HomeMy WebLinkAboutPermit EL13-0418 - DR HOU - REMODELDR HOU
411 STRANDER BL
EL13-0418
City ATukwila
•
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
Parcel No.: 0223200052
Address: 411 STRANDER BL TUKW
Project Name: DR HOU
ELECTRICAL PERMIT
Permit Number: EL13-0418
Issue Date: 05/01/2013
Permit Expires On: 10/28/2013
Owner:
Name: MEDICAL CENTERS CO LLC
Address: 411 STRANDER BLVD STE 108 , TUKWILA WA 98188
Contact Person:
Name: PETER LUNSTRUM
Address: 15372 JUANITA DR NE , KENMORE WA, 98028
Contractor:
Name: LUNSTRUM ELECTRIC INC
Address: 15372 JUANITA DR NE , KENMORE WA 98028
Contractor License No: LUNSTEI882NH
Phone: (206) 930-0057
Phone: (206) 930-0057
Expiration Date: 08/14/2014
DESCRIPTION OF WORK:
RELOCATING OF 18 OUTLET CIRCUITS AND 2 LIGHTING CIRCUITS
Value of Electrical: NRES: $14,950.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$350.50
2008
Oslo( ((3
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 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 electrical permit.
Signature: `i '-� \ Date:
Pe tp v 0 SfVc/
Print Name:
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
EL13-0418 Printed: 05-01-2013
III
PERMIT CONDITIONS 1
Permit No. EL 13-0418
**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
EL13-0418 Printed: 05-01-2013
CITY OF TUKWit
Community Developmet., Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:irwww.Tukw ilaWA.ov
ANN
Electrical Peru.it No. �;�.%3 Of
Project No. )
Date Application Accepted: 1$/c / / /3
Date Application Expires: 1//0t /1.3'
(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
j �'jKing Co Assessor's Tax No.:
�
Site Address: r'f 11 51 �'vk PV 3I (� 9:M3- (132.,_ Suite Number: 1 (32_ Floor:
Tenant Name: Dv HO O (A New Tenant: ❑ Yes N.. No
PROPERTY OWNER
Name: ip - ry
Name: liked i[o1/4_1 c 8V /5 LLC
City: ix pvt o , -t„ State:( j, Zip:. 28
Address: W ( 1 �f f ve vtcip c. 61 U4
,.5tna,, id c,
City: T-. kU , II 0,...State: \..,J f\
Zip:51$18g
CONTACT PERSON — person receiving all project
communication
Name: ip - ry
L- i (. , 0 1 c c.^....._
City: ix pvt o , -t„ State:( j, Zip:. 28
Address: i S tj72
,.5tna,, id c,
J. JUk
City: i e,,,t c, t, ,�
State: w A
Zip: G1 46Z
0
Phone: 206 43 0 (
7 Fax:
Email: �LI,ASrr( �
e (eckat c K;,,
6L,,,.4 (7,,,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G I., t,1 51-"„ I - iect ,, r C i.
Address: (5-37 z r ,--„6,,d v 1/023
City: ix pvt o , -t„ State:( j, Zip:. 28
Phone: 20 6 3 O 0c5 7 Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ f t(1 ? 0 (�
Scope of Work (please provide detailed information): U e f G C ‘4.-te 1\-15 Q 1 O 0 -4- (e C) L/C a .i -f5
ctrl d 2 1 i 5 I/t1( 5 5 -
Will
Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes k No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change A<Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
1-1 \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
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 $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
O Temporary service (residential) $63.00
O Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O Carnivals $78.75
Number of concessions $10.50 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 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: re -Ce L
Mailing Address:
r 5 37 z 1-k (-�
Day Telephone:
c //\ v „ . E
City
H:\Applications\Forms-Applications On Line\201 1 Applications\Electncal Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bh
Date: S ^ J ( 3
266 '(?o 6oS7
AA 4362_8
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.: 0223200052 Permit Number: EL13-0418
Address: 411 STRANDER BL TUKW Status: PENDING
Suite No: Applied Date: 05/01/2013
Applicant: DR HOU Issue Date:
Receipt No.: R13-01482 Payment Amount: $350.50
Initials: LAW Payment Date: 05/01/2013 02:48 PM
User ID: 1632 Balance: $0.00
Payee: LUNSTRUM ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1128 350.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 350.50
Total: $350.50
Retain a copy with permit
INSPECTION RECORD 6,13-oq
PERMIT NO.
TION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 \
Permit Inspection Request Line (206) 431-2451
INS PE
Project: bk ti,
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Type of Inspection:
2i 00
Address: iii i
omis
Date Called:
�
Special Instructions:
Date Wanted:
v/i7a.m.
Requester:
Phone No:
Approved per applicable codes. t_J Corrections required prior to approval. 'f
COMMENTS:
K_
r
Covu7o45 00-6-
Inspector:
Date: Dtst 13
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
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: tit,2N . Atfh.)
Type of Inspection:
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Address: ii 1
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Date Called:
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Special Instructions:
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Date Wanted:
Y701
P m `
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: ,.stf Q t ri
- tik/A. SPki'
ric, 14 amd til La---(..
If/ilk/AA
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-- DO Id4 USE NIT i'. iW T "t'
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Inspector:
ek,
Date: a3/o7 !
n 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (Z (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:bk. V\DU
Type of Inspection:
100
2
Address: -1 ' SVft II
Date Called:
lot) dor k‘lf5tfrisi Ct4 Ai' ("
Special Instructions:
Date Wanted:
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Requester:
Phone No:
EjApproved per applicable codes. Corrections required prior to approval.,,;
COMMENTS:
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— COWCT 10A) (4) ,jor 1i e
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lot) dor k‘lf5tfrisi Ct4 Ai' ("
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Inspector:
Date: 0S p 13
n REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD �, 15 —00 Retain a copy with permit (,(- j U
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 K—t . (206) 431 3670
Permit Inspection Request Line (206) 431-2451
Project: 401)
Type of Inspection:
7003
Address:
1
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Date Called:
Special Instructions:
ck4,,,.pktok
Date Wanted:
7 f`
on
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
r c Its I -A 4 5 it
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Inspector:j
I
Date:
07(1(9/13
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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v(206) 431-3
Permit Inspection Request Line (206) 431-2451
Project:
112— VilA"'-0V11i
Type of Inspection:
11
Address: `i-� -it'`-
Date Called:
0110,k
Special Instructions:
Date Wanted:.
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Requester:
Phone No:
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Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Date: 07 { i)
mspecwr. / i f
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REINSPECTION FEE REQUIR D. 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
INSPE i ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 x,(206) 431-3670
Permit Inspection Request Line (206) 431-2451 R"
Project: )::)1 ik,(AOO
Type of Inspection:
zroo
Address:t , il ����
Date Called:
Special Instructions:
Date Wanted:
64m.„.
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Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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6 Fes r r 6fAlicS AAb 13 6 r
Inspector:
Date: 4 (3
REINSPECTION FEE REQUIRE . Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY -OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p.— (206) 431-3670
Permit Inspection Request Line (206) 431-2451
6/i3 -DLO
Project: ��' ����
Type of Inspection:
7003
Address: ql ! iraptiJix<
Date Called:
Special Instrictions: I
Date Wanted:
c.
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Requester:
Phone No:
EiApproved per applicable codes.Corrections required prior to approval.
COMMENTS:
- tyi5TTti "/.Z " 6t( F� .6.
gc-QJk ( Ji r / rc,iPPPkr Adb
rid , Date: itoit,3
�lti C�
�
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. (6
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v=- (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: Aa tloi
Type of Inspection:
7003 .
Address: if 1 Ls zirt
Date Called:
1440/41i6 P46 1
Special Instructions:
Date Wanted:.
IC
m
p.m.
Requester:
- eOJkP StP&WrIael genderj '
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Phone No:
ElApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
?Pr'
L/
1440/41i6 P46 1
1
Aibt: Coikel -.T-Sale6S tit A Artto&SES
rook K - c• . -A i 4661
GE -45.1•11, scth‘g i
- eOJkP StP&WrIael genderj '
e4Alw tl-/FL-9c A/413 caPtk
C _ n
Inspector._ '""j,1
Date: os.//4 /a
n REINSPECTION FEE REQUIIIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD 3ola
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 .s- (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: b R't
1Type
of Inspection:
0v3
Address: qv J
Dtk,
Date Called:
Special Instructions:
Date Wanted:.
S
a:m
Pin.
Requester:
Phone No:
0 Approved per applicable codes. Corrections required prior to approval..
COMMENTS:
?d,arsel:
tjare. -)sf et401cv Ci $ P5 ,Jaf
*rta-cPar anesi /44k6L-t,
r'"..- 1'
Inspector:
Date: `,1'i
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be ,
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:.
Contractors or Tradespeople Inter Friendly 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
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent Company
LUNSTRUM ELECTRIC INC
2069300057
15372 Juanita Dr Ne
Kenmore
WA
98028
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603214480
Active
LUNSTEI882NH
Electrical Contractor
8/14/2012
8/14/2014
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
LUNSTE*896CH
LUNSTRUM
ELECTRIC
Electrical
Contractor
General
Unused
2/8/2011
2/8/2013
Expired
Electrical Administrator INFORMATION
License LUNSTPJ932D9
Name LUNSTRUM, PETER J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
LUNSTRUM, PETER
Agent
08/14/2012
Bond
Amount
LUNSTRUM, PETER
President
08/14/2012
SJ7022
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
Contractors
Bonding &
Insurance Co
SJ7022
07/20/2012
Until
Cancelled
$4,000.0008/08/2012
Assignment of Savings Information No records found for the previous 6 year period
httns://fortress.wa. 2ov/1ni/bbin/Print.aspx
05/01/2013