HomeMy WebLinkAboutPermit EL09-0123 - MATTRESS DEPOTMATTRESS DEP T
1061 ANDOVER PK E
ELO9-0123
Print Name:
Parcel No.: 2623049019
Address: 1061 ANDOVER PK E TUKW
Suite No:
Tenant:
Name: MATTRESS DEPOT
Address: 1061 ANDOVER PK E , TUKWILA WA
DESCRIPTION OF WORK:
(2) ROOF TOP HVAC UNITS 7 (1) GFI RECEPTACLE
doc: EL -4/07
CityOf 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
Owner:
Name: M3 PROPERTIES LLC Phone:
Address: C/O JSH PROPERTIES INC , 555 S RENTON VILLAGE PL #100
Permit Number: EL09 -0123
Issue Date: 02/17/2009
Permit Expires On: 08/16/2009
Contact Person:
Name: TOM RAY Phone: 253 - 350 -0966
Address: PO BOX 7475 , KENT WA
Contractor:
Name: C T R ELECTRIC INC Phone: 360- 886 -1839
Address: PO BOX 7475 , KENT WA
Contractor License No: CTRELI *07700 Expiration Date: 09/22/2009
Value of Electrical: NRES: $3,860.00 Fees Collected: $150.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: l II 7 (''' 1 ■(
W
Date: D
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 pres a to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe • rmance • work. am authorized to sign and obtain this electrical permit.
Signature: � / Date: —` 7 - c ) ?
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 -0123 Printed: 02 -17 -2009
Parcel No.: 2623049019
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Print Name:
doc: Cond -Elec
0
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
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.
Signature: /
Cr —' Date: / v ,
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0123
ISSUED
02/17/2009
02/17/2009
EL09 -0123 Printed: 02 -17 -2009
Contact Person:
Scope of Work (please provide detailed inforn}ation):
CITY OF TUKWILA)
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Will service be altered? ❑ Yes No
Type of Use: , : ;j 1
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
- -Puget Sound Energy
❑ Seattle City Light
H:\ApplicationsWorms- Applications On Line \I -2009 - Electrical Permit Application doc
•
Electrical Permit No.
Project No.
(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
King Co Assessor's Tax : � v(� No.: . IP d- 30 z-( -' W I
/�/ )-- Site Address: ! �/t1���� � c� -� Suite Number: Floor: /
Tenant Name: ) 0/41 - 7 1 : J — � 16 New Tenant: ❑ Yes is,No
Property Owners Name:
Mailing Address:
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 72 /T4,V
Mailing Address:
E -Mail Address: C / !C 71(17/ r -60 Fax Number: 36o -8e6-
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: ,3oSL 7/ 73'
/Y
E -Mail Address: (7 r Y
Contractor Registration Number: � l G1 0 7
c
❑ Service Change
❑ Fire Alarm
L-1Z/ /
City
Day Telephone: ZS:-3 35c `?
City State Zip
LD A- o 123
State Zip
Day Telephone: Z s .3 "
Fax Number: 366' x- 7 '3
Expiration Date0 9 E 2 `Znoc?
Valuation of Project (contractor's bid price): $ R6
(E) - C z-fx))
Adding more than 50 amps? ❑ Yes No
v4C U'Y5
0 , Remodel ❑ Tenant Improvement
El Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $1 1.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change $52.00
(6 or more circuits).. $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
Signature:
Print Name:
Mailing Address: ,g5? ! ' ? / 5
I Date Application Accepted:
/
( 2
H 1Applicationa'Forms •Applications On Line11.2009 • Electrical Permit Application doc
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
City
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRISAL CONTRACTOR:
Date: OZ � 7- C37
Day Telephone: 05.3_556 }
9 (cG �C.7
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 2623049019
Address: 1061 ANDOVER PK E TUKW
Suite No:
Applicant: MATTRESS DEPOT
Payee: CTR ELECTRIC
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: hyp: / /wvvwci.tukwila.wa.us
Initials: WER Payment Date: 02/17/2009 10:50 AM
User ID: 1655 Balance: $0.00
Receipt No.: R09 -00253 Payment Amount: $150.00
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1904 150.00
RECEIPT
Account Code Current Pmts
000.322.101.00.0 150.00
Total: $150.00
Permit Number: EL09 -0123
Status: PENDING
Applied Date: 02/17/2009
Issue Date:
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -17 -2009
P roject: �f . Type
of Inspection:
U
Address:
Date Called:
llJJ
Special Instructs ns:
1'fa V" •
Date Wanted:
1 ��
QZ/
j i.m :
Requester:
11
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
ttoy_otz3
PERMIT NO.
fr
(206)431 -3
% -41
COMMENTS:
C &c» ) ri A
r‘,1
Approved per applicable codes. Corrections required prior to approval.
Inspector: 11 e j
Date: 02
n $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
Receipt No.:
'Date:
Project: M �-( IX 01
J
Type of Inspection: Z
t0O
Address: (- ` A DD%
AA
/ .
C
Date Called:
1 '
Special Instructions:
Date Wanted:
/
2 1g
a.
m.
Requester:
Phone No:
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION 14,
❑ Approved per applicable codes.
Receipt No.:
Date:
ei,o -oit3
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Ig Corrections required prior to approval.
COMMENTS:
pal ko0vto P 5(.o4 A/CC-T),
Date:
0 2# 1r(c
f
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
CBIC
636092
09/20/1993
Until
Cancelled
$4,000.00
Name
Role
Effective Date
Expiration Date
RAY, CHARLES THOMAS
01/01/1980
RAY, RENE DAWN
01/01/1980
Untitled Page
Business Owner Information
Bond Information
0
Business and Licensing Information
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= CTRELI *07700
•
Page 1 of 2
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.
Name C T R ELECTRIC INC UBI No. 601474637
Phone 3608861839 Status ACTIVE
Address PO BOX 7475 License No. CTRELI *07700
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City KENT Effective Date 9/20/1993
State WA Expiration Date 9/22/2009
Zip 98042 Suspend Date
County KING Previous License TRELE * *088DF
Business Type Corporation Next License
Parent Company Associated License RAY * *CT972C1
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License RAY * *CT972C1
Name RAY, CHARLES T
Status ACTIVE
02/17/2009