HomeMy WebLinkAboutPermit EL11-0931 - ACTION FURNITUREACTION FURNITURE
730 ANDOVER PK E
EL1 1 -0931
City oiliI'ukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 2623049095
Address: 730 ANDOVER PK E TUKW
Project Name: ACTION FURNITURE
ELECTRICAL PERMIT
Permit Number: EL11 -0931
Issue Date: 10/11/2011
Permit Expires On: 04/08/2012
Owner:
Name: 790 ANDOVER LLC
Address: PO BOX 287 , MEDINA WA
Contact Person:
Name: BILL GEIST
Address: 33514 112 ST SE , SULTAN WA
Contractor:
Name: BIGHORN ELECTRICAL SERVICES
Address: 33514 112 ST SE , SULTAN WA
Contractor License No: BIGHOES924PN
Phone: 206 498 -8058
Phone: 206 498 -8058
Expiration Date: 10/15/2012
DESCRIPTION OF WORK:
ADD NEW CIRCUIT AND WIRE FOR NEW OVERHEAD DOOR MOTOR
Value of Electrical: NRES: $1,548.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: 7
I hereby certify that I have read and e
governing this work will be complied
Date:
$115.50
2008
Inlll (�I
d 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 he/jpprfq 9e of wok. I am authorized to sign and obtain this electrical permit.
Signature: " 11 / /U //" t (�►'/`'
Print Name: Witt 1 Q VV\ 3
Date: Ml l /
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 -4/10
EL11 -0931 Printed: 10 -11 -2011
•r •
PERMIT CONDITIONS
Permit No. EL11 -0931
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: The issuance of an electrical work permit shall not be construed to be a permit for, or art 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.
6: 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.
doc: EL -4/10
EL11 -0931 Printed: 10 -11 -2011
CITY OF TU6Cl/ILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www: TukwilaWA. qov
Electrical Permit No.
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
3 G King Co Assessor's Tax No.:_ ? -�.c 2%V l — 10 q C
Site Address: / 3 0 A AA DJ e- Pad L eos 1 Suite Number:
Tenant Name: A c.. -V O c∎ cO r r∎. 'v t'e...
Property Owners Name: 3-9 0 A rtclo J er <_L
Mailing Address: - i O 2 U k _z 84-• _ m P & v`oo
New Tenant:
Floor:
❑ Yes
CAA
City
e
1803?
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: 5 pt~•e, a S e.k a uJ
Mailing Address:
E -Mail Address:
Day Telephone: -
City
Fax Number:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: -
Mailing Address:
Contact Person`
B l cOho cc- f\ E(e 4e' ■La. SQCUJI LS
33si _ 1z 0%5+ sE
6111_ _ C?eis`t'
E -Mail Address: S v l\ 6 � ro f\� 1 Cr i_ [. O til _
Contractor Registration Number: C3 i G N 0 E..S 9' Z y P
Valuation of Project (contractor's bid price): $ 1 -5-4C3 • O O
Scope of Work (please provide detailed information): A A d ltvev,. G
ev) ovec-Inead_ d oeir -v crk-.5 -
City
wA
State Zip
Day Telephone:- 26 (, _ 5-8
Fax Number=.- 3 (o O- 9 3 - 2243
Expiration Date: foil 5 I l Z
+'Lu ►t
o.r\A wtr'e.
Will service be altered? ❑ Yes g No
Type of Use:
Type of work:
❑ New
❑ Low Voltage
Property Served by:
72
❑ Addition
❑ Generator
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps?
w ace. \r V.0
❑ Service Change
❑ Fire Alarm
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Page 1 of 2
❑ Yes IN No
®, Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
RESIDE
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- 1' AND COMMERCIAL
ees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Camivaals $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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: i q l I
Print Name: L&) l (I '1 O-4M. S. U e1.S ° Tv . Day Telephone: 20 ii - 4 rl $ - 3 0
sue( r■ wA '829
Mailing Address: 3 3 5 l L _/ 1 2.:14` Si- 5 E --
Date Application Accepted:
Gi it,
City
State Zip
Date Application Expires:
H: wppiimtim5inxna- Appikatimn; On Lh)62010 Applicatia iA7 -2010 - Electrical Permit Apptieahoadoe
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Page 2 of 2
Staff Initials:
0
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.TukwilaWA.ov
RECEIPT
Parcel No.: 2623049095 Permit Number: EL11 -0931
Address: 730 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 10/11/2011
Applicant: ACTION FURNITURE Issue Date:
Receipt No.: R11 -02215
Payment Amount: $115.50
Initials: JEM Payment Date: 10/11/2011 08:23 AM
User ID: 1165 Balance: $0.00
Payee: WILLIAM S GEIST JR, BIGHORN ELECTRICA SERV
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 09772G
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt-06 Printed: 10 -11 -2011
0 y
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMI NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 0
Permit Inspection Request Line (206) 431 -2451
Project: Q� go...404
exi
Type o f Inspection: 2
100
Address:'
Date Called:
Special. Instructions:
Date Wanted:.
/ 6m.
�!
oJLO yam'
Requester:
ff
Phone No:
Approved per applicable codes.
Corrections required prior to appcoval.
COMMENTS:
Inspector:
‘6114/61\
0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
/0140/ f1
Contractors or Tradespeople Pr Friendly Page
•
Electrical Contractor
A business licensed by L &I 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 BIGHORN ELECTRICAL SERVICES UBI No. 602866079
Phone 2064988058 Status Active
Address 33514 112Th St Se License No. BIGHOES924PN
Suite /Apt. License Type Electrical Contractor
City Sultan Effective Date 10/15/2008
State WA Expiration Date 10/15/2012
Zip 98294 Suspend Date
County Snohomish Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License GEISTWS921OD
Name GEIST, WILLIAM S JR
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GEIST JR, WILLIAM S
Owner
10/15/2008
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
1
CBIC
SI0566
10/03/2008
Until Cancelled
$4,000.00
10/15/2008
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
EOXFJ00480
8/3/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EOXFJ00481
8/3/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/11/2011