HomeMy WebLinkAboutPermit EL09-0085 - MATTRESS DEPOTMATTRESS DEPOT
1061 ANDOVER PK E
ELO9-0085
Parcel No.: 2623049019
Address: 1061 ANDOVER PK E TUKW
Suite No:
Tenant:
Name: MATTRESS DEPOT
Address: 1601 ANDOVER PK E , TUKWILA WA
Owner:
Name: M3 PROPERTIES LLC Phone:
Address: C/O ]SH PROPERTIES INC , 555 S RENTON VILLAGE PL #100
Contact Person:
Name: KELVIN BATTLE Phone: 425 251 -0356
Address: 25500 74 AV S , KENT WA
Contractor:
Name: PERFORMANCE HTG & AC Phone: 425 - 251 -0356
Address: 25500 74 AVE S , KENT WA
Contractor License No: PERFOHA005BS Expiration Date: 01/22/2010
DESCRIPTION OF WORK:
INSTALL (2) NEW T -STATS TO (2) NEW ROOFTOP UNITS
Value of Electrical: NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Signature:
Print Name: /2 .-, / 71 7 / h
doc: EL -4/07
Cityllf 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
ELECTRICAL PERMIT
Fees Collected:
National Electrical Code Edition: 2005
Permit Number: EL09 -0085
Issue Date: 02/10/2009
Permit Expires On: 08/09/2009
$76.00
(10:di Date: O
I hereby 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. I am authorized to sign and obtain this electrical permit.
Date: 2-4 -
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.
EL09 -0085 Printed: 02 -10 -2009
Parcel No.: 2623049019
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
1061 ANDOVER PK E TUKW
MATTRESS DEPOT
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0085
ISSUED
01/30/2009
02/10/2009
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: Arty 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.
Signature:
Print Name: Hc.7 /t
doc: Cond -Elec
Date: Z 1
EL09 -0085 Printed: 02 -10 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address:
1061 Andover Park East
• •
Electrical Permit No.
Project No.
(For office use only)
- 0
ELECTRICAL PERMIT APPLICATION
Applications and plans must he complete in order to he accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.:J 0323049026
Suite Number:
Floor:
New Tenant: ❑ Yes f[�-.No
'rn &44rcz
Property Owners Name: JSH Properties
10655 NE St #300
Mailing Address:
Zip
Tenant Nam
CONTACT PERSON - Who do we contact when your permit is ready to he issued
Name: Kelvin Battle
Mailing Address:_ 25500 74th Ave S
kelvin @pmghvac.com
E -Mail Address:
Contact Person:
E -Mail Address:
Performance Heating & A \C
Will service be altered? ❑ Yes
11 ' Appltcattnns On Line, \4-21107 - Eleclncnl Permit Application doe
hh
Bellevue
City
Wa
State
98004
425.251.0356
Day Telephone:
Kent Wa
city State
Fax Number: 253.867.5775
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: Same as above
cit
Day Telephone:
Fax Number:
State
98032
Zip
Zip
Contractor Registration Number: PERFOHA005BS Expiration Date: 1/22/2010
600.00
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Install (2) new T-stats to (2) new roof top units
No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
12 Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
V Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages. pools, spas and outbuildings $75.00 ca
❑ Low voltage systems
(alarm. furnace thermostat) - $55.00 ca
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)
• •
M ULTI- FAMILV AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑
•temporary service (generator) $75.00
❑ M anufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases. a value of construction amount should he entered b■ the applicant. This figure will he 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 ti llowing 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 'FIIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE TINDER
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: /SL'6/`/ 1 e Date: 1.27.09
Kelvin Battle 425.251.0356
Print Nance: Day Telephone:
Mailing Address: 25500 74th Ave S Kent Wa 98032
I Date Application Accepted:
*0 re)
I Applications\ Foimc-Applications On Luw\4 -'_007 - Flectrical Permit Application doc
bh
Date Application Expires:
State (ip
Staff Initials:
Page 2 of 2
RECEIPT NO: R09 -00156
Initials: JEM
User ID: 1165
SET TRANSACTIONS:
Set Member
EL09 -0085
M09 -008
M09 -009
TOTAL:
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
MECHANICAL - NONRES
PLAN CHECK - NONRES
Ci. 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
Payee: PERFORMANCE HEATING AND AIR CONDITIONING, INC.
SET ID: 0130 SET NAME: PERFORMANCE HEATING & AIR
Amount
76.00
545.31
315.41
76.00
SET RECEIPT
Payment Date: 01/30/2009
Total Payment: 936.72
TRANSACTION LIST:
Type Method Description Amount
Payment Check 51405 936.72
TOTAL: 936.72
Account Code Current Pmts
000.322.101.00.0 76.00
000.322.102.00.0 688.58
000/345.830 172.14
TOTAL: 936.72
Project: f 11 5 p f
Type of Inspection: 21o0
Address: � ����� •
Date Called:
Special Instructions:
Date Wanted:
/�
07i I `
p.m.
Requester:
Phone No:
INSPECTION RECORD !,
Retain a copy with permit ail-
INSPECTION NO. P E MIT NO.
CITY OF TUKWILA BUILDING DIVISION 8
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
( Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
I3c
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 7111 101
Receipt No.:
Date:
Name
Role
Effective Date
Expiration Date
MILLER, DANNY
AGENT
11/20/2007
MILLER, DANNY
PRESIDENT
11/20/2007
ERDAHL, DARRIN
VICE PRESIDENT
11/20/2007
GOWEN, RICHARD L
AGENT
01/01/1980
11/20/2007
GOWEN, RICHARD L
PRESIDENT
01/01/1980
11/20/2007
GOWEN, CONSTANCE F
VICE PRESIDENT
01/01/1980
11/20/2007
Untitled Page
Electrical Contractor
A business licensed by Lai 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
PERFORMANCE HTG Et A/C
INC
UBI No. 600601386
Phone 4252510356 Status ACTIVE
Address 25500 74TH AVE SO License No. PERFOHA005BS
License Type ELECTRICAL
CONTRACTOR
City KENT Effective Date 1/20/2000
State WA Expiration Date 1/22/2010
Zip 98032 Suspend Date
County KING Previous License PERFOHA055RJ
Business Type Corporation Next License
Parent Associated MILLEDE986LS
Company License
Suite /Apt.
Specialty 1 HVAC /RFRG LTD
ENERGY
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License MILLEDE986LS
Name MILLER, DANIEL EUGENE
Status ACTIVE
Business Owner Information
Bond Information
•
I Bond I Bond I
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= PERF0HA005BS 02/10/2009