HomeMy WebLinkAboutPermit EL12-0829 - MATTRESS DISCOUNTERSMATTRESS DISCOi1NTERS
301 TUKWILA PY
EL12-0829
City aftukwila
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.: 0223000010
Address:
301 TUKWILA PY TUKW
Project Name: MATTRESS DISCOUNTERS
ELECTRICAL PERMIT
Permit Number: EL12 -0829
Issue Date: 09/04/2012
Permit Expires On: 03/03/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BETA HOLDINGS LTD
18827 BOTHELL WAY NE
JASON FENTON
13701 24 ST E, SUITE B -5
, BOTHELL WA 98011
, SUMNER WA, 98390
Contractor:
Name: ADVANCED SIGNS LLC
Address: 13701 24ST E UNIT B -5 , SUMNER WA 98390
Contractor License No: ADVANSL923DP
Phone: 253 - 347 -5039
Phone: 253 347 -5039
Expiration Date: 03/23/2014
DESCRIPTION OF WORK:
INSTALL (2) SETS OF CHANNEL LEITERS ON A RACEWAY
Value of Electrical:
NRES: $350.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$67.20
2008
Date: 9 "4-- IZ
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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t ;�perfo •o ance of work. I am authorized to sign and obtain this electrical permit.
Wes.. ...., . I�.�_� << r ` A Date: 91//// .-Z----
Signatur
Print Name:
This permit shall become n 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 -0829 Printed: 09 -04 -2012
111P
PERMIT CONDITIONS
Permit No. EL12 -0829
* *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 -0829 Printed: 09 -04 -2012
CITY OF TUKW1
Community Developme . _ Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.Tukwi laW A.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 **
Site Address:
Tenant Name:
Name:
7a
Address: 37 0 t q
(906_ State: A,f�Zip: 01 % l o
' / ‘
Phon 23'. ,51.0 SG 31 Fax:
Email: , Q 41 cs
l,ox. , Cam.
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
26a(
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Company Name: n
,v eizO / , �e6jM '�� t'°" LL
Address: 1 370 1 ot{ c:;l
s
City: -DI.A. A
State: LA jtk Zip:gg3C7G
Phone; ZS3� 47 X03` Fax:
Contr {j�eg No.:
Tukwila Business License No.;
Exp Date: 3/
Will service be altered? ❑ Yes.}— (2] No Adding more than 50 amps? ❑ Yes ��o
Type of Use: 1n -en �` t5 12/C 1 t CON -C1,
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
HAApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx
Revised August 2011
bh
Page 1 of 2
Name: � _
11 ,
) q1
Address:
I +
City: t /rthxx
l.alA kEState:
A Zip:9 go
Name:
7a
Address: 37 0 t q
(906_ State: A,f�Zip: 01 % l o
' / ‘
Phon 23'. ,51.0 SG 31 Fax:
Email: , Q 41 cs
l,ox. , Cam.
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
26a(
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Company Name: n
,v eizO / , �e6jM '�� t'°" LL
Address: 1 370 1 ot{ c:;l
s
City: -DI.A. A
State: LA jtk Zip:gg3C7G
Phone; ZS3� 47 X03` Fax:
Contr {j�eg No.:
Tukwila Business License No.;
Exp Date: 3/
Will service be altered? ❑ Yes.}— (2] No Adding more than 50 amps? ❑ Yes ��o
Type of Use: 1n -en �` t5 12/C 1 t CON -C1,
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
HAApplicationsWorms- 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
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
.21 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.
1 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 CONTRACTOR:
Signature:
Print N
Mailing Address: \ 37 t Li* , 13- 3
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date:
Wit / 2._- Day Telephone: (253) -3if -SCE 3°I
9i,L4. tor.ell ) (),1\ 9q `39 W
City / State Zip
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.: 0223000010
Address: 301 TUKWILA PY TUKW
Suite No:
Applicant: MATTRESS DISCOUNTERS
RECEIPT
Permit Number: EL12 -0829
Status: PENDING
Applied Date: 09/04/2012
Issue Date:
Receipt No.: R12 -02520
Payment Amount: $67.20
Initials: WER Payment Date: 09/04/2012 09:12 AM
User ID: 1655 Balance: $0.00
Payee: JASON FENTON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
67.20
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receiot -06 Printed: 09 -04 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
-- of
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451 g'
Prot"
.
63- b.
Type of Inspection:
�/o0
Address:
o f ( �^ r'/
Date Called:
Special Instructions: 1
Date Wanted:.
l0/0Z.
( a.
Requester:
Phone No:
jApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
i
kJkv
Date: i!0 OL he`
116641.161c
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
i
INSPECTION'RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Eu2: o6L9
Project: I/, _ S biUJ,T,pe
(`,
of Inspection:
Address:
t
Date Called:
)
/0..6,
Special Instructions:
A) r�
Date Wanted:.
����
m.
p.m.
Requester:
1
0,664A-11 reA, rASP --(0..) oP
Phone No:
v l 42,v4 C, ti E irevoV c 1 Po, JC
JApproved per applicable codes.
Corrections required prior to approval.
-
COMMENTS:
A/0 Atet,( lif?p S.PA.c
•--
b •It O L gi)r ket eS rib
0,664A-11 reA, rASP --(0..) oP
v l 42,v4 C, ti E irevoV c 1 Po, JC
Q
(-DJ( PrIC�t4'r 444)i'
Inspector:
Date:
n REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople titer 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
ADVANCED SIGNS LLC UBI No.
2533475039 Status
13701 24Th St E Unit B -5 License No.
License Type
Sumner Effective Date
WA Expiration Date
98390 Suspend Date
Pierce Specialty 1
Limited Liability Company Specialty 2
602635597
Active
ADVANSL923DP
Electrical Contractor
3/17/2008
3/23/2014
Sign
Unused
Electrical Administrator INFORMATION
License FENTOJ'951 NK
Name FENTON, JASON
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
FENTON, JASON S
Partner /Member
03/17/2008
8/6/2012
FENTON, JENNIFER E
Partner /Member
03/17/2008
$250.00
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
SH7630
03/12/2008
Until Cancelled
$4,000.00
03/17/2008
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
ESHA000720
8/6/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00483
10/12/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00707
10/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/04/2012