HomeMy WebLinkAboutPermit EL07-014 - SLEEP COUNTRY USASLEEP COUNTRY USA
17275 SOUThCENTER PY
EXPIRED 10-24-07
EL07 -014
Parcel No.:
Address:
Suite No:
doc: EL - 4/07
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name: STATIC ELECTRIC INC
Address: PO BOX 972 , GRAHAM WA
Contractor License No: STATIEI951C8
Value of Electrical: $2,200.00
Type of Fire Protection:
Electrical Service provided by:
Permit Center Authorized Signature;
Cit3 -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.ci.tukwila.wa.us
2623049063
17275 SOUTHCENTER PY TUKW
SLEEP COUNTRY USA
17275 SOUTHCENTER PY , TUKWILA WA
MASAO
117 EAST LOUISA ST #230 , SEATTLE WA
SHANE JOHNSON
14624 72 ST E #115 , SUMNER WA
DESCRIPTION OF WORK:
ADDING (2) CIRCUITS FOR SOME HALF -WALL RECEPTACLES AND SALES COUNTER RECEPTACLES
PSE
ELECTRICAL PERMIT
I hereby certify that I have read and
governing this work will be compliewhether specified herein or not.
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 468 -3296
Phone: 253 468 -3296
Expiration Date: 02/25/2009
Fees Collected:
National Electrical Code Edition:
ELOT -014
04/06/2007
10/03/2007
$124.00
2005
Date: 0 idle I, 0:1
permit and know the same to be true and correct. All provisions of law and ordinances
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 perform e of work. I am authorized to sign and obtain this mechanical permit.
Signature: —OLD —O Date: '7
Print Name: 51A0, ne 321 . , VISor
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.
EL07 -014 Printed: 04 -06 -2007
Parcel No.: 2623049063
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
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.ci.tukwila.wa.us
17275 SOUTHCENTER PY TUKW
SLEEP COUNTRY USA
glAa
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
Date: 1 —0 — 0 - 2
EL07 -014
ISSUED
04/06/2007
04/06/2007
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.
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
EL07 - 014 Printed: 04 -06 -2007
CITY OF TUKWILA
Community Developmtepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Name: S I••."‘t Ao n So
H:\Appliations\Porms- Applications On Line\4 -2007 - Electrical Permit Application.doc
Electrical P nit
Project No.
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 LOCATIO
Site Address: 1 7 o +u+ rkw e,•/
Tenant Name: 51-e ep C r, u n'I-ty �) -
Mailing Address: IN(, ZN 7 2r . -5'. -.JA
E -Mail Address: €k' - - j p , i
King Co Assessor's Tax No.: 21.12-M- q a6
Suite Number: 1,0 Z_ Floor:
New Tenant:... Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Day Telephone: 2-53 -y(, ?2 (o
Fax Number: ZS3 - `6S - 0819
Valuation of Project (contractor's bid price): $ Z / ZOd
Scope of Work (please provide detailed information): Ac) l a o c rLu 0 tA r Son-) 2
bh&\`P -Wa11 Cecep qnd 5,le coo - eer - fete f 1-cIQs.
Zip
CONTACT PERSON Who do we contact when your permit is ready to be issued
Su m ner - 4 41 8 . 590
City tate Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: c ` I C= 1 eC'ir•1 _120 C
Mailing Address: 1 1(r Z N 7 Zi,.) 5 f £. 6u m n er W/4 • X 39 0
\ City State Zip
Contact Person: .561Y1 e_ c�b Inv`So r, Day Telephone: 75 3 — tit log 329 (o
E -Mail Address: Shcn e S .} r - I- 1 e r ((. b i^? Fax Number: ZS 3 -$S11 ogq 5
Contractor Registration Number: 5' .7 2 F .. c j S - R' Expiration Date: 02_ / 7 5 / 2069
Will service be altered? ❑ Yes XL No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 1`-' Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
g Puget Sound Energy
❑ Seattle City Light
Page I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTL MILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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 ELECTRICAL CONTRACTOR:
Signature:
Print Name: e
�'1 n Sow
Mailing Address: 06 7 720 d . E J S
Date Application Accepted: Oct I a r,b l
H:\Applications\Fonns- Applications On Line41 -2007 - Electrical Permit Application.doc
Day Telephone: 2-53- 1(,8 329C,
"vm✓1 er—
(4. 4 $,316
State
Staff Initials:
City
Date: "(— en — z r 7
Zip
Date Application Expires:
Page 2 of 2
Receipt No.: R07 -00520
Payee: STATIC ELECTRIC, INC.
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049063 Permit Number: EL07 -014
Address: 17275 SOUTBCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 04/06/2007
Applicant: SLEEP COUNTRY USA Issue Date:
Initials: JEM Payment Date: 04/06/2007 09:02 AM
User ID: 1165 Balance: 30.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3545 124.00
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
Payment Amount: $124.00
6230 )4/06 71O TrSw.
doc: Receiot -06 Printed: 04 -06 -2007
COMMENTS:
1 ( X ' C - - 4 7 4 /4)6
Address:
/717 .91/7 c e/4C(wy
ie //I//L- -- f /0/// A PtA 1 1///4 1/j
fi C -//D1i I Gn4SG
GK7,5$i'/t Fi -oO. IXD /4
GUG //MA/ 7Z) tysfMY Grl//1 -L .
a.m.
p.m.
Requester:
Phone No:
Project:
U c- 01/4/7r2 y
Type of Inspection:
Address:
/717 .91/7 c e/4C(wy
Date Called:
Special Instructions:
Date Wanted:
4')'-7
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit 402 —U/Q
INSPECTION NO. PERMI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2.6)431- 6
Inspect
Approved per applicable codes.
/, Xi/Pr/WWI/
ections required prior to approval.
Date 17//,2-7 /0 7
ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
Qt./4 C-VdAPV
Type of Ins5ction:
7 _..- co
A dress:
4
s4magrm Ly
/ ecial
Date Called:
p Instructions:
Date Wanted:
Requester:
Phone No:
INSPECTION RECORD
0))2VZ-
()/ Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
Approved per applicable codes.
ao7--o0
El Corrections required prior to approval.
COMMENTS:
C)k OA- - //ixF /4)/w...
4nA c.4v/V7rA_ 0 Kgc.E/ 0- gae5
llit(,5 -
0)04\ Nacrit 4 )
Arzup A.6,6
El 58.00 REINSPECTION F REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
City of Tukwila
Department of Community Development
10 -08 -2007
SHANE JOHNSON
14624 72 ST E #115
SUMNER WA 98390
RE: Permit No. EL07 -014
17275 SOUTHCENTER PY TUKW
Dear Permit Holder:
Steven M Mullet, Mayor
Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 10/24/2007 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
'fer Marshall
Permit Technician
xc: Permit File No. EL.07 -014
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
STATIEI951C8
Licensee Name
STATIC ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602455807
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
PO BOX 972
Address 2
City
GRAHAM
County
PIERCE
State
WA
Zip
98338
Phone
2534683296
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
2/25 /2005
Expiration Date
2/25 /2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
JOHNSS *973PH
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, SHANE E
AGENT
02/28/2005
JOHNSON, SHANE E
PRESIDENT
02/28/2005
Look Up a Contractor, Electri$an or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I 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.
Electrical Administrator Information
License
Name
Status
JOHNSS *973PH
JOHNSON, SHANE
ACTIVE
Bond Information
i
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= STATIEI951 C8 04/06/2007