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Home My WebLink AboutPermit EL10-0759 - RIVERTON FAMILY DENTISTRYRIVERTON FAMILY DENTISTRY 14432 MILITARY RD S EL 10-0759 Parcel No.: Address: Tenant Name: Cityif 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: http: / /www.ci.tukwila.wa.us 0040000022 14432 MILITARY RD S TUKW RIVERTON FAMILY DENTISTRY ELECTRICAL PERMIT Permit Number: EL10 -0759 Issue Date: 09/23/2010 Permit Expires On: 03/22/2011 Owner: Name: SONG KEN W Address: 14432 MILITARY RD S #3 , SEATTLE WA 98168 Contact Person: Name: MIKE MOORE Address: PO BOX 3363 , LACEY WA 98509 Contractor: Name: ALARM CENTER INC Address: PO BOX 3407 , LACEY WA 98509 Contractor License No: ALARMCI055CW Phone: 360 - 481 -4946 Phone: 360 - 491 -6320 Expiration Date: 02/16/2011 DESCRIPTION OF WORK: EXPAND EXISTING FIRE ALARM SYSTEM. SILENT KNIGHT SK -5207 Value of Electrical Work: NRES: $1,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: /1 Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: q )T` ( l/ 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 p or nce of work. I am authorized to sign and obtain this electrical permit. ` �j'�I ' ,�, 1 --z4— /6 Signature: , `��!/019- Date: ftftV1 `w,'2' Print Name: 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 -9/09 ELI 0-0759 Printed: 09 -23 -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.: 0040000022 Address: Suite No: Tenant: 14432 MILITARY RD S TUKW RIVERTON FAMILY DENTISTRY • PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0759 ISSUED 09/23/2010 09/23/2010 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: Date: —2-Y-46 Print Name: OA Le-- Vr `elV-C__ doc: Cond -Elec EL10 -0759 Printed: 09 -23 -2010 cen 4969t-04404414k Day Telephone: 3bb- r'Y4421.0¢114, YJ►� MW601-134.3 City State Zip CITY OF TUKAPA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //Www. ci. tukwila. wa. us Electrical Permit No. G Project No. ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan revi Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION {�a� IMI J a 9 ' No-3 1 King Co Assessor's Tax No. Site Address: K+k/4t. 110,1 (^ ru't44i l j 4 1 em w, sat) 0_1157'5 V 9 S °1��e; .Tenant Name: F- W, Suvt,c� Q 1%S 0 S S. �f �i(3 Property Owners Name: 0c.4n n' -- Sd Q V S P S.' 1 Mailing Address: (�{�, 3a- ✓'l It g4- 5. 5b' 3 tIi1�Co/h tc. City ew 44(d00 -0d)..)._ sue& 3 Floor: e enant: ❑ Yes State Weg Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Milk i' A- c J 4014111.- page" l Mailing Address: 19.0 �o 3313 U��ss� �Q((wwt.�vttit/MG Ce41.-1 E -Mail Address: A,01i2 talw4vt OWL ML. (.0 VIA Fax Number: 310 cP519 ELECTRICAL CONTRACTOR INFORMATION Company Name: Acz ve- �� S s /� Avgli, / CeJe- Mailing Address: 310 3 v,,,4- f 334 3 City teContact Person: 1444-e-- "1'WU ✓� °✓ J A4/1111' kee Day Telephone: E -Mail Address:J9opt AL-142.144 o NtMoa- f.°a1G1/m6e441/1/ tG- Fax Number: Contractor Registration Number: 'OS5cw �� Expiration Date: State Zip gay' 35-41--i515---0412/z42 310 -- ($0-413g---254./ s"0 v Valuation of Project (contractor's bid price): $ di7 ?OD xfw4 E t� Scope of Work (please provide detailed information): tV1111 l� 511-1014 7- f,<0-6,1(7 sl.t Will service be altered? ❑ Yes 1:3-No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement [Low Voltage ❑ Generator ]/Eire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes ❑ No Property Served bv: fyt au L ❑ Puget Sound Energy e4∎4 y ❑ Seattle City Light 5-15n H: Wpplications\Forms- Applications On Line12010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 • • 31)* '7z), IDate Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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: WI/Po& Print Name: Mailing Address: l • O g.7- 33' Day Telephone: TiA I , /Gv City Date: " - zD �( State 33i) Zip Date Application Expires: Staff Initials: H:\Apptications\Forms- Applications On Line\20I0 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 1 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.: 0040000022 Permit Number: EL10 -0759 Address: 14432 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 09/23/2010 Applicant: RIVERTON FAMILY DENTISTRY Issue Date: Receipt No.: R10 -01891 Initials: WER User ID: 1655 Payment Amount: $115.50 Payment Date: 09/23/2010 10:16 AM Balance: $0.00 Payee: ALARM CENTER TRANSACTION LIST: Type Method Descriptio Amount Payment Check 112358 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 09 -23 -2010 INSPECTION RECORD Retain a copy with permit UD -b7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Projeq V 01■1 415T,ype of Inspection: Address. P15,32- qtworgl Da a Called: Special Instructions: Date Wanted: i — f 6.rtm Requester: Phone No: p11 Approved per applicable codes. D Corrections required prior to approval. COMMENTS: - 1404, 6-' 1DV REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be Date: 024/ % 1 I / 1 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 02 -01 -2011 MIKE MOORE PO BOX 3363 LACEY WA 98509 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL10 -0759 14432 MILITARY RD S 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 03/22/2011. 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, , provided the inspection shows progress. -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 03/22/2011, 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, 1>0 Bill Rambo Permit Technician File: Permit File No. EL10 -0759 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Peter Friendly Page • 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company ALARM CENTER INC 3604916320 Po Box 3407 Lacey WA 985093407 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600464099 Active ALARMCI055CW Electrical Contractor 2/16/1995 2/16/2011 Limited Energy Hvac /Rfrg Ltd Energy Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALARMC10556C ALARM CENTER INC Electrical Contractor General Unused 1/3/1995 1/3/1997 Archived Electrical Administrator INFORMATION License SWIDER'939KS Name SWIDECKI, ROBERT Status Active Business Owner Information Name Role Effective Date Expiration Date HELSTROM, ROBERTL Cancel Date 01/01/1980 Bond Amount HARRIS, PHILLIP G 4 01/01/1980 515632 DOWNIE, CLARENCE E Until Cancelled 01/01/1980 HARRIS, PHILLIP G Agent 01/01/1980 MERCHANTS BONDING CO (MUTUAL) JOHN BUNTIN Agent 09/19/2000 09/19/2000 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 CBIC 515632 04/15/2010 Until Cancelled $4,000.0004/15/2010 3 MERCHANTS BONDING CO (MUTUAL) 14201 05/30/2005 Until Cancelled 04/15/2010 $4,000.00 06/01/2005 2 CUMBERLAND CAS & SURETY CO MB008005027 12/29/2000 Until Cancelled 05/30/2005 $4,000.000l/0612003 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 Infractions /Citations Information Infraction / Citation I Date I RCW Code 1 Type Status I Violation Amount I https://fortress.wa.gov/lni/bbip/Print.aspx 09/23/2010