HomeMy WebLinkAboutPermit EL16-0451 - SLEEP NUMBER - NOTIFICATION DEVICESLEEP NUMBER
17250 SOUTHCENTER PKWY
SUITE 100
EL16-0451
City of Tukwila
• Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No:
7888920020
Permit Number: EL16-0451
Address:
17250 SOUTHCENTER PKWY 100
Issue Date: 5/19/2016
Permit Expires On: 11/15/2016
Project Name:
SLEEP NUMBER
Owner:
Name:
WIG PROPERTIES LLC -SS
Address:
4811 134TH PL SE, BELLEVUE, WA,
98006
Contact Person:
Name:
SCOTTJERKE
Phone: (253) 248-2004
Address:
1106 54 AVE E, TACOMA, WA, 98424
Contractor:
Name:
SMITH FIRE SYSTEMS INC
Phone: (253) 926-1880
Address:
1106 54 AVE E, TACOMA, WA, 98424
License No:
SMITHFS861RS
Expiration Date: 12/10/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD A NOTIFICATION DEVICE FOR THE PURPOSE OF TENANT
IMPROVEMENT
Valuation of single family: $0.00
Fees Collected: $124.53
Valuation of mf/comm: $1,805.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition: 2012 National Electrical Code: 2014
International Residential Code Edition: 2012 WA Cities Electrical Code: 2014
International Mechanical Code Edition: 2012 WAC 296-4613: 2014
Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012
International Fuel Gas Code: 2012
Permit Center Authorized Signature:1)144,1 Date:
I hearby 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 the performance of work. I am authorized to sign and obtain this
development permit and agre a conditions att to this permit.
Signature: �r Date:
Print Name: Gcl i
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
s
CITY OF TUKWILA
Community Development Department
• ` Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.gov
Electrical Permit No. r
Project No.
Date Application Accepted:
Date Application Expires: _
use
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 L-'OCATION
King Co Assessor's Tax No.: 7888920020
Site Address: 17250 SOUTH CENTER PKWY Suite Number: 100 Floor:
Tenant Name: SLEEP NUMBER New Tenant: ® .....Yes ❑ ..No
'';PROPERTY OWNER
Name: WIG PROPERTIES
Address:
City: State: Zip:
COIYTACT•PERSON — person receiving all project
;communlcaiion.
Name: SCOTT JERKE
Address: 1106 54TH AVE E
City: TACOMA State: WA Zip: 98424
Phone: (253) 248-2004 Fax: (253) 926-0726
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SMITH FIRE SYSTEMS
Address: 1106 54TH AVE E
City: TACOMA State: WA Zip: 98424
Phone: (253) 248-2004 Fax: (253) 926-0726
Contr Reg No.: SMITHFS861RS Exp Date: 06/20/2014
Tukwila Business License No.; BUS0993301
Valuation of Project (contractor's bid price): $ 1,805
Scope of Work (please provide detailed information): ADD A NOTIFICATION DEVICS
FOR THE PURPOSE OF TENANT IMPROVEMENT.
Will service be altered? ❑ Yes ❑ No
Type of Use: FIRE ALARM
Tvoe of work:
❑
New ❑
Addition
❑ Service Change
Z
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by:
❑
Puget Sound Energy
❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014
ApplicationsTlectrical Perntit Application Revised 1-1-14.docx
Revised: January 2014
bh
Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
❑ Yes ❑ No
m Tenant Improvement
❑ Temporary Service
Page 1 of 2
r
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)
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) ................................. $65.00
❑ Temporary service (generator) ................................... $80.90
❑ Manufactured/mobile home service ........................... $86.25
(excluding garage or outbuilding)
❑ Carnivals.................................................................... $80.60
Number of concessions ......................... $10.80 ea
Each ride and generator truck ............... $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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.
Print Name: 3k," I I ir-r \tE
Mailing Address: 1106 54TH AVE E, TACOMA, WA 98424
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Pemvt Application Revised 1-1-14.docx
Revised: January 2014
bh
Date: 05/18/2016
Day Telephone: (253) 248-2004
City
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$124.53
EL16-0451 Address: 17250 SOUTHCENTER PKWY 100 Apn: 7888920020
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL1
$5.93
Date Paid: Thursday, May 19, 2016
Paid By: SMITH FIRE SYSTEMS INC
Pay Method: CHECK 054550
Printed: Thursday, May 19, 2016 10:19 AM 1 of 1 ��AI!
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection RequFst Line (206) 438-9350
Pmiect ✓ _ . _ Tvoe of Inspection:
I
Address: 1%�6 ,5 -c /� .' (Date Called: 11 -�l
nst
uester:
21
Approved per applicable codes. t__J Corrections required prior to approval.
IA
pector:
Date:
REINSPECTI0P FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Sdduthcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project
Type of Inspection:
Address:
zsos.0
Date Called:
Special Instructions: I
Date Wanted:
p.m.
Requester:
Phone No:
Approved per applicable codes. Ful F rl Corrections required prior to approval.
s
pector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspectio4 fee Must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SMITH FIRE SYSTEMS INC
Horne EapaftoI contaeL
Safety & Health
Washington State Department of
Labor & Industries
SMITH FIRE SYSTEMS INC
Page 1 of 2
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Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson
1106 54TH AVE E
Marquez, JefferyDale
TACOMA, WA 98424
Principals
253-926-1880
SMITH, MARK B, AGENT
PIERCE County
Smith, Mark B, MEMBER
Gooding, Barry D, MEMBER
$4,000.00
Braun, Kyndra E, MEMBER
Doing business as
SMITH FIRE SYSTEMS INC
WA UBI No. Business type
601 046 860 Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
...............................................................
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
SMITHFS861 RS
Effective — expiration
12/10/2014-1211012016
Designated administrator
Active.
Marquez, JefferyDale
Meets current requirements.
License type
License no.
Electrical Administrator
MARQUJD852P1
Bond
Merchants Bonding Cc (Mutual)
$4,000.00
Bond account no.
WA31208
Received by L&I
Effective date
12/10/2014
12/08/2014
Expiration date
Until Canceled
Savings
.........................
No savings accounts during the previous 6 year period.
License Violations
.........................................................
No license violations during the previous 6 year period..
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=601046860&LIC=SMITHFS86IRS&SAW= 05/19/2016