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Home My WebLink AboutPermit EL17-0802 - SOUND MENTAL HEALTH - SIGN AND HOOK-UPSOUND MENTAL HEALTH 6100 SOUTHCENTER BLVD ELI 7-0802 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 3597000222 ELECTRICAL OTC PERMIT 6100 SOUTHCENTER BLVD Project Name: SOUND MENTAL HEALTH Permit Number: EL17-0802 Issue Date: 10/13/2017 Permit Expires On: 4/11/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SEATTLE MENTAL HEALTH INSTI 1600 E OLIVE ST , SEATTLE, WA, 98122 JERRY AUSTIN 17201 BEATON RD SE , MONROE, WA, 98272 NW SIGNS 17201 BEATON RD, MONROE, WA, 98272 NWSIGS*84201 1/I Phone: (425) 844-6415 Phone: (425) 844-6415 Expiration Date: 10/7/2018 DESCRIPTION OF WORK: ELECTRICAL HOOK UP/INSTALLATION OF SIGN Valuation of single family: $0.00 Valuation of mf/comm: $7,450.00 Type of Work: LOW VOLTAGE Fees Collected: $253.18 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 (I, National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: lArr 11/19 Date: 2014 2014 2014 2015 (NI 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: Date: 10 —13-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 296-466 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.TukwilaWA.gov Electrical Permit No. W1/%09--- Project 1/%0" 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 plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION King Co Assessor's Tax No.: 3597000222 Site Address: 6100 Southcener Blvd. Tenant Name: Sound Mental Heath Suite Number: PROPERTY OWNER Name: Jerry Austin Name: Sound Mental Health Institute City: Monroe State: WA zip: 98272 Address: 6100 Southcenter Blvd. Email: Jelly@NWSigns.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Jerry Austin Address: 17201 Beaton Rd. SE City: Monroe State: WA zip: 98272 Phone: (425) 844-6415 Fax: Email: Jelly@NWSigns.com Floor: New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: NW Signs Address: 17201 Beaton Rd. SE City: Monroe State: WA Zip: 98272 Phone: (425) 844-6415 Fax: Contr Reg No.: NWSIGS*84201 Exp Date: 10/07/2018 Tukwila Business License No.; BUS -0997913 Valuation of Project (contractor's bid price): $ 7,450 Scope of Work (please provide detailed information): Electrical hook up / installation of signs. Will service be altered? ❑ Yes E No Adding more than 50 amps? ❑ Yes El No Type of Use: Sign circuit Type of work: ❑ New 0 Addition 0 Service Change ® Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Iiandouts\Pcrmit Applications\PDF's'Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Page l of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 9 New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 9 Service change or alteration $83.54 (no added/altered circuits) 9 Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea 9 Meter/mast repair $69.62 9 Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 ER Signa Print ELE TRICAL CONTRACTOR: rry Austin Date: 10/12/2017 Day Telephone: (425) 844-6415 Mailing Address: 17201 Beaton Rd. SE, Monroe, WA 98272 City State Zip W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermtTRAK ACCOUNT QUANTITY PAID $2,100.26 EL17-0802 Address: 6100 SOUTHCENTER BLVD Apn: 3597000222 $253.18 ELECTRICAL $241.12 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $241.12 TECHNOLOGY FEE - $12.06 TECHNOLOGY FEE R000.322.900.04.00 0.00 $12.06 EL17-0803 Address: 6400 SOUTHCENTER BLVD Apn: 0003200003 $253.18 ELECTRICAL $241.12 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 $241.12 TECHNOLOGY FEE $12.06 TECHNOLOGY FEE 1 R000.322.900.04.00 0.00 $12.06 S17-0064 Address: 6100 SOUTHCENTER BLVD Apn: 3597000222 $796.95 SIGN $759.00 PERMANENT SIGN PERMIT FEE R000.322.100.00.00 0.00 $759.00 TECHNOLOGY FEE $37.95 TECHNOLOGY FEE R000.322.900.04.00 0.00 $37.95 S17-0065 Address: 6400 SOUTHCENTER BLVD Apn: 0003200003 $796.95 SIGN $759.00 PERMANENT SIGN PERMIT FEE R000.322.100.00.00 I 0.00 $759.00 TECHNOLOGY FEE $37.95 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12562 R000.322.900.04.00 0.00 $37.95 $2,100.26 Date Paid: Friday, October 13, 2017 Paid By: EXPRESSIONS SIGNS Pay Method: CHECK 7059 Printed: Friday, October 13, 2017 10:03 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit061140 P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 0 Project: N L/V G /�/ Type of Inspection: t t�irL Address:` Date Called: Special Instructions: 3ittNi Date Wanted: 3 v r a r p.m. Requester: ((( Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Li ti Inspector: 6-AllAfaiN Date: 0J /40// REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 3/1/2018 City of Tukwila Department of Community Development JERRY AUSTIN 17201 BEATON RD SE MONROE, WA 98272 RE: Permit No. EL 17-0802 SOUND MENTAL HEALTH 6100 SOUTHCENTER BLVD Dear Permit Holder: Allan Ekberg, 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 4/11/2018. 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 4/11/2018, 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: ELI7-0802 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 NW Signs Home Espafiol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I Page 1 of 2 EARCii A -"Z Index 1-Ielp My L&I Workplace Rights Trades & Licensing NW Signs Owner or tradesperson Principals STODDARD, BRIAN, PRESIDENT STODDARD, BRIAN, AGENT Doing business as NW Signs WA UBI No. 602 156 837 Parent company Northwest Wholesale Signs 17201 Beaton Rd MONROE, WA 98272 425-844-6415 SNOHOMISH 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. NWSIGS*84201 Effective — expiration 10/07/2016-10/07/2018 Designated administrator BARTMAN, MARK E Active. Meets current requirements. License type License no. Master Electrician BARTMME979M3 Bond .............. Wesco Insurance Co Bond account no. 46-WB080426 Received by L&I 10/07/2016 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 10/06/2016 Cancelation date 11/25/2017 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602156837&LIC=NWSIGS*84201&SAW= 10/13/2017 NW Signs1 This company has multiple workers' comp ai vunts. Active accounts L&I Account ID 991,379-02 Doing business as NORTHWEST WHOLESALE SIGNS Estimated workers reported Quarter 2 of Year 2017 "11 to 20 Workers" L&I account contact T2 / MATT PEDERSEN (360)902-5476 -Email: PEDM235@lni.wa.gov Track this contractor GI Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid .......................................................................................... No debarments have been issued agaynst this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 Washington Stale Dept. of Labor & Industries. Uae of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602156837&LIC=NWSIGS*84201 &SAW= 10/13/2017