
❑ Carnivals....................................................................$80.60
Number of concessions .........................
$10.80 ea
Each ride and generator truck ...............
$10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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: 1 II&-- A&a-1
Print Name:
kS
Date: 311 D %5--
Day Telephone:
Mailing Address:
City State Zip
B:\Applications\For -Applications On Linc\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DES ' ' • ACCOUNT QUANTITY
PermitTRAK
PAID
$68.25
EL15-0219 Address: 16400 SOUTHCENTER PKWY BLDG Apn: 2623049021
$68.25
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTALPAID BY RECEIPT: R4789
$3.25
$68.25
Date Paid: Tuesday, March 10, 2015
Paid By: BERRY SIGN SYSTEMS
Pay Method: CHECK 1022
Printed: Tuesday, March 10, 2015 1:24 PM 1 of 1
CRSYS7EM5
INSPECTION RECORD
Retain a copy with permit �I15r I
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36701
Permit Inspection Request Line (206) 438-9350 �
ornie-CV- a Type of Inspection-
..7.1 i
Address: j
L6V�5,C I I f T
Date Called:
-- le -
Special Instructions:
Date Wanted: a
Requester:
PEo—ne No:
Approved per applicable codes. Corrections required prior to approval.
03 /2,,7 / I
REINSPECTION FEE REQUI§ED. Prior to next inspection, feemustbe
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
BERRY SIGN SYSTEMS
Page 1 of 2
Home lnicio en l:spauol Contact
Safety
Washington State Department of
Labor & Industries
BERRY SIGN SYSTEMS
Owner or tradesperson
GEROULD, DONALD H
Principals
GEROULD, DONALD H, PARTNER/MEMBER
MCCULLOUGH HILL LEARY PS, AGENT
Doing business as
BERRY SIGN SYSTEMS
WA UBI No.
603 454 590
Parent company
COGENT HOLDINGS-1 LLC
License
Search L&I
i-% 7ndcx Help My Secure L&1
Claims & Insurance Workplace Rights Trades & Licensing
936 N 34TH ST STE 409
SEATTLE, WA98103
206-257-7133
KING County
Business type
Limited Liability Company
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.
BERRYSS853W7
Effective — expiration
01/27/2016— 01/27/2017
Designated administrator
TORNOW, STEPHEN R
License type
Electrical Administrator
Bond
...............
Developers Surety & Indem Co
Bond account no.
666335C
Received by L&I
0112712015
Savings
No savings accounts during the previous 6 year period.
License Violations
N
...............................................
o license.violat...ions during the previous 6 year period.
I Workers' comp
Active.
Meets current requirements.
License no.
TORNOSR207RU
$4,000.00
Effective date
01 /2612015
Expiration date
Until Canceled
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603454590&LIC=BERRYSS853W7&SAW= 3/10/2015