HomeMy WebLinkAboutPermit EL18-0918 - KFC / TACO BELL - INSTALL 2 CHANNEL LETTER WALL SIGNS AND LOGO SIGNKFC/TACO BELL
15036 TUKWILA INTL BLVD
EXPIRED
04/21/2019
ELI 8-0918
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.eov
ELECTRICAL OTC PERMIT
0041000525 Permit Number: EL18-0918
15036 TUKWILA INTL BLVD
Project Name: KFC/TACO BELL
Issue Date: 10/23/2018
Permit Expires On: 4/21/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MCNAMARA FLORINE
5245 BELL CT, CHINO, WA, 91710
HANS VISSER
5209 122ND ST E , TACOMA, WA,
98446
CULBERTSON SIGN SERVICE LLC
(ELECTRIC)
5209 122ND ST E , TACOMA, WA,
98446
CULBESS984MU
1,,
Phone: (253) 538-0752
Phone: (800) 925-6011
Expiration Date:
DESCRIPTION OF WORK:
INSTALL TWO SETS OF CHANNEL LETTER WALL SIGNS AND ONE LOGO SIGN ONTO THE TENANTS EXTERIOR
ELEVATIONS. WILL TIE INTO EXISTING J BOX/SIGN CIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $1,500.00
Type of Work: LOW VOLTAGE
Fees Collected: $127.02
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
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
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature: VMA)! lam.
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 the conditions attached to this permit.
Signature: /Y��
Print Name: I/4'u3 (//S55K..
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. et/Iv-04115
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.: 004100-0525
Site Address: 15036 Tukwila International Blvd
Tenant Name: KFC/Taco Bell
Suite Number:
PROPERTY OWNER
Name: Hans Visser
Name: Frank Desimone Jr.
City: Tacoma State: WA Zip: 98446
Address: 28802 Redondo Shores Dr.
Email: csspermits@gmail.com
City: Des Moines State: WA
Zip: 98198
CONTACT PERSON — person receiving all project
communication
Name: Hans Visser
Address: 5209 122nd ST E
City: Tacoma State: WA Zip: 98446
Phone: (253) 538-0752 Fax: (253) 538-0778
Email: csspermits@gmail.com
Floor:
1
New Tenant: ❑ Yes ® ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Culbertson Sign Service
Address: 5209 122nd ST E
City: Tacoma State: WA Zip: 98446
Phone: (253) 538-0752 Fax: (253) 538-0778
Contr Reg No.: CULBESS984MI Exp Date: 08/30/2020
Tukwila Business License No.; BUS -0993893
Valuation of Project (contractor's bid price): $ / 54:767
Scope of Work (please provide detailed information):
Install two sets of channel letter wall signs and one logo sign onto the tenant's exterior elevations.
Will tie into existing J box/sign circuit.
/nvs P ALS, TC.Jc7 c,4,JOPtE vim,! QRZ, VleV LAI) iv) >JOWS
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes m No
Type of Use: Sign circuit
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:\Permit Center Applications -Handouts \Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
bh
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
❑ Low voltage systems
(alarm, furnace thermostat) $6L05 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
0 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
0 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
O Temporary service (generator) $82.52
O Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
0 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 IIEREBY 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, ANI) I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: 10/22/2018
Print Name: Hans Visser Day Telephone: (253) 538-0752
Mailing Address: 5209 122nd St E Tacoma WA 98446
W: Permit Center\Applications-liandotas'Permit ApplicatianslPDFs\Electrical Permit Application Revised I-1-17.doc
Revised: January 2017
bh
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I
PermitTRAK
ACCOUNT
QUANTITY
PAID
$1,1.1.17;
D18-0340 Address: 15036 TUKWILA INTL BLVD
Apn: 0041000525.
$171.45
DEVELOPMENT
$166.60
PERMIT FEE
R000.322.100.00.00
0.00
$97.03
PLAN CHECK FEE
R000.345.830.00.00
0.00
$63.07
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$6.50
TECHNOLOGY FEE
I, $4.85
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.85
EL18-0918 Address: 15036 TUKWILA INTL BLVD
Apn: 0041000525
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
I
R000.322.101.00.00
I
0.00
$120.97
TECHNOLOGY FEE
f $6.05
TECHNOLOGY FEE
I
R000.322.900.04.00
0.00
$6.05
S18-0071 Address:15036 TUKWILA INTL BLVD
Apn: 004/000525
$812.70
SIGN
$774.00
PERMANENT SIGN PERMIT FEE
I
R000.322.100.00.00
I
0.00
$774.00
TECHNOLOGY FEE
$38.70
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15691
R000.322.900.04.00
0.00
$38.70
$1,111.17
Date Paid: Tuesday, October 23, 2018
Paid By: CULBERTSON SIGN
Pay Method: CHECK 13243
Printed: Tuesday, October 23, 2018 12:44 PM 1 of 1
SYSTEMS
3/1/2019
City of Tukwila
Department of Community Development
HANS VISSER
5209 122ND ST E
TACOMA, WA 98446
RE: Permit No. ELI 8-0918
KFC/TACO BELL
15036 TUKWILA INTL 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 4/21/2019.
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 4/21/2019, 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: ELI8-0918
RThi
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CULBERTSON SIGN SERVICE L
Washington State Department of
Labor & Industries
Home Espanol Contilet
Safety & Health Claims & Insurance
0
LS7earch L&I
A -Z Index I My,
Page 1 of 2
My 1.&1.
Workplace Rights Trades & Licensing
CULBERTSON SIGN SERVICE LLC
Owner or tradesperson
Principals
CULBERTSON, PAUL, PARTNER/MEMBER
CULBERTSON, PAUL
JR, PARTNER/MEMBER
Doing business as
CULBERTSON SIGN SERVICE LLC
WA UBI No.
602 043 276
5209 122ND ST E
TACOMA, WA 98446
253-538-0752
PIERCE County
Business type
Limited Liability Company
Governing persons
PAUL
E JR
CULBERTSON
PAUL E SR CULBERTSON;
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.
CULBESS984MU
Effective — expiration
08/30/2002— 08/30/2020
Designated administrator
CULBERTSON, PAUL
License type
Master Electrician
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond)
Received by L&I
08/30/2002
Release date
N/A
Savings account ID
20726937
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no.
CULBEP*979QL
54,000.00
Effective date
08/30/2002
Impaired date
N/A
Workers' comp
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602043276&LIC=CULBESS984MU&SAW= 10/23/2018
CULBERTSON SIGN SERVICE L
Do you know if the business has employees? Ifs erify the business is up-to-date on workers' comp premit.
L&I Account ID
964.604-01
Account is current.
Doing business as
CULBERTSON SIGN SERVICE LLC
Estimated workers reported
Quarter 2 of Year 7.018 "4 to 6 Workers"
L&I account contact
T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.wa.gov
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 al:owed 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
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=602043276&LIC=CULBESS984MU&SAW= 10/23/2018