HomeMy WebLinkAboutPermit EL12-0228 - SLEEP TRAIN MATTRESS CENTERSLEEP TRAIN
MATTRESS CENTER
17275 SOUTHCENTER PY
EL1 2-0228
City o"i'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
ELECTRICAL PERMIT
Parcel No.: 2623049063
Address: 17275 SOUTHCENTER PY TUKW
Project Name: SLEEP TRAIN MATTRESS CENTER
Permit Number: EL12 -0228
Issue Date: 03/09/2012
Permit Expires On: 09/05/2012
Owner:
Name: MASAO
Address: C/O SCR LLC , 117 E LOUISA #230
Contact Person:
Name: SCOTT JERKE Phone: 253- 248 -2004
Address: 1106 54 AV E , TACOMA WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC
Address: 110654 AV E , TACOMA WA
Contractor License No: SMITHFS946LO
Phone: 253 - 926 -1880
Expiration Date: 06/20/2012
DESCRIPTION OF WORK:
ADD NOTIFICATION DEVICE FOR THE PURPOSE OF TENANT IMPROVEMENT
Value of Electrical:
NRES: $248.00
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:
$63.00
2008
Date:
I hereby certify that I have read and examined this permit 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 do . not presumo give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perform • I e of work. I authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: 3(°( 1 t
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 -0228 Printed: 03 -09 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0228
* *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 -0228 Printed: 03 -09 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
Electrical Permit No. E (.... 0 )-__)(
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
King Co Assessor's Tax No.: 26230496063
Site Address: 17275 SOUTHCENTER PKWY
Suite Number: Floor:
Tenant Name: SLEEP TRAIN MATTRESS CENTER New Tenant: m Yes ❑ ..No
Property Owners Name: MASAO
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issue
Name: SCOTT JERKE
Mailing Address: 1106 54TH AVE E
Day Telephone: (253) 248 -2004
TACOMA WA 98424
E -Mail Address: SJERKE @SMITHFIRE.COM
City State
Fax Number: (253) 926 -0726
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SMITH FIR SYSTEMS MANAGEMENT
Mailing Address: 1106 54TH AVE E
Contact Person: SCOTT JERKE
E -Mail Address: SJERKE @SMITHFIRE.COM
Contractor Registration Number: SMITHFS946LO
TACOMA WA 98424
City State Zip
Day Telephone: (253) 248 -2004
Fax Number: (253) 926 -0726
Expiration Date: 06/20/2012
Valuation of Project (contractor's bid price): $ 248
Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD A NOTIFICATION
DEVICE FOR THE PURPOSE OF TENANT IMPROVEMENT.
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
✓ I Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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, fumace 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)
❑ Camivals $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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CO RACTOR:
Signature: .
Print Name:
Mailing Address:
1106 54TH AVE E
Date: 03/09/2012
Day Telephone: (253) 248 -2204
TACOMA, WA
City
State
98424
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Applicationdoc
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Page 2 of 2
1110 •
�J�.` wqs City of Tukwila
�� �Z 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 -0228
Address: 17275 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 03/09/2012
Applicant: SLEEP TRAIN MATTRESS CENTER Issue Date:
Receipt No.: R12 -01006
Initials: WER
User ID: 1655
Payment Amount: $63.00
Payment Date: 03/09/2012 02:58 PM
Balance: $0.00
Payee: SMITH FIRE SYSTEMS MANAGEMENT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 05185 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: 03 -09 -2012
INSPECTION NO.
INSPECTION RECORD-
Retain a copy with permit 4 ? " ®�
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t . (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: � - `,
�
Type of Inspection:
Address: i - Z.�a
a
Date Called:
Special Instructions:
2 .'Uo
rPhone
Date Wanted:.
L /, /s—
p
Requester:
No:
,Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
r---01/3ev
A
Inspector:
tiYvG�1
(Date: q 2.41/2„.,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Par 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
SMITH FIRE SYSTEMS MGMT LLC
2539261880
1106 54Th Ave E
Tacoma
WA
98424
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602601418
Active
SMITHFS946L0
Electrical Contractor
6/20/2006
6/20/2012
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
SMITHFS98ORP
SMITH FIRE
SYSTEMS INC
Electrical
Contractor
Limited
Energy
Hvac /Rfrg Ltd
Energy
12/17/2002
12/17/2006
Expired
Electrical Administrator INFORMATION
License ABEL'MN893N5
Name ABEL, MATTHEW N
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GTH CORPORATE SERVICES LLC
Agent
06/20/2006
Bond Amount
SMITH, MARK B
Partner /Member
06/20/2006
1968038
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
2
Hanover Insurance
Company
1968038
06/13/2011
Until Cancelled
$4,000.0005/20/2011
1
INS CO OF THE WEST
2186980
06/13/2006
Until Cancelled
06/13/2011
$4,000.00
06/20/2006
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/09/2012