HomeMy WebLinkAboutPermit EL13-0274 - SAVVY MATTRESS - LOW VOLTAGE
This record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL13-0274
Savvy Mattress
1206 Andover Park E
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Code Exemption Brief Explanatory Description Statute/Rule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals’ social security
Personal Information –
numbers are redacted to protect those
Social Security Numbers 5 U.S.C. sec.
individuals’ privacy pursuant to 5 U.S.C. sec.
DR1 Generally – 5 U.S.C. sec. 552(a); RCW
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
552(a); RCW 42.56.070(1)
State Public Records Act, which exempts under
42.56.070(1)
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information –
expiration dates, or bank or other financial
RCW
9 DR2 Financial Information –
account numbers, which are exempt from
42.56.230(5)
disclosure pursuant to RCW 42.56.230(5)
RCW 42.56.230(4 5)
,
except when disclosure is expressly required by
or governed by other law.
SAVVY MATTRESS
1206 ANDOVER PK E
EL1 3-0274
J�.`N1�A wq City (*Tukwila
1 i 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.: 3523049075
Address: 1206 ANDOVER PK E TUICW
Project Name: SAVVY MATTRESS
ELECTRICAL PERMIT
Permit Number: EL13-0274
Issue Date: 04/11/2013
Permit Expires On: 10/08/2013
Owner:
Name: GRAY CAT COLLECTIVE LLC
Address: 5430 45TH AVE W , SEATTLE WA 98199
Contact Person:
Name: JOHN WEISS Phone: 425-501-6447
Address: 4009 139 PL SE , BOTHELL WA , 98012
Contractor:
Name: NEON SYSTEMS INC
Address: 4009 139TH PL SE , BOTHELL WA 98012
Contractor License No: NEONSI*066PR
Phone: 425-501-6447
Expiration Date: 12/27/2014
DESCRIPTION OF WORK:
CONNECT (2) WALL SIGNS (S13-020)
Value of Electrical: NRES: $150.00
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:
I hereby certify that I have read an
governing this work will be compli
V
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
Date:
$63.00
2008
The granting of this permit does not p�esu�i a to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perf ance of work. I am authorized to sign and obtain this electrical permit.
Signature: i � l�/—--` l r Date: / `- / (' f3
Print Name: VUR (^1-e &$
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
EL13-0274 Printed: 04-11-2013
PERMIT CONDITIONS
Permit No. EL13-0274
**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
EL13-0274 Printed: 04-11-2013
CITY OF TUKW10.04
Community Developmr_ .. Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup://www.Tukw ilaWA.i2ov
SITE LOCATION
Site Address:
Electrical Pei.._
Project-14o;
Date Appiicatton Accepted
Date Application,Expires;
"(Foi�::of ce 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**
/ C /440ai gri4,c
Tenant Name: JGt vex mAdef ess
King Co Assessor's Tax No.: ✓)`'
Suite Number:
PROPERTY OWNER
Company Name: yl /„n S�oks Tri c
Name: /'ry
/„..../. l /4,
/ /hL
Phone: L 4 f f ( C(7 Fax:
Address , 30
„sin Awl._ A)
City: Ste.
State: A/�
Zip:
CONTACT: PERSON2- person receivixig all. project
comniuntcatioti
Company Name: yl /„n S�oks Tri c
Name: �e 11\ ► )1_ SS
City: io77 State: t/4l Zip: VO/Z
Phone: L 4 f f ( C(7 Fax:
Address: gal 9/?9� 44 fl/� co_
J
Tukwila Business License No.; / ,
C �r'ha !T �i Attle---,,
City: , f1 State: kol
Zip:
7
iz
Phone: tiers-w_04/7Fax:
Email:
Floor:
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: yl /„n S�oks Tri c
Address: //a� q 1J 2 7,& // 5,.
City: io77 State: t/4l Zip: VO/Z
Phone: L 4 f f ( C(7 Fax:
Contr Reg I - e.o , \ 1 �yCl� 5 Date:
Tukwila Business License No.; / ,
C �r'ha !T �i Attle---,,
Valuation of Project (contractor's bid price): $ X50'. Od
Scope of Work (please provide detailed information):
service be altered? ❑ Yes NI. No
Type
Type of work: ✓✓✓✓ v
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ 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
Adding more than 50 amps? ❑ Yes
5 J'LS
❑ Remodel
O Telecommunication
0 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
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:
GiL
Print Name: '0 6 [1--2-, W€!55
Date: 4-1- l fir" 13
Day Telephone:
Mailing Address:
City
H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I docx
Revised August 2011
hh
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.: 3523049075
Address: 1206 ANDOVER PK E TURIN
Suite No:
Applicant: SAVVY MATTRESS
RECEIPT
Permit Number: EL13-0274
Status: APPROVED
Applied Date: 03/18/2013
Issue Date:
Receipt No.: R13-01076 Payment Amount: $63.00
Initials: TLS Payment Date: 03/18/2013 03:48 PM
User ID: 1670 Balance: $0.00
Payee: SAVVY HOME FURNISHINGS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6160 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
el nn• Denninf_AR
PrintPri• (13-1R-2013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 if-, (206) 431-3670
Permit Inspection Request Line (206) 431-2451
6,13-01,11
Project: 5 , jmiQ E 5
Type of Inspection:
®U
Address: / d nC
4/11)C
Date Called:
_,
Special Instructions:
R
7-I
Date Wanted:.
II if�
�a,¢1
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
" ILtnl/,ni
Inspector: �411)04
Date: 0ti / ' 3
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople inter 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
NEON SYSTEMS INC
4255016447
4009 139Th Pt Se
Bothell
WA
98012
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601441993
Active
NEONSI*066PR
Electrical Contractor
10/19/1994
12/27/2014
Sign
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
NEONS""088PRNEON
SYSTEMS
Electrical
Contractor
Sign
Unused
10/19/1992
10/19/1994
Archived
Master Electrician INFORMATION
License WEISSJ"976RH
Name WEISS, JOHN A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WEISS, JOHN A
Cancel Date
01/01/1980
Bond Amount
WEISS, JOHN A
Agent
01/01/1980
46BCO25236
WEISS, TAMARA L
Until Cancelled
01/01/1980
12/05/2012
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
5
Navigators Ins Co
46BCO25236
04/04/2012
Until Cancelled
$4,000.0004/30/2012
4
American Contractors
Indem CO
100155781
04/05/2011
Until Cancelled
05/26/2012
$4,000.0004/19/2011
3
HARTFORDOFIRE INS
52BSBD93255
10/19/2005
Until Cancelled
04/05/2011
$4,000.0012/10/2010
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
10/19/1994
11/1/1996
Bond
$4,000.00
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 I Date
RCW Code I
Type
Status Violation Amount
httos://fortress.wa.i?ov/lni/bbin/Print.asnx 04/11/2013