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HomeMy WebLinkAboutPermit EL11-0492 - MAJED MOAWAD DMDMAJED MOAWAD DMD 6720 FORT DENT WY EL1 1 -0492 Parcel No.: Address: Tenant Name: City ef 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: / /wwwci.tukwila.wa.us 2954900455 6720 FORT DENT WY TUKW MAJED MOAWAD DMD ELECTRICAL PERMIT Permit Number: EL11 -0492 Issue Date: 06/02/2011 Permit Expires On: 11/29/2011 Owner: Name: Address: Contact Person: Name: Address: JOHN C RADOVICH LLC 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 MIKE BRUNELLE 19909 BALLINGER WY NE , SHORELINE WA 98155 Contractor: Name: TENANT ELECTRICAL SERVICES LLC Address: 19909 BALLINGER WY NE STE 101 , SEATTLE WA 98155 Contractor License No: TENANES931K5 Expiration Date: 05/25/2013 Phone: 206 - 391 -6527 Phone: 206 391 -7856 DESCRIPTION OF WORK: INSTALL CAN LIGHTING AND RELAMP EXISTING FIXTURES, INSTALL SWITCHES, RECEPTACLES, EXHAUST FAN CONNECTION AND LOW VOLTAGE MUD RINGS. Value of Electrical Work: NRES: $12,320.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Fees Collected: $316.10 National Electrical Code Edition: 2008 Permit Center Authorized Signature: �l l Date: ( •)•- b 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 performance of work. I ant authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: v,, Date: ‘/2'/Z6 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 -0492 Printed: 06 -02 -2011 PERMIT CONDITIONS Permit No. EL11 -0492 * *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 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. 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 E L11 -0492 Printed: 06 -02 -2011 J 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. 1-1-4 t" 0 LE 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 Site Address: 6720 Fort Dent Way, Suite 120 Tenant Name: Majed Moawad, DMD Property Owners Name: John C Radovich LLC Mailing Address: 2835 82nd Ave SE #300 King Co Assessor's Tax No.: 295490 -0455 Suite Number: 120 Floor: 1 New Tenant: m Yes ❑..No Mercer Island WA 98040 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mike Brunelle Mailing Address: 19909 Ballinger Way NE E -Mail Address: mike @tenantelectrical.net Day Telephone: (206) 391 -6527 Shoreline WA 98155 City State Fax Number: (206) 391 -3665 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Tenant Electrical Services Mailing Address: 19909 Ballinger Way NE Shoreline WA 98155 City State Zip Contact Person: Tenant Electrical Services Day Telephone: (206) 361 -2989 E -Mail Address: mike @tenantelectrical.net Fax Number: (206) 391 -3665 Contractor Registration Number: TENANES931 K5 Expiration Date: 05/25/2013 Valuation of Project (contractor's bid price): $ 12,320 Scope of Work (please provide detailed information): Install can lighting and relamp existing light fixtures, install switches receptacles, exhaust fan connection and low voltage mud rings Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes I No Type of Use: Dental Hygenie Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 21 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Porms- 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/mobilehome 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: Mailing Address: Day Telephone: Shoreline City Date: 06/02/2011 (206) 391 -6527 1dj4 98155 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Foras- Applications On Line\2010 Applications \7 -2010 - 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.TukwilaWA.gov Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Applicant: MAJED MOAWAD DMD RECEIPT Permit Number: EL11 -0492 Status: PENDING Applied Date: 06/02/2011 Issue Date: Receipt No.: R11 -01103 Initials: User ID: WER 1655 Payment Amount: $316.10 Payment Date: 06/02/2011 09:45 AM Balance: $0.00 Payee: DAN BARRETT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 009620 ACCOUNT ITEM LIST: Description 316.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 316.10 Total: $316.10 doc: Receipt -06 Printed: 06 -02 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit e'U I -O 1 I PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: tik6)1-1dR )04) Address: (72c (T- D&1r Type of Inspection: Z /ov Date Called: Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. COMMENTS: aCorrections required prior to approval. eleA)olis K 1r/ Inspector: Date: tt 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 i PERMIT NO. CITY OF TUKWILA BUILDING DIVISION " ;.6300 Southcenter Blvd.., #100, Tukwila. WA 98188 V.' (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project ) ' • jp 4 Type of Inspection: Gov •. Address: / Date Called: Special Instructions: Date Wanted:. 07, m . Requester: Phone No: . D Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: doriLli,- to-be WaftitotA ke-10451> roc etkirtit *Jar REtterd-LefritiAT-64.1 wck41U j.. ° 1467 412.- Nrif) 1 Inspector: Date:, 0 ri REINSPECTION FEE REQUIRE I . Prior to next inspection, fee must be pai51 at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 7"41117,F47-P—:"'-'?"'"r: .10"97.Vrtgt‘TW 77-Trltc..- Vkart,rkl7--w`..:tke 7f 7- •••,74-r—,7".• • • INSPE ION NO. INSPECTION RECORD Retain a copy with permit alktr12 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 Lit Project: . A ...— 04 Ike!) viii.9 Type of Inspection: ip Address: ow h: Jr_ Date Called: Special Insultions: irK( Date Wanted: . . Requester: Phone No: pproved per applicable codes. % • El Corrections required prior to approval. :. .14 COMMENTS: — Ad604 IA1 AJ0r r. tiV5d at Avi. rT4t P P msrois mu 66411P Inspector: 1 f. 141 • _ • • ;11 • ;4'. • 8\ Date: Cri 0( if . , 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 L1 Retain a copy with permit '" P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 x(206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: tk `o �j, 49 Type of Inspection: �v O Address: 2. T ri....‘ Dew._ Date Called: Special Instructions: Date Wanted: 0....3 61. pi. Requester: Phone No: 0 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: - eovec a414,,s, Inspector: ihei ja ri REINSPECTION FEE REQUIRED. :Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 4/2 3/I 2 INSPECTION RECORD Retain a copy with permit 641- " ©02. INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 1 r_(206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: - p ` jih Type of Inspection: ../00.1 Address: 0. 10 rr par Date Called: Special Instructions: Date Wanted: caq,,n. Requester: Phone No: Approved per applicable codes. EJ Corrections required prior to approval. COMMENTS: 0i4' vdQec5l.46 (a4P4�t� Inspector: 664,,b‘ Date: 23 l( ❑ 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 with permit kitteiL PERMIT WO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: } AOy ! �# J Type of Inspection: 7063 Address. Date Called: Special Instructions: Date Wanted: ank Requester: Phone No: ElApproved per applicable codes. El Corrections required prior to approval. l COMMENTS: �II•t 04/13/ii REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: . • •.. — - .b. INSPECTION NO. INSPECTIO.N•;RECOR.D. Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: ,1 49 Type of Inspection: 003 r �/ Address: l20 6.- Ded r_ Date Called: Special Instructions: Date Wanted: ` a Requester: Phone No: ElApproved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: n REINS paid a Date: 040/11 f/ t 1 PECTION FEE REQUIRED. Prior to next inspection. fee must be t 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer 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 TENANT ELECTRICAL SERVICES LLC 2063917856 19909 Ballinger Wy Ne Ste 101 Seattle WA 98155 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602722372 Active TENANES931K5 Electrical Contractor 5/25/2007 5/25/2013 General Unused Master Electrician INFORMATION License BARREDM969CR Name BARRETT, DANIEL M Status Active Business Owner Information Name Role Effective Date Expiration Date ANDERSON, QUINN Agent 05/25/2007 Bond Amount DODSON, WILLIAM Partner /Member 05/25/2007 792918C WHINIHAN, BRIAN E Partner /Member 05/25/2007 ANDERSON, QUINN Partner /Member 05/25/2007 CBIC 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 2 DEVELOPERS SURETY Et INDEM CO 792918C 05/14/2008 Until Cancelled $4,000.0005/13/2008 1 CBIC SH3343 05/14/2007 Until Cancelled 07/06/2008 $4,000.0005/25/2007 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 06/02/2011