HomeMy WebLinkAboutPermit EL15-0868 - BACK & NECK PAIN - SIGNAGE ON BUILDINGThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL15-0868
BACK & NECK PAIN
7200 S 180 ST
RECORDSDIGITAL D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Coda Exemption, �
� � I3ri6f Explanatory 6escrlofion,
Sfatutte/Ruilo
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5 U.S.C. sec.
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Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
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BACK & NECK PAIN
7200 S 180 ST
EL15-0868
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
Parcel No: 3623049013
Permit Number: EL15-0868
Address: 7200 S 180TH ST COMPLEX
Issue Date: 10/7/2015
Permit Expires On: 4/4/2016
Project Name: BACK & NECK PAIN
Owner:
Name: KHK INVESTMENT LLC
Address: 26329 8TH AVE S , DES MOINES, WA,
98198
Contact Person:
Name: ADRIAN HARPER
Phone: (253) 922-2146
Address: 5113 PACIFIC HWY E, STE 7, FIFE, WA,
98424
Contractor:
Name: SIGN -TECH ELECTRIC LLC
Phone: (253) 922-2146
Address: 5113 PACIFIC HWY E, SUITE 7, FIFE,
WA, 98424
License No: SIGNTEL988BG
Expiration Date: 1/7/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL NEW SIGNAGE ON BUILDING
Valuation of single family: $0.00
Fees Collected: $68.25
Valuation of mf/comm: $100.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: RENTON
Sewer District: RENTON 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 296-4613:
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.
Date: �0 I S-
Print Name: VC.4�'\r� \r\
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.
S: 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 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
" http://www.TukvilaWA.gov
Electrical Permit No. L L-1:S — 0 g 6 O
Proj ect No.
Date Application Accepted:
Date Application Expires:
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 ::1
King Co Assessor's Tax No.:
Site Address:2Q\� S - �Ao ky\ Suite Number: Floor:
Tenant Name: �,tG b, (A, )P . Vex_),4_ New Tenant: ❑ .....Yes 10.. No
PROPERTY OWNER
Name:
Address:
City*State: Zip: La43
CONTACT PERSON — person receiving all project
communication
Name'
Address:
City: \ StateZip: O, SL 2M
Phone: Fax:
2t-l(-l(�
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
l
1
Address:
City: ^\
State:NA)* zip:
%A2
Phone: S Z�L_M 4
Fax: a\s' rj-,2- 21 S 2
Contr Reg No.:�;�l
Cuol,6tft,�Exp Date: G t U (4P
Tukwila Business License No.; 0" �
Valuation of Project (contractor's bid price): $ Jy
Scope of Work (please provide detailed information): 'O"O `NXj
Will service be altered? ❑ Yes • 1Z No
Type of Use
Tvne of work
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by
0
Puget Sound Energy
❑
Seattle City Light
H:\4pplications\Forms-Applications On Line\2014
ApplicationsMectical Permit Application Revised 1-1-14.doex
Revised: January 2014
bh
Adding more than SO amps?
❑ Remodel
❑ Telecommunication
❑ Yes Er No
❑ 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)
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:
Date: WA//S
Print Name: t�C�� ���i kl f/ti Day Telephone:
Mailing Address:��
City state Zip
H:�4pplicatiom\Forms-Applicatimu On Line\2014 Applicatiom\Eleetrical Pemtit Application Revised 1-1-14.do"
Revised: January 2014
hh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$68.25
EL15-0868 Address: 7200 S 180TH ST COMPLEX
Apn: 3623049013
$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
TOTAL' R6362
R000.322.900.04.00 0.00
$3.25
$68.25
Date Paid: Wednesday, October 07, 2015
Paid By: SIGN TECH ELECTRIC
Pay Method: CREDIT CARD 012932
Printed: Wednesday, October 07, 2015 1:38 PM 1 of 1
CRWSY57EM5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: Type of Inspection:
Address: 72,00
Date Called:
Special Instructions:
Date Wanted: a
Requester:
Phone No:�®
10 Approved per applicable codes. Corrections required prior to approval.
i V 1. A 1
IInspector: ` //tlFI,V A 6� IDate: ( I II 1 /l.) I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SIGN -TECH ELECTRIC LLC
Page 1 of 5
Home InicioenFspadol. Contact
Safety
Washington State Department of
4LJ Labor & Industries
SIGN -TECH ELECTRIC LLC
Claims & Insurance
Owner or tradesperson 5113 PACIFIC HWY E #7
FIFE, WA 98424
Principals 253-922-2146
MENDENHALL, JOHN C, PARTNER/MEMBER PIERCE County
MENDENHALL, LINDA
D, PARTNER/MEMBER
Doing business as
SIGN -TECH ELECTRIC LLC
(Search L&I
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Workplace Rights Trades & Licensing
WA UBI No.
Business type
602 152 490
Limited Liability Company
Governing persons
JOHN
C
MENDENHALL
LINDA D MENDENHALL;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
..._.........................................................
Active.
Meets current requirements.
License specialties
GENERAL
License no.
SIGNTEL988BG
Effective — expiration
01/07/2002— 01/07/2016
Designated administrator
MORRISON, TRAVIS
License type
Electrical Administrator
Bond
No bond accounts during the previous 6 year period.
Savings
..............s
(in lieu of bond)
Received by L&I
07/27/2010
Release date
N/A
Savings account ID
Savings history
License Violations
...................................................-
Active.
Meets current requirements.
License no.
MORRIT`943K6
$4,000.00
Effective date
07/02/2010
Impaired date
N/A
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602152490&LIC=SIGNTEL988BG&SAW= 10/07/2015