HomeMy WebLinkAboutPermit EL19-0486 - PIZZA HUT - ADD 1 SIGN FOR PIZZA HUTPIZZA HUT
14638 TUKWILA INTL BLVD
ELI 9-0486
Parcel No:
Address:
City of Tukwila
a
t 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,Roy
ELECTRICAL OTC PERMIT
0040000902 Permit Number: EL19'0486
14638 TUKWILA INTL BLVD
Project Name: PIZZA HUT
Issue Date: 6/6/2019
Permit Expires On: 12/3/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
POLETTI DAVE
1ZOUVVESTiAKDEAVE N#IOOI'
SEATLLE, WA, 98109
DAVID BENSON
l51O76OTHAVE E'TACOMA, WA,
98446
O'5AGE SIGNS LLC
I5lO75OAVE'TACOMA, WA, 98446
'''
Phone: (253) 709-1096
Phone: (206) 396-1036
Expiration Date: 4/30/2020
DESCRIPTION OF WORK:
INSTALL ONE SIGN FOR PIZZA HUT, REMOVING OLD.
Vauation of single family: $0,00
Valuation of mf/comm: $300.00
Type of Work: TENANT IMP
Fees Collected: $76.45
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 Editon:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signa
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
l'-6 //^l
I hearbycertify 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. | am authorized to sign and obtain this
development permit and agree to the condit?ons attached to this permit.
Signatur
Print Name:
Date: 6/(4/7
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: ***ELE[T0CALPERMIT [OND08NS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
lnspector 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 bullding, such equipment shaU not be concealed until it has been irispected 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 REQUJIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKIPA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. E
Project No.
Date Application Accepted: (.9
Date Application Expires:
or 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
/9Kgr &Ur) rr..4r-ottA-r WA- fri iF
King Co Assessor's Tax No.: CD V0000 no 2
Site Address: /lei gr TI4M-44/1-ot IdJTL.81-4) Suite Number:
Tenant Name: i)/7-ZA i4-44
PROPERTY OWNER
Name:
PCE --r'-7 D4VE
Address:
at:Po 14 *Sri -Air -6 414- /..2 ik / co/
City: seit7,74, State;( -'4 Zip: 9,,, al
CONTACT PERSON — person receiving all project
communication
Name:
Dm/ it) et") So")
Address:
/(O7 7 51:1" n v 6 6
:
CityState: 4 Zip
r-A-ecat4 4- 6v :pe,yr4
Phone:1-06. 796. fo76 Fax:
Email:
C 0 PI
Floor:
New Tenant: D Yes rfr-4
..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 0 ISW 54/US 4I -C
Address:
Sorel Rile- 6
City: State: i/ 44 Zip: 9,y9L
Phone: Fax:249‘. Z96. /03‘
Contr Reg No.:054 it s Lsvosixp Date: 0842.0.
Tukwila Business License No.; 00 3.
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): //1./.0-4-c4.- arte-)4 OA) ff-04.. fl,t74- Vqr, rz fre4 ov 6
Will service be altered? J Yes Eg No Adding more than 50 amps? I:3 Yes Dia No
Type of Use:
Tyne of work:
New. . . Addition 0 Service Change 0 Remodel • SgL Tenant. Improvement
O , Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Et Puget Sound Energy 0 Seattle City Light
W:Weratit CenteAApplications-Handoutacn-nit Applications \ PDFAElectrical Perna! Application Revised 1-1 7-19.cloca
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm)
$180.00
$120.00 ea
$60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
. .
EJ
Service change or alteration $120.00
(n6 added/altered circuits)
LJ Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
El Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) ....... ............... $60.00
O Temporary service (generator) $90.00
- `0 Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
' • -Number of ebikessioni • $11.00 ea
Each ride.and generator truck ........ ........$11.00 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 dais 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.'
. . , c.
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signatu
Date:
Print Name: Day Telephone: 5-3 • 70'9. 0 9'
Mailing Address: /.57 * 7 ST' 7-V kv 66
W: \Penult Center \Applications -Handouts \ Pennit Applications \ PDFs \ Electrical Permit Application Revised 1.17-19.dnex
171 toe.* A -
City
State
gre 4,6
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$76.45
E119-0486 Address: 14638 TUKWILA INTL BLVD
Apn: 0040000902
$76.45
Credit Card Fee
$2.23
Credit Card Fee
R000.369.908.00.00
0.00
$2.23
ELECTRICAL
$70.69
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$70.69
TECHNOLOGY FEE
$3.53
TECHNOLOGY FEE
1
R000 322 900 04.00
000
$3.53
TOTAL. FEES PAID BY RECEIPT: R17820
$76.45
Date Paid: Thursday, June 06, 2019
Paid By: DAVID BENSON
Pay Method: CREDIT CARD 019626
Printed: Thursday, June 06, 2019 10:25 AM 1 of 1
'SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
0817340000802374464580
Date: 86/00/2019 10:25:00 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********1079 K
TRAN AMOUNT: $76.45
APPROVAL CD: 019626
RECORD #: 000
CLERK ID: kandace
X
{CARDHOLDER'S SIGNATURE}
1 AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P`RMIT
CITY OF TUJKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: pi
Type of Inspection_
Address:
Date Called:
Special Instructions:
5 i,,,i 5 r 4
Date 'Wan
:
a.m.
p.m.
Requester:.._
..
t
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
Inspector:
REINSPECT IOI' FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Washington State Department ot
Lapor & Industries
IA 0 [tie: I')01 ()MAW.
Safety & Health Claims & Insurance
Search L&I
:\-Z Index Help My
Workplace Rights Trades & Licensing
O'SAGE SIGNS LLC
Owner or tradesperson
Principals
O'SAGE, KENNETH
MARION, PARTNER/MEMBER
Benson, David Charles, PARTNER/MEMBER
O'Sage, Kenneth Marion, AGENT
DOGES, DEAN PETER, PARTNER/MEMBER
(End: 08/03/2016)
LENBERG, ANTHONY
THOMAS, PARTNER/MEMBER
(End: 10/22/2013)
Maddry, Robert E., PARTNER/MEMBER
(End: 10/22/2013)
Doing business as
O'SAGE SIGNS LLC
WA UBI No.
603 223 575
15107 50TH AVE E
TACOMA, WA 98446
206-396-1036
PIERCE County
Business type
Limited Liability Company
Governing persons
KENNETH
OSAGE!'
ROBERT E MADDRY,
KENNETH OSAGE II;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business,
?I)prentice.Training Agent
Not allowed to have apprentices.
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.
OSAGESL8805A
Effective — expiration
08/01/2012— 08/08/2020
Designated administrator
OSAGE, KENNETH M11
Active.
Meets current requirements.
License type License no.
Help us improve
Master Electrician
Bond
Wesco Insurance Co
Bond account no.
46-WB051822
Received by L&I
07/23/2014
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
OSAGEKM951CM
$4,000,00
Effective date
08/01/2014
Expiration date
Until Canceled
Workers' comp
Public Works Requirements
Workplace safety and health
Washington State Dept. of Labof Industries. Use of this site is subject to the, lows of the state of Washington.
Help us improve