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HomeMy WebLinkAboutPermit EL10-0284 - HAIR CLUB FOR MENHAIR CLUB FOR MEN 545 ANDOVER PK W EL1 0-0284 City *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.: 2623049144 Address: 545 ANDOVER PK W TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0284 Issue Date: 05/27/2010 Permit Expires On: 11/23/2010 Tenant: Name: HAIR CLUB FOR MEN Address: 545 ANDOVER PK W , TUKWII,A WA Owner: Name: SOUTHCENTER CORPORATE SQUAR Phone: Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: JEREMY MOELLER Phone: 425 821 -1293 Address: PO BOX 3205 , KIRKLAND WA Contractor: Name: C F M HEATING & COOLING INC Phone: 425 821 -1293 Address: P 0 BOX 3205 , KIRIU,AND WA Contractor License No: CFMHEFM953QT Expiration Date: 11/30/2011 DESCRIPTION OF WORK: INSTALL ONE THERMOSTAT Value of Electrical: NRES: $100.00 Fees Collected: $63.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied a ith, &J\J � Date: Oil ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres - to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p rformance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 7t7dJ14" Date: OS -Z7. t o Jere , 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 This p Y P or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 ELI 0-0284 Printed: 05 -27 -2010 • 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 Parcel No.: 2623049144 Address: Suite No: Tenant: 545 ANDOVER PK W TUKW HAIR CLUB FOR MEN PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0284 ISSUED 04/16/2010 05/27/2010 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: L ( � Date: 05-27-1 0 Print Name: 7—ere Oily , " -L `e✓ doc: Cond -Elec ELI 0-0284 Printed: 05 -27 -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 No. Project No. w - -a 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 Site Address: 5.1/ &Joy,- Park Ind King Co Assessor's Tax No.:.2j — �11 Suite Number: Floor: Tenant Name: HCLtr- C� v�D 4 Me() New Tenant: ® Yes ❑ ..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Jeremy Mieller Mailing Address: ?D- 80x 3206-, E -Mail Address: aerenly @ C-Pm - hrncc -.cows Day Telephone: Krkitttlei City Fax Number: 4/75-82,--/213 9'8063 State Zip 4/y5- 82. - (3Y3 ELECTRICALCONTRACTOR INFORMATION Company Name: Mailing Address: CFM Hea4- 5 and Go11/3, Inc . Pa 8o4 32o5 Kt-idan( IPA 9Lo b3 A City State Zip Contact Person: 3e em i /"`��'�� Day Telephone: 5' 821 -IZq,3 / Da Tele hone: E -Mail Address: Seren yC Cenm- hVaGr..Cv ' Fax Number: K �5" BZI " I51-3 Contractor Registration Number: CFM HE FM q 5-3 QT Expiration Date: Valuation of Project (contractor's bid price): $ / op -00 Scope of Work (please provide detailed information): -- 15j'q iI / ' 4(,1& /-44-- Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement g Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applications\Fonns- Applications On Line \2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 IDate Application Accepted: 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 $10.50 ea Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: P,r-erny Medley 1o. BOY 3Zo$ Date: ©Y- -/V Day Telephone: (175- e&)-12 3 Ki rkll City l,t,g iso 3 State Zip oyl Date Application Expires: tO 1 Lit t 1/0 Staff Initials: H:\Applications \Forms - Applications On IUne\2010 Applications \1 -2010 - Electncal Permit Application.doc bh Page 2 of 2 �J��►,�A wqs 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 Parcel No.: 2623049144 Address: Suite No: Applicant: HAIR CLUB FOR MEN 545 ANDOVER PK W TUKW RECEIPT • Permit Number: Status: Applied Date: Issue Date: EL10 -0284 ISSUED 04/16/2010 05/27/2010 Receipt No.: R10 -01135 Initials: WER User ID: 1655 Payee: Payment Amount: Payment Date: Balance: $63.00 06/23/2010 02:52 PM $0.00 CFM HEATING AND COOLING TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 5107 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $63.00 63.00 PAYMENT RECFIVE.D doc: Receiot -06 Printed: 06 -23 -2010 SET RECEIPT RECEIPT NO: R10 -00658 Initials: JEM Payment Date: 04/16/2010 User ID: 1655 Total Payment: 401.31 Payee: CFM HEATING AND COOLING INC. SET ID: 0416 SET NAME: HAIR CLUB FOR MEN SET TRANSACTIONS: Set Member EL10 -0284 M10 -052 TOTAL: Amount 63.00 338.31 63.00 TRANSACTION LIST: Type Method Description Amount Payment Check 4939 401.31 TOTAL: 401.31 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.101.00.0 000.322.102.00.0 000.345.830 63.00 270.65 67.66 TOTAL: 401.31 PAYMENT RECEIVED INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 (tio-y o� C6 Project: J (,ii3Type �14�J2/DO of Inspection: Address: s fL A j Date Called: Special Instructions: Date Wanted: / (m. P. r1. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to app COMMENTS: e)tigeLalcA rrrii Inspector:. Date: ®7 % ! /10 ❑ $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. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit PERMIT NO. qa Project: j '�,�� Type of Inspection: Zoo Address: 9/5 AW��• Date Called: Special Instructions: Date Wanted: /� a:m. m. Requester: Phone No: Approved per applicable codes. 4 Corrections required prior to approval. COMMENTS: I V � L. Goee. +bak L Cove k5 04 J - Plzov i i)( LA -Doe Utz AGE TO e((1.14Ji� Inspector: .11661461 60.00 REINS FEE Date: 04/Th ❑ $ MIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit 6A0-017Y INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter BIvd., #100, Tukwila, WA 98188 (206)431 -3670 lB Project: �� Type of Inspection: � � oD Address: 96.-01m. " �,/� l SA�IJ d. Date Called: /Th Special Instructions: :::::::d Phone No: 111Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sit( A5 ecD2s t-Ti aiJ5 ?'j43.00 /Z6- 145P6c.'noc • ?eta.. 'b e-&A1A ----- Inspector: $60.00 REIN ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: a zz //v eceipt No.: Date: Contractors or Tradespeople *ter Friendly Page Electrical Contractor A business licensed by LW 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 C F M Heating & Cooling Inc 4258211293 11447 120Th Ave Ne #200 Kirkland Wa 98033 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602361244 Active CFMHEFM953QT Electrical Contractor 11/30/2005 11/30/2011 Hvac /Rfrg Ltd Energy Unused ADMINISTRATOR INFORMATION License SELLMMA916B6 Name Sellman, Michael A Status Active Business Owner Information Name Role Effective Date Expiration Date Clancy, Shaun P Agent 11/30/2005 Bond Amount Clancy, Shaun P President 11/30/2005 797048C Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 DEVELOPERS SURETY & INDEM CO 797048C 11/21/2008 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0012/19/2008 $250.00 1 RELIANCE INS CO SRS1008650 11/21/2005 Until Cancelled 01/08/2009 $4,000.0011 /30/2005 Assignment of Savings Information No records found for the previous 6 year period 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ECHAE00296 12/28/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEHU03041 10/26/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 05/27/2010