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Home My WebLink AboutPermit EL15-1004 - BENCA DENTISTRY - POWER FOR SIGNBENCA DENTISTRY EL15-1004 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: 0223100099 Permit Number: EL15-1004 Address: 200 ANDOVER PARK E 4 Issue Date: 11/18/2015 Permit Expires On: 5/16/2016 Project Name: BENCA DENTISTRY Owner: Name: ANDOVER PLAZA LLC Address: 1501 N 200TH ST, SHORELINE, WA, 98133 Contact Person: Name: TRACY SKIUS Phone: (425) 776-8835 Address: 7400 HARDERSON RD , EVERETT, WA, 98203 Contractor: Name: BERRY SIGN SYSTEMS Phone: (206) 257-7133 Address: 936 N 34 ST SUUITE 409, SEATTLE, WA, 98103 License No: BERRYSS853W7 Expiration Date: 1/27/2017 Lender: Name: Address: DESCRIPTION OF WORK: ELECTRICAL FOR SIGN Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $100.00 Type of Work: NEW 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 296-46B: 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 a conditions attached to this permit. Signature: �� Date: v Print Na :Z�;'-e-,5 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.TukwilaWA.gov Electrical Permit No. eq• VA Project No. Date Application Accepted: Date Application Expires: use 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 �� n� � Kim Co Assessor's Tax No.: Site Address: Tenant Name:D-e n- jS PROPERTY OWNER Name: Address: , 2-vb 6 City: !/ , , r� l State: /-- Zip: CONTACT PERSON person receiving all project communication Name4 Address: —Poe) v► City: f/ State: W,-- Zip• �i'� Phone: � ts�t✓S � �� • o Email: t5 r✓, Valuation of Project (contractor's bid price): $ �� Will service be altered? ❑ Yes Type of Use: ` Tvne of work: New ❑ Addition ❑ Service Change w Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Fonns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1.14.do" Revised: January 2014 bh Suite Number: Floor: New Tenant: ❑ .....Yes �No ELECTRICAL CONTRACTOR INFORMATION Company Name: el,-L Address: DD City: 11 State: wv�- Zipz Phone: Fax: Fax: Contr Reg No.::: '. J Tukwila Business License NO.; 3 xp Date: Z7/� .. 0 Adding more than 50 amps? EJ Yes 1�_No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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: ` ' Date:` Print Name: — Day Telephone" ` vJ�,�. Mailing Address: o ooi� a - (— �� G1/v''U City State Zip H:Wpplications\Fonns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.do" Revised: January 2014 bh Page 2 of 2 Aft. 'low DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $68.25 EL15-1004 Address: 200 ANDOVER PARK E 4 Apn: 0223100099 $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 FEES PAID BY RECEIPT: R6675 R000.322.900.04.00 0.00 $3.25 $68.25 Date Paid: Wednesday, November 18, 2015 Paid By: BERRY SIGN SYSTEMS Pay Method: CHECK 1366 Printed: Wednesday, November 18, 2015 12:18 1 of 1 . PM 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, I D Permit Inspection Request Line (206) 438-9350 IUI4r�_ Project: SNCAPf-rl-05-rkY Type of Inspection: Address: !—oo AP( f Date Called: Special Instructions: �� "�_V'/ Date Wanted: 1167 a.m. Requester: Phone No: 71 (,X I Approved per applicable codes. F-1 Corrections required prior to approval. u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 0 BERRY SIGN SYSTEMS Page 1 of 2 Home lnicio on .Espanol Contact. Safety Washington State Department of Labor & Industries BERRY SIGN SYSTEMS Owner or tradesperson 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 �� a3:�y;0i, A-'L Index Help bly Secure 1: -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 01/27/2015— 01/27/2017 Designated administrator TORNOW, I.STEPHEN.R........ License type Electrical Administrator Bond Developers Surety & Indem Co Bond account no. 666335C Received by L&I 01/27/2015 Savings No No savings accounts during the previous 6 year period. License Violations ...................................................... No license violations during the previous 6 year period. I Workers' comp Active. Meets current requirements. License no. TORNOSR207RU $4,000.00 Effective date 01/26/2015 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 Account is current. 521,819-00 ................................ https:Hsecure.Ini.wa.gov/verify/Detail,aspx?UBI=603454590&LIC=BERRYSS853W7&SAW= 11/18/2015