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HomeMy WebLinkAboutPermit EL09-0575 - WESTFIELD SOUTHCENTER MALL - BRITE SMILESBRITE SMILES 426 SOUTHCENTER MALL ELO9-0575 Cityef 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 Parcel No.: 6364200010 Address: 426 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0575 Issue Date: 10/15/2009 Permit Expires On: 04/13/2010 Tenant: Name: BRITE SMILES Address: 426 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER LLC BSIP Phone: Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: KEITH SMITH Phone: 206 - 713 -4076 Address: 1725 WESTLAKE AVE N SUITE 210 , SEATTLE WA Contractor: Name: ABACUS ELECTRIC CO Address: 9804 SALES RD S STE A -1 , LAKEWOOD WA Contractor License No: ABACUEC928LT Phone: 253 984 -1611 Expiration Date: 06/30/2010 DESCRIPTION OF WORK: ADD (4) OUTLETS, (2) LIGHT TRACKS AND (1) PENDANT LIGHT FIXTURE Value of Electrical: NRES: $2,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $130.00 National Electrical Code Edition: 2008 Date: � l�L I hereby certify that I have read and e *miffed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th,Iwhether 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 pe ' . ! C ' • I • • authorized to sign and obtain this electrical permit. Signature: Print Name: all-Sa7L' �a sT ' O?5 Date: 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 EL09 -0575 Printed: 10 -15 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: • 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 426 SOUTHCENTER MALL TUKW BRITE SMILES PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0575 ISSUED 09/10/2009 10/15/2009 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 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. 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. Signature: Print Name: 3-ialsaAl Z-€Jg`s 7V/e e'2''L-- /94, Date: 5� 7- ®9 doc: Cond -Elec EL09 -0575 Printed: 10 -15 -2009 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Electrical Permit No. 'E Loq 0575 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.: (P3b "-? O OD 10 426 Southcenter Mall 1000 1st Site Address: Suite Number: Floor: Tenant Name: Brite Smiles New Tenant: ® Yes ❑ .. No Property Owners Name: Westfield Mall Southcenter Mailing Address: 633 Southcenter Parkway, Tukwila, WA City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Keith Smith Day Telephone: 206 -713 -4076 Mailing Address: 1725 Westlake Ave. n. Suite 210, Seattle, WA 98109 E -Mail Address: ksmith @smithco.org City State Fax Number: 206-464-0700 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: T.B.D. Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip Valuation of Project (contractor's bid price): $ 2,500 Scope of Work (please provide detailed information): Add (4) outlets, (2) light tracks and (1) Pendant light fixture Will service be altered? ❑ Yes No Adding more than 50 amps? © Yes ❑ No Type of Use: retail Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 1 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H: Upplicanons\Fonns- Applicatinns On Linet4 -2007 - Electrical Permit Application.dnc hh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ® Circuits added /altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ca ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULT1- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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. [ 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. Date: BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: PrintName: ' Keith L. Smith 09.10.09 Day Telephone: 206-713-4076 Mailing Address: 1725 Westlake Ave. N. Suite 210, Seattle, WA 98109 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: IC\Apphcatinnc\Poms- Applications On Iine\4 -201)7 - Electrical Permit Apphcahon.doc hh Page 2 of 2 Cif, 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 SET RECEIPT RECEIPT NO: R09 -01594 Initials: WER Payment Date: 10/13/2009 User ID: 1655 Total Payment: 648.10 Payee: EXPRESS CONSTRUCTION SERVICES SET ID: 1013 SET NAME: BRITE SMILES SET TRANSACTIONS: Set Member D09 -192 EL09 -0575 PG09 -106 TOTAL: Amount 361.10 130.00 157.00 361.10 TRANSACTION LIST: Type Method Description Amount Payment Check 1029 648.10 TOTAL: 648.10 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES ELECTRICAL PERMIT - NONR PLUMBING - NONRES STATE BUILDING SURCHARGE 000/322.100 000.322.101.00.0 000.322.103.00.0 640.237.114 356.60 130.00 157.00 4.50 TOTAL: 648.10 PAYMENT RECEIVED 64O57fi INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit 7JL PERMIT NO. Project: 3kit 5 r (i5 Type of Inspection: 2,6,0 Address :v" mu_ Date Called: Special Instructions: Date Wanted: D Z3 Q Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: L3JAIEis Date: ro 2 07 to inspection, ee must $60.00 REINSPECTION FEE REQUIRED. Prior p st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. /X PERMIT NO. s INSPECTION RECORD Retain a copy with permit G CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 541V� ! Type of Inspection: 00 Address: 4/24 „q '�`^ t �` Date Called: Special Instructions: Date Wanted: /0 2-2- a.m.. p.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: R,p1 Inspector: Date: / 2/701 0 $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPELION NO. INSPECTION RECORD Retain a copy with permit (1,07 051( PEPAIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 Project: & 1 1 ta5 ‘Sti Type of Inspection: 7003 v Address: 12 4, ri Date Called: Special Instructions: Date Wanted: D 20 a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 7r� wmAy covtic SAocKcorl 10/2.0/0 Date: 7 � l LJ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Untitled Page • • Page 1 of 1 Electrical Contractor A business licensed by LItI 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 ABACUS ELECTRIC CO 2539841611 9804 SALES RD S SUITE A -1 LAKEWOOD WA 98499 PIERCE Limited Liability Company Parent Company ABACO CONTRACTORS LLC UBI No. Status License No. 602838703 ACTIVE ABACUEC928LT License Type ELECTRICAL CONTRACTOR Effective Date 6/30/2008 Expiration Date 6/30/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED ADMINISTRATOR INFORMATION License MOSS *HT928Q4 Name Moss, H TROY JR Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date MOSS, HAYWOOD TROY PARTNER /MEMBER 06/30/2008 Bond Amount SMITH, SHANE PARTNER /MEMBER 06/30/2008 LPM4076005 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 COLONIAL AM CAS Et SURETY OF MARYLAND LPM4076005 06/27/2008 Until Cancelled $4,000.00 06/30/2008 https://fortress.wa.gov/lni/bbip/Detail.aspx 10/15/2009