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Home My WebLink AboutPermit EL11-0589 - DR MOAWADDR MOAWAD 6720 FORT DENT WY EL1 1 -0589 Citylif 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 Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Tenant Name: DR MOAWAD ELECTRICAL PERMIT Permit Number: EL11 -0589 Issue Date: 07/01/2011 Permit Expires On: 12/28/2011 Owner: Name: JOHN C RADOVICH LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: DARYL ANDERSON Phone: 206 571 -2323 Address: 7717 DETROIT AV SW , SEATTLE WA 98106 Contractor: Name: MACDONALD MILLER FAC SOL INC Address: PO BOX 47983 , SEATTLE WA 98106 Contractor License No: MACDOMF972BF Phone: 206 763 -9400 Expiration Date: 01/06/2013 DESCRIPTION OF WORK: RELOCATE (3) LOW VOLTAGE T -STATS Value of Electrical Work: NRES: $1,500.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 im5 Date: 01 L 01 1 I I hereby certify that I have read and e d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. The granting of this permit does not pre um to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. a authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: t /�-� Date: 74 / ( Print Name: f / it SC_ 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 -0589 Printed: 07 -01 -2011 PERMIT CONDITIONS Permit No. EL11 -0889 * *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 EL11 -0589 Printed: 07 -01 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATION Electrical Permit No. 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 ** King Co Assessor's Tax No.: 2954900455 Floor: 1 New Tenant: ❑ Yes m ..No Site Address: 6720 FORT DENT WAY TUKWILA, WA 98188 Suite Number: 120 Tenant Name: FORT DENT I - DR MOAWAD Property Owners Name: JOHN C RADOVICH, LLC Mailing Address: 2835 82DN AVE SE #300 MERCER ISLAND City WA 98040 State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: DARYL ANDERSON Mailing Address: 7717 DETROIT AVE SW E -Mail Address: DARYL.ANDERSON @MACMILLER.COM Day Telephone: (206) 571 -2323 SEATTLE WA City State Fax Number: (206) 768 -4217 98106 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: MACDONALD MILLER 7717 DETROIT AVE SW Contact Person: MACDONALD MILLER E -Mail Address: DARLA.DOLL @MACMILLER.COM Contractor Registration Number: MACDOMF972BF SEATTLE City WA 98106 State Zip Day Telephone: (206) 768 -4278 Fax Number: (206) 768 -4279 Expiration Date: 01/06/2013 Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): RELOCATE (3) LOW VOLTAGE T -STATS Will service be altered? ❑ Yes m No Type of Use: COMMERICAL Type of work: ❑ New ❑ Addition m Low Voltage ❑ Generator Property Served by: • Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes m No ❑ Service Change ❑ Fire Alarm H:Wpplications \Forms - Applications On Line \2010 Applications \7-2010 - Electrical Permit Application.doc bh Page I of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service • 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 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: b l 1 Mailing Address: 7717 DETROIT AVE SW Date Application Accepted: Date: 07/01/2011 Day Telephone: (206) 768 -4278 SEATTLE City 1.0 A 98106 State zip Date Application Expires: Staff Initials: H:Wpplications \Forms - Applications On Line \2010 Applications\ 7-2010 - Electrical Permit Applicaiion.doc hh 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.aov Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Applicant: DR MOAWAD RECEIPT Permit Number: EL11 -0589 Status: APPROVED Applied Date: 07/01/2011 Issue Date: Receipt No.: R11-01365 Payment Amount: $115.50 Initials: JEM Payment Date: 07 /01/2011 01:26 PM User ID: 1165 Balance: $0.00 Payee: MACDONALD- MILLER FACILITY SOLUTIONS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2996 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: 07 -01 -2011 INSPECTION RECORD hi Acro INSPECTION NO. PERMIT N0. Retain a copy with permit Lu ru n CITY OF" TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R„ (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: � � Type of Inspection: �I�v ' Address: 671 , _ . Date Called: Special Instructions: T ') 5 Date Wanted:. /) P m: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 1 eg ( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. x•' _�.arxr�-- • -..s -a •?i.7.'7•y- W :4:714.7 r INSPECTION RECORD. Retain a copy with permit fu I -0 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 r f. Project: Type of Inspection: ;400 Ob Address: Date Called: ei3 Special Instructions: 3 ¶sT Date Wanted: 7 D a.m. • Requester: Phone No: Approved per applicable codes. COMMENTS: pCorrections required prior to approval. 1.40D6 Acs -CSs e(Dtife.tep 414)? PanthQE 1,491069,\ Inspector: Date: 0.0 6/1 i 1 _ F-7 REINSPECTION FEE REQUIREb. Prior to next inspection. fee mustbe paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by Lftl 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 MACDONALD MILLER FAC SOL INC 2067639400 Po Box 47983 Seattle WA 98106 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602254260 Active MACDOMF972BF Electrical Contractor 1/6/2003 1/6/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ENCOMMS981JP ENCOMPASS MECHANICAL SERVICES Electrical Contractor Hvac /Rfrg Ltd Energy Unused 4/17/2002 4/17/2004 Archived ENCOMMS984JP ENCOMPASS MECHANICAL SERVICES Electrical Contractor Maintenance Hvac /Rfrg Ltd Energy 4/17/2002 4/17/2004 Archived MACDOMS982BM MACDONALD MILLER SERVICE INC Electrical Contractor Maintenance Unused 1/14/2002 1/14/2004 Archived MACDOMS011RS MACDONALD MILLER SERVICE INC Electrical Contractor Hvac /Rfrg Ltd Energy Unused 12/10/1999 12/10/2003 Archived MACDOMC329B5 MACDONALD MILLER CO INC Electrical Contractor General Unused 1/25/1968 1/31/2003 Archived Master Electrician INFORMATION License MCGIVMH979N8 Name MCGIVERN, MICHAEL H Status Active Business Owner Information Name Role Effective Date Expiration Date HACK, RICHARD R Agent 01/06/2003 https://fortress.wa.gov/lni/bbip/Print.aspx 07/01/2011