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HomeMy WebLinkAboutPermit EL09-0130 - ADVANCED CARE DENTALADVANCED CARE DENTAL 16600 WEST VALLEY HY ELO9-0130 Parcel No.: 2523049085 Address: 16600 WEST VALLEY HY TUI{W Suite No: DESCRIPTION OF WORK: INSTALLATION OF SIGN 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 Tenant: Name: ADVANCED CARE DENTAL Address: 16600 WEST VALLEY HWY , TUKWILA WA Owner: Name: AULAKH BUTTAR & CANTOR LLC Phone: Address: 16600 WEST VALLEY HWY , TUKWILA WA Contact Person: Name: JASON FENTON Phone: 253 - 347 -5039 Address: 418 17TH ST SE , AUBURN WA Contractor: Name: ADVANCED SIGNS LLC Phone: 253 347 -5065 Address: 418 17 ST SE #3A , AUBURN WA Contractor License No: ADVANSL923DP Expiration Date: 03/17/2010 Value of Electrical: NRES: $650.00 Fees Collected: $76.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Signature: doc: EL -4/07 CitAlf Tukwila • ELECTRICAL PERMIT Permit Number: EL09 -0130 Issue Date: 02/18/2009 Permit Expires On: 08/17/2009 Date: - V ' 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. Date: 2 ( O Print Name: 41 P (f. V e t i 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. EL09 -0130 Printed: 02 -18 -2009 Parcel No.: 2523049085 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Print Name: doc: Cond -Elec • 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 16600 WEST VALLEY HY TUICW ADVANCED CARE DENTAL PERMIT CONDITIONS Signature: ��1 -� Date: Permit Number: Status: Applied Date: Issue Date: EL09 -0130 ISSUED 02/18/2009 02/18/2009 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 m 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. 2.1't"-) EL09 -0130 Printed: 02 -18 -2009 SITE LOCATION Site Address: 1 66 0 .ua5t ✓rt I fay H'' , Suite Number: Tenant Name: Ad ppn CCa(f c�aonjr� Property Owners Name: Mailing Address: 1 (0(00 t w e6 4- uQ CONTACT PERSON —Who do we contact when your permit is ready to be issued Name: _ f\so r\ �srl - k r Mailing Address: E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: 4(J1/ G VIC Pd 5.5 rs L - 1 — C Mailing Address: L i / ( 7 fh c+ S f . /1-u 1qt- n (A/r& q,O Z.'� City State Zip Contact Person: _ \ b h, 'r-e ,1" br) Day Telephone: 2-63 — 3 7 .0 3`1 E -Mail Address: Fax Number: Contractor Registration Number: A ci 1100151 7-3 d P Expiration Date: Valuation of Project (contractor's bid price): $ (o 5 0 Scope of Work (please provide detailed information): t h 6)--c ((Q 4-icon ocs 5 ;TN N Will service be altered? ❑ Yes [11 No Adding more than 50 amps? ❑ Yes V 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:\ApplicationstForms- Applications On Line \I -2009 - Electrical Permit Application doc CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa. us `-n`b !7 Electrical Permit No. C) --QC ©130 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 ** King Co Assessor's Tax No.: -S iOSs City New Tenant: Floor: ❑ Yes [t/] No wCA• i t i SL4 State Zip Day Telephone: 25 3 -f 3 4 1 7 — 6031 Auburn 1.k P' & 2z. City State Zip Fax Number: Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage). ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $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 $1 1,00 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) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: —\ -e 16 f Mailing Address: I Date Application Accepted: H.1Applications\Forms. Applications On Line\l -2009 - Electrical Permit Application doc 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 IIAVE 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. Date: Z r I I' , U C Day Telephone: C.) Aff, ci cit wCA Slate Staff Initials: Zip Date Application Expires: Page 2 of 2 Parcel No.: 2523049085 Permit Number: EL09 -0130 Address: 16600 WEST VALLEY HY TUICW Status: PENDING Suite No: Applied Date: 02/18/2009 Applicant: ADVANCED CARE DENTAL Issue Date: Receipt No.: R09 -00271 Initials: WER User ID: 1655 Payee: ADVANCE SIGNS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1117 76.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR • 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 Account Code Current Pmts 000.322.101.00.0 76.00 Total: $76.00 Payment Amount: $76.00 Payment Date: 02/18/2009 10:22 AM Balance: $0.00 PAYMENT ECEWED doc: Receiot -06 Printed: 02 -18 -2009 Pr � ect A : � �� (2 .z A' r G Type of Inspection: �� r 7 12 pp 4GkF)I �lt,(/y Date Called: Special Instructions: Date Wanted:___, /' �r p.m. Requester: Phone No: INSPECTION NO. Receipt No.: INSPECTION RECORD � ��J� � Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: 04 --- F/A49- oved per applicable codes. Corrections required prior to approval. �, El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: ' +¢'} `.. .. Project: AN L L Type of Inspection: �00 Address: 1440o t. I Date Called: Special Instructions: p , , ' {t1fk`O ( Date Wanted: a. Requester: S Phone No: ftgl- or3o 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 0 Approved per applicable codes. Inspector: Corrections required prior to approval. COMMENTS: Date: O I Q ri $60.00 REINS�'ECTI0N FEE REQUIRED. Prior to inspectio n , fee rust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedul e reins ction. Receipt No.: Date: Project p jai) b pw _ , - Type of Inspection: �/ v Address: / � I � �. � Date Called: Special Instructions: Date Wanted: ���" r a p i Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P ' MIT NO. (206)431 -3 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: - &y I CLU 440 eked, 12.DV RE sit 'ro SEcutEL -1 MdoJ i L` - Poi n 60.o• D -D - Chi E REr •AAi I - Si.lo ITT RoSetanPil A5nibi - AC.a T 15 iaT I J Aat r sgoi Ritat i 2E Inspector: i "[' 66 Date: tip / El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee rr(ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ?'°'"`.' . Project: /(,� 1^�j� ,_ (_ �,� V &I� �l /� „ �{(,, � Type of Inspection: 2, Ov Address:1(1 W • pr Date Called: Special Instructions: 5r(A Date Wanted: U C rIll Requester: Phone No: 6300 , ELO1 -6130 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 4 0 Southcenter Blvd., Tukwila WA 98188 (206)431 -3p7 El Approved per applicable codes. Corrections required prior to approval. COMMENTS: - 1 Acc465 To 5/4A1 Cor1PO4647, Fo(� /45PEGTT DAJ ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SH7630 03/12/2008 Until Cancelled $4,000.00 03/17/2008 Name Role Effective Date Expiration Date FENTON, JASON S PARTNER /MEMBER 03/17/2008 FENTON, JENNIFER E PARTNER /MEMBER 03/17/2008 Untitled Page Electrical Contractor A business licensed by LEtI 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 Business Owner Information Bond Information • ADVANCED SIGNS LLC 2533475065 418 17TH ST SE #3A AUBURN WA 98002 KING Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ADVANSL923DP • 602635597 ACTIVE ADVANSL923DP ELECTRICAL CONTRACTOR 3/17/2008 3/17/2010 FENTOJ *951 NK SIGN UNUSED ADMINISTRATOR INFORMATION License FENTOJ *951 NK Name FENTON, JASON Status ACTIVE Page 1 of 1 02/18/2009