HomeMy WebLinkAboutPermit EL17-0626 - LENSCRAFTERS - BRANCH CIRCUITSLENSCRAFTERS
500 SOUTHCENTER MALL
ELI 7-0626
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.gov
ELECTRICAL OTC PERMIT
3597000246 Permit Number: EL17-0626
500 SOUTHCENTER MALL
Project Name: LENSCRAFTERS
Issue Date: 8/14/2017
Permit Expires On: 2/10/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
FEDERATED DEPT STORES INC
7 W 7TH ST ATTN: TAX DEPARTMENT
- SHF, CINCINNATI, WA, 45202
MIKE HEALY
625 NW 45 ST, SEATTLE, WA, 98107
BEACH ELECTRIC LLC
625 NW 45TH , SEATTLE, WA, 98107
BEACHEL9601L
Phone: (206) 784-5551
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TI - BRANCH CIRCUITS FOR LENS CRAFTERS LOCATED IN NE CORNER OF MACY'S
Valuation of single family: $0.00
Valuation of mf/comm: $15,000.00
Type of Work: TENANT IMP
Fees Collected: $397.42
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
c
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:
1
Date:
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 TUKIA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
0
Electrical Permit No.
Project No.
Date Application Accepted:
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 LOCATION
King Co Assessor's Tax No.:
Site Address: _cCO 0 Ju;na tl 6,--/e/' / " (Q 3 G- Suite Number: 3 G Floor:
Tenant Name: L. e 1.1 - Cv'J+ . r !�/t. /14q C r fJ' New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:
M 1'k tit_ a fr
Address:
15 PI 11,1147 A.,y
Name:
�.
City: k--,
...ie. * f State:: V/
Address:
Photle:,�6 Fax tr., S5' 5.l ox' 7P°`7
6'I23
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
M 1'k tit_ a fr
Address:
15 PI 11,1147 A.,y
Address:
5-5- C 7 rp/ ,
!�t r m 0.c y
�.
City: k--,
...ie. * f State:: V/
Zia:P r 2 7
Photle:,�6 Fax tr., S5' 5.l ox' 7P°`7
6'I23
Emaiill: `
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Vecc4 kfc.-fi-<c- LL (
Address:
15 PI 11,1147 A.,y
Cit State: Zi
�Qq �c� W4 pi7?1Z%
PhoneG 7iT�f Y: ,,5-5') X06 77Y ‘ia3
Contr Reg No EXD Date:
�t9c1-f 'L, ?‘,0,7""L_
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
rj- U G 0
r-^
Scope of Work (please provide detailed information): T 6 v 9-e‘Gk
Z. tKJ"' C rt
c � v�C ci ,� tv
/0[9-)"r cP lt"
A/4— CoY ✓7 ;✓
c� "e y .f /J 7C(/11OF
Will service be altered? ❑ Yes .No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel , Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:\Permit CenterWpplications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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:
Print Name:
Mailing Address:
City
Date:
7(/ / 7
Day Telephone:
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt.
City of Tukwila
DESCRIPTIONS I
PermitTRAK
ACCOUNT
I QUANTITY I
PAID
$397.42
EL17-0626 Address: 500 SOUTHCENTER MALL
Apn: 3597000246
$397.42,
Credit Card Fee
$11.58
Credit Card Fee
R000.369.908.00.00
0.00
$11.58
ELECTRICAL
$367.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$367.47
TECHNOLOGY FEE
$18.37
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12129
R000.322.900.04.00
0.00
$18.37
$397.42
Date Paid: Monday, August 14, 2017
Paid By: MICHAEL HEALY
Pay Method: CREDIT CARD 07736G
Printed: Monday, August 14, 2017 2:33 PM 3. of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P 7
6,1 -au,
MIT NO..
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 P
Project:
tinfs co..40.60/5
Address:
Special Instructions:
Type of Inspection:
Date Called:
Date Wanted:
9 til?
Requester:
P(1-41.-
Phone
SL
Phone N 6, 6 cv `1804
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
q((i,4104
Date:b7/®�
REINSPECTI N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Insp
ector: l LGam/ A61
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CIA
U 210
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: P. SOIACT696
/A:4
Type of Inspection:
Address:Date
5aa */
Called:
Instructions:
Date Wanted: /
O7Special
:m:
Requester:
PM)Le—
Phone No: !N (96 't
u gob
ElApproved per applicable codes. ;Corrections required prior to approval.
COMMENTS:
- ,(5'ffga(rsttic., gciviko r.c.aL
-rkik-u1,- a2-0>
Inspector: jr156A/J642_,_
Date: 07(07/17 07 l7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
j
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
INSPECTION NO.
647-06gtMIT NO.
Project: • _ -s
eskriets
Type of Inspection: 9 v
(vbr Id
Address: , c1
Date Called:
Special Instructions:
et` v "4 S 3 614,51,---
24 - lY ! _
Date Wanted: Q
0 Cc
p.m
Requester:
Phone No2� 6c0 (Yo 7
EIApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
tNittitv Col64\
Inspector:
Date: try
Ica
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
BEACH ELECTRIC LLC
Washington State Department of k Labor & Industries
Florae Espanol Contact
Safety & Health Claims & Insurance
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A-Lirrdex Help MyL&I
Workplace Rights Trades & Licensing
BEACH ELECTRIC LLC
Owner or tradesperson
Principals
VAN DYKE, VIRGINIA, PARTNER/MEMBER
HEALY, MIKE, PARTNER/MEMBER
Doing business as
BEACH ELECTRIC LLC
WA UBI No.
602 372 562
625 NW 45TH ST
SEATTLE, WA 98107
206-784-5551
KING County
Business type
Limited Liability Company
Governing persons
MIKE
HEALY
VIRGINIA VAN DYKE;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
BEACHEL960JL
Effective -- expiration
04/13/2004— 04/13/2018
Designated administrator
HEALY, MICHAEL
License type
Master Electrician
Bond
FEDERATED MUTUAL INS CO
Bond account no.
2066291
Active.
Meets current requirements.
License no.
HEALYM*971C1
$4,000.00
Received by L&I Effective date
04/09/2010 04/13/2010
Expiration date
Until Canceled
DEVELOPERS SURETY & INDEM CO
Bond account no.
790926C
$4,000.00
Received by L&I Effective date
Help us improve
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BEACH ELECTRIC LLC
01/30/2008
Savings
................. .....
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
02/04/2008
Expiration date
Until Canceled
11
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
061,554-00
Doing business as
BEACH ELECTRIC LLC
Estimated workers reported
Quarter 2 of Year 2017 "4 to 6 Workers"
L&I account contact
TO / KRISTI LINN (360)902-4620 - Email: LINB235@Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
...................... ...............................
No strikes have been issued against this contractor.
Contractors not allowed to bid
............................................................................................
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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