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Home My WebLink AboutPermit EL11-0337 - PUGET SOUND INTERVENTIONAL PAIPUGET SOUND INTERVENTIONAL PAIN CLINIC 7200 S 180 ST EL1 1 -0337 Citygtf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Li ne: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us ELECTRICAL PERMIT Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Tenant Name: PUGET SOUND INTERVENTIONAL PAIN CLINIC Permit Number: EL11 -0337 Issue Date: 04/15/2011 Permit Expires On: 10/12/2011 Owner: Name: NICK RILEY LLC Address: 7200 S 180TH ST , TUKVVILA WA 98188 Contact Person: Name: JOSH YI Phone: 877 - 900 -8220 Address: 7406 27 ST W, SUITE 300 , UNIVERSITY PLACE WA 98466 Contractor: Name: 24 HOUR PROTECTION Phone: 877 - 900 -8220 Address: 7406 27 ST W, SUITE 300 , UNIVERSITY PLACE WA 98466 Contractor License No: 24HOUHP924QQ Expiration Date: 11/18/2012 DESCRIPTION OF WORK: FIRE ALARM, BURGLARY ALARM Value of Electrical Work: NRES: $2,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: —`—'IS 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 perf • ' ance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: (Josx) Date: c(*,. if 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 EL11 -0337 Printed: 04 -15 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0337 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or art 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. 6: 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. doc: EL -9/09 EL11 -0337 Printed: 04 -15 -2011 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. H I," 0 n 7 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.: ace )--)Q 14 , ctO 1 Site Address: 1�oj 180b" T,,.kwt 1 1, 9/i% -i- Suite Number: Floor: Tenant Name: 7 a � . f e f �u.4 P o z . r , (') t r • L New Tenant: ❑ Yes ❑..No Property Owners Name: tA Q 1 G • (ho Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: OS t j • Day Telephone: Mailing Address: 41+01 -� �? - k) 0O (A�:f1,2r31�. p foCe_ w6- �� City State Zip E -Mail Address: - + T»0 tLC''F'o v ey, -A-cL \, coo-- Fax Number: / . IS& ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: _1 £1: \0i f 'Pro O A rt. 6 a _ r sT w u�� pig 1v 18.4-6/ City State Zip Day Telephone: % ` 8 i 1 ?go 8:4-.)- 0 E -Mail Address: -1 I to tet 0 r 6 E 4 Y .4 (' c /W Fax Number: (_ S' J7(5- 8f4: r Contractor Registration Number: Expiration Date: Contact Person: -Td S C Valuation of Project (contractor's bid price): $ -)-("1"-0 Scope of Work (please provide detailed information): B U r' Q j[, st `f ot.rerv^— Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement El Low Voltage ❑ Generator 2' Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 1 Date Application Accepted: 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, fumace 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 , LE TRICAL CONTRACTOR: Signature: Date: Print Name: Mailing Address: X1+06 . t)k sr V f-3oO Day Telephone: /r- go() () - '00 (1K t/elr.Sn-/ poiLte b1/4)1\- ¢try State Zip Date Application Expires: Staff Initials: Hi\Applications \Forms - Applications On Line \2010 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. tukwi la. wa. us RECEIPT Parcel No.: 3623049013 Permit Number: EL11 -0337 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 04/15/2011 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date: Receipt No.: R11 -00732 Initials: User ID: Payee: WER 1655 Payment Amount: $115.50 Payment Date: 04/15/2011 09:48 AM Balance: $0.00 UNG YI TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 004712 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 04 -15 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 6,41-0337 (uko337 Project: !, �• !� �� p j Type of Inspection: Address: S . %5Q Date Called: Special Instructions: rt s 5 ( IT7 Date Wanted: a:m Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. - OMMENTS: CA14,/ *nip PVID( Acx-e°5 &/(2.o-i(osti, ritrof Inspector: Date: D 7/2.0/11 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. I INSPECTION NO. INSPECTION RECORD Retain a copy wittl »permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 K (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 tuf-D331 ERMIT NO. Project_: j pko j Type of Inspection: ;too Address:7 WO Si. Date Called: - Arobt t�oJi _- ice( saPo' vt Special Instructions: OA -' 56"1 Date Wanted: /06 la m. P Requester: -thooac Eck tP �� Phone No: sou ��(�f�Q , ❑ Approved per applicable codes. Corrections required prior to approval. /Q COMMENTS: ! .- gmrde A-844.10do 0161,1AL/ - ePtk1A 1 Or t,7a - Arobt t�oJi _- ice( saPo' vt - to04 S 'fd1C, tioN Lt - vii Pktift.- Ai Nip b ra- -thooac Eck tP �� sou ��(�f�Q , . w r R(L 14.E Air c� �. CU �/1r T ,$'� j '',/ s: Inspector: Date: 07O6 P. n REINSPECTIO11 FEE REQUIIfED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.: Contractors or Tradespeople Pilfer Friendly Page • Electrical Contractor A business licensed by LEI 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 24 HOUR PROTECTION 8779008220 7406 27Th St W #300 University Place WA 98466 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602796506 Active 24HOUHP924QQ Electrical Contractor 11/18/2008 11/18/2012 Limited Energy Unused Business Owner Information Name Role Effective Date Expiration Date YI, UNG HWI Agent 11/18/2008 YI, UNG HWI President 11/18/2008 YI, SORA Secretary 11/18/2008 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 American Contractors Indem CO 100056711 10/27/2008 Until Cancelled $4,000.00 11/18/2008 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 04/15/2011