HomeMy WebLinkAboutPermit EL09-0769 - AMERICAN MATTRESSAMERICAN MATTRESS
235 STRANDER BL
ELO9-0769
CitAf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2623049102
Address: 235 STRANDER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0769
Issue Date: 12/03/2009
Permit Expires On: 06/01/2010
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: JEFF BROSSARD Phone: 425 244 -1445
Address: 17607 84 AV NE , ARLINGTON WA
Contractor:
Name: BARRIER FIRE & SECURITY LLC Phone: 425 244 -1445
Address: 17607 84TH AVE NE , ARLINTON WA
Contractor License No: BARRIFS931MC Expiration Date: 06/26/2011
DESCRIPTION OF WORK:
RELOCATE FACP 12" AND RELOCATE (5) EXISTING FIRE ALARM NOTIFICATION DEVICES
Value of Electrical: NRES: $1,775.00
RES: $0.00
Type of Fire Protection: SPRINKLER/FA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $110.00
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read an ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wit 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 perforn[ce of work. I am authorized sign and obtain this electrical permit.
Signature:
Date:
`3I
Print Name: Jeri% 1 'Asibtz.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.
doc: EL -4/07
EL09 -0769 Printed: 12 -03 -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 -0769
ISSUED
12/03/2009
12/03/2009
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:
Date: 1.4)11a9
doc: Cond -Elec
EL09 -0769 Printed: 12 -03 -2009
CITY OF TUKWr
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.ci.tukwila.wa.us
1110
Electrical Permit No.
Project No.
6A71 -01 vi
(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 No.: 2-4:77.---443 )o2, o
Site Address: -3 4 rut. 13'l ,
Tenant Name: Ptr+.,r: r u .. r",••jt V.Q-S
Suite Number: i24.2
Property Owners Name: )-1 LLC-
Floor: 1
New Tenant: Yes
❑..No
Mailing Address: 11'-) V- v+ 54
City
10.a._
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: t tsvi -410-111•N lv [L
E -Mail Address:
Day Telephone: HZ-S- 2411 )H
ArI;,,��. \■1A
City State Zip
Fax Number: mood 3%
ELECTRICAL CONTRACTOR INFORMATION
Company Name: �° -,.r:
Mailing Address: )--7(,o-7 ` '` A.r-
Contact Person:
E -Mail Address: LSo.r'r'<.t '.
Contractor Registration Number: ¶ RfZi V C 9-31 M -
Ar 1�.•elit,t.,
City
Day Telephone: 42-4. V4 Li 1141-1--
Fax Number: 3bu9 Sf
Expiration Date: (O / 11
wA gIcf 2z3
State Zip
a7°
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
R -1i0C.-4-1-C- Ac _f" iZri Ili \vac 4-7k4's CiVT— 1v•N
lf1 cam; F �i e"..
Will service be altered? ❑ Yes jJ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
II: lApplic tions\Foma- Appliatrons On l.ine11 -20X)9 - Electrical Pent Application.doc
bh
❑ Remodel ❑ Tenant improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
1
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 $11.00 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, fumace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
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.
1 HEREBY CERTIFY THAT 1 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:
Mailing Address: 1'-1 loon 4St 1'4` Klet,
Day Telephone:
City
Date: ).21-5 )4;
142 21-i t-t ) N'-1 S
is ASS 2Z_
Slate
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H :ApplicationsWor ns- Applications On Line\I-2009 - Electrical Permit Application.doc
Page 2 of 2
•
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 -0769
Address: 235 STRANDER BL TUKW Status: PENDING
Suite No: Applied Date: 12/03/2009
Applicant: AMERICAN MATTRESS Issue Date:
Receipt No.: R09 -01932
Payment Amount: $110.00
Initials: JEM Payment Date: 12/03/2009 11:48 AM
User ID: 1165 Balance: $0.00
Payee: BARRIER FIRE & SECURITY, LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6355 110.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 110.00
Total: $110.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 12 -03 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
01- 0761
MIT NO.
CITY OF TUKWILA BUILDING DIVISION g
(206)431 -3670
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project: fR1 _ %!ype
of Inspection:
2400
Address: �s3 5
Date Called:
...---N.
Special Instructions.::
Date Wanted:
Z1
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. (n
OM M 014
Inspector: .c
Date: 12121/
0 $60.00 REINS CTION FEE REQUIRED. Prior to inspection, fe us be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
.4ties
Receipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
RM o?7
IT NO
taVi-
(206)431 -3670
Project: j
eli 1 P ,twMl ilk
h"�►wQ[
(55
Type of Inspection:
7003
Address. 23r `� _
Date Called:
Special Instructions:
t2
1
Date Wanted:
/
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
OK. - 4)414 IA)
69HPLere
j/J Date: f2 1 7
ee
❑ $60.00 REINSPECTION FEE REQUI ED. Prior to inspection, must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
1
INSPECTION RECORD al-
INSPECTION Retain a copy with permit NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projects - `_, _ ( q415
Type of Inspection: loAddre's`s:t/4'
Date Called:
1
Special Instructions:
�Requester:
A-
Date Wanted:
fr 2
! ��
p.m.
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
— A+1GAtcA-rl r5
SrDe- wA-14-5 CEitdti
Lhkf ,C`7 3iOE R oOme komT1a
e.4151.6 .5400ezr.lizoiniti
,. c,Tion%6 Th Porm/ /p
Date: 211„1/
El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection.
Inspector:
Receipt No.:
Date:
..__.___.,a 1.s.:a,�es�:st .�.- �::,PC�r...�•...... J.: �. :dAG �:.::a. _7w._.:�: 3+L..esr 44:•aUrs...e. • s.4_. y,.a
Untitled Page
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1
Page 1 of 2
Electrical Contractor
A business licensed by La_tI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BARRIER FIRE a SECURITY
LLC
4252441445
17607 84TH AVE NE
ARLINGTON
WA
98223
SNOHOMISH
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602737876
ACTIVE
BARRIFS931MC
ELECTRICAL
CONTRACTOR
6/26/2007
6/26/2011
LIMITED ENERGY
UNUSED
MASTER ELECTRICIAN INFORMATION
License BROSSJB951 L7
Name BROSSARD, JEFFREY B
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROSSARD, JEFFREY B
PARTNER /MEMBER
07/03/2007
Bond
Amount
BROSSARD, LISA N
PARTNER /MEMBER
07/03/2007
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https://fortress.wa.gov/lni/bbip/Detail.aspx
12/03/2009