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Home My WebLink AboutPermit EL11-1146 - CORT FURNITURECORT FURNITURE 1230 ANDOVER PK E EL1 1 -1146 City oilkukwila • 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.: 3523049069 Address: 1230 ANDOVER PK E TUKW Project Name: CORT FURNITURE ELECTRICAL PERMIT Permit Number: EL11 -1146 Issue Date: 12/28/2011 Permit Expires On: 06/25/2012 Owner: Name: GRAY CAT COLLECTIVE LLC Address: 5430 45TH AVE W , SEATTLE WA Contact Person: Name: ROBIN GUFFEY Address: 1230 ANDOVER PK E , TUKWILA WA Contractor: Name: SPENCER TECHNOLOGIES INC Address: 102 OTIS ST , NORTHBOROUGH MA Contractor License No: SPENCTI932L7 Phone: 508 826 -7929 Phone: 508 595 -9496 Expiration Date: 06/28/2013 DESCRIPTION OF WORK: INSTALL CAT5 TO ALL NEW REGISTER AND COMPUTER LOCATIONS Value of Electrical: NRES: $10,000.00 Fees Collected: $264.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: 12-1P6( (l I hereby certify that I have read and e - d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , 'th, hether specified herein or not. The granting of this pe - • • es not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the = - rfo • . nce of work. I am authorized to sign and obtain this electrical permit. Signature: ,OAP? sW%.0 Print Name: Date: T2-24-11 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 -1146 Printed: 12 -28 -2011 PERMIT CONDITIONS Permit No. EL 11 -1146 * *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 -1146 Printed: 12 -28 -2011 CITY OF TUKWILA Community Developmen apartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 ** nn ` /� 1 King Co Assessor's Tax No.: (.c Z l Z 3S`1 Site Address: 1 2.30 1"1 nc�bv -Gx Y0 4 —1Li_ w Acct Li Suite Number: Floor: Tenant Name: (bCk- ��ir ()± ate New Tenant: ❑ Yes 0 Company Name: ce,r- 9 ha Address: I c ), 2_ c5JS ST city: , /cr N t trc,L n b State: Zip: Phone: co 8 _SAS 99bax: Contr Reg No.:sge. .tl 132 C xp Date: iiiivbitg Tukwila Business License No.; / I t ( 2 1 Valuation of Project (contractor's bid price): $ IQ/ oC) Scope of Work (please provide detailed information): J 1-a 1) S ft> cJ.\ fl ce_s �5 Cp t"►P \aGc1 G✓,s t� Will service be altered? ❑ Yes 5] No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 14 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: jz Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Page 1 of 2 1 o�.u:'�"za,'� Name: Rs(o» y] C1 u.��2y Name: //'� Address: 1 Z 3 b Address: 1230 oyam.- a. 6..-.— City: __ � t�� 4 State: �4�L1 City•• AL.) i, Il q State: 0 Zip: 0 Company Name: ce,r- 9 ha Address: I c ), 2_ c5JS ST city: , /cr N t trc,L n b State: Zip: Phone: co 8 _SAS 99bax: Contr Reg No.:sge. .tl 132 C xp Date: iiiivbitg Tukwila Business License No.; / I t ( 2 1 Valuation of Project (contractor's bid price): $ IQ/ oC) Scope of Work (please provide detailed information): J 1-a 1) S ft> cJ.\ fl ce_s �5 Cp t"►P \aGc1 G✓,s t� Will service be altered? ❑ Yes 5] No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 14 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: jz Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Page 1 of 2 1 o�.u:'�"za,'� Name: Rs(o» y] C1 u.��2y Address: 1 Z 3 b City: __ � t�� 4 State: �4�L1 (� Lh.) I Zip: Phone: S-o 5 - g210,...-19 ax: Email: 0 Company Name: ce,r- 9 ha Address: I c ), 2_ c5JS ST city: , /cr N t trc,L n b State: Zip: Phone: co 8 _SAS 99bax: Contr Reg No.:sge. .tl 132 C xp Date: iiiivbitg Tukwila Business License No.; / I t ( 2 1 Valuation of Project (contractor's bid price): $ IQ/ oC) Scope of Work (please provide detailed information): J 1-a 1) S ft> cJ.\ fl ce_s �5 Cp t"►P \aGc1 G✓,s t� Will service be altered? ❑ Yes 5] No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 14 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: jz Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.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 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 0 AL CONT OR: Signature: Print Name: m 5f V666- Date: Day Telephone: 71.1 -3 2• - 2-1 5'1 Mailing Address: City State Zip H \Applications\Forms- Applications On Line1201 1 ApplicationslElectrical Permit Application Revised 8-9-11 docx Revised. August 2011 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.TukwilaWA.gov Parcel No.: 3523049069 Address: 1230 ANDOVER PK E TUKW Suite No: Applicant: CORT FURNITURE RECEIPT Permit Number: EL11 -1146 Status: APPROVED Applied Date: 12/28/2011 Issue Date: Receipt No.: R11 -02798 Initials: JEM User ID: 1165 Payment Amount: $264.50 Payment Date: 12/28/2011 12:38 PM Balance: $0.00 Payee: ADAM SAVAGE, SPENCER TECH TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 149338 ACCOUNT ITEM LIST: Description 264.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 264.50 Total: $264.50 doc: Receiot -06 Printed: 12 -28 -2011 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 f2._ (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 6 Type of Inspection: Address: 123v ( A f Special Instructions: Date Called: Date Wanted: Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: ObikeicAmi ►ikPf Inspector: 'Date: L �' 1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. i INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 - (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: /!' n', rthkA)t Type of Inspection: 2/8 Address: /.734) its Date Called: Special Instructions: Date Wanted:. 7 a:m: Requester: Phone No: IDApproved per applicable codes. Corrections required prior to approval. / COMMENTS: - Abi n aIM. s) Po &r &(0J 61) o / efrgLoiti gelove A- p0ie-P Chi -tdij /m SQfA(C-(5 ltd tL sh 5/11c- Inspector: jP� �r (Date: 12124 24 ri REINSPECTIOIV FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prer 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 SPENCER TECHNOLOGIES INC 5085959496 102 Otis St Northborough MA 01532 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602012354 Active SPENCTI932L7 Electrical Contractor 6/25/2007 6/28/2013 Telecommunications Electrical Administrator INFORMATION License MARTIT'939KS Name MARTIN, TIMOTHY Status Active Business Owner Information Name Role Effective Date Expiration Date CT CORPORATION SYSTEM Agent 06/25/2007 Bond Amount STRICKLER, DAVID President 06/25/2007 4019971 BOISSEAU, CHARLES Secretary 06/25/2007 DERECHO, EDWIN Treasurer 06/25/2007 FIRE INS CO DERECHO, EDWIN Vice President 06/25/2007 08/09/2009 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 2 OHIO CAS INS CO 4019971 05/01/2009 Until Cancelled $4,000.0009/01/2009 05/09/2011 1 FIRE INS CO 31BSBE02026 31BSBE02026 05/02/2007 Until Cancelled 08/09/2009 $4,000.0006/25/2007 05/20/2010 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date; 5 Travelers Property Cas Ins Co C04464N438C0F11 05/08/2011 05/08/2012 $170,000.00 05/09/2011 4 TRAVELERS PROPERTY CAS INS CO CO- 4464N438 -COF 10 05/08/2010 05/08/2011 $1,000,000.00 05/20/2010 3 TRAVELERS INSURANCE CO CO 4464N438 COF 09 05/08/2009 05/08/2010 $1,000,000.00 05/14/2009 2 HANOVER LHE7947590 05/08/2008 05/08/2009 $1,000,000.00 05/06/2008 1 HANOVER INSURANCE COMPANY LHE7947590 05/08/2007 05/08/2008 $1,000,000.00 06/25/2007 https://fortress.wa.gov/lni/bbip/Print.aspx 12/28/2011