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Home My WebLink AboutPermit EL14-0655 - PACIFIC DENTAL - CABLINGPACIFIC DENTAL 17420 SOUTHCENTER PKWY EXPIRED 01/06/2015 EL1 4-0655 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.sov ELECTRICAL OTC PERMIT 2623049110 17420 SOUTHCENTER PKWY Project Name: PACIFIC DENTAL Permit Number: Issue Date: Permit Expires On: EL14-0655 7/9/2014 1/5/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KIR TUKWILA 050 LLC 3333 NEW HYDE PARK RD #100 PO C/0 KIMCO REALTY CORP, NEW HYDE PK, WA, 11042 JEFF BROSSARD 4003 SMITH AVE , EVERETT, WA, 98201 SEACOM CABLING INC 4003 SMITH AV , EVERETT, WA, 98201 SEACOCI944D0 Phone: (425) 317-8259 Phone: (425) 317-8259 Expiration Date: 3/20/2016 DESCRIPTION OF WORK: CABLING INSTALLATION FOR DATA, TELEPHONE, TV, CAMERAS, SPEAKERS, WAPS, HDMI, VGA Valuation of single family: $0.00 Valuation of mf/comm: $3,500.00 Type of Work: TELECOM Fees Collected: $169.89 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE,TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Ld m, • Date: 0 7/C/r//V I hearby 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 development permit and agree to the conditions attached to this permit. Signature: /// / Print Name: j r-r -grios5A2i) Date: 7 f I 141 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. E�� 7` Project No. Date Application Accepted: Q -7/61/(y Date Application Expires: 0 // 0 9/7$ (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 Site Address: 17420 Southcenter Parkway Tenant Name: Pacific Dental PROPERTY OWNER Name: KIR TUKWILA 050 LLC Address: 301 MINKLER BLVD City: Tukwila State: WA Zip: CONTACT PERSON — person receiving all project communication Name: Jeff Brossard Seacom Cabling Address: 4003 Smith Ave City: Everett State: WA Zip: 98201 Phone: (425) 317-8259 Fax: (425) 317-8261 Email: King Co Assessor's Tax No.: 2623049110 Suite Number: Floor: 1 New Tenant: ® Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Seacom Cabling Inc Address: 4003 Smith Ave City: Everett State: WA Zip: 98201 Phone: (425) 317-8259 Fax: (425) 317-8261 Contr Reg No.: SEACOCI944DC Exp Date: 03/20/2015 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 3,500 Scope of Work (please provide detailed information): Cabling installation for Data, Telephone, TV, Cameras, Speakers, WAPS, HDMI, VGA Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: B occupancy Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh 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 $ 1 1.55 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 Q ELECTRICAL CONTRACTOR: Signature: V40 Print Name: Jeff Brossard Date: 07/09/2014 Day Telephone: (425) 317-8259 Mailing Address: 4003 Smith Ave Everett, WA 98201 City State Zip H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised I-I-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS fh xt II{ iuw Ak #_ sr r" "" r x"r w''�v .:' �� a �, PermitTRAK $ ACCOUNT I °' l"-- yw '" ._.. ---� .,5 s.� A QUANTITY I PAID $16989 ma °i i , , . , . ti y: hk t „�: ,.. x ..a.,,. .y ,:^ ��"0 n (lyre r r' i r S:_�, o.t i.imrva� v«, hli�u�iipl7�l i�) , Yw�s aj`y6 A�' EL14 0655 Address 17420 SOUTHCENTER PKWY Apn 26230491101 3}# +'; ,a ��'��y hI �,. �1C��IIMI�9'" $i$i+16989 ELECTRICAL $161.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $161.80 TECHNOLOGY FEE $8.09 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2558 R000.322.900.04.00 0.00 $8.09 $169.89 Date Paid: Wednesday, July 09, 2014 Paid By: SEACOM CABLING Pay Method: CHECK 3680 Printed: Wednesday, July 09, 2014 2:34 PM 1 of 1 RSYSTEMS INSPECTION RECORD Retain a copy with permit fuy-�6s� INSPECTION NO, PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 CITY OF TUKWILA BUILDING DIVISION Permit Inspection Request Line (206) 431-2451 Project: ,&..41 Type of Inspection: ( V` (t Id Address: /7`I20 C )1 • Date Called: f Special Instructions: Date Wanted: f :1 /!,V a.m. P.m. Requester: r"_� Phone No: YZ-S— 47 Ve ❑ Approved per applicable codes. a Corrections required prior to approval. COMMENTS: I ‘ _ IA (t ix - avtit, eDvt.- , Akre: L.f Mee ( Tra a d1'" 4- SfEMele2_ eArre.kict LoC4-i taA/5 p,& ,4/5840-f oA% or- Noad r,, itiste lS l'C.... Inspector: 6%/A1 Date: 07'o/, 1 I r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 12/1/2014 JEFF BROSSARD 4003 SMITH AVE EVERETT, WA 98201 RE: Permit No. EL14-0655 PACIFIC DENTAL 17420 SOUTHCENTER PKWY Dear Permit Holder: Jinn Haggerton, Mayor Jack Pace, Director 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 1/6/2015. Based on the above, you are hereby advised to: 1) Ca11 the City of Tukwila Inspection Request Line at 206-438-9350 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 1/6/2015, 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 No: ELI4-0655 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 SEACOM CABLING INC Page 1 of 3 0 Washington State Department of Labor & Industries SEACOM CABLING INC Owner or tradesperson SOUTHWICK, JACKSON L Principals SOUTHWICK, JACKSON L, PRESIDENT BYE, CHRIS, VICE PRESIDENT HERDT, TINA, SECRETARY HERDT, TINA, TREASURER SOUTHWICK, JACKSON L, AGENT HICKS, HEATHER L, PRESIDENT (End: 08/24/2010) SOUTHWICK, JACKSON L, VICE PRESIDENT (End: 08/24/2010) HICKS, HEATHER L, AGENT (End: 08/24/2010) Doing business as SEACOM CABLING INC WA UBI No. 601 974 703 4003 SMITH AVE EVERETT, WA 98201 425-317-8259 SNOHOMISH County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. SEACOCI944DO Effective — expiration 03/20/2006— 03/20/2016 Designated administrator Bye, Curtis A License type Electrical Administrator Active. Meets current requirements. Active. Meets current requirements. License no. BYE*CCA892J2 Bond https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601974703&LIC=SEACOCI944DO&SAW= 07/09/2014