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Home My WebLink AboutPermit EL10-0875 - NORTHWEST DENTAL CARENORTHWEST DENTAL CARE 664 STRANDER BL EL1O-0875 Parcel No.: Address: Tenant Name: Citytf 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 0005800037 664 STRANDER BL TUKW NORTHWEST DENTAL CARE ELECTRICAL PERMIT Permit Number: EL10 -0875 Issue Date: 11/01/2010 Permit Expires On: 04/30/2011 Owner: Name: Address: Contact Person: Name: Address: BC PARTNERS LLC C/O MK PROPERTY SVC LLC , PO BOX 997 98065 BOB WORLEY 287 SW 41 ST , RENTON WA 98057 Contractor: Name: CAPITAL LIGHTING COMPANY INC Address: 287 SW 41 ST , RENTON WA 98055 Contractor License No: CAPITLC964RN Phone: 425 251 -0244 Phone: 425 251 -0244 Expiration Date: 12/15/2010 DESCRIPTION OF WORK: PSE LIGHTING RETROFIT Value of Electrical Work: NRES: $1,335.20 RES: $0.00 Type of Fire Protection: 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 complied Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: II(NIP ned 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 p - • t d • - s not pre construction or the p orm- ce of or Signature: 0 Print Name: _e-Cieldr----/ e to e authority to violate or cancel the provisions of any other state or local laws regulating orized to sign and obtain this electrical permit. 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. doc: EL -9/09 EL10 -0875 Printed: 11 -01 -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.: 0005800037 Address: Suite No: Tenant: 664 STRANDER BL TUKW NORTHWEST DENTAL CARE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0875 ISSUED 11/01/2010 11/01/2010 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 performanc of work. Signature: /////0 � Date: f�� Print Name: %_ e " L doc: Cond -Elec ELI 0-0875 Printed: 11 -01 -2010 CITY OF TUKWIIIP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httc://www.ci.tukwila.wa.us Electrical Permit No. A D OSic 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 KI iing Co Assessor's Tax No.: C)O —T: ?71 Site Address: &)LtFl S ell/ C I �.A la, Suite Number: Floor: Tenant Name: / V &t" I uJe,Sf Oellif CAR, New Tenant: ❑ Yes ❑ ..No Property Owners Name: Mailing Address: \ City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name:( 1cc( +'l ( (�L Mailing Address W : AS 7 `[ I �� N 1 E-Mail Address: b3 LOO cpi t f I i com ELECTRICAL CONTRACTOR INFORMA ION %1 Company Name: l . I (I L hTl' n Co U / / , Mailing Address: (��7 au `�l • Contact Person:.bOb L or I Ray Telephone: 1/ 5- 25/ £' 2 r bye c J6 Q�d S7 City Fax Number: GT a5Z24e5/ a ge.,6fon (LYI °o �'7 E-Mail Address: /00 IOW it(Z' Ia nn//l l�Q� al Contractor Registration Number: C IP 1 TL. vl LO to V Valuation i price): ti f Project (contractor's b d ): $ .535. a 0 City state zip Day Telephone: ' / / 1 25-7'/ -oa (P Fax Number: L%S.aS/ �3 Expiration Date: /o // 5// t , j�, r� j �� Scope of Work (please provide detailed information): se_ f C I i i10 �� iro Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Tune of work: ❑ New ❑ Low Voltage Property Served by: Puget Sound Energy Seattle City Light ❑ Addition ❑ Generator ❑ Service Change ❑ Fire Alarm HAAppli \Fam,-Applicatimu On ImeN4 -4007 - Electrical Patna Applicatimdoc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea 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 $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) r 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 - 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 ; LECTRIC(L C �� RACTOR: Signature: Print Name: �j Mailing Address: Ag 7 IDate Application Accepted: r C Gl/D-4- II 0l`lro Date: Day Telephone: L�o5 " " V(/' u,6- 9Sos City State Zip Date Application Expires: Staff Initials: H:WppticationdFam -Applic onz On Linde-2007 - Eledrical [unit Appfiwtion.doc bh Page 2 of 2 SET RECEIPT Copy Reprinted on 11 -01 -2010 at 10:02:33 11/01/2010 RECEIPT NO: R10 -02203 Initials: JEM Payment Date: 11/01/2010 User ID: 1165 Total Payment: 252.00 Payee: ROBERT C WORLEY, CAPITAL LIGHTING CO. SET ID: 1101 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL10 -0875 EL10 -0876 TOTAL: Amount 115.50 136.50 136.50 TRANSACTION LIST: Type Method Description Amount Payment Credit C MC 252.00 TOTAL: 252.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 252.00 TOTAL: 252.00 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12— tl,w 0S 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project e1A4 0 \N.. Type of Inspection: s,., ZO Address: i Date Called: Special Instructi ns: Date Wanted: p I �� a.m. p d Requester: Q Phone No: Approved per applicable codes. Corrections required prior to approval. 3 COMMENTS: 6 i i • rIA Inspector: Date: 120t9 O n REINSPECTION FEE REQUIRE d. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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 Permit Inspection Request Line (206) 431 -2451 bra -0E1� Project: :• fr+n _ Type of Inspection: Address: 600 Date Called: /^ Special Instructions: Date Wanted: ;1. 4°3 eP. • Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: /2/03/(0 n REINSPECTION' FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit fo 'o7$ PERMIT N0. a. CITY OF TUKWILA BUILDING DIVISION R. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Proje t: I cfral Type of Inspection: el Address: / Date Called: Special Instruct ons: va(_ - fftikk) 1114/ R PA , kiag\ Date Wanted: al �� a.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. /s. COMMENTS: 6/6c,(4-6-put I*3 Inspector: Date: /2./1021/ II REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 CAPITAL LIGHTING COMPANY INC 4252510244 287 Sw 41St St Renton WA 98055 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601004603 Active CAPITLC964RN Electrical Contractor 12/15/2004 12/15/2010 Maintenance Unused Master Electrician INFORMATION License LITTLD *963QP Name LITTLE, DAVID Status Active Business Owner Information Name Role Effective Date Expiration Date CALDWELL, C. MICHAEL Agent 12/15/2004 3/6/2009 CALDWELL, C. MICHAEL President 12/15/2004 $250.00 WORLEY, ROBERT C Secretary 12/15/2004 ELECTRICAL CITATION WORLEY, ROBERT C Vice President 12/15/2004 3/6/2009 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 CBIC SF9198 12/08/2004 Until Cancelled $4,000.00 12/15/2004 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 Date RCW Code Type Status Violation Amount EJORP02763 3/6/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02761 3/6/2009 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02762 3/6/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02878 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02874 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02879 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02880 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02877 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02873 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 11/01/2010