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Home My WebLink AboutPermit EL11-0861 - CORT FURNITURECORT FURNITURE 1230 ANDOVE EL1 1 -0861 PK E City orTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 3523049069 Address: 1230 ANDOVER PK E TUKW Project Name: CORT FURNITURE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0861 09/16/2011 03/14/2012 Owner: Name: GRAY CAT COLLECTIVE LLC Address: 5430 45TH AVE W , SEATTLE WA Contact Person: Name: BRIAN MURRAY Address: 1413 CENTER ST , TACOMA WA Contractor: Name: CLOVER CREEK ELECTRIC Address: 1413 CENTER ST , TACOMA WA Contractor License No: CLOVECE293LA Phone: 253 627 -6648 Phone: (253)627 -6648 Expiration Date: 04/30/2012 DESCRIPTION OF WORK: RECONNECT (2) HVAC UNITS FOR INSTALLATION OF NEW ROOF Value of Electrical: NRES: $850.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be compli Fees Collected: National Electrical Code Edition: $88.20 2008 Date: D \ Le it ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p construction or the performance of work. Signature: Print Name: 10\ v1 e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. A Au(/- Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL11 -0861 Printed: 09 -16 -2011 11 PERMIT CONDITIONS Permit No. EL 11 -0861 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: Any change m 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. doc: EL -4/10 EL11 -0861 Printed: 09 -16 -2011 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Per No. Project No. ELI -o2(0 (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 I 3 O (!`lifN. j v_</... Vof k, c v kw t (a J4 - f King Co Assessor's Tax No.: Site Address: (a-3 0 o t n d p v-1/ 'Pa/ k Suite Number: Tenant Name: COQ Property Owners Name: Mailing Address: New Tena Floor: nt: ❑ Yes ^EJ No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued' tA.-N (/m-)1 � 53� �2 1 Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: C eN (f k cfri c, '7 L- Mailing Address: 1E413 e-e i Contact Person: f iAte, M )it°"') 'tiCOw.C._ City E -Mail Address: br 1 A (\ vJ o. 4Vai 1, n�-t Contractor Registration Number: Q.LOV E '(� - 3 &A LA A- 9 l State Zip Day Telephone: c).53- CPa 1- to loo U Fax Number: a53 - 6)--/ — 66 O cl I Expiration Date: I )70 12,- Valuation of Project (contractor's bid price): $ S-50 . 0-0 Scope of Work (please provide etailed information): e d n (\.e CI' (c) I- lvA Will service be altered? ❑ Yes M No Adding more than 50 amps? ❑ Yes Nt, No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Et Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: [' Puget Sound Energy ❑ Seattle City Light H: Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 fat o RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea Low voltage systems (alarm, furnace thermostat) RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: `-� � /"1 j Print Name: b(f C� r� - /4 Li/7A un�-- Mailing Address: /4113 - Date Application Accepted: Date Application Expires: Date: 9-76 — ` f Day Telephone5 3- City State Zip Staff Initials: H:\ Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 3523049069 Address: 1230 ANDOVER PK E TUKW Suite No: Applicant: CORT FURNITURE RECEIPT Permit Number: EL11 -0861 Status: PENDING Applied Date: 09/16/2011 Issue Date: Receipt No.: R11 -02036 Payment Amount: $88.20 Initials: JEM Payment Date: 09/16/2011 12:31 PM User ID: 1165 Balance: $0.00 Payee: CLOVER CREEK ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 64230 88.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 88.20 Total: $88.20 doc: Receipt -06 Printed: 09 -16 -2011 . INSPECTION NO. INSPECTION RECORD Retain a copy with permit 644b1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: ,y a r &4. Type of Inspection: 2.../O0 Address: iii ` 0 _ 0,1 G Date Called: Special Instructions: Date Wanted:. m. Requester: Phone No: pprroved per applicable codes. Corrections required prior to approval. OMMENTS: Vocte45 tipit-Df i 'Inspector: Date: /0/07 n REINSPECTION FEE REQUIRED. PFior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPEOTION NO. INSPECTION RECORD Retain a copy with permit 0761 ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v.. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: /! T f „ ;TJQ Type of Inspection: Address: i3a /Wool ( Date Called: Special Instructions: Date Wanted: . Requester: Phone No: DApproved per applicable codes. Corrections required prior to approval. COMMENTS: - %1DP biscANAtT5 RtQJiQk1 - 1AQ tl S TO a tAkt 2sw6-13 P> o,.r c-lr'kf C * WrI A hU A*.1 140tcr t»Jrr tes144k'IJd goo r►Ce P cvJ AA() 0 aC)) t r - E0.14 Pri eniT 4'L Q I4! ite u J r i4 r t-Li 4&. ( HT tre4P -T f4IN'r - Psi sc *>,1 a -10 R.t-f ac4- W 1 r NL,t irJj DiSto4 J(tT Plo?"'1b 6f. tub.' rep otJ AIM1E PLAT t. bP the- C.D4 elk - Sf 4 c-f RE kI TA C- Oem e6rD Win -1- w 2S Fes" ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SzeisiS Contractors or Tradespeople Per Friendly Page • Electrical Contractor A business licensed by L81 to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company CLOVER CREEK ELECTRIC 2536276648 1413 Center St Tacoma WA 98409 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601047056 Active CLOVECE293LA Electrical Contractor 6/1/1971 4/30/2012 General Unused Master Electrician INFORMATION License SCHUMW960K6 Name SCHUMACHER, A H Status Active Business Owner Information Name Role Effective Date Expiration Date SCHUMACHER, A H 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 12 Colonial American Cas Et Surety of Maryland LPM4069311 07/11/2005 07/11/2011 19.28.101 RCW ELECTRICAL CITATION $4,000.00 06/24/2005 11 Lexon Ins Co 9807776 07/11/2011 Until Cancelled $1,000.00 $4,000.0006/07/2011 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJORP04081 9/29/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01843 6/8/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03542 7/21/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/16/2011