HomeMy WebLinkAboutPermit EL11-0556 - SMILES AT SOUTHCENTERSMILES AT
SOUTHCENTER
15425 53 AV S
EXPIRED
12-20-11
EL1 1 -0556
Parcel No.:
Address:
Tenant Name:
City* Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwc1.tukwila.wa.us
1157200033
15425 53 AV S TUKW
SMILES AT SOUTHCENTER
ELECTRICAL PERMIT
Permit Number: EL11 -0556
Issue Date: 06/23/2011
Permit Expires On: 12/20/2011
Owner:
Name: R & N REAL ESTATE L L C
Address: 15425 53RD AVE S , TUKWILA WA 98188
Contact Person:
Name: KAYCEE VANKIRK
Address: 7617 S 180 ST , KENT WA 98032
Contractor:
Name: PROTECTION ONE ALARM MNTRG INC
Address: 4221 W JOHN CARPENTER FWY , IRVING TX 75063
Contractor License No: PROTEOA033BP
Phone: 425- 656 -7111
Phone: 425 656 -7132
Expiration Date: 01/24/2013
DESCRIPTION OF WORK:
ADD (1) KEYPAD TO ALARM SYSTEM
Value of Electrical Work: NRES: $340.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$67.20
National Electrical Code Edition: 2008
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 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 of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature: '7/Le —A'
Print Name:
1C FA
Date: 6 C 12 3 1
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 -9/09 EL11 -0556
Printed: 06 -23 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0556
* *ELECTRICAL **
I: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11 -0556 Printed: 06 -23 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Per
rojeet No.
ice 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: 15425 53RD AVE S
Tenant Name: SMILES AT SOUTHCENTER
King Co Assessor's Tax No.: (L5) ) -C) - 0033
Suite Number: Floor:
New Tenant: ❑ Yes m .. No
Property Owners Name:
Mailing Address: SAME AS SITE
City
State
Zip
CONTACT PERSON Who do we co et when your permit is ready to be issued
Name: KAYCEE VANKIRK
Mailing Address: 7617 S 180TH ST
Day Telephone: (425) 656 -7111
KENT WA 98032
E -Mail Address: kayceevankirk @protection1.com
City State
Fax Number: (425) 656 -7145
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PROTECTION ONE
Mailing Address: 7617 S 180TH ST
Contact Person: PROTECTION ONE
E -Mail Address: same as above
KENT WA
City State
Day Telephone: (425) 656 -7111
Fax Number: (425) 656 -7145
98032
Zip
Contractor Registration Number: PROTEOA033BP Expiration Date: 01/24/2013
Valuation of Project (contractor's bid price): $ 340
Scope of Work (please provide detailed information): Add 1 keypad to alarm system
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes
No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
O Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
❑ Temporary Service
prom* Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H: \Applications \Forms- Applications On Line \2010 Applications \7 -2010 - ElectricaI Permit Application. doc
bh
Page 1 of 2
i
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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:1<gt
Print Name:
/A4-14re
Mailing Address:
7617 S 180TH ST
Date: l0/6e/(
Day Telephone: (425) 656 -7111
KENT 98032
Zip
City
State
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H:\ Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application. 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.TukwilaWA.gov
Parcel No.: 1157200033
Address: 15425 S3 AV S TUKW
Suite No:
Applicant: SMILES AT SOUTHCENTER
RECEIPT
Permit Number: EL11 -0556
Status: PENDING
Applied Date: 06/23/2011
Issue Date:
Receipt No.: R11 -01288 Payment Amount: $67.20
Initials: WER Payment Date: 06/23/2011 08:05 AM
User ID: 1655 Balance: $0.00
Payee: PROTECTION ONE ALARM MONITORING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3676 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt-06 Printed: 06 -23 -2011
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KAYCEE VANKIRK
7617 S 180 ST
KENT WA 98032
RE: Permit No. EL11 -0556
SMILES AT SOUTHCENTER
15425 53 AV S 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 12/20/2011.
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, provided the inspection shows progress.
-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 12/20/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL11 -0556
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Per Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by Lltl 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.
1 Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
PROTECTION ONE ALARM MNTRG INC
4256567153
Attn: Justin B. Vise
1035 N 3rd St Ste 101
Lawrence
KS
66044
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601354926
Active
PROTEOA033BP
Electrical Contractor
1/17/1997
1/24/2013
Limited Energy
Unused
Electrical Administrator INFORMATION
License BERGEMA893BL
Name BERGENER, MATTHEW A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MACKENZIE, JAMES M JR
01/01/1980
RANKIN, THOMAS K
01/01/1980
HESSE, JOHN W
01/01/1980
CORNELL, MONTGOMERY W
01/01/1980
C T CORPORATION SYSTEM
Agent
01/01/1980
BECK, ANNETTE
President
10/27/2000
SOMMA,TONY
Secretary
10/27/2000
KINGSLEY, RENEE T
Vice President
10/27/2000
CHRETIEN, CRAIG
Vice President
10/27/2000
SANCHEZ, JOSEPH
Vice President
10/27/2000
WILSON, TONY
Vice President
10/27/2000
SIMONETTI, RICH
Vice President
10/27/2000
DEVIN, ANDY
Vice President
10/27/2000
WIENGARTNER, CRAIG
Vice President
10/27/2000
CORY, DENNIS (MIKE)
Vice President
02/25/2002
GRIFFIN, JOHN ERIC
Vice President
01/09/2003
https://fortress.wa.gov/lni/bbip/Print.aspx
06/23/2011