HomeMy WebLinkAboutPermit EL09-0236 - SOUND MENTAL HEALTHSOU
MEN
AL HEALTH
6100 SOUTHCENTE
ELO9O236
Citylif Tukwila
mu -anent of Community Development
6300 SoL.thcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site http://www.ci.tukwila.wa.us
Parcel No.: 3597000221
Address: 6100 SOUTHCENTER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0236
Issue Date: 04/03/2009
Permit Expires On: 09/30/2009
Tenant:
Name: SOUND MENTAL HEALTH
Address: 6100 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: CENTERPLEX Phone: 206 246 -9986
Address: 6100 SOUTHCENTER BL STE 150 , TUKWILA WA
Contact Person:
Name: STACY GRIEB Phone: 206 898 -9418
Address: 3810 166 PL NE, STE 203 , ARLINGTON WA
Contractor:
Name: SMOKEY POINT ELECTRIC INC Phone: 360 659 -5310
Address: 3810 166 PL NE, STE 203 , ARLINGTON WA
Contractor License No: SMOKEPE933MB Expiration Date: 07/03/2009
DESCRIPTION OF WORK:
WIRE NEW WALLS, INSTALL NEW LIGHTS, PLUGS, SWITCHES, AND LIGHTING.
Value of Electrical: NRES: $45,000.00 Fees Collected: $826.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:_
Date: 11'1 1 f °1
I hereby certify that I have read and xamied this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with whether specified herein or not.
The granting of this permit does not prest.me to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or thefperforma.ace of we ly I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:-/(` j -c/y
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 -4/07
EL.09 -0236 Printed: 04 -03 -2009
Parcel No.: 3597000221
Address:
Suite No:
Tenant:
City of Tukwilla
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
6100 SOUTHCENTER BL TUKW
SOUND MENTAL HEALTH
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0236
ISSUED
04/03/2009
04/03/2009
1: ** *ELECTRICAL * **
2: A copy of the electrical wc•rk 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 e:.ectrical 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 descr..bed by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additi.onal review may be required.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
2 7 Signature: �IL - , ... .1i � Date: q— J
Print Name:
doc: Cond -Elec
ELD9-0236
Printed: 04 -03 -2009
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
Electrical Permit•No. 1510/1, uGr
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
Site Address:
Tenant Name:
King Co Assessor's Tax No.: 70 — 0221
Suite Number: Floor:
New Tenant: ❑ Yes (2 No
G' Si o17) & 7 %e #(31v6/
Sow,, ,61 McA L I
Property Owners Name:
Mailing Address:
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued.
Name: M.C,/ G'- th Day Telephone: )�� %�}�
Mailing Address: 3�/& �� % �� /j/4 ; u� ft! X03- �r�w�j�d.-<J41 7J 223
City State Zip
E -Mail Address: i7 k C ul5 ivf // Pax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /eke' vJ de `,,../71-1-7:- kG L� nn��✓C 1 /�
Mailing Address: r�R / /.t / /�a�v 3 /2,0/- /1/�2 3 /7- 9
jTL�✓ J,✓,4
City / State Zip
Day Telephone: 3
Fax Number: 3(i — G S'— 537 7
Contact Person: Lt
E -Mail Address: 2 G S q5 � / Z Cd Ai
Contractor Registration Number: 5/1/0 l('e Pe-
Expiration Date:
Valuation of Project (cont:-actor's bid price): $
7s,
Scope of Work (please provide detailed information): A, c4 /// j -211$14//-4/et-t/ //517../
Will service be altered? ❑ Yes Qj No Adding more than 50 amps? ❑ Yes [2 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change El--Remodel ❑ Tenant Improvement
❑ Low Voltage [] Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
Puget Sound Energy
❑ Seattle City Ligh:
H:\Applications '•Forms - Applications On Lin :\ I - 2009 - Electrical P ;rmit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(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 CHANGES
❑ 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.
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 CONTRACTOR:
Signature: � Date: 3
Print Name: S T� 0-� G( , -eh Day Telephone: L c� G - y ac — 9 1 / e)—
Mailing Address: 3� /J /G� Pi- �� ``�a3ir /' ''`7 2-✓ / lvh 9-,2_,
City State Zap
IDate Application Accepted:
04[(727
04)
Date Application Expires:
H WpphcalionsWonns- Apphcat ons On Line,' -2009 - Electrical Perm Apphcalion.doc
bh
Staff Initials: �r�
Page 2 of 2
0
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: littp: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 3597000221 Permit Number: EL09 -0236
Address: 6100 SOUTHCENTER BL TUKW Status: PENDING
Suite No: Applied Date: 04/03/2009
Applicant: SOUND MENTAL HEALTH Issue Date:
Receipt No.: R09 -00525
Payment Amount: $826.00
Initials: JEM Payment Date: 04/03/2009 12:39 PM
User ID: 1165 Balance: $0.00
Payee: SMOKEY POINT ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amour .t
Payment Check 2693 826.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIP - NONR
000.322.101.00.0 826.00
Total: $826.00
PAYMENT
RECEIVE
doc: Receiot -06
Printed: 04 -03 -2009
1 INSPECTION RECORD �LO _�2"
J Retain a copy with permit 7('j
INSPE ION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION Y-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project O (if ,
Type o Inspection: 2 /oO
Addressy I ®u ` c
Date Called:
Special Instructions:
Date Wanted:
6
� .
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 7Y 5. Q7
❑ $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
409 -oz36
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION le-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0
INSP_CTION NO.
Project: i �,,g
AbosIP
Type o Inspection:
•
Address:
.jOO 5.C. gL.
Date Called:
Special Instructions:
Date Wanted:
04 1a
.
p.m.
Requester:
Phone No:
Approved per app. icable codes. Corrections required prior to approval.
COMMENTS:
,ka taniS ‘
Icc4m, AfTK ? oti
( 010240461 atC-5,,,5 04 Li-rini)
inspector:
)64,./
Date: ail „p /o
j 0
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee rlust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Dote:
INSPEOTION NO.
INSPECTION RECORD
Retain a copy with permit
61,01 - 0134
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
- (.f(1 'i6471 O4t.41 &AA/Nape-5 1D vtit.litttt
Type o Inspection:
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Addr -ss:
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Date C:alied:
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Special Instructions:
Date Wanted:
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p.m_
Requester:
Phone No:
ElApproved per applicable codes.
CidCorrections required prior to approval. I.
COMMENTS:
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Inspector:
Date: &et sloi
0 $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee nit be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD /0 ,02
f I Retain a copy with permit C
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION (2.'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:.
e0A /T ` T�
t'f 'r7
Type o Inspection's
Type
`�
Address:
Date Called:
Special Instructions:
Date Wanted:
05-
,
1
v
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Veic SCAVeK kDOrl IAA44,5
Inspector:
i
Date: DS 1 i
0
E $60.00 REIN PECTION FEE REQUIRED. F'rior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RIECORD
Retain a copy with permit
PERMIT
PERMIT I�Q.
CITY OF TUKWILA BUILDING DIVISION I(�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: C"N
, ��
'Type o Inspection:
p0
Address:
Date Called:
Special Instructions:
Date Wanted:
QS o
:. •
Requester:
Phone No:
EIApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
8
Covet( wM4 -S kr\ ( 0
Inspector:
Date: os... v1 O
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Sotthcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
io7_ 4z3
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projec`:6u r +.#
N
Type of Inspection: loo,
Address:
Date. Called:
Special Instructions:
Date Wanted:
DY 21
a.m.
p.m.
Requester:
,eceer-
Phone No:
/0 I 1a
L hQ JA 4 1 Aka_ f "S
,44 (t/
�' oJe OL
�'
ElApproved per applicable codes.
Corrections required prior to approval.
•
COMMENTS:
,eceer-
Or-ric
/0 I 1a
L hQ JA 4 1 Aka_ f "S
,44 (t/
�' oJe OL
�'
:CUr.
Date. D � I�n G 77oo
� �
❑ $60.00 REINSRECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IReceipt No.:
Date:
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 mus: 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
SMOKEY POINT ELECTRIC
INC
Phone 3606595310
Address 3810 166TH PL NE STE
203
Suite /Apt.
UBI No. 602737967
Status ACTIVE
License No. SMOKEPE933MB
License Type ELECTRICAL
CONTRACTOR
City ARLINGTON Effective Date 7/3/2007
State WA Expiration Date 7/3/2009
Zip 98223 Suspend Date
County SNOH0MISH Previous License
Business Type Corporation Next License
Parent Associated GRIEBSF223PK
Company License
Specialty 1 GENERAL
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License GRIEBSF223PK
Name GRIEB, STACY F
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
SAGE, IAN D
AGENT
07/02/2007
SAGE, IAN D
PRESIDENT
07/02/2007
SAGE, TOMI R
VICE PRESIDENT
07/02/2007
Assignment of Savings Information
https : / /fortress.wa.gov /lni/bbip /Detail.aspx ?License= SMOKEPE933MB 04/03/2009