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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 a: \Fa u s -Ap .0 na 5 Ou Line 2010 Appli oes17 -2010 - Eleatic—al Permit App&carimdpe bh 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 bb 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