HomeMy WebLinkAboutPermit EL19-0520 - JAYMARC AV - INSTALL ONE WALL SIGN.JAYMARC AV
14600 INTERURBAN AVE S
BLDG
ELI 9-0520
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.gov
ELECTRICAL OTC PERMIT
3365901650
14600 INTERURBAN AVE 5 BLDG
Project Name: JAYMARC AV
Permit Number: EL19-0520
Issue Date: 6/19/2019
Permit Expires On: 12/16/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
GRA INVESTMENTS LLC
4702 FOREST AVE SE , MERCER
ISLAND, WA, 98040
TRACIE SKILES
7400 HARDESON RD , EVERETt', WA,
98203
BERRY SIGN SYSTEMS (ELECTRICAL)
7400 HARDESON RD , EVERETT, WA,
98203
BERRYSS853W7
Phone: (425) 776-8835
Phone: (425) 776-8835
Expiration Date: 1/27/2021
DESCRIPTION OF WORK:
INSTALL ONE WALL SIGN.
Valuation of single family: $0.00
Valuation of mf/comm: $101.00
Type of Work: LOW VOLTAGE
Fees Collected: $71.71
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 Sign
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
u
2017
2017
2017
2015
/6/cd,90 Date: Co—/ gig
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. 1 am authorized to sign and obtain this
development per it a d agree to the con ions attached to this permit.
/-
Signature:
Print Nam
z/tp-r'St/i
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[TR|[ALPERMIT [OND|T|00S*^*
2: A copy of the electrical work permit shaH 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 wor 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 shaU 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: (2U6)438 -935O
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.TulcwilaWA.gov
Electrical Permit No. EL— - 5 -do
Project No.
Date Application Accepted'. 1.9 - 19
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:
Tenant Name:
(),AD ol-fruLA9 CUtr-
A-V
King Co Assessor's Tax No.:
lekl{,- _Suite Number:
New Tenant:
PROPERTY OWNER
Company Name:
"f)(1 -
Name:
S013
City: ..- , , State: 10-- Zip
Address: \
te 6 tAJkV
Tukwila Business License No.; - 01 1 C € ri,ce
City:
A m ,k , State:
Zip:
qii it
CONTACT PERSON — person receiving all project
communication
Company Name:
"f)(1 -
Name:
S013
City: ..- , , State: 10-- Zip
Phone: .1k35 -Fax: 1 i I
Address:
Tukwila Business License No.; - 01 1 C € ri,ce
City: u wir
State:
Zip:
0_0
Phone: 7/5-11
Fa• I
Email: Anko..(s
vemvi,“1.4) ei, to kync.
Floor:
14 Yes D ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
"f)(1 -
Address.
0 ,
City: ..- , , State: 10-- Zip
Phone: .1k35 -Fax: 1 i I
Conti- Reg No.: kitito s si-3ctixp Date: 7
Tukwila Business License No.; - 01 1 C € ri,ce
toM
Valuation of Project (cOntractor's bid price): $
Scope of Work (please provide detailed information): 1k4g
Will service be altered? E Yes
Type of Use:
Type of work:
Adding more than 50 amps? 1:i Yes 1:14 No
New 0 Addition 0 Service Change 0 Remodel
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Property erved by:
0 Puget Sound Energy 0 Seattle City Light
WAPermit Canter \ Applications -Handouts \Permit Applications PDFs \ Electrical Permit Application Re viscd 1-17-19Aocx
o Tenant Improvement
o Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm)
$180.00
$120.00 ea
$60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
❑ Carnivals $100.00
Number of concessions $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 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:
't''
1 ► 1 riJ
ti ` Y r/�/` [�
Mailing Address: 7 L O
Signature:
Print Name:
W:Pemvt Center Applications -Handouts \Permit Applications \PDFs\ElectricalPermit Application Revised 1-17-19.docx
Da
U�
Day Telephone: —! r'"✓ 7 ` ti
City
•
a
State Zip
ll
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$358.31
EL19-0520 Address: 14600 INTERURBAN AVE $ BLDG Apn 3365901650
$71.71
Credit Card Fee
$2.09
Credit Card Fee
R000.369.908.00.00
0,00
$2,09
ELECTRICAL
$ 6.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000,322.900.04.00
0.00
3,32
S19-0032 Address: 14600 INTERURBAN AVE S BLDG Apn: 3365901650
$286.60
Credit Card Fee
$8.35
Credit Card Fee
R000.369.908.00.00
0.00
$8.35
SIGN
$265.00
PERMANENT SIGN PERMIT FEE
R000.322,100.00.00
0.00
$265.00
TECHNOLOGY FEE
$13,25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17938
R000.322900.04.00
0.00
$13.25
$358.31
Date Paid: Wednesday, June 19, 2019
Paid By: TRACIE SKILES
Pay Method: CREDIT CARD 04250G
Printed: Wednesday, June 19, 2019 10:58 AM 1 of 1
CRW5Y5TEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433-1870
CITY OF TUKWILA
0017340008802374464500
Date: 06/19/2019 10:58:08 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3170 K
TRAN AMOUNT: $]58.]1
APPROVAL CD: 04250G
RECORD #: 000
CLERK ID: kandace
X
{CARDHOLDER'S SIGNATURE}
I 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
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project»
* • - *► •
.
Address:
Date Called:
Special Instructions:
;
Date Wa =
:
a,m.
p.m.
Requester:
Phone N
7 7 c0
proved per applicable codes.
Corrections required prior to approval.
Inspector:
Date:
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Washington State Department of
Labor & industries
BERRY SIGN SYSTEMS
Home Espanol Contact
Safety & Health Claims & Insurance
AZ ndex Help My 14.1
Workplace Rights Trades & Licensing
Owner or tradesperson
Principals
GEROULD, DONALD H, PARTNER/MEMBER
MCCULLOUGH HILL LEARY PS, AGENT
Doing business as
BERRY SIGN SYSTEMS
WA UBI No.
603 454 590
Parent company
COGENT HOLDINGS -1 LLC
7400 Hardeson Rd
EVERETT, WA 98203
425-776-8835
SNOHOMISH County
Business type
Limited Liability Company
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice 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.
BERRYSS853W7
Effective — expiration
01/27/2015— 01/27/2021
Designated administrator
Malone, Britt L
License type
Electrical Administrator
Bond
Developers Surety & Indem Co
Bond account no.
666335C
Received by L&I
01/27/2015
SaYi/IP.
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
License no.
MALONBL850B9
$4,000.00
Effective date
01/26/2015
Expiration date
Until Canceled
Help us improve
License Violations
No license violations during the previous 6 period.
Workers' comp
Public Works Requirements
o kplace safety and health
Washington State Dept. of Labor 8. Industries, Use of this site is subject to the taws of the stale of Washington.
Help us improve