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Permit EL08-0748 - SMILES AT SOUTHCENTER
SMILES AT SOUTHCENTE 15425 53 AV S CitAif 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.: 1157200033 Address: 15425 53 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -748 Issue Date: 06/11/2008 Permit Expires On: 12/08/2008 Tenant: Name: SMILES AT SOUTHCENTER Address: 15425 53 AV S , TUKWILA WA Owner: Name: QUESTAR PARTNERSHIP Phone: Address: PO BOX 98210 , LAKEWOOD WA Contact Person: Name: BILL POPE Phone: 425 - 681 -3679 Address: 18133 NE 68 ST SUITE D -120 , REDMOND WA Contractor: Name: PRIDE ELECTRIC INC Phone: 425 454 -3665 Address: 3984 150 AV NE , REDMOND WA Contractor License No: PRIDEEI077DR Expiration Date: 03/19/2009 DESCRIPTION OF WORK: INSTALL CAT 6 CABLING Value of Electrical: $4,802.00 Fees Collected: $164.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: lAAL Date: (a— k/ k 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 of this construction or Signature: rmit does not presume to •'ve authority to violate or cancel the provisions of any other state or local laws regulating nuance of w• am authorized to sign and obtain this electrical permit. Print Name: Date: 6- t J d e 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 EL08 -748 Printed: 06 -11 -2008 Parcel No.: 1157200033 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 1 5425 53 AV S TUKW SMILES AT SOUTHCENTER PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -748 ISSUED 06/11/2008 06/11/2008 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: r � � \ re Date: C- L -Dq doc: Cond -Elec EL08 -748 Printed: 06-11 -2008 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us • X61 Electrical Permit No. FLog-- 1110 Project No. (For ojce 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: 19-D5 5 3 Av& King Co Assessor's Tax No.: 51f-0 - 00 33 Suite Number: Floor: �/� New Tenant: Yes ❑ ..No Tenant Name: Property Owners Name: Mailing Address: City State Zip CONTACT PERSON -Who do' we contact when your permit is ready to be issued Name: ,1�# Day Telephone: — 66/ -s6 Z Mailing Address: /273' 4ir dr& S7c �� /i� -72, `, / 4(4 960x--2. / City state / Zip E -Mail Address: 4/ e � � -- �� (.i4.1 Fax Number: y 9 ??'7V ELECTRICAL CONTRACTOR INFORMATION 7,-1e-1-ate I otJ Company Name: Mailing Address: / P/ Z 3 F d d' S 7)-1 2d A d/>v .,n 0" 104, 9 0 �� Contact Person: ' // / 74_ Day Telephone: 9-02- -C-` 6 X /- 3 ‘ T y' E -Mail Address: 6 op e ) ei i-e_ — �GL , /4� Fax Number: g .s - y77 - AJQp Contractor Registration Number: //2. P E E ,x,77PIK Expiration Date: :3 /i 9 /zoo' / Valuation of Project (contractor's bid price): $ faro 2— Scope of Work (please provide detailed information): s -S-u City / State Zip Will service be altered? � Jes No Adding more than 50 amps? ❑ Yes cc-No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm -. Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: Appltcations\Forms- Applications On Line14 -2007 - Elecmcal Permit Applicationdoc bh 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 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - 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 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 ELECTRI AI - CONTRACTOR: Signature: Print Name: Mailing Address: �o E h Date: Gc - L —0 b Day Telephone: (.( cJ " Oju - L 6,5 IDate Application Accepted: City s Zip Date Application Expires: Staff Initials: H: Applications\Fonm- Applications On Line14 -7007 - Electrical Pemut Application.doc 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 Parcel No.: 1157200033 Address: 15425 53 AV S TUKW Suite No: Applicant: SMILES AT SOUTHCENTER RECEIPT Permit Number: EL08 -748 Status: PENDING Applied Date: 06/11/2008 Issue Date: Receipt No.: R08 -02072 Initials: WER User ID: 1655 Payment Amount: $164.00 Payment Date: 06/11/2008 09:51 AM Balance: $0.00 Payee: PRIDE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6099 164.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 164.00 Total: $164.00 3541 06/11 9711 TOTAL 16400 dor.• RPr.Pint -0R PrintAd• OR- 11 -200A INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION , 9-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Eco19-7'y Project: Drii LC-5 Type of Inspection: 2_t ©o Addr/ 5 $ 3 Date Called: Special Instructions: Date Wanted: /0/04) a.m Thoo Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: OK 4J4iv Inspector: &la 'Date: 10 /073 0.„3 r7 $60.00 REINSI3ECTION FEE RIEQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: .. ....., n• ALbsn-a. enrs rA,. _Om _.6r -i a•11 - • +mss INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION la- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3f 7 Ewv- 71-1S Project: sti t ] Type of Inspection: 7003 Address: 1 w- .wG s w6 Date Called: ---1 Special Instructions: Date Wanted: -7/42- �a p.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: (,6104, cov6K1/4 - Koc/4,fri 14 01/271A j ❑ $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: Look Up a Contractor, Electrician or Plumber License Detail • Washington State Department of Labor and Industries 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. License Information License PRIDEEI077DR Licensee Name PRIDE ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601451700 Ind. Ins. Account Id Business Type CORPORATION Address 1 18133 NE 68TH ST D120 Address 2 City REDMOND County KING State WA Zip 98052 Phone 4254543665 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/19/1993 Expiration Date 3/19/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License GOAD *CJ955DG Master Electrician Information License GOAD *CJ955DG Name GOAD, CHRISTOPHER J Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date GOAD, CHRISTOPHER J AGENT 03/15/2005 GOAD, CHRISTOPHER J PRESIDENT 03/15/2005 • Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer. aspx ?License= PRIDEEI077DR 06/11/2008