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HomeMy WebLinkAboutPermit EL08-1439 - MATTRESS DEPOTMATTRESS DEPOT 16901 SOUTHCENTER PY ELO8- 1439 CitAlf 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.: 2623049011 Address: 16901 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -1439 Issue Date: 11/13/2008 Permit Expires On: 05/12/2009 Tenant: Name: MATTRESS DEPOT Address: 16901 SOUTHCENTER PY , TUKWILA WA Owner: Name: OCM ESCROW ADMINISTRATION Phone: Address: 1717 MAIN ST 8TH FL- ESCROW , DALLAS TX Contact Person: Name: SEAN MCCUBBIN Phone: 425 -377 -1514 Address: 4314 103 AV SE , EVEREIT WA Contractor: Name: NORTHLAND ELECTRIC INC Phone: 425 377 -1514 Address: 4314 103 AV SE , EVEREIT WA Contractor License No: NORTHEI21879 Expiration Date: 03/31/2009 DESCRIPTION OF WORK: INSTALL (1) EXIT SIGN AT REAR OF STORE Value of Electrical: $100.00 Fees Collected: $58.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 11— k -/ e 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. Signature: Print Name: �E /F/V 1' C C (A Q j _v Date: j1i3 D g 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 EL08 -1439 Printed: 11 -13 -2008 Parcel No.: 2623049011 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 16901 SOUTHCENTER PY TUKW MATTRESS DEPOT PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1439 ISSUED 11/13/2008 11/13/2008 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: E//) 1-16028B, IU Date: / d doc: Cord -Elec EL08 -1439 Printed: 11 -13 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 Address: King Co Assessor's Tax No.: 2 £ Z 3 0 i' D I S P< ("JAI Tenant Name: MASS 4E POT Suite Number: Floor: Property ^ }� �tt''� �(�J New Tenant: Yes ❑ .. No P rtY AT3 11 5' w l F I Y, (1 l C N l 7 1 1 EL. r/ Pro a Owners Name: d Mailing Address: 29 `1 2. /J k/ MACK Vre Sr S £ --1-FL E t IA/A State City Zip CONTACT PERSON WI* oa hen your permit is Name: u n n , r-� a Mailing Address: 6 3 N t ©3 rd AVE E S �, �v e 1��� 1, 1/V4 /52 0s-- S- rr II City State Zip E -Mail Address: * , 14A-W « U QI 7 o — e /JET Fax Number: 1-1Z5 2 y -9 L-f) SE fl, P 4 �C V1-' Day Telephone: II Z� " 37-7- 15/ ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: S 6 M 1JO(ZTHLP -'P EDGY( -JL Contact Person: SP M E E -Mail Address: i E_ City Day Telephone: Fax Number: State Zip 4-c2.5-377-)519 �tz5- 377- a�ti�l Contractor Registration Number: I J 0'TH E-I 2 1 0 7 9 Expiration Date: Valuation of Project (contractor's bid price): $ 100 Scope of Work (please provide detailed information): EXIT 1 C-> i._) Will service be altered? ❑ Yes Type of Use: Type of work: a New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes No ❑ Service Change ❑ Fire Alarm H.\Applications \Forms - Applications On Line \4 -2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 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 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) 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 - 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: g Print Name: SEA-1J rA'G(.)tj }i.), l Mailing Address: 413 ) `� lo 3 r `) At) �° E, Date Application Accepted: Date; ) 1 Day Telephone: t ZS -3 %7 157 El/EcErr kAA 9'$2oS City State Zip • Date Application Expires: Staff Initials: H Upphcanons\Forms- Applicanone On IaneVi•2007 - Electrical Permit Apphcation.doc bh 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: hap:/lwww.ci.tukwila.wa.us RECEIPT Parcel No.: 2623049011 Permit Number: EL08 -1439 Address: 16901 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/13/2008 Applicant: MATTRESS DEPOT Issue Date: Receipt No.: R08 -03752 Initials: WER User ID: 1655 Payment Amount: $58.00 Payment Date: 11/13/2008 01:47 PM Balance: $0.00 Payee: NORTHLAND ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 doc: Receiot -06 Printed: 11 -13 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (La I 431 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: f" t "w I5 pope( �/�' ( Type of Inspection:7 / 003 Address: I0o1 S�c-1 • PY Date Called: -� Special Instructions: Date Wanted: f' ! ' 4"..n Requester: q Phone No: Its. Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 40-K. - got4,14 i^l n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fie must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: IDate: Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 NORTHLAND ELECTRIC INC 4253771514 4314 103RD AVE SE EVERETT WA 98205 SNOHOMISH CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600344369 ACTIVE NORTHEI21879 ELECTRICAL CONTRACTOR 10/29/1979 3/31/2009 MCCUBCM970RH GENERAL 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 01/01/1980 MCCUBBIN, CLINT M JR 01/01/1980 HECKMAN, DAVID G AGENT 01/01/1980 Bond Information Bond I Bond I Effective I Expiration I Cancell Impaired https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= NORTHEI21879 Bond I Received 11/13/2008