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HomeMy WebLinkAboutPermit EL10-0630 - ADVANCED DENTAL CAREADVANCED DENTAL CARE 16600 WEST VALLEY HY EL1O-0630 City o�ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2523049085 Address: 16600 WEST VALLEY HY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0630 Issue Date: 08/05/2010 Permit Expires On: 02/01/2011 Tenant: Name: ADVANCED DENTAL CARE Address: 16600 WEST VALLEY HY , TUKWILA WA Owner: Name: AULAKH BUTTAR & CANTOR LLC Phone: Address: 16600 WEST VALLEY HWY , TUKWILA WA Contact Person: Name: MICHAIL CHEBAN Phone: 253 370 -7716 Address: 11317 STEELE ST S , TACOMA WA Contractor: Name: MC SIGNS & BANNERS INC Phone: 253 370 -7716 Address: 14107 PIONEER WAY E , PUYALLUP WA Contractor License No: MCSIGSB911P3 Expiration Date: 10/23/2011 DESCRIPTION OF WORK: BRING POWER TO EXISTING MONUMENT SIGN Value of Electrical: NRES: $450.00 Fees Collected: $71.40 RES: $0.00 Type of Fire Protection: N/A National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: / Rk I hereby certify that I have read and e governing this work will be complied ami: ith, Date: ntociva ed this permit 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 doe not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or he performan a of wor 0I am authorized to sign and obtain this electrical permit. Signature: g (9'-'171- (. Print Name: I - ` �l� ' v Date: 0 — 624-_ ?_cLO 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 -4/07 EL10 -0630 Printed: 08 -05 -2010 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.: 2523049085 Address: Suite No: Tenant: 16600 WEST VALLEY HY TUKW ADVANCED DENTAL CARE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0630 ISSUED 08/05/2010 08/05/2010 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: y `i L7ii1 4 V- Date: 04, — © 2-17 /0 doc: Cond -Elec EL10 -0630 Printed: 08 -05 -2010 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. art/0 tie 1)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 / 6 g. D 0 W QS+ Vaf 1,21 F4 W1/41 l —' oK //% King Co Assessor's Tax No.: Site Address: i.bkb D 0 uue-S4— tAi'i 2_ Tenant Name: 4C( t- 6,01 ole h.4-1 t ( C,�. (2_e New Tenant: Property Owners Name: Mailing Address: Suite Number: Floor: ❑ Yes No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: l y IC-H- A-: V C 4= 4 AI Mailing Address: 1 )' 1 ' 7 �-t-� j� SI- E -Mail Address: Day Telephone: 2- �� - �j"� O — T 7 /1) ThCSf.`t^- SthCc0� City Fax Number: cf tale Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: MU MC 5 i n-S t 131 s e (e s+- 5 1-0(...c- ® tom. 60,1 v1 p_-5 Ike . l City Day Telephone: Fax Number: wf 9QC1 Z ^�e - Zlp�� Expiration Date: 1o12A1ll Valuation of Project (contractor's bid price): $ S� Scope of Work (please provide detailed information): 13 A- 1 (A- Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ No Adding more than 50 amps? ❑ Yes ❑ No Property Served by: Puget Sound Energy Seattle City Light H:'Applications\Porns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc 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 ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ 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 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: Signature: Print Name: (-4—w . (1.„„v Date: 8 g ©S — 2-0 / O Day Telephone: Mailing Address: City Date Application Accepted: ottos-I State Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 Zip • 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.: 2523049085 Address: 16600 WEST VALLEY HY TUKW Suite No: Applicant: ADVANCED DENTAL CARE RECEIPT Permit Number: EL10 -0630 Status: PENDING Applied Date: 08/05/2010 Issue Date: Receipt No.: R10 -01505 Initials: User ID: Payee: JEM 1165 Payment Amount: $71.40 Payment Date: 08/05/2010 12:37 PM Balance: $0.00 MIKHAIL CHEBAN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 014571 ACCOUNT ITEM LIST: Description 71.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -05 -2010 INSPECTION RECORD Retain a copy with permit a° -06:30d) INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (?-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec _ Type of Inspection: l 00 Addr e %fr v� 4, Date Called: Special Instructions: Date Wanted: 8 !�/ ''j 14 0.m. Requester: r Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: e bAREtXtwJf hfro Inspector: AC-y\146k Date: n [-r 110 ❑ $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: . ...s•.^ INSPECTION NO. INSPECTION RECORD Retain a copy with permit (i•to CY PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P 'ect: arv�f�J Type of Inspection: Zov - DE - c E-&Jt+ -t FA., ktorttJt 1ro• des' di Le O�) ral. 1% SPuc e. Date Called: crR.%MO) Gaiz,QMJ) c41) ,46c5to IN I"; Special Instructions: - MA t9( Date Wanted: *17 /a. m. ~ Requester: Phone No: EiApproved per applicable codes. Corrections required prior to approval. COMMENTS: r - .8)5''").)61 ikfcW12..05) vn% /NO to4a1 tT - DE - c E-&Jt+ -t FA., ktorttJt 1ro• ('APP SPuc e. Loo', crR.%MO) Gaiz,QMJ) c41) ,46c5to IN I"; AAilve PME - MA t9( A "it) wi DooR -- Bc,x r Inspector: 1\1,46-K Date: ©S { 7 Lv ri $60.00 REINSIECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: �: ^^:.,,yr� .*tY'' +'{�'. L'°a/ ��"^Y;r y'Yn'-t'':°- �- iY?�:'y?.• n t.�- �ae'-i.,:•,�- ,- ;✓c{'s' '..,a. -..1 v x.°�c':'13.3 :?'tti.s�.:i� Contractors or Tradespeople Peer Friendly 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 MC SIGNS Et BANNERS INC 2538457446 11317 Steele St S Apt #104 Tacoma WA 98444 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602663008 Active MCSIGSB911 P3 Electrical Contractor 10/23/2009 10/23/2011 General Unused ADMINISTRATOR INFORMATION License POPACY *918DB Name POPACH, YURIY Status Active Business Owner Information Name Role Effective Date Expiration Date CHEBAN, MIKHAIL M President 10/23/2009 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Lexon Insurance Company 9800627 10/22/2009 Until Cancelled $4,000.00 10/23/2009 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type https: // fortress .wa.gov /lni /bbip /Print.aspx 08/05/2010