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Home My WebLink AboutPermit EL17-0871 - TEMPUR-PEDIC - SIGN CONNECTIONTEMPUR-PEDIC 17195 SOUTHCENTER PKWY ELI 7-0871 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 2623049071 Permit Number: EL17-0871 17195 SOUTHCENTER PKWY Project Name: TEMPUR-PEDIC Issue Date: 11/1/2017 Permit Expires On: 4/30/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KTM GROUP LLC 2810 EASTLAKE AVE E , SEATTLE, WA, 98102 KIRSTEN HANSON 727 S 96TH ST , SEATTLE, WA, 98105 HEATH NW INC 727 S 96 ST, SEATTLE, WA, 98108 H EATH N 19811 E Phone: (206) 623-3100 Phone: (206) 623-3100 Expiration Date: 3/23/2018 DESCRIPTION OF WORK: FINAL CONNECTION FOR SIGN READING "TEMPUR-PEDIC" Valuation of single family: $0.00 Valuation of mf/comm: $250.00 Type of Work: LOW VOLTAGE Fees Collected: $69.62 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 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 edL 6' `" " 1 Date: 0 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: Date: ) /1 /1 CAIS -1 % Print Name: 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.TukwilaWA.gov Electrical Permit No. L (1' D el 1 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.: Qu a l Q(,J Site Address: I 1615-' ,j►2l/�F'Y(� 1 -eiC- ?ClAt Suite Number: Tenant Name: .ern"? �,/ c ` New Tenant: p(%R- �Ca/ e ant: PROPERTY OWNER Name: KT M 8Q/3 -up 1/kar (1-4,2_(1-4,2_-I Address: f 61 5 C Pb City: 70 Nit 0 State: WA_ Zip: ! Is CONTACT PERSON — person receiving all project communication Name: G. ( gooi v! -II t t�qteik- S(J,/„�r Address: kiat _ti Si.— City: State: zipqklaff Phone:tbij 165 JlDO Fax: a 6126 i- s Email:K1zSliaf1etem%foitti vi icot Floor: Yes ❑ ..No 1:4 ELECTRICAL CONTRACTOR INFORMATION Company Name: ],(ea 1 r,. No r, l u j t Address:1&1 cscum.ci, City: 3 _t4/„ State: , !� Zipz `/- J/ Phon�Ots)-t�'1�� al Ud Fax:02t0W 4225 l-3y— Contr Reg No.:44:e4o1N = Exp Date: .4 ) c ) I s Tukwila Business License No.; g, ,5 dem 4 "j 7 Valuation of Project (contractor's bid price): $ 6) 0 ,, �, J Sco a of Work (please provide detailed information): 1r wl Cin %) ee z r - {`, 5 j ,J' ) t`Tenlp. rJ eticG Will service be altered? ❑ Yes Type of Use: slo Adding more than 50 amps? 0 Yes Type of work: ❑ New ❑ Addition 0 Service Change dLow Voltage 0 Generator 0 Fire Alarm Property Served by: O Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts \Pcrmit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh O Remodel O Telecommunication O Tenant Improvement O Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES o Service change or alteration $83.54 (no added/altered circuits) O 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 o Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 o 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR:/ 11)Signature: " rbl '1n Date: II') Print Name: kigirri 44171 S 071 �/Day' Telephone: a20(J (8(0505 �, /00 Mailing Address -1 cowl q (se,t&( V k cpgO City State W:\Pcrmit Ccntcr\Applications-Handouts\Pcrmit Applications \PDF's\Elcctrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $335.27 E117-0871 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $69.62 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.32 S17-0069 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $265.65 SIGN $253.00 PERMANENT SIGN PERMIT FEE R000.322.100.00.00 0.00 $253.00 TECHNOLOGY FEE $12.65 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12708 R000.322.900.04.00 0.00 $12.65 $335.27 Date Paid: Wednesday, November 01, 2017 Paid By: JJ & D SIGNS INC Pay Method: CHECK 1966 Printed: Wednesday, November 01, 2017 2:52 PM 1 of 1 C�WYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: t , 1)/kP�,� Type of Inspection: / ^/ . Address: '�ff iiI lll� 1.44 /� 1L p�/ ' Date Called: Special Instructions: j Date Wanted:; Requester: _ Wt e..417V/ Phone No: 2 (23 j/oo ''Approved per applicable codes. IJ Corrections required prior to approval. OMMENTS: Inspector: ` C-ik j Date: /21/21(7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. HEATH NW INC Washington State Department of )Labor & Industries 1 -Lorne Espanol Contact Safety & Health Claims & Insurance Search L&I Page 1 of 4 A -Z Index Help My Ltd Workplace Rights Trades & Licensing HEATH NW INC Owner or tradesperson Priricipals Gibson, Wendy D, PRESIDENT GIBSON, JOE, VICE PRESIDENT Gibson, Wendy, AGENT PAULSEN, DARRYL, PRESIDENT (End: 08/09/2011) GIBSON, Joseph, PRESIDENT (End: 08/09/2011) OLDS, JOHN, VICE PRESIDENT (End: 08/09/2011) GIBSON, JOE, TREASURER (End: 08/09/2011) PAULSEN, DARRYL, AGENT (End: 08/09/2011) Doing business as HEATH NW INC WA UBI No. 602 195 548 Parent company JJ & D SIGNS INC 727 S 96TH ST SEATTLE, WA 98108 206-623-3100 KING County Business type Corporation Governing persons WENDY GIBSON JOSEPH P GIBSON, 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, HEATHNI981JZ Effective — expiration 04/09/2002— 04/09/2018 Designated administrator GIBSON, JOE License type Electrical Administrator Bond ............... Cincinnati Ins Co Bond account no. Active. Meets current requirements. License no. GIBSOJ*971 R9 $4,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981JZ&SAW= 11/1/2017