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Home My WebLink AboutPermit EL09-0799 - PC CHIROPRACTICPC CHIYtOPRCTIC 13028 INTERURBAN AV S ELO9-0799 CityINf 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: / /wwwci.tukwila.wa.us Parcel No.: 0004800017 Address: 13028 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0799 Issue Date: 12/15/2009 Permit Expires On: 06/13/2010 Tenant: Name: PC CHIROPRACTIC Address: 13028 INTERURBAN AVE S , TUKWILA WA Owner: Name: RREEF AMERICA REIT II CORP/ Phone: Address: PO BOX 4900 #207 , SCOTTSDALE AZ Contact Person: Name: DOUG JARVIS Phone: 206 - 396 -2856 Address: PO BOX 266 , HOBART WA Contractor: Name: D J ELECTRIC & CONSTRUCTION Phone: Address: P 0 BOX 266 , HOBART WA Contractor License No: DJELECI027L9 Expiration Date: 06/29/2010 DESCRIPTION OF WORK: RELOCATE LIGHTING, INSTALL RECEPTACLES AND SWITCHES Value of Electrical: NRES: $4,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $170.00 National Electrical Code Edition: 2008 j/; 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 pe construction or the p Signature: Print Name: pr- . ume to give authority to violate or cancel the provisions of any other state or local laws regulating rk. I am authorized to sign and obtain this electrical permit. /p_6/6- Td-e-v/_s- Date: 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 -0799 Printed: 12 -15 -2009 Parcel No.: 0004800017 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 13028 INTERURBAN AV S TUKW PC CHIROPRACTIC PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0799 ISSUED 12/15/2009 12/15/2009 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 m 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 construe ' • n or t perform . ce of work. Signature: Print Name: Date: doc: Cond -Elec EL09 -0799 Printed: 12 -15 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. t L- F D-7 9 1 Project No. (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.: COO )1,S0 k Z Site Address: / 3O ZS La7Lv2c9 lit- sit- Suite Number: /0 Tenant Name: ��t -�5( O� - - Chivy New Tenant: ❑ Yes �No Property Owners Name: 1Z lLL----Z= F Mailing Address: Zip Floor: City State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: b, �_ - cT ''co,os7T City State Zip / 1JD(i c�- a-41/4-4 (�'/ S Day Telephone: 66 3 F B & ^eP Fax Number: 92-S- Y� Z z / 3 Expiration Date: Contractor Registration Number: J (— Z' Z ?L- 7 Valuation of Project (contractor's bid price): $ Y6--670 670 Scope of Work (please provide detailed information): k6-1-DC z L/6 T/ / 4/5 T �- RE-C91-1:- 141-0v) SCI l `f -H S Will service be altered? ❑ Yes ▪ No Adding more than 50 amps? ❑ Yes �No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H \Applications\Forms- Applications On Line 1-2009 - Electrical Permit Application doc bh 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. 1 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER O LECT t A irI CTOR: Signature: JJ ▪ �4 `7 Print Name: v/ 1G s �!/ '' 11 Day Telephone: � Mailing Address: 190 ) 0 L7/. Lc/ P6g5' r City Date: / State Zip Date Application Accepted: Date Application Expires: Staff Initials: H ',Appl i cationac rim-A pplicateons On Une\I -2009 • Electrical Permit Applicat,on. 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.ci.tukwila.wa.us RECEIPT Parcel No.: 0004800017 Permit Number: EL09 -0799 Address: 13028 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 12/15/2009 Applicant: PC CHIROPRACTIC Issue Date: Receipt No.: R09 -01997 Payment Amount: $170.00 Initials: WER Payment Date: 12/15/2009 09:03 AM User ID: 1655 Balance: $0.00 Payee: D J ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2957 170.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 170.00 Total: $170.00 PAYMENT RECEIVE doc: Receiot -06 Printed: 12 -15 -2009 INSPECTION RECORD Retain a copy with permit 61,67- NO. CITY OF TUKWILA BUILDING DIVISION IA- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.3670 INSPECTION NO. Project: froi it KO ? Type of Inspection: 7c i. 1. M907790 Address:13VLS l J� Date Called: Special Instructions: Date Wanted: %� �� a.re Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 79o3 ean.(ict eotic - 15ointa Inspector: r Date: 430107 1 ri $60.00 REINS(QECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit fto7fl PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 11� Projer_ D t�v_ l t/00,7 0 p f �! Type of Inspection: Addr1ss;0Zig ki V itt Date Called: Special Instructions: Date Wanted: 12_ _(4„ m p.m Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: I�R - G)4 4c+/14 r-�I Inspector: Date: ' Z i (o V 1 El $60.00 REINSFECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page 0 Page 1 of 2 Electrical Contractor A business licensed by LEtJ 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 D J ELECTRIC a CONST INC 4254322513 PO BOX 266 HOBART WA 98025 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601872945 ACTIVE DJELECI027L9 ELECTRICAL CONTRACTOR 6/29/1998 6/29/2010 GENERAL UNUSED Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DJENT * *022BT D J ENTERPRISES ELECTRICAL CONTRACTOR GENERAL UNUSED 1/30/1998 1 /30/2000 ARCHIVED TRIWEEI051 D4 TRI WEST ENTERPRISES INC ELECTRICAL CONTRACTOR GENERAL UNUSED 3/24/1995 3/24/2001 ARCHIVED MASTER ELECTRICIAN INFORMATION License JARVIVD96209 Name JARVIS, VIRGIL D Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date https://fortress.wa.gov/lni/bbip/Detail.aspx 12/15/2009