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Home My WebLink AboutPermit EL11-0684 - PUGET SOUND INTERVENTIONAL PAIPUGET SOUND INTERVENTIONAL PAIN CENTER 7200 S 180 ST EXPIRED 01-22-12 EL1 1 -0684 Parcel No.: Address: City oilI'ukwila • 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 3623049013 7200 S 180 ST TUKW ELECTRICAL PERMIT Project Name: PUGET SOUND INTERVENTIONAL PAIN CENTER Permit Number: Issue Date: Permit Expires On: EL11 -0684 07/26/2011 01/22/2012 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: KKK INVESTMENT LLC 26329 8TH AVE S , DES MOINES WA SIN KANG Phone: 253 - 230 -2791 8203 S TACOMA WY , LAKEWOOD WA JUST CALL KIM ELECTRIC Phone: 253 - 230 -5529 6106 S AINSWORTH AV , TACOMA WA Contractor License No: JUSTCCK927CE Expiration Date: 02/05/2012 DESCRIPTION OF WORK: INSTALL CHANNEL SIGN Value of Electrical: NRES: $450.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $71.40 2008 ., )0__ Date: /"y V/ 1i 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 am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: l Jo 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 -4/10 EL11 -0684 Printed: 07 -26 -2011 • PERMIT CONDITIONS • Permit No. EL 11 -0684 * *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 -4/10 ELI 1-0684 Printed: 07 -26 -2011 CITY OF TUKWIED Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. F LA 1— D b g21 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: Tenant Name: King Co Assessor's Tax No.: 7200 w - 43r1 Sf- T Kwak Wi u t Number: New Tenant: Property Owners Name:: // / fie JV TNi T LL 4 _ Mailing Address: �b 327 ? • A-i/e 5 . T==5 MdeS City Floor: Yes ❑..No State Sg ?g Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: S'2-°3 Te■044-4" WO'/ E -Mail Address: s' 7_zni' 2 Q / i V2 . co -vv. Day Telephone: L4 ao 4 City u"9- S8 <4 2 State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Cam(( f■kv, fec+i- C Mailing Address: h /C)6 At t1SWolei-% Contact Person: *- /A , Ho E -Mail Address: ,1--P/747-M444 Sign r' / i v e . (c9A• i Contractor Registration Number: TGl s-f- cc lc 927 CF �C.o oL WA cj8 0g City State Zip Day Telephone: ..)- &3) 23 0 -- 27 ?/ Fax Number: Expiration Date: .3// 8/3-0/3 Valuation of Project (contractor's bid price): $ frgig9t5 9,-(7) Scope of Work (please provide detailed information): 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 ❑ 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 Revised: May 2011 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/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - IDate Application Accepted: 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: r Print Name: T , ,% shrk Mailing Address: al2D F GC S Wn PU Date: -77-4 (I( Day Telephone: ) 2.3o — .ft' 2 7 1,0 4- 9s(log City State Zip Date Application Expires: Staff Initials: H :ApplicationslForms- Applications On Linet2010 Applications17 -2010 - Electrical Permit Application.doc Revised: May 2011 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 RECEIPT Parcel No.: 3623049013 Permit Number: EL11 -0684 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 07/26/2011 Applicant: PUGET SOUND INTERVENTIONAL PAIN CENTER Issue Date: Receipt No.: R11 -01577 Initials: WER User ID: 1655 Payment Amount: $71.40 Payment Date: 07/26/2011 01:42 PM Balance: $0.00 Payee: SANG PARK TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 001516 ACCOUNT ITEM LIST: Description 71.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receipt -06 Printed: 07 -26 -2011 ID City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director SIN KANG 8203 S TACOMA WY LAKEWOOD WA 98499 RE: Permit No. EL11 -0684 PUGET SOUND INTERVENTIONAL PAIN CENTER 7200 S 180 ST 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 01/22/2012. 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 01/22/2012, 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, c Bill Rambo Permit Technician File: Permit File No. EL11 -0684 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople P ter Friendly Page • 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 JUST CALL KIM ELECTRIC 2532305529 6106 S Ainsworth Ave Tacoma WA 98408 Pierce Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602798904 Active JUSTCCK927CE Electrical Contractor 2/5/2008 2/5/2012 General Unused Electrical Administrator INFORMATION License KIM *HHS928B2 Name KIM, HO SHIK Status Active Business Owner Information Name Role Effective Date Expiration Date KIM, HO 5 Owner 02/05/2008 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 CBIC SH7194 02/05/2008 Until Cancelled $4,000.00 02/05/2008 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 07/26/2011