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HomeMy WebLinkAboutPermit EL09-0317 - BRIGHT NOW DENTALBRIGHT NOW DENTAL 16400 SOUTHCENTER PY ELO9-03 17 Parcel No.: Address: Suite No: CntOof 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 2623049021 16400 SOUTHCENTER PY TUKW ELECTRICAL PERMIT Permit Number: EL09 -0317 Issue Date: 05/20/2009 Permit Expires On: 11/16/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: BRIGHT NOW DENTAL 16400 SOUTHCENTER PY , TUKWILA WA LEGACY PARTNERS COMMERCIAL 4000 E 3RD AVE #600 , FOSTER CITY CA KEN OSAGE PO BOX 8106 , LACEY WA Contractor: Name: CAPITOL SIGN & AWNING Address: PO BOX 8106 , LACEY WA Contractor License No: CAPITSA022B 1 Phone: Phone: 206 396 -1036 Phone: 360 493 -6070 Expiration Date: 01/29/2010 DESCRIPTION OF WORK: CONNECT NEW SIGNS TO EXISTING CIRCUIT FOR OLD SIGN Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $60.00 National Electrical Code Edition: 2005 Date: J122 t o I I hereby certify that I have read and exam 'ned t 's permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with specified herein or not. The granting of this permit does not prestine 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. Signature: Print Name: 6///'77- M 2 c 4rvi e- Date: AeiY Z o Z-°O 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 EL09 -0317 Printed: 05 -20 -2009 Parcel No.: 2623049021 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 16400 SOUTHCENTER PY TUKW BRIGHT NOW DENTAL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0317 ISSUED 05/20/2009 05/20/2009 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: 4/V4/G111 0/ Q SAc-, e Date: sl iy LD 2-z90 9 doc: Cond -Elec EL09 -0317 Printed: 05 -20 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www. ci. tukwila. wa. us Electrical Pcrmit.No. Project No. • 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: (QI4 alp b 0'I1kC.CK.M q ?i4akuu sly Suite Number: Tenant Name: "T7(19111- .ntow u(rrt i— 1 New Tenant: ❑ Yes ES! ..No Z(o23°t Floor: Property Owners Name: Le.) p�tr pier -tw Mailing Address: 00 0 LEI evAt. ^rGt 4-L- N v City CONTACT PERSON -:Who do we contact when your, permit is readyto'.beissued;'. Name: s ate Zip Day Telephone: Mailing Address: City Fax Number: E -Mail Address: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: GAPrr t-- 6if It t AWN/ /5 J,tp Mailing Address: Po 30-1( % I C(g Contact Person: KEA/ 41c_ E -Mail Address: )4.,oSAC -21 (a G e6T • Contractor Registration Number: C A e; -r5,2, 0 Z'Z Q 1 City State Zip Day Telephone: 2-61. - 11(1, - 1 0 3 L. Fax Number: 3G a5 LIT? • 3(a 1 2 Expiration Date: I/ 24 / Zo/ D Valuation of Project (contractor's bid price): $ 60 4 °4 Scope of Work (please provide detailed information): Coiuw'e�T o rs -rt "rj 4.12 0 L sref AMA) 5 rg ht s T Will service be altered? ❑ Yes 1No Adding more than 50 amps? ❑ Yes "ErNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Prole Served b : ►./ Puget Sound Energy ❑ Seattle City Light H:■pplications\Forms- Applications On Linell -2009 - Electrical Permit Applicanon.doc hh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $145.60 $78.00 ea .$57 00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added /altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair ..$65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY 13Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: /4rNNeTh fK Mailing Address: Date Application Accepted: Date: N4/41 20 Zoc'9 Day Telephone: iota 3 4G 1 6 3(0 City Date Application Expires: 11, `- / i State Zip H.1 Applicatione.Farms- ApphcaIions On Gnd1 -2009 - Electrical Permit Application. doc bh Staff Initials: Page 2 of 2 1 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 RECEIPT Parcel No.: 2623049021 Permit Number: EL09 -0317 Address: 16400 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 05/20/2009 Applicant: BRIGHT NOW DENTAL Issue Date: Receipt No.: R09 -00748 Initials: User ID: Payee: JEM 1165 Payment Amount: $60.00 Payment Date: 05/20/2009 03:04 PM Balance: $0.00 BDM ENTERPRISES, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13735 60.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 60.00 Total: $60.00 doc: Receiot -06 Printed: 05 -20 -2009 INSPECTION RECORD f Retain a copy with permit a� J INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec ICIUT 14614 4 ^ .Type of Inspection: 2 Address: Date Called: Special Instructions: C t G _ t5 J !� Date Wanted: 11 /30 a.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: DY\ ‘(‘I Date: i 130/u7 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: KEN OSAGE PO BOX 8106 LACEY WA 98506 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL09 -0317 16400 SOUTHCENTER PY 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 11/16/2009. 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. -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 11/16/2009, 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, CtA"IL- Bill Rambo Permit Technician File: Permit File No. EL09 -0317 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Untitled Page • • Page 1 of 2 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. Business and Licensing Information Name CAPITOL SIGN Et AWNING UBI No. 601551789 Phone 3604936070 Status ACTIVE Address PO BOX 8106 License No. CAPITSA022B1 Suite /Apt. License Type ELECTRICAL CONTRACTOR City LACEY Effective Date 1/21/1998 State WA Expiration Date 1/29/2010 Zip 98509 Suspend Date County THURSTON Specialty 1 SIGN Business Type Corporation Specialty 2 UNUSED Parent Company MASTER ELECTRICIAN INFORMATION License OSAGEKM951 CM Name OSAGE, KENNETH M II Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HARTLEY, J DANIAL Cancel Date 01/01/1980 Bond Amount BOAD, BILL 2 01/01/1980 LPM4054082 STROPE, MICHAEL Until Cancelled 01/01/1980 GARRETT, TONY AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 COLONIAL AM CAS SURETY LPM4054082 02/08/2001 Until Cancelled $4,000.00 01/23/2001 https://fortress.wa.gov/lni/bbip/Detail.aspx 05/20/2009