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HomeMy WebLinkAboutPermit EL12-0169 - SLEEP TRAINSLEEP TRAIN 17275 SOUTHCENTER PY EL12 -0169 Parcel No.: Address: City o*I'ukwila or 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 2623049063 17275 SOUTHCENTER PY TUKW Project Name: SLEEP TRAIN ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0169 02/22/2012 08/20/2012 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: MASAO C/O SCR LLC , 117 E LOUISA #230 MAI HUYNH 19717 62 AV S #D110 , KENT WA MASTERCRAFT ELECTRIC INC 1971762AVESD 10,KENTWA Contractor License No: MASTEEI127B8 Phone: 253 -872 -2400 Phone: 253 - 872 -2400 Expiration Date: 02/01/2014 DESCRIPTION OF WORK: ADD WALL AND FLOOR RECEPTACLES AND POWER AND DATA TO CASH WRAP Value of Electrical: NRES: $8,287.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $247.30 2008 Date g ~ (c I hereby certify that I have read and examined this • rmit and know the same to be true and correct. 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 const tion or the performance of work. I ive authority to violate or cancel the provisions of any other state or local laws regulating ized to sign and obtain this electrical permit. Signature: Print Name: Date: c • ID-. 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 EL12 -0169 Printed: 02 -22 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0169 * *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 EL12 -0169 Printed: 02 -22 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No.066 /02 -6/ CQ Project No. Date Application Accepte�� Date Application Expires: or of ice use onl 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: 1921' I1 T 5 Sot,t+hPert# *- PkVYy Tenant Name: S \«'p Tr t t v, / PROPERTY OWNER Name: A,I ct:1 ` , n h Address: Icirri7 07_1 Ave % 4 DII� Name: Phone::25b .p..Y ,• Fax: 2Al6t'r5•�2• 2422. Email: iYI xi ii 0 nict5itrertif4i vie. Coal Address: $i2. 422_ Contr Reg No : Exp Date: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: A,I ct:1 ` , n h Address: Icirri7 07_1 Ave % 4 DII� City: Kcitt_ State: IAA ZilgO Phone::25b .p..Y ,• Fax: 2Al6t'r5•�2• 2422. Email: iYI xi ii 0 nict5itrertif4i vie. Coal King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: M � asCrCr6i e 4 .Etf'c iii 1611 61 11 (09-nd AN ` -Dt1 U City: /S* State:W Zip: 49%.0s0 Phone: 253 • $ t2.2. Fax: 253 $i2. 422_ Contr Reg No : Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ $ 1 ci %15-t Scope of Work (please provide detailed information): ` ^ Imo' 1 Will service be altered? ❑ Yes (/ No Type of Use: Adding more than 50 amps? ❑ Yes Zr No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Er Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication E Tenant Improvement ❑ Temporary Service 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. 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: 1--C- Print Name: CI AM W 0' dY Day Telephone: 1-S5 ' 2- ' 2. Mailing Address: t'17 (02-la AV C.- S +Di\1� H: \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Li City State 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: EL12 -0169 Address: 17275 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 02/22/2012 Applicant: SLEEP TRAIN Issue Date: Receipt No.: R12 -00737 Payment Amount: $247.30 Initials: TLS Payment Date: 02/22/2012 10:22 AM User ID: 1670 Balance: $0.00 Payee: MASTERCRAFT ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 28117 247.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 doc: Receiot -06 Printed: 02 -22 -2012 INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: J Type of Inspection: D Address: ��r�Y� a PY- Date Called: Special Instr3ctions: Date Wanted:. m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: Date: 06/041i/L- i REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. /G INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ie., (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit Project: � Type of Inspection: 2( 00 Address: (/S Date Called: Special Instructions: Date Wanted:. /Z a.m,, e. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: Inspector: Date: �c 2- / 2 REINSPECTION FEE REQUIRirD. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit Eu2 -or6� PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tr.- (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: TA4i rki Type of Inspection: %°q Address: /l 7.r. ' (;_ ,/ • Date Called: Special Instructions: II y� Date Wanted:. s7 6 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: t Avt/ ' P`r 'aJkt.. ar (4 -0 ftslq. Cot. 1,1 k,Ad crivrek RlEcer135 rte( Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee fnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. /0 INSPECTION RECORD „'r / Retain a copy with permit cw / �- D".6 INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IZ- (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project:.,;; :M lit Type of Inspection: 6f J ea ?Jar" rb I L~ u%1 Ar5 MO Address: 1 17 3 " ^PV*" Date Called: St/Sri/C. A .,5 ' .T Tic. Special Instructions: v�vf Date Wanted:. t� p. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: ° 6f J ea ?Jar" rb I L~ u%1 Ar5 'fiefriii<:-r4r LAJI jiAki k-T c.A 4 W IX.A" - Lrg6 c. irJ a-114-4,1 care ;c AL. (fin -du G I.1-C--- C PU TE St/Sri/C. A .,5 ' .T Tic. - (i � MTh Lt/t t- or bi v�vf C 4 ci 1.-!M Ti l i C -p id Inspector: "Pk•_n Date: b. y ; n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD tiiZ � ��� Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: d6 Type of Inspe n: y Address: / 74 :1 � �5 c 1 Date Called. Special Instrtictions: 1 Date Wanted: . 0 g Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS. Inspector: •f % 61 J , Date: 0 id f ? ,2.., n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: •f % 61 J , Date: 0 id f ? ,2.., n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD 6,1z-a7 CITY OF TUKWILA BUILDING DIVISION Retain a copy with permit INSPECTION NO. PERMIT NO 6300 Southcenter Blvd., #100, Tukwila: WA 98188 R. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: ���, P�,...�� Type of Inspection: � ®� Address: ®® t Date Called: ' Special Instructions: Date Wanted:. e// a.�: �m. Requester: _ Phone No: ElApproved per applicable codes. E Corrections required prior to approval. COMMENTS: 4ittu Inspector:. .7 Date: lyl z n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit ti&VT‘7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206)431 -2451 Project: p� r�A, l �" 1 t ~/ Type of Inspection: /® ®,5 Address: ,. Date Called: Special Instructions: Date Wanted: . 3 Ca. ' l n. Requester: Phone No: . JApproved per applicable codes. aCorrections required prior to approval. `p COMMENTS: Inspector: AAA \. ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Date: Contractors or Tradespeople liter Friendly Page • Electrical Contractor A business licensed by Lai 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 MASTERCRAFT ELECTRIC INC 2538722400 19717 62Nd Ave S D 110 Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601059585 Active MASTEEI127B8 Electrical Contractor 1/28/1988 2/1/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status MASTEE'145BG MASTERCRAFT ELECTRIC Electrical Contractor General Unused 1/7/1986 1/31/1989 Archived ATOMEC`184KC ATOM ELECTRIC CO Electrical Contractor General Unused 5/3/1982 12/31/1985 Archived Electrical Administrator INFORMATION License WALIOC*896JD Name WALIOR, CHAD Status Active Business Owner Information Name Role Effective Date Expiration Date WALIOR, CHAD P Agent 04/01/2007 Bond Amount WALIOR, CHAD P President 04/01/2007 SH4972 DARLING, GARY President 01/01/1980 04/01/2007 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 3 CBIC SH4972 08/29/2007 Until Cancelled $4,000.00 09/04/2007 2 AMERICAN STATES INS CO 6111711 05/03/2001 Until Cancelled 11/01/2007 $4,000.00 03/28/2001 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 EMAB000232 8/6/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https:/ / fortress .wa.gov /lni/bbip /Print.aspx 02/22/2012