HomeMy WebLinkAboutPermit EL18-0904 - BRAGANZA TEA - INSTALL (1) SIGN CIRCUITBRAGANZA TEA
507 SOUTHCENTER MALL
ELI 8-0904
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.TukwitaWA.gov
ELECTRICAL OTC PERMIT
9202470010
507 SOUTHCENTER MALL
Project Name: BRAGANZA TEA
Permit Number: EL18-0904
Issue Date: 10/18/2018
Permit Expires On: 4/16/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
CHRIS BROWN
2600 NE ANDERSEN RD - SUITE 50 ,
VANCOUVER, WA, 98661
VANCOUVER SIGN COMPANY INC
2600 NE ANDERSEN RD , VANCOUVER,
WA, 98661
VANCOSC147CQ
1
Phone: (360) 693-4773
Phone: (360) 693-4773
Expiration Date: 11/3/2019
DESCRIPTION OF WORK:
INSTALL (1) SIGN CIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $1,500.00
Type of Work: TENANT IMP
Fees Collected: $127.02
Electrical Service Provided by: PUGET 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:
2015
2015
2015
2015
2015
Permit Center Authorized Signature: , it
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: (old k
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 con ns attached to this permit.
Signature:
Print Name:
Date
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 shaft 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 TUKW1.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hath:; vvvvvv.1ukvvilaW,k.quv
Electrical Permit No.
6 9O 1i
Project No.
Date Application Accepted:
Date Application Expires:
(For ofce 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
Sv7
Site Address: ``2S'aiVSouth Center Mall
Tenant Name: Braganza Tea
King Co Assessor's Tax No.:
Suitc Number: Floor:
New Tenant: E—1 Yes
PROPERTY OWNER
Name:
Address:
City:
Sta
Zip:
CONTACT PERSON —person receiving alt project
communication
Name: Chris Brown
Address: 2600 NE Andresen Rd #50
City: Vancouver State: WA
Zip: 98661
Phone: (360) 693-4773 Fax:
Email: CBrown@vansignco.com
No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Vancouver Sign Co
Address: 2600 NE Andresen Rd #50
City: Vancouver State: WA
Zip: 98661
Phone: (360) 693-4773 Fax:
Contr Reg No.: EC VANCOSClz Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information): Install (1) sign circuit.
Will service be altered? 0 Yes ❑ No Adding more than 50 amps? U Yes Q No
Type of Use:
Type of work:
❑ New 0 Addition D Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage LI Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:Pcnnit C'enter',Appt[cations-Handouts\Penuit AppI
Revised; January 2017
hh
ens\PDF'v.Etcctricat Permit Appticat ion Revised 1-1-17 docx
Nage I oft
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155.91
(including an attached garage)
O 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
O Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
O Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $66.30
O Temporary service (generator) $82.52
O Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
O 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***
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:
Print Name: C C\ 1
Mailing Address:
WAPertnit Center\ Applications-HandoutsWermit Applications \PDFs\Electrical Permit Application Revised l-I-17.docx
Revised: January 2017
bh
Day Telephone:
Date: 1
V)A6.0iiAr VN5
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$127.02
EL18-0904 Address: 507 SOUTHCENTER MALL Apn: 9202470010
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15661
R000.322.900.04.00
0.00
$6.05
$127.02
Date Paid: Thursday, October 18, 2018
Paid By: VANCOUVER SIGN COMPANY INC
Pay Method: CHECK 85154
Printed: Thursday, October 18, 2018 2:19 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:75t1Ir
4-441ZA- .-tht
Type of Inspection:
Address:
Aldto
Date Called:
Special Instruction:
9CAN
Date Wanted:
/
7 . .
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
tes 12
Inspector: r Date: A
•
3 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Can to schedule reinspecton.
VANCOUVER SIGN COMPANY TC
Washington State Department of
Labor & Industries
11o*nc I'ssi anvl ( ntnct
Safety & Health Claims & Insurance
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Workplace Rights Trades & Licensing
VANCOUVER SIGN COMPANY INC
Owner or tradesperson
Principals
HAGENSEN, BRUCE E
MILLER, RICHARD D
HAGENSEN, MIRIAM 0
HORENSTEIN, CYNTHIA A, AGENT
Doing business as
VANCOUVER SIGN COMPANY INC
WA UBI No.
600 056 961
2600 NE ANDRESEN RD
VANCOUVER, WA 98661
360-693-4773
CLARK County
Business type
Corporation
Governing persons
RICHARD
D
MILLER
GREG STUART;
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
SIGN
License no.
VANCOSC147CQ
Effective — expiration
02/18/1986-11/03/2019
Designated administrator
MILLER, RICHARD D
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator MILLERD156BJ
Bond
CBIC
Bond account no.
PE0300
$4,000.00
Received by L&I Effective date
02/20/2007 02/17/2007
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
...................................
No license violations during the previous 6 year period.
Help us improve
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VANCOUVER SIGN COMPANY INC
fa`'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
057,608-00
...............................
Doing business as
VANCOUVER SIGN CO INC
Estimated workers reported
Quarter 2 of Year 2018 "21 to 30 Workers"
L&I account contact
T1 / LINDSEY BOOTH (360)902.5596 - Email: B000235@Ini.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
No inspections during the previous 6 year period.
Page 2 of 2
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600056961&LIC=VANCOSC147CQ&SAW= 10/18/2018