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Home My WebLink AboutPermit EL09-0235 - SOUTHCENTER COSMETIC SURGERYum: CENTE COSMETIC SURGERY 16400 SOUTEICENTER PY EXPIREI 09 -30 -09 ELO9-0235 Parcel No.: 2623049021 Address: Suite No: City* Tukwiila v t Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 16400 SOUTHCENTER PY TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL09 -0235 04/03/2009 09/30/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SOUTHCENTER COSMETIC SURGERY 16400 SOUTHCENTER PY , TUKWILA WA LEGACY PARTNERS I TUKWILA L 10655 NE 4TH ST #812 , BELLEVUE WA SHANNON BUCKINGHAM 5108 D ST NW , AUBURN WA EMERALD AIRE INC 5108DSTNW, AUBURN WA Contractor License No: EMERAA.:991KG Phone: Phone: 253 872 -5665 Phone: 253- 872 -5665 Expiration Date: 05/07/2009 DESCRIPTION OF WORK: DISCONNECT AND RECONNECT LINE AD; D LOW VOLTAGE Value of Electrical: Type of Fire Protection: NRES: $300.00 F.ES: $0.00 UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: National Electrical Code Edition: Date: $64.00 2005 rA1o31v41 ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 f work. I am authorized to sign and obtain this electrical permit. / Signature: LZ �/ Date: f 3/ 61 Print Name: ki i u-, G.-e -1 'J 11 ct)V 4 N L) This permit shall become nut 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 -4/07 ELD9 -0235 Printed: 04 -03 -2009 0 City of Tukwilla Department of Community Development 6300 Southcenter Boulevard, Suite 4100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 2623049021 Address: Suite No: Tenant: 16400 SOUTHCENTER PY TUKW SOUTHCENTER COSMETIC SURGERY Permit Number: Status: Applied Date: Issue Date: EL09 -0235 ISSUED 04/03/2009 04/03/2009 1: ** *ELECTRICAL * ** 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 cf 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. I hereby certify that I have read these conditions and will comply vrith them as outlined. All provisions of law and ordinances governing this work will be ccmplied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Print Name: M1 A i L 71 C0N/ 1 n/n Date: 4/3/09 doc: Cond -Elec EL.09 -0235 Printed: 04 -03 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. LTV v A--rn-125 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.: R t a 3 0� 1 o a t Site Address: I(o4IDC1 S04431 0'&4 t(It Pk 1 liki„9 1 s�gg Suite Number: I0 Floor: / i Tenant Name: JA(.4,LL10E.v 1 Pr CO-5 tv1t dtc 5U rid `ej New Tenant: ❑ Yes lo..No Property Owners Name: L E GA ctt PA Q i % e� V J Mailing Address: / a 1 '4 Th ird Ave1ti vk. */ S'-",. wp4 q$i0� City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ,fl()Q(() T ?1,AGLLL hQ1,4 (Day Telephone: _�� `� ��%� Mailing Address: (De) 1) 51 \o ) auburn WI ✓ O1 City State Zip E -Mail Address:__JM,l1n ELECTRICAL CONTRACTOR INFORMATION Fax Number: OS3- 8-70 — 57 9-7 Company Name: eild cu c2 ) (C— Mailing Address: Si CO D f (jJ D4 4/670o) '- _ — ` City State Zip Contact Person6 f>fOe I7- t)�r13IC 1 Day Telephone: @S-- �7 a �c��- E -Mail Address: ' Y* L22. CUM— Fax Number: 5 '7 a_ s7T7 Contractor Registration Number: Re474=Cri Expiration Date: 9 Valuation of Project (contractor's bid price): $ LC/ - Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change xiLow Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light it \Applicahoas\Forms- Applications On 1 nel1 -2109 Electncal 'e,m9 Application.doc bh Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings ................... $78 00 ea ❑ Low voltage systems (alarm, furnace thermostat) . . .$57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANCES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ 'temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 'fl IE SAME 'TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE S'TA'LE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR'THfS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: os) 'r�t61—)L° ✓cI 52orv71u) Date: /` ( Day Telephone: :?53 e7,71 �('4 a (4D\A -' c-4J She I City State Zip Date Application Accepted: Date Application Expires: Staff initials: 11 \Applications \Forms- Appl,catinns On 11ne\I -2669 • Electrical Permit Applhcabon doc bh 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.ci.tukwila.wa.us R]EC]EIPT Parcel No.: 2623049021 Permit Number: EL09 -0235 Address: 16400 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/03/2009 Applicant: SOUTHCENTER COSMETIC SURGERY Issue Date: Receipt No.: R09 -00523 Payment Amount: $63.36 Initials: JEM Payment Date: 04/03/2009 11:01 AM User ID: 1165 Balance: $0.00 Payee: EMERALD AIRE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Cred..t Crd MC - Authorization No. C•0395Z ACCOUNT ITEM LIST: Description ELECTRICAL PERM:T - NONR 63.36 Account Code Current Pmts 000.322.101.00.0 63.36 Total: $63.36 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -03 -2009 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite X100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.tiva.us RECEIPT Parcel No.: 2623049021 Permit Number: EL09 -0235 Address: 16400 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/03/2009 Applicant: SOUTHCENTER COSMETIC SURGERY Issue Date: Receipt No.: R09 -00522 Payment Amount: $.64 Initials: JEM Payment Date: 04/03/2009 11:00 AM User ID: 1165 Balance: $63.36 Payee: EMERALD AIRE INC TRANSACTION LIST: Type Methcd Descriptio Amount Payment Credit Crd MC - Authorization Nc. 003324Z ACCOUNT ITEM LIST: Description .E4 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 .64 Total: $.64 PAYMENT ECEIVED doc: Receiot -06 Printed: 04 -03 -2009 City of f Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director SHANNON BUCKINGHAM 5108 D ST NW AUBURN WA 98001 RE: Permit No. EL09 -0235 16400 SOUTHCENTER PY TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/30/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 09/30/2009, your permit will become null and voic and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, 54.9 er Marshall P Technician File: Permit File No. ELO9 -0235 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 6 Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Untitled Page Electrical Contractor 0 • Page 1 of 2 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 EMERALD AIRE INC UBI No. 600591552 Phone 2538725665 Status ACTIVE Address 5108 D ST NW License No. EMERAAI991KG Suite /Apt. License Type ELECTRICAL CONTRACTOR City AUBURN Effective Date 5/7/2001 State WA Expiration Date 5/7/2011 Zip 98001 Suspend Date County KING Previous License EMERAAI0120T Business Type Corporation Next License Parent Company Associated License REINHJS956RK Specialty 1 GENERAL Specialty 2 UNUSED ADMINISTRATOR INFORMATION License REINHJS956RK Name REINHARDT, JEFFREY S Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date DENT, CHARLES AGENT 05/07/2001 Bond Amount HAPPE, DOUGLAS, A PRESIDENT 05/07/2001 RIDGE, JOHN P VICE PRESIDENT 05/07/2001 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date INS CO OF Until https: // fortress .wa.gov /lni /bbip/Detai1.aspx ?License= EMERAAI991 KG 04/03/2009