HomeMy WebLinkAboutPermit EL19-0913 - KFC/TACO BELL - CHANNEL LETTER WALL SIGNS AND LOGO SIGN ONTO EXTERIOR ELEVATIONSKFC/TACO BELL
15036 TUKWILA INTL BLVD
ELI9-0913
Parcel No:
Address:
Cit of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 981&8
Phone: 206-43I-3670
Inspection Req uest Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0041000535 Permit Number: ELI9-0913
15036 TUKWILA INTL BLVD
Project Name: KFC/TACO BELL
Issue Date: 11/5/2019
Permit Expires On: 5/3/2020
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
CULBESS984K8U
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 TENANT'S EXTERIOR
ELEVATIONS. WILL INTO EXISTING J BOX/SIGN CIRCUIT.
Valuation of single family: $0.00
Valuation of mf/comm: $90000
Type of Work: LOW VOLTAGE
Fees Collected: $101.88
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 FueI Gas Code:
Permit Center Authorized Signature.
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
/
fr
2017
2017
2017
2015
1 hearby certify that I have read and examined this permit and know the same to be true arid correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or riot.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or Iocal laws regulating construction or the performance of work, 1 am authorized to sign and obtain thi5
development permit ar,d agree to the conditions attached to this permit.
Signature: Date:
Print Name: .th0/7.; /3-3-Ee
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: ***[LE{TR|[ALPERMIT [OND[OONS*~*
2: A copy of the electrical work permit shall be posted or oterwise 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 Z96-46BWAC and the Washington {]ties Electrical Code.
5: When any portin 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)43D'935O
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
4
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd,, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
0
Electrical Permit No. 0°I 2)
Project No.
Date Application Accepted:
)ate 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: 15036 Tukwila International Blvd
King Co Assessor's Tax No.: 004100-0525
Suite Number: Floor: 1
Tenant Name: KFC/Taco Bell
PROPERTY OWNER
Name: Hans Visser
Name: Frank Desimone Jr.
City: Tacoma State: WA Zip: 98446
Address: 28802 Redondo Shores Dr.
Contr Reg No.: ExpDate:
CULBESS984MI08/30/2020
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
Address: 5209 122nd ST E
Contr Reg No.: ExpDate:
CULBESS984MI08/30/2020
Tukwila Business License No.;
BUS -0993893
City: Tacoma State:
WA
Zip: 98446
Phone: (253) 538-0752 Fax:
(253)
538-0778
Email: csspermits@gmail.com
New Tenant:: Eli Yes [Z] ..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.: ExpDate:
CULBESS984MI08/30/2020
Tukwila Business License No.;
BUS -0993893
Valuation of Project (contractor's bid price): $ 900
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.
Will service be altered? El Yes No
Adding more than 50 amps? E] Yes No
Type of Use: Sign circuit
Type of work:
New El Addition ID Service Change 111 Remodel P Tenant Improvement
1=1 Low Voltage LJ Generator IJ Fire Alarm 1=1 Telecommunication LJ Temporary Service
Property Served by:
Lil Puget Sound Energy [-_J Seattle City Light
WAllennit CenterlApplications-Handoutslllerinit Applications \PDFAJlectrical Permit Application Revised I -I -17.docs
Revised: January 2O17
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $155,91
(including an attached garage)
El] G'arages, pools, spas and outbuildings........ ......... ..... $83.54 ea
0 Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $83.54
(no added/altered circuits)
E1 Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits addecUaltered 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
Temporary service residential) $66,30
0 Temporary service (generator) $82.52
El Manufactured/mobile home service $87,98
(excluding garage or outbuilding)
EI 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.
1 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:
Date:
11/01/2019
Print Name: Hans Visser Day Telephone: (253) 538-0752
Mailing Address: 5209 122nd St E Tacoma WA 98446
City
WAPermit Center \Applications-HandoutsTermit Applications \PDF`sliElectrical Permit Application Revised 1- I-17idocx
Reiiiiscd: January 2017
1)11
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
ACCOUNT 1 QUANTITY
PAID
PermitTRAK
$101.88
EL19-0913 Address: 15036 TUKWILA INTL BLVD Apn: 0041000525
$101.88
ELECTRICAL
97.03
PERMIT FEE MU TI-FAM/COMM
R000.322.101.00.00
0.00
97.0
TECHNOLOGY FEE
$4.85
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.85
TOTAL FEES PAID BY RECEIPT: R18999
$101.88
Date Paid: Tuesday, November 05, 2019
Paid By: CULBERTSON SIGN SERVICE LLC (E
Pay Method: CHECK 13357
Printed: Tuesday, November 05, 2019 10:44 AM
1 of 1
CRWYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
RMIT O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type o
Ar
---4.-
Address:
/
6 -
Date Ca --.
Special n
u
ons:
(OQ
Date ed:
a.m.
p.m.
equeste :
Phone No:
2.....
FOSApproved per applicable codes.
lvIMENTS:
rections required prior to approval.
Ins c
Date:
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedute reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
P ojec :
T p In pe
on:
Address:
Date ailed:
Special Instructions:
Date Wanted:
a,m.
p.m.
Requester:
P ne No:
LIApproved per applicable codes.
COMMENTS:
wCorrections required prior to approval.
Inspector:
Date:
REINSPECTIO FEE REQUIRED. Prior to next inspection fee Must be
paid at 6300 So thcenter Blvd., Suite 100. Call. to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P KNIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
Type o . ection:
/
Address:['C4
--y7 r R
Date Called:
Special Instructions:
5 i hi\l)
Date Wanted:
0 Q.
a.m.
p.m.
Requester:
Phone No: `'-
"..'../+/+f�
t ,
J"!'/,��,L►//f/
EDApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
r
p
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17)
5
tr�
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
CULBERTSON SIGN SERVICE LL
Labor / Industfies fhttps://lni.via.eell
Contractors
CULBERTSON SIGN SERVICE LLC
Owner ortradesperson
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 contractors 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
Active
Meets current requirements.
License no.
CULBEP*979QL
No bond accounts during the previous 6 year period.
.SaY).99§
(in lieu of bond) $4,000.00
Received by L61 Effective date
08/30/2002 08/30/2002
Release date Impaired date
N/A N/A
Savings account ID
20726937
License Violations
No license violations during the previous 6 year period.
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice TrainingAgent
Not allowed to have apprentices.
---.0T TIDT-4A1/1/111'7412.T 10 --OT TT EIE'CCCII4A71/4/11 f12,C A \IT=
Page 1 of 2
11 /G/11110
CULBERTSON SIGN SERVICE
Workers' comp
T
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.
964,604-61,
Doing business as
CULBERTSON SIGN SERVICE LLC
Estimated workers reported
Quarter 3 of Year 2019 "4 to 6 Workers"
L8,1 account contact
T4 / TERRI MADISON (360)902-4654 , Email: KIRT235@lni.wa.gov
Public Works Requirements
Verify the contractor is eligible to perform work on public works projects.
Required Training— Effective July 1, 2019
Lxempt from this requirement.
ContractorStrikes
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
Check for any past safety and health violations found on jobsites this business was responsible for.
No inspections during the previous 6 year period.
Page 2 of 2
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