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HomeMy WebLinkAboutPermit EL11-1061 - MATTRESS DISCOUNTERSMATT'RES S DISCOUNTERS 17275 SOUTHCENTER PY EL1 1 -1061 City oPfukwila 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.: 2623049063 Address: 17275 SOUTHCENTER PY TUKW Project Name: MATTRESS DISCOUNTERS ELECTRICAL PERMIT Permit Number: EL11 -1061 Issue Date: 11/29/2011 Permit Expires On: 05/27/2012 Owner: Name: MASAO Address: C/O SCR LLC , 117 E LOUISA #230 Contact Person: Name: DONNA GREEN Address: 7204 NE 175 ST , KENMORE WA Contractor: Name: CLARITY SIGNS INC Address: 7204 NE 175 ST STE 204 , BOTHELL WA Contractor License No: CLARISI927BH Phone: 425 - 485 -9600 Phone: 425 845 -9600 Expiration Date: 01/11/2012 DESCRIPTION OF WORK: HOOK UP ILLUMINATED CHANNEL L1,1"1 'ER SET (S11 -125) Value of Electrical: NRES: $150.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND 1-' ,RGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $63.00 2008 / I hereby certify that I have read and examined this permit . i d ow the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specifi d 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 performan f work. I am authorized to sign and obtain this electrical permit. Signature: Date: Print Name: II.2J•11 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 -1061 Printed: 11 -29 -2011 • • PERMIT CONDITIONS Permit No. EL11 -1061 * *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 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. 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 -1061 Printed: 11 -29 -2011 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: t 4r (, h •• Date AppticatioriExpire's: �. ,. _ • For o,i muse on! 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: King Co Assessor's Tax No.: I 1 2 -7 t Sok+LCe tr ' 2 V PIL4,2 Tenant Name: M A rT r'{ s S 1)l S t et( - Z.&Z 3p�f 90 to 3 Suite Number: }= Floor: PROPERTY OWNER • Name: l IBS A p C/p S L� ILL Address: 1 1 1 ,E Lov Sat 14 Zap City: (lin {l.(.(A State: W A Zip: Gigl b2 CONTACT PERSON - person receiving all project communication Name: � VA K 0. 1 rse -r-h " " '� Address: Tukwila Business License No.: CJ q 123 ql / City: State: Zip: Phone: Fax: Email: New Tenant: ❑ Yes ❑..No • ELECTRICAL CONTRACTOR INFORMATION Company Name: C l a r e -t % bi•Sk S Address: -7 Log NE fiKf4 -- St- City: ve to tMd v� tiite: 9 ftpt) Z g Phor s 4 gS c 1000Fax: 4 ei i —"1305 Contr Reg No.: 6 LA a ,s Ig2l 64.Exp Date: 1/11 / 1.7..... Tukwila Business License No.: CJ q 123 ql Valuation of Project (contractor's bid price): $ t)� ao Scope of Work (please provide detailed information): nook. (kr) Will service be altered? ❑ Yes [. No Adding more than 50 amps? ❑ Yes WNo Type of Use: Type of work: ❑ New ❑ 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 \2011 Apphcanons\Electrical Pernut Application Revised 8 -9 -1 I.docx Revised: August 2011 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. 1 HEREBY CERTIFY THAT 1 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: Print Name: Mailing Address: 12,04 1,4-e ttm -(m H \ Applications \Forms - Applications On Line \201 I Appltcattons\Electrical Permu Application Revised 8 -9 -1 I.doca Revised: August 2011 bh Day Telephone: 2/00. Zts City State Zip Date: Zed 48S- U.00 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.TukwilaWA.gov RECEIPT Parcel No.: 2623049063 Permit Number: EL11 -1061 Address: 17275 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/29/2011 Applicant: MATTRESS DISCOUNTERS Issue Date: Receipt No.: R11 -02577 Payment Amount: $63.00 Initials: TLS Payment Date: 11/29/2011 01:07 PM User ID: 1670 Balance: $0.00 Payee: CLARITY SIGNS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6050 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 11 -29 -2011 I• INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Eu1 -X06 t Project: , t�� � �. Type of Inspection: pop Address: Address: ,,i 17114) s -C. Pf- Date Called: Special Instructions: 5/� _ J �p ( ` ( ,n.1 C ` Date Wanted:. m. Requester: Phone No: [Approved per applicable codes. El Corrections required prior to approval. COMMENTS: T-EA) Inspector: Date: 05/: 21/1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ...sr i^!.r.Mall�lir if t�' d '4trii!'= .Y `d. 'nLw ... - . .1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMIT NO. CITY OF TUKWILA BUILDING DIVISION' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tz, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 1 Type of Inspection: Z av Address: 2? c� Date Called: Special Instructions: P l� Date Wanted:. r 2- li 5 Cm Requester: Phone No: Approved per applicable codes. D- Corrections required prior to approval. F COMMENTS: Olikateep (Alm. RES04.0)t)t.4 Inspector: d n REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Date: 0 15l2.— Contractors or Tradespeople Prier 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company CLARITY SIGNS INC 4254859600 7204 Ne 175Th St STE 204 Bothell WA 980286516 King Corporation UBI No. 602754457 Status Active License No. CLARISI927BH License Type Electrical Contractor Effective Date 1/8/2008 Expiration Date 1/11/2012 Suspend Date Specialty 1 Sign Specialty 2 Unused Electrical Administrator INFORMATION License NYGREGH919CJ Name NYGREEN, GREG H Status Active Business Owner Information Name Role Effective Date Expiration Date CLARITY SIGNS, INC. Violation Amount 01/08/2008 7/1/2009 JOHNSTONE, LARRY A Agent 01/08/2008 $250.00 NYGREEN, GREG H Chief Executive Officer 01/08/2008 ELECTRICAL CITATION MILLER, ADAM M President 01/08/2008 6/4/2010 MILLER, ADAM M Secretary 01/08/2008 $250.00 NYGREEN, GREG H Treasurer 01/08/2008 ELECTRICAL CITATION Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 STATE FARM FIRE & CAS CO 98 -GU- 5133 -1 12/07/2007 Until Cancelled $4,000.00 01/08/2008 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 ECHIR00445 7/1/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHIR00443 6/30/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00329 6/4/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00341 6/3/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00339 6/3/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00338 6/4/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/29/2011