HomeMy WebLinkAboutPermit EL07-096 - SLEEP COUNTRY USASLEEP COUNTRY USA
17275 SOUTHCENTER PY
EXPIRED 11 -04.07
ELO7-096
Parcel No.: 2623049063
Address: 17275 SOUTHCENTER PY TUKW
Suite No:
Tenant:
Name: SLEEP COUNTRY USA
Address: 17275 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: MASAO Phone:
Address: 117 EAST LOUISA ST #230 , SEATTLE WA
Contact Person:
Name: DAVID ANGELO Phone: 800 575 -4939
Address: 580 NACHES AV SW , RENTON WA
Contractor:
Name: GAYLORD INDUSTRIES INC Phone: 800 575 -4939
Address: 580 NACHES AV SW STE 101 , RENTON WA
Contractor License No: GAYLOII055JG Expiration Date: 04/07/2009
DESCRIPTION OF WORK:
LOW VOLTAGE: BURGLAR ALARM (PANIC)
Value of Electrical: $149.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied th, 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 performan of work I am a orized to sign and obtain this electrical permit.
Signature: Date: 57g (o 7
Print Name: V ce.,, c ('J
Cityf 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
Amy,
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL07 -096
Issue Date: 05/08/2007
Permit Expires On: 11/04/2007
$55.00
Date: l01'
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 -4/07 EL07 -096 Printed: 05-08 -2007
Parcel No.: 2623049063
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELO7 -096
ISSUED
05/08/2007
05/08/2007
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.
doc: Cond -Elec
Date:
EL07 -096 Printed: 05-08 -2007
bswor
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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 **
p King Co Assessor's Tax No.: G-l /x!49( � � aiS
Site Address: 1 1 9:16 6O& �
��ev f�.ct y Suite Number: Floor:
Tenant Name: t ' Ces...3Aktr■( (J t,A, g Yes ❑..No
Property Owners Name:
Mailing Address:
Zip
CONTACT PERSON Wh o, do we contact when your perm • is r eady to he issued
Name:
Mailing Address: ? Vl9ckct 4_- e
Company Name: CZa.c,,(aa
Contact Person:
E -Mail Address:
Valuation of Project (contractor's bid price): $ 1 # c (
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No
Type of Use: p(ar ■ 5, 15tevn.
Type of work:
❑ New ❑ Addition
( Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H: Applications\Forms- Applications On line41 -2007 - Electrical Permit Application.doc
bh
E -Mail Address: rSl toc3e&O CO c:60 .0-3R`tY.
Mailing Address: Maccne5 G ue 5t
jc5 l C0 RE:1?S
Contractor Registration Number: A J Ex —� 1 L-
O Service Change
❑ Fire Alarm
vt."
47 J rr �
City
New Tenant:
Day Telephone:
City
City
Day Telephone:
Fax Number:
Expiration Date:
Qtrvv1
State
State
Fax Number: a-'S 0 "742 `S
4 �7
ELECTRICAL CONTRACTOR INFORMATION
State Zip
1 (&057, y4
(
/e
Adding more than 50 amps? ❑ Yes ® No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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, furnace thermostat)
$140.00
$75.00 ea
$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)
MULTI- FAMILY 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 $10.00 ea
PERMIT APPLICATION NOTE
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTO$:
Signature: ,
Print Name:
Mailing Address:
I Date Application Accepted:
SFe" V \)ac " a e 5e..3 �t ,"
oslAnivq-
HAApplicationaorms- Applications On Line\4 -2007 - Electrical Permit Application.doc
bh
ttAm
Day Telephone:
City
Date: S ( 1
(C&i° 575'fcr ?
w A
state
Date Application Expires: tit 04 I ,,
4g!
Zip
Page2of2
Parcel No.: 2623049063 Permit Number: EL07 -096
Address: 17275 SOUTHCENTER PY TVKW Status: APPROVED
Suite No: Applied Date: 05/08/2007
Applicant: SLEEP COUNTRY USA Issue Date:
Receipt No.: R07 -00777
Initials: JEM
User ID: 1165
City of Tukwila
Payee: GAYLORD SECURITY SYSTEMS
TRANSACTION LIST:
Type Method Description
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
Amount
Payment Check 40084 55.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 55.00
Total: $55.00
Payment Amount: $55.00
Payment Date: 05/08/2007 03:57 PM
Balance: $0.00
8002 05/09 9716 TOTAL 55.00
doc: Receipt -06 Printed: 05-08 -2007
10 -16 -2007
DAVID ANGELO
580 NACHES AV SW, STE 101
RENTON WA 98057
RE: Permit No. EL07 -096
17275 SOUTHCENTER PY TUKW
Dear Permit Holder:
Thank you for your cooperation in this matter.
Sincerely,
fer Marshall
t Technician
xc: Permit File No. EL07 -096
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final 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 11/04/2007 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
10 -08 -2007
DAVID ANGELO
580 NACHES AV SW
RENTON WA 98057
RE: Permit No. EL07 -096
17275 SOUTHCENTER PY TUKW
Dear Permit Holder:
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final 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 writinr 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 11/04/2007 , 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,
OAS.
Ter Marshall
Permit Technician
xc: Permit File No. ELO7 -096
6.7nn .4nrrthrpntor Rnnlavard..Ruih *inn • T,,kwila Wachlnatnn OR1RR • Phnne• 2(16- aa1_VS71) • E9 Y. 9n/S_411_1ISi
License Information
License
GAYLOII055JG
Licensee Name
GAYLORD INDUSTRIES INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601615495
Ind. Ins. Account Id
AGENT
Business Type
CORPORATION
Address 1
580 NACHES AVE SW STE 101
Address 2
City
RENTON
County
KING
State
WA
Zip
98055
Phone
8005754939
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
HVAC/RFRG LTD ENERGY
Effective Date
4/7/1995
Expiration Date
4/7/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
GAYLORK088NH
Business Owner Information
Name
Role
Effective Date
Expiration Date
GAYLORD, R KEVIN
01/01/1980
GAYLORD, R KEVIN
AGENT
01/01/1980
Look Up a Contractor, Electrician 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
GAYLORK088NH
GAYLORD, ROBERT KEVIN
ACTIVE
Bond Information
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GAYLOII055JG 05/08/2007