HomeMy WebLinkAboutPermit EL18-0516 - PARKWAY SUPERCENTER - CONNECT LED ILLUMINATED MONUMENT SIGN TO PRIMARY SERVICEPARKWAY SUPERCENTER
301 MINKLER BLVD
ELI 8-0516
Parcel No:
Address:
gityof_Tukwila
Department -° of
Community Development
6300 Southcenter BoulevardSuite #100
Tukwila, Washington 98188
Phone: 206'431'3670
Inspection Request Line: 206-430'9350
Web site: htto://www,TukwilaWA.gov
ELECTRICAL OTC PERMIT
2623049079 Permit Number: EL18-0516
301 MINKLER BLVD
Project Name: PARKWAY SUPERCENTER
Issue Date: 6/6/2018
Permit Expires On: 12/3/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC/KIMCO
3333 NEW HYDE PK RD STE 100
PROPERTY TAX DEPARTMEMTNEW
HYDE PARK, WA11042
KEN DENNIS
76GMARINE DR'8ELUNGUAN[WA,
98225
SIGNS PLUS INC
766 MARINE DR, BELUNGHAM, WA,
98225
8GmSP|954&w
'''
Phone: (360) 671-7165
Phone: (360) 671-7165
Expiration Date: 6/16/2019
DESCRIPTION OF WORK:
CONNECT' NEW LED ILLUMINATED MONUMENT SIGN TO PRIMARY SERVICE BY OTHERS
Valuation of single family: S0.0
Valuation of mf/comm: $1,00000
Type of Work: TENANT IMP
Fees Collected: $109.68
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: H|GMLINEJUKVV|LA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Bullding Code Edition:
International Resideritial Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA StatEnergy Code:
Da
2017
2017
2017
2015
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 anyd agre .-to the conditions attached to this permit.
Signature:
Print Name:
!�L
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 and the Washington Cities Electrical Code.
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 TUNIC
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup://www.TukwilaWA,gQy
Electrical Permit No. &L1 0 5 1 ca
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
Site Address: :36 1 Y'ivk
Tenant Name: e
PROPERTY OWNER
Name: ,
F\ Cy. 0 Co- vx ( (
Name:
Tul1 ,, 0s6
Phone: Fax:
_7 6 0 - (.9-7 t ---11 6,5-
Address:
3-3
3 3 New,
oo
City:,,j i
"'Neu.)
/1 State:
riatv-, 1414
Zip:
ilt24-z_
CONTACT PERSON — person receiving all project
communication
Name: ,
F\ Cy. 0 Co- vx ( (
Address: ? 6 6 114 A r r.
City: sc 0ii 4 pv, State: 1,t../ 4 ZiF9
Phone: Fax:
_7 6 0 - (.9-7 t ---11 6,5-
Email:
c 4-,s 19 i L< c N 14J, (- 0
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: 0 Yes 0.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
$t5 ,., s, pivs :4---_i1c ,
Address: c., ...,•
State: Zip:
City: at
Phone: .3 _67( _ ?/61,s32(:
Contr Reg N.:c._ s i G iv5pi 9 DatDate
41; (I) 7
Tukwila Business License No.; 6 IA 3 _0 fl, 6 3 .,...).._
Valuation of Project (contractor's bid price): $ (90 0 0 0
Scope of Work (please provide detailed information): Cfrt(,1
+ 0 .s e r v , k 0 46 c r_s
< S\
L E b TILLeiNt.,411e..A
Will service be altered? Yes 0. No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel
O Low Voltage 0 Generator D Fire Alarm 0 Telecommunication
Property Served bv:
g Puget Sound Energy 0 Seattle City Light
WAPermit CenterlApplications-Handouts\ Permit ApplicationAWordtEiectrical Permit Application Revised I-t-2017.docx
Revised: January 2017
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Adding more than 50 amps? 0 Yes 3 No
O Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
0 Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ 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
❑ 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
❑ 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
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 ELECTR L CONTRACTOR:
Signature: /i/Lti ✓&
Print Name:
Mailing Address: r? 6 6 »7
DC.
W:\I'crmit CenteMpplications-Hanlouts\'ermit Applications\Word\Electrical Permit Application Revised I-1-2017.docx
Revised: January 2017
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Date: / b % � 8
Day Telephone: 2 47e, —') 1— ?l C.. S-
6c(A rhS hA g -7 2
City State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
109.68
EL18-0516 Address: 301 MINKLER BLVD Apn: 2623049079
$109.68
Credit Card Fee
$3.19
Credit Card Fee
R000.369.908.00.00
0.00
$3.19
ELECTRICAL
$101.42
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$101.42
TECHNOLOGY FEE
$5.07
TECHNOLOGY FEE R000.322.900.04.00 0.00 $5.07
TOTAL FEES PAID BY RECEIPT: R14658
$109.68
Date Paid: Wednesday, June 06, 20:18
Paid By: KEN DENNIS
Pay Method: CREDIT CARD 00991d
Printed: Wednesday, June 06, 2018 10:27 AM 1 of 1
CRWSYSTEMS
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 06/06/2018 10:26:04 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3846 K
TRAN AMOUNT: $109.68
APPROVAL CD: 00991D
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TCTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
hups://c lassie .convergepay .com/VirtualMerchant/transaction.do?di spatchMethoct-----printTran... 6/6/2018
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 06/06/2018 10:26:04 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3846 K
TRAN AMOUNT: $109.68
APPROVAL CD: 00991D
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
https://elassic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTran... 6/6/2018
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
64- KA,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
A-LICAJ 541—i,
Type of Inspection:
rtAbii./-
Address:
3 1 100(1_6(
Date Called:
Special Instructions:
ripA)IAtki I.- 514A1
Date Wanted:
/2_---.
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
n pec or:
Date:
0
I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SIGNS PLUS INC
#111)Washington State Department of
Labor & Industries
Ci
0
Ilnmc Espanol C;onttrct Search L&I
Page 1 of 2
ARC
A -Z Index I [Op
Safety & Health Claims & Insurance Workplace Rights
SIGNS PLUS INC
Owner or tradesperson
Principals
GRAVNING, DALE, PRESIDENT
GRAVNING, DALE, AGENT
Doing business as
SIGNS PLUS INC
WA UBI No
602 475 851
766 Marine Dr.
BELLINGHAM, WA 98225
360.671.7165
WHATCOM County
Business type
Corporation
Governing persons
DALE
GRAVNING
DALE L GRAVNING;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
SIGN
License no.
SIGNSPI954LW
Effective — expiration
06/16/2005— 06/16/2019
Designated administrator
LACHAPELLE, PAUL M
License type
Master Electrician
Bond
Nationwide Mutual Ins Co
Bond account no.
7900400685
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
LACHAPM973CG
$4,000.00
Received by L&I Effective date
05/15/2013 06/13/2013
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
My i.&1
Trades & Licensing
W.)_C - qg
Help us improve
https://secure.lni.wa.gov/verify/Detail„aspx?UBI=602475651 &LIC=SIGNSPI954LW&SAW= 6/6/2018
SIGNS PLUS INC
Workers' comp
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
090,281-00
...................
Doing business as
SIGNS PLUS
Estimated workers reported
Quarter 1 of Year 2018 "21 to 30 Workers"
L&I account contact
T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@lni.wa.gov
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 against this contractor.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
03/28/2018
Inspection no
317948436
Location
498E 2nd St
East Wenatchee, WA 98802
Inspection results date
03/13/2014
Inspection no.
316968429
Location
1000 Town Center NE
Tacoma, WA 98422
Violations
Violations
Page 2 of 2
Washington State Dept. of Labor & Industries. Use 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=602475651 &LIC=SIGNSPI954LW&SAW= 6/6/2018