HomeMy WebLinkAboutPermit EL13-0154 - BLOWN AWAY BEAUTY - TENANT IMPROVEMENTBLOWN AWAY BEAUTY
979 SOUThCENTER MALL
EL13-0154
Parcel No.:
Address:
City oPi'ukwila
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
9202470010
979 SOUTHCENTER MALL TUKW
Project Name: BLOWN AWAY BEAUTY
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL13-0154
02/15/2013
08/14/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA 92013
SHANE JOHNSON
9204 219 ST CT E , GRAHAM WA, 98338
STATIC ELECTRIC INC
PO BOX 972 , GRAHAM WA 98338
Contractor License No: STATIEI951C8
Phone: 253 468-3296
Phone: 253 468-3296
Expiration Date: 02/25/2013
DESCRIPTION OF WORK:
ELECTRICAL FOR NEW STOREFRONT, (5) RECESSED CANS, (2) SHOW -WINDOW RECEPS, AND
PROVISIONS FOR FUTURE SIGNAGE.
Value of Electrical:
NRES: $1,500.00
RES: $0.00
Type of Fire Protection: SPRINKLERS/AFA
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
ex•
•wit
Fees Collected:
National Electrical Code Edition:
Date:
$115.50
2008
02-11s113
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr . • e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance work. I am authorized to sign and obtain this electrical permit.
Signat
Print Name:
Date: Z- S -13
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 -4/10
EL13-0154 Printed: 02-15-2013
•
PERMIT CONDITIONS •
Permit No. EL 13-0154
**ELECTRICAL**
1: 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 -4/10
EL13-0154 Printed: 02-15-2013
CITY OF TUKW0
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.cov
Electrical Permit No.
01
Project No.
Date Application Accepted: N- 1 l IS
Date Application Expires:
(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 Address: "I -7 9 Sc -q) -1-1,c e`'I f- Y '' eN (
Tenant Name: 5100r, AWN f gyp, (}
PROPERTY OWNER
Company Name:�
cJkstt'C- l- ecfr.1cP�VIC•
Name:
r vis.
tV0
Address:
C 0 X020J"/ \,901("0
City:
Cj I1,lt(Ztv State: C4 Zip:q] rte`')
r
CONTACT PERSON - person receiving all project
communication
Company Name:�
cJkstt'C- l- ecfr.1cP�VIC•
f
Name: G, r� v
City: g rAiv\r„,\ State: tAdj Zip: gfc3
Phone: Zs3 -Li (Dg_ 3Z1,Fax: N A
Address: Q(7Uf D 2l of t- S I . ei , E-
`1
Tukwila Business License No.; polikc-- OT\ .2 -qt -1
State:l ,_
City: 6,.,,,,\a,,,,.., W
Zip:q
3g-
Phone: ZS3�/ s_Fax:
t��
,--t
Email: /Nalvko t, ty l « PL1(,C', %i
_
King Co Assessor's Tax No.: l 20 2-q"-) rcok
Suite Number: 2.4 0 Floor:
New Tenant: IA. Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:�
cJkstt'C- l- ecfr.1cP�VIC•
Address: i .Zc q zi ci �'" , C.. E t
City: g rAiv\r„,\ State: tAdj Zip: gfc3
Phone: Zs3 -Li (Dg_ 3Z1,Fax: N A
Contr Reg No.: 5,1—A���1,s'1' cppF(Date: Z_ZS _. 1.3
Tukwila Business License No.; polikc-- OT\ .2 -qt -1
�...... w ,rte +... -..c. c....�_:.e.:....-....;6'.....�...-- .�.s.t
Valuation of Project (contractor's bid price): $ I t S d 0. 0 G
Scope of Work (please provide detailed information): Fi pc -/1'c'1 -Co r" vie ki S- ao✓►� -
(-) u-cnna .5ec) ct 5 f CZ') Slum-wif,d0AJ re(•ei0 S GV) eroV,'S,ciS
Co ( t) *)r' s3\v-wise
Will service be altered? ❑ Yes
Type of Use: eta, r' l
Type of work:
❑ New 0 Addition ❑ Service Change
❑ Low Voltage 0 Generator ❑ Fire Alarm
Pronertv Served bv:
Puget Sound Energy ❑ Seattle City Light
H:\.Kpphcations\Forms-Applications On Line \2011 Applications'alectncal Permit Application Revised 8-9-I I.docx
Revised: August 2011
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Adding more than 50 amps? ❑ YesNo
❑ Remodel
Tenant Improvement
O Telecommunication 0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm. furnace thermostat) $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
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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature
Print Name: Skein e 041 Yl SG�
Mailing Address: � '1
21,1- S'.
H \ Applications \Forms -Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
bh
Day Telephone:
Oi
City
Date: ' s — f
253-4103 3Z c4(o
10 /11-- 3g'
State Zip
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
RECEIPT
Parcel No.: 9202470010 Permit Number: EL13-0154
Address: 979 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/15/2013
Applicant: BLOWN AWAY BEAUTY Issue Date:
Receipt No.: R13-00823
Initials: JEM
User ID: 1165
Payment Amount: $115.50
Payment Date: 02/15/2013 08:56 AM
Balance: $0.00
Payee: SHANE JOHNSON, STATIC ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 095511
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
A p.n.. Oet nes i..1_na
Printed• 02-15-2013
Z
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: &owl
Type of Inspection:
100
Address: ci7 t 141,1
Date Called:
Special Instructions: t
Date Wanted:.
217
l_Erm
Requester:
Phone No:
XApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS: j.
I/
Inspector: t�l
�,� Date: oZ 21 j
`
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
i
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6-6-0151
PERMIT NO. f
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Project: 11
Type of Inspection:
Address: (171 „j. _ , (
���
Date Called:
Special Instructions:
Date Wanted:.
g
a.m .
.
Requester:
//
Phone No:
MApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
r, f/
ri . -CovoA s1-01Vc Aif
`,-g•ifL Date: Odd/0 / 0
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
Parent Company
STATIC ELECTRIC INC
2534683296
9204 219Th St Ct E
Graham
WA
98338
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602455807
Active
STATIEI951C8
Electrical Contractor
2/25/2005
2/25/2013
General
Unused
Electrical Administrator INFORMATION
License JOHNSS'973PH
Name JOHNSON, SHANE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, SHANE E
Agent
02/28/2005
JOHNSON, SHANE E
President
02/28/2005
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
Ii INDEM CO
574726C
02/17/2005
Until Cancelled
$4,000.00
02/28/2005
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions/Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EBRIC01353
8/13/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx 02/15/2013