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Home My WebLink AboutPermit EL09-0678 - AMERICAN MATTRESSAMERICAN MATTRESS 235 STRANDER BL ELO9-0678 Cis Oaf 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 Parcel No.: 2623049102 Address: 235 STRANDER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0678 Issue Date: 10/29/2009 Permit Expires On: 04/27/2010 Tenant: Name: AMERICAN MATTRESS Address: 235 STRANDER BL , TUKWILA WA Owner: Name: A 4 LLC Phone: Address: 117 E LOUISA ST #230 , SEATTLE WA Contact Person: Name: CLINT MCCUBBIN Phone: 425 377 -1514 Address: PO BOX 2080 , SNOHOMISH WA Contractor: Name: NORTHLAND ELECTRIC INC Phone: 425 377 -1514 Address: 4314 103 AV SE , EVERETT WA Contractor License No: NORTHEI21879 Expiration Date: 03/31/2011 DESCRIPTION OF WORK: RECONFIGURE CIRCUITS, ADD RECEPTACLES, AND LIGHTING IN EXISTING TENANT SPACE. Value of Electrical: NRES: $8,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $219.20 National Electrical Code Edition: 2008 Date: I hereby certify that I have read and - - ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 't whether specified herein or not. The granting of t construction or Signature: Print Name: rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating ance of I am a orized to sign and obtain this electrical permit. i•ic:(013E)K) Date: l 07Z °I /o q 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 EL09 -0678 Printed: 10 -29 -2009 Parcel No.: 2623049102 Address: Suite No: Tenant: 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 235 STRANDER BL TUKW AMERICAN MATTRESS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0678 ISSUED 10/29/2009 10/29/2009 1: ** *ELECTRICAL * ** 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: Print Name: gE/ ,J I1 cLO13 IW Date: doc: Cond -Elec EL09 -0678 Printed: 10 -29 -2009 CITY OF TUKWILA Comn unity Development Departmer, t Permh Center 6300 : :outhcenter Blvd., Suite 100 Tukwi, 3, WA 98188 http: /�i iww. ci. tukwila. wa. us ELECTRICAL PERMIT APPLICATION Applications and plans must le complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATII )N ,p King Co Assessor's Tax No.: 2i2.- — __L.L0_ Site Address: e� 3 S �-S T RA N I' �' . 8L (13 Suite Number: Floor: Tenant Name: _ AA W \' Property Owners N tme: De etc,- 1U€ V e I o P .rr) Mailing Address: t (7 g.dit s r L o i s A. ST" � 3c City New Tenant: ❑ Yes ❑ .. No Soc-t7-1) wA 9 ?Jo State zip CONTACT PI RSON - Who do we contact when :'our permit is ready to be issued Name: eI!Air ri' .. i ;N Mailing Address: P. b • 1 -• Do go E -Mail Address: T HAwk� Rt 2-0 ►J• 1,) Day Telephone: 0-5) 3 7?-1 5 I SO 6140 r) Istt- W c?829/ City State Zip Fax Number: LIQ 5)372-?(/// ELECTRICA:.4 CONTRACTOR INFORMATION Company Name:_ IAJr)R.THLANC• > �C- �"rtRIG Zn1C Mailing Address: P v• ES 0 x ao $D S4 o -}.(e, vr\ 1 s (-[ W,+q 7809 / (� City u State Zip Contact Person: G I NT mcC�,�. b 6 n to Day Telephone: `F25 3 ) '7- (57 Y E -Mail Address: T. /IR W kt 1J ) 2- c� is) TAI E i— Fax Number: if a`J 3 7r 7 ^ 5.4/ f ci Contractor Regist •ation Number: NORTf f-ET al g 7 9 Expiration Date: 3 Valuation of Proj ;ct (contractor's bid price): $Q 0 U Scope of Work (1 lease provide detailed information): kR Co `i J f i r C t re « ■Ts 4. a� {Zee 'pTa C 1 Q s fst i —t��Tl n1� ; v -Ti-na Sro-C2 � Will service be z tercd? Typc of Use: Type of work: ❑ New ❑ Low V )Itage Property Served by: Puget sound Energy ❑ Seattle City Light ❑ Yes Adding more than 50 amps? ❑ Yes ❑ No Addition Generator ❑ Service Change ❑ Fire Alarm H 'v&pplicationskFomts -A plicattons On Line1-2009 - Electrical Permit Application d >c th ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication 0 Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDEN fIAL SERVICE ❑ New single famil dwellings $145.50 (including a I attached garage) ❑ Garages, pools, s Las and outbuildings $78 00 ea ❑ Low voltage syst ;ms (alarm, fun- ice thermostat) $57 00 ea RESIDENTIAL REMODEL AND SERVICE CHANT ;ES ❑ Service change t r alteration $7f .00 (no added/; Itered circuits) ❑ Service change vith added /altered circuits $7!•.00 nu they of added circuits SI .00 ea ❑ Circuits added /: tiered without service change $5 !.00 (up to 5 ci :uits) ❑ Circuits added!: ltered without service change $57_00 (6 or more circuits) S 7.30 ea ❑ Meter /mast rep it 565.00 ❑ Low voltage sy ;terns 557.00 (alarm, fu nace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 560.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 ea PERMIT APJ'LICATION NOTES - Value of Construe don - in all cases, a value ofconstruction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revisiot by the Permit Center to comply with current fee schedules. Expiration of Plat Review - Applications for which no pc nnit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for :al additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cau: e demonstrated. 1 HEREBY C . RTIFY THAT 1 HAVE READ AND E (AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRLE UNDER PENALTY OF P :RJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW ER OR ELECTRICAL CONTRACT OR: Signature: /� // p Date: 0 — Q Print Name: 1 /U M C1 1� Q) 1V Day Telephone: 9Q5 -3 77 -/5 1 y Mailing Address : (3I' / iO 3 " ,4L/e Si E. �" �f%p ci �i 2,6- vV City State Zip 1 Date Application accepted: Date Application Expires: Staff Initials. H'Applicanons\Forms -A plications On Liner I -2009= Clecvical Pofinit Applicationd,c Page 2 of bh • 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.: 2623049102 Permit Number: EL09 -0678 Address: 235 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 10/29/2009 Applicant: AMERICAN MATTRESS Issue Date: Receipt No.: R09 -01702 Initials: User ID: Payee: JEM 1165 Payment Amount: $219.20 Payment Date: 10/29/2009 12:55 PM Balance: $0.00 NORTHLAND ELECTRIC INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 34019 219.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 219.20 Total: $219.20 PAYMENT RFCEIVED doc: Receiot -06 Printed: 10 -29 -2009 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 1)7 RMIT NO. (206)431 -3670 Project: p , A 04 d Citi `�3c5® Type of Inspection: �rO J Address: Date Called: Special Instructions: Date Wanted: /Z o ps Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: &,(Cain 045 ripviDE 0 (Air Inspector:�c� r Date: ,/ ;° El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: S_ . _d._me_•.% INSPECTION RECORD t(1401 Retain a copy with permit INSPES ION NO.MIT NO. CITY • F TUKWILA BUILDING DIVISION I? 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20d)431 -3670 14 Project: p ,6Rt coo j j — . ype of Inspection: Address:735– S ate Called: Special Instructions: Date Wanted: 12 127 a: m: Requester: Phone No: ElApproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: •�1- P,C(t.tnl �j Coded Atitiqiuti Inspector: 1 i I N f RE Date: l i1 O $60.00 REIN$PECTION FEE UIRED. Prior to inspection, f e must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: NSPECTION NO. INSPECTION RECORD Retain a copy with permit 6.0-octi PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 Project: Atiet_ od itl i hype of Inspection: � 703 Address:23 LL Date Called: Pri-wt D Amt r om) Aret- tT -"'N Special Instructions: Date Wanted: 12-/213. a:m� Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: — �WSS(4� K` 0 - 56 A. A4D' ii?:10f - of6 A PoriE riG eirgiES ok, • - $•)c Ar4 i(4+rie E S Pri-wt D Amt r om) Aret- tT coc-Fc & C6iu'1(1 - W;11 a %6 FI )ctli Q.f tA)a-t P5 /WI> kei cam= 0.101i rtc.- 1/41462.6 ' .c J l4-E(j t&t ! 7 CiAort4EP Date: ' Z Z8 $60.00 REINSI'ECTION FEE RE�IUIRED. Prior to inspection, fee mu t be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD 60147f Retain a copy with permit INSPECTION NO. P IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projects ^ I� 44 /ss�:,•/y` '` •I Type of Inspection: /00 Addre Date Called: Special Instructions: Date Wanted: �� /z3 a:m: Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: err- &Veil Date: r 3/09p ri $60.00 REINS ECTION FEE RE UIRED. Prior to inspection, fee mu t be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: �j i Type of Inspection: 0 (![/ Address:( 73c5ra:414 Date Called: Special Instruc ions: 1 Date Wanted: 143 Clt:.rn Requester: / Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: ,OK • - opietc. p M IS ItsiL1 t.%Dr 6i54/4161 Date:ri $60.00 REINSP CTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Untitled Page • Page 1 of 2 Electrical Contractor A business licensed by Lid 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 NORTHLAND ELECTRIC INC UBI No. 600344369 Phone 4253771514 Status ACTIVE Address PO BOX 2080 License No. NORTHEI21879 Suite /Apt. City SNOHOMISH State WA Zip 98291 County SNOHOMISH Business Type Corporation Parent Company License Type ELECTRICAL CONTRACTOR Effective Date 10/29/1979 Expiration Date 3/31/2011 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License MCCUBCM970RH Name MCCUBBIN, CLINTON M JR Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HECKMAN, DAVID G Cancel Date 01/01/1980 Bond Amount MCCUBBIN, CLINT M JR 2 01/01/1980 107991 HECKMAN, DAVID G AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 NEW SOUTH INS CO 107991 10/29/1988 11/10/1989 $4,000.00 https://fortress.wa.gov/lni/bbip/Detail.aspx 10/29/2009