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Home My WebLink AboutPermit EL07-528 - DR BARUFFI DENTAL CLINICDR BARUFFI 411 STRANDER BL ELO7-528 Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: Tenant: Name: DR BARUFFT DENTAL CLINIC Address: 411 STRANDER BL , TUKWILA WA 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 Owner: Name: MEDICAL CENTERS CO LLC Phone: Address: C/0 NEWCASTLE SERVICES , 15642 SE 24TH ST Contact Person: Name: THOMAS MCCLOSKEY Phone: 425 -885 -3247 Address: P O BOX 1268 , CARNATION WA Contractor: Name: HEATTRANSFER Phone: 425 - 885 -3247 Address: P 0 BOX 1268 , CARNATION WA Contractor License No: HEATTC *009DA Expiration Date: 05/01/2008 DESCRIPTION OF WORK: REPLACE SIX THERMOSTATSR Value of Electrical: $1,300.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Print Name: doc: EL -4/07 Cityf Tukwila ELECTRICAL PERMIT Permit Number: EL07 -528 Issue Date: 09/21/2007 Permit Expires On: 03/19/2008 Fees Collected: National Electrical Code Edition: $104.00 2005 L0JL Date: e l - all - 0 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. A-//a Signature: \ - 1 �i j?�� Date: This permit shall become null and void if the work is no 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 ' -.• ection. EL07 -528 Printed: 09 -21 -2007 Parcel No.: 0223200052 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 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 411 STRANDER BL TUKW DR BARUFFI DENTAL CLINIC PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -528 ISSUED 09/21/2007 09/21/2007 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: doc: Cond -Elec . Date: 9 /�� -- EL07 -528 Printed: 09 -21 -2007 Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Contractor Registration Number. Will service be altered? ❑ Yes Type of work: ❑ New ❑ Addition F Low Voltage ❑ Generator Property Served by: 'Puget Sound Energy ❑ Seattle City Light H:\ Applications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc bh ❑ Service Change ❑ Fire Alarm 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 ** _ King Co Assessor's Tax No.: OZ Z 0.5 4 1 � , Site Address: � �� , J� J L✓� ,4/� �j.� Suite Number: Floor: / § )1-- ' Tenant Name: � V��Oit2G /�i p�f- New Tenant: ❑ Yes ..No Property Owners Name: 4' . Ve/'o e" .94' ci f ?/ Mailing Address: '// s7' ce 6 / // c � . , City Expiration Date: State Zip Who do weeontact when your permit is ready to be issue Name: - / Z Lj , M R - j/i. ‘<I/� y Day Telephone: ' ZS- e -32 Mailing Address: 4fC /y 6 A ( are. City 11 E -Mail Address: ITE�r ��/�✓ c/5 F�2 / �i /�e'3 actFax Number: State Zi ELECTRICAL CONTRACTOR INFORMATION Wei 7 ,.� C� gi› /2 6 g &; c41 iaAJ Gar frl y� �- City State Zip Contact Person: !O/?9 i' C C./oSk . Day Telephone: 41Z-5 �8 3 ?1L E -Mail Address: /re 7 7 * 61/2 el / iQ Fax Number: 7r — 3 `6:53e5 Valuation of Project (contractor's bid price): $ / pOZS �— Scope of Work (please provide detailed information): ■/)c •._i.>' 4 ef , 7 C Adding more than 50 amps? ❑ Yes ❑ No Type of Use: ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) Signature: Print Name: - T ,6rtAl/f s /3/ Mailing Address: I Date Application Accepted: HA Applications On Line\4 -2007 - Electrical Permit Application.doc bh MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PER APPLICATI NOT 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: City Date: 94/A Day Telephone: _,f State Zip Date Application Expires: Staff Initials: 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.: 0223200052 Permit Number: EL07 -528 Address: 411 STRANDER BL TUB:W Status: PENDING Suite No: Applied Date: 09/21/2007 Applicant: DR BARUFFI DENTAL CLINIC Issue Date: Receipt No.: R07 -02059 Initials: WER Payment Date: 09/21/2007 12:39 PM User ID: 1655 Balance: $0.00 Payee: HEATTRANSFER CO TRANSACTION LIST: Type Method Description Amount Payment Check 43571 104.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 104.00 Total: $104.00 Payment Amount: $ 104.00 30 09/21 9710 TOTAL 104.00 rior :: RRr int -06 PrintAd: (19- 71 -7Q07 mject: Type of Inspection: N._, Ad)rm: 6 _ geil Date Called: TX/9 Special Instructions: .,.- Date Wanted: / 2 'h / a.m. p.m. Requester: Phone No: 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- ved per applicable codes. El Corrections required prior to approval. OMMENTS: Inspe7[g //4 a Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: • Project: M 2tT f2uffX Type of Inspection: 700,3 Address I N .CP. ,11 b(-4 6 lib Date Called: Special Instructions: Date Wanted: e , , a.m. p.m. Requester: Phone No: INSPE ON NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9x188 ft 7 sZk PERMIT NO. /)C (206)431 -36(70 OMMENTS: o Xu/6/ /-/.7) pproved per applicable codes. Corrections required prior to approval. I oitt aiwkA/K# ( Date / i 7 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Business Owner Information Name Role Effective Date Expiration Date MCCLOSKEY, THOMAS 01/01/1980 MCCLOSKEY, GRACE 01/01/1980 MCCLOSKEY, THOMAS AGENT 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License HEATTC *009DA HEATTRANSFER CO ELECTRICAL CONTRACTOR 600353103 CORPORATION PO BOX 1268 CARNATION KING WA 980141268 4258853247 ACTIVE HVAC/RFRG LTD ENERGY UNUSED 3/1/2000 5/1/2008 MCCLOT *003UA Electrical Administrator Information License Name Status MCCLOT *003UA MCCLOSKEY, THOMAS ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= HEATTC *009DA 09/21/2007