HomeMy WebLinkAboutPermit EL09-0663 - WESTFIELD SOUTHCENTER MALL - BRITE SMILESBRITE SMILES
426 SOUTHCENTER MALL
ELO9-0663
Parcel No.:
Address:
Suite No:
City ilk 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
6364200010
426 SOUTHCENTER MALL TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0663
Issue Date: 10/22/2009
Permit Expires On: 04/20/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BRITE SMILES
426 SOUTHCENTER MALL , TUKWILA WA
WEA SOUTHCENTER LLC BSIP Phone:
TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247
JIM MINOR
815 8 ST , KIRIU,AND WA
Contractor:
Name: SIGN FACTORY, INC, THE
Address: 815 8TH ST , KIRKLAND, WA
Contractor License No: SIGNF* *0201B
Phone: 425 - 822 -1200
Phone: 425 - 822 -1200
Expiration Date: 04/02/2010
DESCRIPTION OF WORK:
INSTALL ILLUMINATED WALL SIGN - LOW VOLTAGE.
Value of Electrical: NRES: $50.00
RES: $0.00
Type of Fire Protection: SPRINKLER/AFA
Electrical Service provided by: PUGET SOUND ENERGY
Fees Collected: $60.00
National Electrical Code Edition: 2008
Permit Center Authorized Signature: Q Date:
I hereby 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 o his permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction r the perform e of work. Ian authorized to sign and obtain this electrical permit.
Signature:
Print Name: u 1
Date: /1 0(/(397
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 -0663 Printed: 10 -22 -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 -0663
ISSUED
10/22/2009
10/22/2009
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 regulatingi construction or the performance of work.
Signature:
Print N
Uu ( u cfi4
Date: (d [9-Z/07
doc: Cond -Elec
EL09 -0663 Printed: 10 -22 -2009
CITY OF TUKRA
Community Development Department
Permit Center
6300 So"uthcenter Blvd., Suite 100
Tukwila, WA 98188
httpl/www.ci.tukwila.wa.us
Electrical Permit No. wq-000
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.:
Suite Number: Floor:
New Tenant:
Site Address: - _>O L{ yy��{-fii tM'? Cdr—
Tenant Name: Be f 5u-t)/ P ti t! " _ 5 kt
Property Owners Name: 1 7 F -e CtO _ _ _ _ _
Mailing Address:
Yes
❑..No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 0-1 V 4 l vtGt�
Mailing Address: el � . i1"—
Day Telephone: el, c- CT /2 O .0
/vJ c w44 -- �'cc a3,3
City State Zip
E -Mail Address: _ Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:_
Contact Person: u r 1/14 t ,
City State Zip
Day Telephone: 42 12 UD
E -Mail Address: _ Fax Number:
Contractor Registration Number: 5"4 i4 - 62- / (�
Expiration Date: /7e) / i c
Valuation of Project (contractor's bid price): $ �C) • 0 C
Scope of Work (please provide detailed information): -
zr - -tQ 44- t4J C-L 1 / it> S'b a tet4, taco tC_
< u e-f0- 60.1- -1
Will service be altered? ❑ Yes
Type of Use: )(2-e44 l
Type of work:
❑ New 10 Addition
'V Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes OiNo
❑ Service Change
❑ Fire Alarm
H .Applications*onns-Applicuions On Line4 -2007 - Electrical Prnnit Application doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 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.tukwilawa.us
RECEIPT
Parcel No.: 6364200010 Permit Number: EL09 -0663
Address: 426 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 10/22/2009
Applicant: BRITE SMILES Issue Date:
Receipt No.: R09 -01657 Payment Amount: $60.00
Initials: BLH Payment Date: 10/22/2009 01:58 PM
User ID: ADMIN Balance: $0.00
Payee: THE SIGN FACTORY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1493 60.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 60.00
Total: $60.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 10 -22 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE 7 MIT NO.
CITY OF TUKWILA BUILDING DIVISION V.-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: (J_ 5r1/1.6
Type of Inspection: 2j00
\
Address: 72.49 el
Date Called:
Special Instructions:
Date Wanted:
r
z
‘.
Requester:
Phone No:
ligl Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
Mt
Inspector: ie--
'7
Date:
I1f2y/01
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
/Q
Untitled Page
•
Page 1 of 2
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 SIGN FACTORY INC, THE UBI No. 601848775
Phone 4258221200 Status ACTIVE
Address 815 8TH ST License No. SIGNF * *021JB
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City KIRKLAND Effective Date 4/2/1998
State WA Expiration Date 4/2/2010
Zip 98033 Suspend Date
County KING Specialty 1 SIGN
Business Type Corporation Specialty 2 UNUSED
Parent Company
ADMINISTRATOR INFORMATION
License FALLSD *191 JP
Name FALLS, DENNIS
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RISHER, CAROLYN
Cancel
Date
01/01/1980
Bond
Amount
RISHER, JIM
2
01/01/1980
206844713
CARTER, SABRINA
Until
Cancelled
01/01/1980
ENGEL, GREG
AGENT
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
TRAVELERS
CAS Et
SURETY CO
206844713
03/25/2001
Until
Cancelled
$4,000.00
02/07/2001
https://fortress.wa.gov/Ini/bbip/Detail.aspx
10/22/2009