HomeMy WebLinkAboutPermit EL09-0800 - AMERICAN MATTRESSAMERICAN MATTRESS
265 STRANDER BL
ELO9-0800
Parcel No.: 2623049102
Address:
Suite No:
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
235 STRANDER BL TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0800
12/15/2009
06/13/2010
Tenant:
Name:
Address:
AMERICAN MATTRESS
235 STRANDER BL , TUKWILA WA
Owner:
Name: A 4 LLC
Address: 117 E LOUISA ST #230 , SEATTLE WA
Contact Person:
Name: TRACIE SKILES
Address: 7400 HARDESON RD , EVERETT WA
Contractor:
Name: BERRY NEON COMPANY INC
Address: 7400 HARDESON RD , EVERETT WA
Contractor License No: BERRYNC085L3
Phone:
Phone: 425 776 -8835
Phone: 425 776 -8335
Expiration Date: 06/23/2010
DESCRIPTION OF WORK:
INSTALL (1) WALL SIGN
Value of Electrical: NRES: $100.00
RES: $0.00
Type of Fire Protection: SPRINIU,ERS /AFA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:/
I hereby certify that I have read and
governing this work will be compile
Fees Collected: $60.00
National Electrical Code Edition: 2008
Date: 12-
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
Date:
other state
ici(fi
The granting of this permit does not prhsitme to give authority to violate or cancel the provisions of any or local laws regulating
construction. •,, the performance • work. I am authorized to sign and obtain this electrical permit.
Signa. re: , 4 /
Print Name:
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 -0800 Printed: 12 -15 -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 -0800
ISSUED
12/15/2009
12/15/2009
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: 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.
Si.__ / /
Print Name: G � // ( ' W(c
Date:
doc: Cond -Elec
EL09 -0800 Printed: 12 -15 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h ttp: ll www. ci. t ukwil a. wa. us
Electrical Permit No. a0614100
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 No.: 7/L Z'3Q f 9/az_
Site Address:1S5 64/1- `jLy /O� l�Af Suite Number:
Tenant Name:A Wd /t► %i& 14 (L b,f'rL -
Property Owners Name: CAA J&
Mailing Address: 117 t.- L- oLco- it-sa-te (AA-
New Tenant:
City
Floor:
Yes
❑..No
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:1 tie,a. ST, 4 t-g ,//
Mailing Address: Ito 0 ,�(� Pgi
Day Telephone: LIZ-S-7769
(? ((t I cif 003
City State
E -Mail Address: Fax Number:
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person: 1/ L_- RY-/
gl
\.1�/ .
w
City State Zip
Day Telephone: Z -S 77 i3S
E -Mail Address: A , . A' _ to • .I ! . I_ L�IJ A Fax Number: % �, d 2 Z`
Contractor Registration Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ /CZ
Scope of Work (please provide detailed information):
I/V\ -CAttle 116-a-Ze e6Y\ 9'61a, 4.112-A_Ars7-A4-t YkLe4--j—,
Will service be altered? ❑ Yes I No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
-}-New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Propert y Served bv•
Puget Sound Energy
❑ Seattle City Light
II: IApplicanona\Fonn>- Applications On Lineal -211)7 - Eleclncal Permit Applicatton.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings S75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) S55.00 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 ca
❑ Circuits added/altered without service change S50.00
(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 NOTES -
IDate Application Accepted:
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 TIIIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF TIIE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECT iICAL CONTRACTOR:
Signatu
Print Name:
Mailing Address:17470
■Z
Date Application Expires:
Date: 1 aPgr
Day Telephone: 1Z7 76.
City
H:\Applicattons\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc
hh
State
Zip
Staff Initials: _-
v ■
Page 2 of 2
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
SET RECEIPT
Copy Reprinted on 12 -15 -2009 at 12:51:57 12/15/2009
RECEIPT NO: R09 -01999
Initials: JEM
Payment Date: 12/15/2009
User ID: 1165 Total Payment: 190.00
Payee: BERRY NEON SIGN SYSTEMS
SET ID: 1215 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
EL09 -0800
S09 -057
TOTAL:
Amount
60.00
130.00
60.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5671 190.00
TOTAL: 190.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
SIGN PERMIT 000.322.100
60.00
130.00
TOTAL: 190.00
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6oj- tvoRM NO.
CITY OF TUKWILA BUILDING DIVISION 1127
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr ect: 04 timixrv,5
Type of Inspection:
Address:
�3 5 riiriuic
s
Date Called:
Special Instructions:
•
Date Wanted:
Oy
a-m-
(amp
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
etAaa045 milDf
�i
rotrt.
Inspector: j-Se
Date: o 1c
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tildtIT NO.
Le—
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project , n 164 riora
s
Type of Inspection:
�,QO
Address:235_ „soot,/
"MA_ A1boT uI6DDuJt4 " ,ji 44 '4
Date Called:
ROM°ir
Special Instructions:
.'3o o silo)
J
Date Wanted:
.
Requester:
�--f
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— t 11 / cA4JAior ft J 2oA geom51,
- toJe4 RooF )( Rc.6vt idol
"MA_ A1boT uI6DDuJt4 " ,ji 44 '4
ROM°ir
�n
Inspector:
Date:
Ori /io
❑ $60.00 REINSI'ECTION FEE R (WIRED. Prior to inspection, fe must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
INSPECTION RECORD L�Q -�g�
Retain a copy with permit
INSPECTION NO. PER NO.
CITY OF TUKWILA BUILDING DIVISION \a,/
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:.: �K j5
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Type of Inspection:
2/00
(� v i CO E erko4
Address: 23 L
Date Called:
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Special Instructions:
I��
Date Wanted:
1 /0m:
ki
a.m
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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- - * REado � ca M-� rtINIJII T6
(� v i CO E erko4
- 0/ 5 ow- 4too 1 e t
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1161110>> Ms> eboeritAer(iittAit,014/
Inspector:
Date: 0 I l p.� i v
0 $60.00 REINSIECTION FEE R UIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by LEt1 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
BERRY NEON COMPANY
INC
4257768835
7400 HARDESON RD
EVERETT
WA
98203
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601363588
ACTIVE
BERRYNC085L3
ELECTRICAL
CONTRACTOR
6/23/1992
6/23/2010
SIGN
UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BERRYNC085B3
BERRY
NEON
CO
ELECTRICAL
CONTRACTOR
SIGN
UNUSED
1/23/1992
1/23/1994
ARCHIVED
ADMINISTRATOR INFORMATION
License TORNOSR207RU
Name TORNOW, STEPHEN R
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
JACOBS, RONALD
01/01/1980
JACOBS, BELINDA
01/01/1980
https: // fortress .wa.gov /lni/bbip /Detail.aspx
12/15/2009