HomeMy WebLinkAboutPermit EL18-1074 - CONCENTRA - INSTALL ILLUMINATED WALL SIGNSCONCENTRA
200 ANDOVER PARK E 6
EXPIRED
06/11/2019
ELI 8-1074
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.Rov
ELECTRICAL OTC PERMIT
0223100099 Permit Number:
200 ANDOVER PARK E Unit9 Issue Date:
Permit Expires On:
Project Name: CONCENTRA
EL18-1074
12/13/2018
6/11/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MERDIAN PACIFIC PARTNERS LL
7918 GREEN LAKE DR N , SEATTLE,
WA, 98103
JASON FENTON
137 ST NW #C , AUBURN, WA, 98001
ADVANCED SIGNS LLC
ONE 37TH ST NW, STE C, AUBURN,
WA, 98001
ADVANSL923DP
Phone: (253) 987-5909
Phone: (253) 347-5039
Expiration Date: 3/23/2020
DESCRIPTION OF WORK:
INSTALL (2) ILLUMINATED WALL SIGNS TO EXISTING CIRCUITS
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $83.44
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:
Permit Center Authorized Signat
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date:
I hearby certify that ! 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 pmit and agree to the conditions attached to this permit.
Signature:
Print Name:
Date: ° ' p C)
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
Parcel No:
Address:
c
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.Rov
ELECTRICAL OTC PERMIT
0223100099 Permit Number: EL18-1074
200 ANDOVER PARK E 6
Project Name: CONCENTRA
Issue Date: 12/13/2018
Permit Expires On: 6/11/2019
Owner:
Name:
Address:
MERDIAN PACIFIC PARTNERS LL
7918 GREEN LAKE DR N , SEATTLE,
WA, 98103
Contact Person:
Name: JASON FENTON
Address: 137 ST NW #C, AUBURN, WA, 98001
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
Phone: (253) 987-5909
ADVANCED SIGNS LLC Phone: (253) 347-5039
ONE 37TH ST NW, STE C, AUBURN,
WA, 98001
ADVANSL923DP Expiration Date: 3/23/2020
DESCRIPTION OF WORK:
INSTALL (2) ILLUMINATED WALL SIGNS TO EXISTING CIRCUITS
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $83.44
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
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
Date:
1 -13-18
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 .f this permit does not presume to give authority to violate or cancel the provisions of any other
state or loca�:ws regulating construction or the performance of work. I am authorized to sign and obtain this
developme 'ermit a d agree to the conditions attached to this permit.
Signature:
Print Name:
ii' \ /„ - -
.� i . J1-5 cl--
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 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
r►
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. € Ll 1 U 4-9
Project No. 77
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: ot00 Ndc'/si ?R`rk
Tenant Name (1kr—C..—I -k-4. A
King Co Assessor's Tax No.: o .}../3 / 0001'1
Suite Number: 6- Floor:
PROPERTY OWNER
Name: SASCJ J n..,J Ir0 ,.J
Name:,-�`
.✓ Cw %c_ Qf
I f/zrS L 1-
Address::1 V
4
r& c k
Email:
a_ Q.Gr,.A:‘,.Cdv—,
City;_ kV -l% j b
Phone: Fax:
21'3-gss-7-S4o5
State:
Zip ,, is,
CONTACT PERSON — person receiving all project
communication
Name: SASCJ J n..,J Ir0 ,.J
Company Name•
Address:, 3tV"el-
S V N i� C_
City:n b�s4 , State: (A ti Zip:c
0C I
Phone: Fax:
.1.3--)T7-5909
City:„ w State: W A Zip:1
t4 lo
Email:
a_ Q.Gr,.A:‘,.Cdv—,
}
New Tenant: DQ Yes
..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name•
Address:' 3.71 ` ST N w
City:„ w State: W A Zip:1
t4 lo
0PI
}
Phone: Fax:
21'3-gss-7-S4o5
Contr RegANovtimS 15.a Dp Exp Date:
11 0 3 ...a3.. )a
Tukwila Business License No.;
Valuation of Project (contractor's bid price): S d
Scope of Work (please provide detailed information): ZN,S -A Lc Cil e ) r h eet. L1i-I l Si JN
4.c ��c,�1 'J C:SCkI,+S
Will service be altered? ❑ Yes Cg -No
Type of Use: Ld W \/ n
Adding more than 50 amps? ❑ Yes
Type of work:
0 New 0 Addition 0 Service Change
Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
VI' Puget Sound Energy 0 Seattle City Light
W:JPermit Center\Applications-Handouts\Permit Applications \PDF's\Ekctrical Permit Application Revised I - I - I 7.docx
Revised: January 2017
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❑ Remodel
0 Telecommunication
0 Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$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 $6L05
(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)
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***
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 ELECT CAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: ) ,S
W:\Permit Center \ Applications-HandolasTemiit Applications \PDFalectrical Permit Application Revised 1-1-17.docx
Revised: January 2017
bh
Date:
- 11
Day Telephone:. 5-
u (A1A- cCo-1
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R16049
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$83 44
E118-1074 Address: 200 ANDOVER PARK E 6
Apn: 022 00099
$83,44
ELECTRICAL
$79.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R16049
R000.322.900.04.00
0.00
$3.97
$83.44
Date Paid: Thursday, December 13, 2018
Paid By: ADVANCED SIGNS LLC
Pay Method: CHECK 7747
Printed: Thursday, December 13, 2018 9:42 AM 1 of 1
SYSTEMS
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: ) -
Plan Check/Permit Number: E ) 1
O Response to Incomplete Letter #
O Response to Correction Letter #
El Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
O Deferred Submittal #
Project Name:
C 9 -iv 4 IA
RECEIVED
CITY OF TUKWILA
MAY 202319
PERMIT CENTER
Project Address: (9" 0 0 Ad A019--( s
Contact Person: P'cSO/V TA- - ) t_.)f Phone Number: c� % ^ 5'9(1
Summary of Revision:
CJ r PSN y ✓L. a v` N e I. T &OCYC $ v S iI % P F f
e
Sheet Number(s):
"Cloud" or highlight all areas of revision including da t = of revision
Received at the City of Tukwila Permit Center
Entered in TRAKiT on JL ' Zo " I
W:Wermit CenterWemplataTormskRevision Submittal Form dot
Revised' August 2013
5/2/2019
City of Tukwila
Department of Community Development
JASON FENTON
137 ST NW#C
AUBURN, WA 98001
RE: Permit No. EL 18-1074
CONCENTRA
200 ANDOVER PARK E
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 6/11/2019.
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 fmal 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 6/11/2019, 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,
OA) ta
Kandace Nichols
Permit Technician
File No: EL18-1074
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
ADVANCED SIGNS LLC
Cs)
Washington State Department of
Labor & Industries
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ktARCil
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Workplace Rights Trades & Licensing
ADVANCED SIGNS LLC
Owner or tradesperson
Principals
FENTON, JASON S, PARTNER/MEMBER
FENTON, JENNIFER E, PARTNER/MEMBER
Doing business as
ADVANCED SIGNS LLC
WA UBI No.
602 635 597
ONE 37TH ST NW STE C
AUBURN, WA 98001
253-347-5039
KING County
Business type
Limited Liability Company
Governing persons
JASON
STEVEN
FENTON
JENNIFER ELLEN FENTON;
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.
ADVANSL923DP
Effective — expiration
03/17/2008— 03/23/2020
Designated administrator
FENTON, JASON
License type
Electrical Administrator
Bond
CBIC
Bond account no.
SH7630
Active.
Meets current requirements.
License no.
FENTOJ*951 NK
$4,000.00
Received by L&I Effective date
03/17/2008 03/12/2008
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EWHMB00296
Issue date
Satisfied
RC W/WAC
Help us improve
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ADVANCED SIGNS LLC
04/03/2015
Violation city
AUBURN
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced In WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
19.28.101 RCW
Violation amount
$1,000.00
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 Account Is current.
097,942-01
Doing business as
ADVANCED SIGNS & LIGHTING LLC
Estimated workers reported
Quarter 3 of Year 2018 "7 to 10 Workers"
L&I account contact
T1 / NICHOLE CAROW (360)902-5634 - Email: CANI235@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 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
.?, Washington State. Dept. of Labor & Industries. Use of this site is subject to the laws of the state a
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