HomeMy WebLinkAboutPermit EL10-0128 - JR FURNITUREThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL10 -0128
JR Furniture
1201 Andover Park East
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
10
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
JR FURNITURE
1201 ANDOVER PK E
EXPIRED
09 -12 -10
EL1O-0128
Cityef 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: / /wwwci.tukwila.wa.us
Parcel No.: 3523049091
Address: 1201 ANDOVER PK E TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0128
Issue Date: 02/23/2010
Permit Expires On: 08/22/2010
Tenant:
Name: JR FURNITURE
Address: 1201 ANDOVER PK E , TUKWILA WA
Owner:
Name: HILL INVESTMENT COMPANY Phone:
Address: PO BOX 700 , MERCER ISLAND WA
Contact Person:
Name: MIKE GEGLIA Phone: 253 395 -5600
Address: 19411 66 AV S , TKENT WA
Contractor:
Name: NEW IMAGE CREATIVE SIGN INC Phone: 253 395 -5600
Address: 19411 66 AV S , KENT WA
Contractor License No: NEWIMIC969DC Expiration Date: 03/03/2010
DESCRIPTION OF WORK:
ELECTRICAL FOR SIGN
Value of Electrical: NRES: $400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Lt)
Fees Collected:
National Electrical Code Edition: 2008
$71.40
Date: v__ ( t/
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 t e perfo ce of work. I am authorized to sign and obtain this electrical permit.
•
Signature: Date: 2/2.7/! 0
Print Name: / ' 1 ko. GEO-C. / 4
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
EL10 -0128 Printed: 02 -23 -2010
Parcel No.: 3523049091
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
1201 ANDOVER PK E TUKW
JR FURNITURE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0128
ISSUED
02/23/2010
02/23/2010
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:
44 14E_ G- 6-4 14
Date: V2 3// o
doc: Cond -Elec
EL10 -0128 Printed: 02 -23 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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: 1 ZO 1 And over Pk Hz-
Tenant Name: A. N (Tv 2E
King Co Assessor's Tax No.: 210 Ott - O'i
Suite Number: Floor:
New Tenant: ❑ Yes [` No
Property Owners Name: 14 ;1 1 In V e t .
Mailing Address: P G , / t/X ? et o Mercer Is I4 it of
City
,CONTACT;PERSON Who do we contact when your'permit is ready to be issue
• ? . i 1 b'r e� w
Name: Mtv_s c G-L.t A C/o N1=v -) 1/Inhere CRFeenu $Ie Day Telephone: 4 2.r — ?C7 ^ SF2 y ee U
wA
State
Zip
Mailing Address: 11 ti (k Co Cn 714
City
State Zip
E -Mail Address: A'‘1 14e �e l t'c.. e np� tMa a Fax Number: 'Zr-.? - 7 i— 7 ?7
� Z
Company Name: %SI E, i) t hi-4 Cr- Ct1 1 v E S`I tam Co
Mailing Address: M 4 l ( (p(p -R+ ? . .
Contact Person: /k . Ids lE G-C.4 A
KF�r A- 9<=03 2_
City State Zip
Day Telephone: 2.r i- 7 S T - ,r4 6
E -Mail Address: M rice `O 1, ec n e..-> w M a e Ctrs_; Q. ca,,Fax Number: 2S-3- ? S r
Contractor Registration Number: N 1= w t P .1 C Q Le q 7 C Expiration Date: 3/ 3/ t O
Valuation of Project (contractor's bid price): $ y 00.00
Scope of Work (please provide detailed information): Cenne_Ch�;,..
c (e c- i c 4 -{=o r-
one
Will service be altered? ❑ Yes [. No Adding more than 50 amps? ❑ Yes . El/Po
Type of Use: S 16A-3
Type of work:
❑ New 13"' Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ . Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \I-2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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 ELECTRICAL CO' CTOR:
Signatur
Print Name:
Mailing Address:
State
Date:
Day Telephone:
IDate Application Accepted:
02-
City
Zip
Date Application Expires:
Staff Initials:
HAApplications \Forms - Applications On Line\2010 Applications \1-2010 - Electrical Permit Application.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: http://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 3523049091 Permit Number: EL10 -0128
Address: 1201 ANDOVER PK E TUKW Status: APPROVED
Suite No: Applied Date: 02/23/2010
Applicant: JR FURNITURE Issue Date:
Receipt No.: R10 -00307
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $71.40
Payment Date: 02/23/2010 01:13 PM
Balance: $0.00
NEW IMAGE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 47298 71.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -23 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
a10-01Z7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:A g
k.J
`,
Type of Inspection:
;,/ 00
Address:
/Z °f bad
Date Called:
Special Instructions:
"IA)
SA)
Date Wanted:
3 ‘a
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ii0110( ACC1-4S 7 Q 14 JS As4J
(), no/1/eJm Pik t,J sPF(Tta,J -of
tAICI r1 El+t)D5 AnMD 6 ou,N1Ditati(6D14
Inspector:
Ahfle
Date: 03/16/10
ri $60.00 REINSI'ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
}r- ;"'Le. "`'n'.N fF`,^..J"."+?- r'ri:C .f' .r'�..- ..A._- ..F.' }. '+h �+%JJY�:S'J4T <-?4�y`'.mot . "'`�".-•v;'�:+ 5.-,_4..___._.. ..w�_
08 -02 -2010
MIKE GEGLIA
19411 66 AV S
TKENT WA 98032
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL10 -0128
1201 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and /or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 09/12/2010 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
xc: Permit File No. EL10 -0128
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pf ter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
New Image Creative Sign Inc
2533955600
19411 66Th Ave S
Kent
Wa
98032
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602339833
Active
NEWIMIC969DC
Electrical Contractor
3/3/2004
3/3/2010
Sign
Unused
ADMINISTRATOR INFORMATION
License RUST*G*066JB
Name Rust, Greg
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Rust, Greg
Agent
03/03/2004
Received
Date
Rust, Gregory A
President
03/03/2004
Until
Released
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Savings
Assignment of Savings
Account Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
3/2/2004
Until
Released
Bond
$4,000.00
3/3/2004
Insurance Information No records found for the previous 6 year period
Summons /Complaint
Information
Summons and Complaints are not filed with the department for this
contractor type
https://fortress.wa.gov/lni/bbip/Print.aspx
02/23/2010