HomeMy WebLinkAboutPermit EL09-0801 - UKHAN HEALING AND BEAUTYUKHAN
HEALING & BEAUTY
16830 SOUTHCENTER PY
ELO9-080 1
Parcel No.:
Address:
Suite No:
Cityk 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: ht tp: / /www. c i. to kwil a. wa. us
2623049129
16830 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0801
12/15/2009
06/13/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
UKHAN HEALING & BEAUTY
16830 SOUTHCENTER PY , TUKWILA WA
PARKWAY SQUARE
C/O ROSEN PROPERTIES , PO BOX 5003
Contact Person:
Name: JERZY AUGUSTYNIAK
Address: 3661 24 PL W #408 , SEATTLE WA
Contractor:
Name: AUGUST ELECTRIC
Address: 3661 24 PL W #408 , SEATTLE WA
Contractor License No: AUGUSE *944MW
Phone:
Phone: 206 200 -5901
Phone: 206 286 -0575
Expiration Date: 11/06/2011
DESCRIPTION OF WORK:
INSTALL NEW LIGHTS AND NEW RECEPTACLES. ALSO RELOCATE SOME EXISTING LIGHT
FIXTURES.
Value of Electrical:
Type of Fire Protection:
NRES: $15,000.00
RES: $0.00
UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Fees Collected:
National Electrical Code Edition: 2008
$334.00
Date: 11,(51A
ed this ermit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr
construction or the perform f work.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
Print Name:
p}�f 6-c/-vzi bv( n—L (-_
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.
doe: EL -4/07
EL09 -0801 Printed: 12 -15 -2009
Parcel No.: 2623049129
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: hltp: / /www.ci.tukwila.wa.us
16830 SOUTHCENTER PY TUKW
URBAN HEALING & BEAUTY
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0801
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 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:
T-6 2,2L-( (4-4 Cu S; kaN I
Date:
( zit iiO`�
doc: Cond -Elec
EL09 -0801 Printed: 12 -15 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. 64961 0 10
t
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.:
Site Address: 16 0 '7Q cen4l.e,1 PkWV I2rij6uiteNumber: Floor:
Tenant Name: UKHM Ht -uNC f beitVni SPA New Tenant: t Yes El ..No
Property Owners Name:
Mailing Address: 1 f123;O S ►Ct P &L1 Tit1cwlL.a-
City
'2{292d --ct
t '/
W IV
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: '���ZZ 14- 1.[_Gid. Cry t/ t 14'e—
Mailing Address:
Day Telephoned E% 2_`a O r.9%.0/
o
City
State Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: I1LC.WST ELsctQ t c.
Mailing Address: 36C Yvr2
Contact Person:122'( IT►/ ctxt3ttf ivtivL
E -Mail Address: //��
Contractor Registration Number: A-Uc US5A 4 'v' W
t,i(1- 4i[ q'
City Z. ‘ st rs740 Day Telephone: r6 }
Fax Number:
Expiration Date:
el Lot/
C
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
t-i 1-45 -- Lt'. cv R,e c p
Will service be altered? ❑ Yes (((No
Type of Use:
Type of work:
ew ❑ Addition ❑ Service Change >Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
Property Served by:
❑ Puget Sound Energy
ja Seattle City Light
H \ApphcahonsWorms- Applications On Lin&1 -2009 - Electrical Permit Apphcation.doc
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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 $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 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 EI,F#CTRICAL CONTRACTOR:
Signature:
Print Name:
•
Mailing Address: ZA f ,,2�e PL w #401
Day Tel phone:
5
City
Date: fL /iy 09
State Zip
Date Application Accepted:
121tS�01
Date Application Expires:
Staff Initials:
H 'lApplicattcns'Forms- Applications On Line\I -2009 - Electrical Permit Application dot
bh
Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant:
ft
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
2623049129
16830 SOUTHCENTER PY TUKW
UKHAN HEALING & BEAUTY
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0801
ISSUED
12/15/2009
12/15/2009
Receipt No.: R09 -02000
Initials:
User ID:
Payee:
JEM
1165
Payment Amount:
Payment Date:
Balance:
$334.00
12/15/2009 12:35 PM
$0.00
JERZY AUGUSTYNIAK
TRANSACTION LIST:
Type Method Descriptio
Amount
Payment Credit Crd VISA -
Authorization No. 740142
334.00
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $334.00
334.00
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 12 -15 -2009
INSPECTION RECORD 64401
Retain a copy with permit
INSPECTION NO. PE MIT
NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
( 4/ (
>t�
Type of Inspection:
�� p4
Address: ���� S.c• PI
Date Called:
Special Instructions:
Date Wanted:
s i/
Ili a
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Co Nicii045 HADe
r4)41.
041/0
0 $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fe4 must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date:
Receipt No.:
Date:
z
INSPECTION RECORD -016i
Retain a copy with permit R l
INSPECTION t
NO. PE NO.
CITY OF TUKWILA BUILDING DIVISION #---
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: i.*14 tkiwAki
Type of Inspe lion:
- NtSAI J(4 St c9li' fi wick
- (Arc1 i,.J •--
Address:
1a305.c. �r
Date Calle
tk J e h) )I1
64.0.) 11 II C d Tnti.S (O`M 1-1-oT5 rAl PA J et-
Special Instructions:
Date Wanted:
�]
a. m.`
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. //
COMMENTS:
n(551rJa y " S kJA covt0
- NtSAI J(4 St c9li' fi wick
- (Arc1 i,.J •--
VAai (M cwt' ► Wil<0 rtoQ:C
,PI (rJ E CU te-OT cite-tit/4k ezAiNicras
tk J e h) )I1
64.0.) 11 II C d Tnti.S (O`M 1-1-oT5 rAl PA J et-
- kft1btiC 6 ,TomPQF4-01 AO rem_
.. LAI CA$1.1 /4 R6QJ I 5 P ttirr o&.
fkE M°Jkt,.
Inspector: jj4 Date:
607 /(c)
ri $60.00 REINSP CTION FEE RE UIRED. 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 6.01' INSPE ION NO. PEMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
f--
ProjecuV t
III.
Type of Inspection:
700 3
Add so .6.n
ci
Date Called:
Special Instructions:
Date Wanted:
f '}
1 ZZ
p.m.
Requester:
Phone No:
Approved per applicable codes. Il Corrections required prior to approval.
COMMENTS:
tiftriti coVetc
kkp Li95
Inspector: 1- t
Date:l z#407
❑ $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JERZY AUGUSTYNIAK
3661 24 PL W #408
SEATTLE WA 98199
RE: Permit No. EL09 -0801
16830 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 06/13/2010.
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 06/13/2010, 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,
c
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0801
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by LEtd 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 AUGUST ELECTRIC UBI No. 601450279
Phone 2062860575 Status ACTIVE
Address 3661 24TH PL W #408 License No. AUGUSE*994MW
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City SEATTLE Effective Date 7/16/2001
State WA
Zip 98199
County KING
Business Type Individual
Parent Company
Expiration Date 11/6/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
AUGUSEI982JJ
AUGUST
ELECTRIC
INC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
4/11/2002
4/11/2004
OUT OF
BUSINESS
ADMINISTRATOR INFORMATION
License AUGUSJ*016JC
Name AUGUSTYNIAK, JERZY
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
AUGUSTYNIAK, JERRY
OWNER
07/16/2001
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip /Detai1.aspx
12/15/2009