HomeMy WebLinkAboutPermit EL08-0362 - T & T CHIROPRACTICT & T CHIROPRACTIC
689 STRANDER BL
ELO8-362
CitAlf 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
Parcel No.: 0223300020
Address: 689 STRANDER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -362
Issue Date: 04/07/2008
Permit Expires On: 10/04/2008
Tenant:
Name: T & T CHIROPRACTIC
Address: 689 STRANDER BL , TUKWILA WA
Owner:
Name: WALTON CWWA TUKWILA 1 LLC Phone:
Address: 900 N MICHIGAN AVE # 1900 , CHICAGO IL
Contact Person:
Name: ROD STORY Phone: 206 -778 -9283
Address: PO BOX 30510 , SEATTLE WA
Contractor:
Name: STORY ELECTRIC LLC Phone: 206 - 782 -3532
Address: PO BOX 30510 , SEATTLE WA
Contractor License No: STORYEL961JA Expiration Date: 04/01/2010
DESCRIPTION OF WORK:
HOOK UP X -RAY MACHINE
Value of Electrical: $900.00
Fees Collected:
$86.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: l "7 ''0 9
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 willi�. • •l • lied % . • whe er specified herein or not.
The granting of
construction
Signatur
Print Name:
s pe doe
the rform.
ive authority to violate or cancel the provisions of any other state or local laws regulating
thorized to sign and obtain this electrical permit.
Date:
This permit shall become null and vo 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 d -ys from the last inspection.
doc: EL -4/07 EL08 -362
Printed: 04 -07 -2008
Parcel No.: 0223300020
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
689 STRANDER BL TURIN
T & T CHIROPRACTIC
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -362
ISSUED
04/07/2008
04/07/2008
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 cons .. or • e pe • ermance of work.
r ', Air
ar IOW
Tie
Signatur
Print Name:
Date:
doc: Cond -Elec
EL08 -362 Printed: 04 -07 -2008
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. LO 8 - 3 (0
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.: 0.1,-330-
t-3 3 O — 00)-0
Site Address: 0L j gr."49/67- b---4) Suite Number: e Floor:
Tenant Name: '774 —r (,r1 -P%j C%72 New Tenant: .2�es ❑ ..No
Property Owners Name:
Mailing Address:
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Day Telephone:
Mailing Address:
City
E -Mail Address: Fax Number:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address: �.��
Contractor Registration Number: .37
/WV
0 6qc 312,7P
"rt"y
Le_e
City
Day Telephone: � 7% p
Fax Number: up " �/ 7 ' J7 2_
/• Expiration Date: 4{— /^
fo e %
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): 12LZ • ip )4r W-6)/ "'/ i
Will service be altered? ❑ Yes [xNo Adding more than 50 amps? ❑ Yes a i o-
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel E-"enant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served :
uget Sound Energy
❑ Seattle City Light
H :Wpplications\Forms- Applications On LineA -2007 - Electrical Permit Application doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$140.00
$75.00 ea
$55.00 ea
❑ Low voltage systems
(alarm, furnace thermostat)
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 . 550 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
❑ Law voltage systems $55.00
(alarm, furnace thermostat)
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
PERMIT APPLICATION NOTES -
IDate Application Accepted:
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 shalt 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 R ► • 1 # r CAL CONTRACTOR:
Signatu
Print ame:
Mailing Address: PP
Date:
Day Telephone:�� ' g
City tats
Zip
Date Application Expires:
Staff initials:
H to ppltcanone`.Forms. Application On lineA •2007 - Electrical Permit Application 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
Parcel No.: 0223300020
Address: 689 STRANDER BL TUKW
Suite No:
Applicant: T & T CHIROPRACTIC
RECEIPT
Permit Number: EL08 -362
Status: PENDING
Applied Date: 04/07/2008
Issue Date:
Receipt No.: R08 -01055
Payment Amount: $86.00
Initials: WER Payment Date: 04/07/2008 10:45 AM
User ID: 1655 Balance: $0.00
Payee: SPEEDY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2437 86.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 86.00
Total: $86.00
doc: Receiot -06 Printed: 04 -07 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(Les- 362^
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00, Tukwila, WA 98188
PERMIT NO.
(206)431 -36
Project:��: �, _e'er DRA��
l•it l
Type of Inspection:
lab
lI CO
Address:
Date Called:
Special Instructions:
Date Wanted:
dg
alrfril..--
Requester:
Phone No:
Approved per applicable codes.
DCorrections required prior to approval.
COMMENTS:
Inspector:
Date: oy
o.s 0`8
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, Electrician or Plumber License Detail
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
STORYEL961JA
Licensee Name
STORY ELECTRIC LLC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602380585
Ind. Ins. Account Id
PARTNER/MEMBER
Business Type
LIMITED LIABILITY COMPANY
Address 1
PO BOX 30510
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98113
Phone
2067823532
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
4/1/2004
Expiration Date
4/1/2010
Suspend Date
Separation Date
Parent Company
Previous License
STORYE *962CE
Next License
Associated License
STORYR *970R6
Electrical Administrator Information
License
STORYR *970R6
Name
STORY, RODNEY
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
STORY, RODNEY A
PARTNER/MEMBER
04/01/2004
STORY, SARAH J
PARTNER/MEMBER
04/01/2004
Bond Information
i
i
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= STORYEL961 JA 04/07/2008