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Home My WebLink AboutPermit EL12-0372 - WEST VALLEY DENTAL CLINICWEST VALLEY DENTAL CLINIC 15668 WEST VALLEY HY EL12 -0372 City okukwila • 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.: 0005800028 Address: 15668 WEST VALLEY HY TUKW Project Name: WEST VALLEY DENTAL CLINIC ELECTRICAL PERMIT Permit Number: EL12 -0372 Issue Date: 04/20/2012 Permit Expires On: 10/17/2012 Owner: Name: NGUYEN STEVE HUNG LIVING TR Address: 15668 W VALLEY HWY , TUKWILA WA Contact Person: Name: TRACI ADAMS Address: 1743 FIRST AV S , SEATTLE WA Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Address: 1743 1 AV S , SEATTLE WA Contractor License No: GUARDSS233K5 Phone: 206 - 331 -6206 Phone: 206 622 -6545 Expiration Date: 09/30/2012 DESCRIPTION OF WORK: INSTALL AES RADIO TRANSMITTER TO MONITOR THE EXISTING SECURITY SYSTEM (ADT SAFEWATCH PRO 3000) Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: 14 CIO— r-2- 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: Date: 12o 72 c)1 Print Name: 'TR_ A L 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 EL12 -0372 Printed: 04 -20 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0372 * *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 EL12 -0372 Printed: 04 -20 -2012 CITY OF TLIKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Isfle_4TiQN 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.: 000 5 9 COO Site Address: 1 S (O(o 8 LO a ST V A LL £y H w'4 Suite Number: Floor. Tenant Name: V A LL E N7 At- C. LA, N \ C New Tenant: ❑ Yes No Property Owners Name: LO? ST V A LL'f D a 17 A i- C- L A Val \ C Mailing Address: 1 S (a (p cc L.) a.T vim-Lc ' y H wY TV K W� Lr� W A 9 $ l 89) State Zip Name: T RF1C‘ RC) AMS Mailing Address: 171H FIRST Ave . S City Day Telephone: 2-0 Co ` 3 -3 -` G C (o S S_PCTV L C- w cl c/ City E - M a i l Address: £2`&4111 S ®9uz"r'd 2ctvSecvC'Ct.`, • CUM Fax Number: Zoo- 3 L// - 99ZAS State hp =trAtTRICAt 0.40N R 1CTOR R 'I' Company Name: 60 A 2201P. N 5 t=C-U Q T Y Mailing Address: 171-13 Ft R.. A V E S Contact Person: -TRA ct A OA n'‘S E -Mail Address:. t& z,d e-t rr. SCE C u z. cd t z+N Se_c_u • co t vl Contractor Registration Number. C. OAR SS 7_ 33 kS SEA '7TL E_ w la 9 813 4 City Day Telephone: ZC'� -331 _ (o .O (o Fax Number. fib' 3 41- Expiration Date: 1.3 O /ZC I Z State Zip Valuation of Project (contractor's bid price): $ Z SO Scope of Work (please provide detailed information): / A) 57jr LA- i ry Co A E%.' Atom t c -r Ca_ C O CYto•cv '-i -csc + t 9 Se c_:1•7.- try s y S'-e M C P D- 5 A F€ P Will service be altered? ❑ Yes $C No Adding more than 50 amps? ❑ Yes a No Type of Use: Type of work; ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement cLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light HAAppiiationaomu- ApplieationsOn Line 2010 Applir...tions:i -2D10 •!earid Pennii App6=600.d= bb 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 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. 1 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 ELEc..TRICAL CONTRACTOR: Signature: - /7/ \ Date: LI 1 9 ) ZQ 17 Print Name: - 1 -2Ae'` AOAM S Mailing Address: 17'-1 3 F t 2 S—r AV 1< S Day Telephone: S w (\ City Stele Zip Date Application Accepted: Date Application Expires: Staff Initials: Ii:VtpplicationsWorms- Applications On Lwe120I0 Applicatia,A7 -2010 • Electrical Permit Application.doe 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.: 0005800028 Permit Number: EL12 -0372 Address: 15668 WEST VALLEY HY TUKW Status: PENDING Suite No: Applied Date: 04/20/2012 Applicant: WEST VALLEY DENTAL CLINIC Issue Date: Receipt No.: R12 -01376 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 04/20/2012 09:58 AM Balance: $0.00 Payee: GUARDIAN SECURITY SYSTEMS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 102396 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 04 -20 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: +.V j\ �(j Type of Inspection: Address: 15607W - \V . Date Called: Special Instructions: (f Date Wanted:. 7 m p. Requester: Phone No: Approved per applicable codes. aCorrections required prior to approval. COMMENTS: -K\ Inspector: Date: Os f ' r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 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 GUARDIAN SECURITY SYSTEMS INC 2066226545 1743 1St Ave S Seattle WA 98134 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600189667 Active GUARDSS233K5 Electrical Contractor 5/25/1977 9/30/2012 Limited Energy Hvac /Rfrg Ltd Energy Master Electrician INFORMATION License CLOSEF'9730H Name CLOSE, FRANK A Status Active Business Owner Information Name Role Effective Date Expiration Date CLOSE, FRANKA Cancel Date 01/01/1980 Bond Amount DUNHAM, JOHN R 8 01/01/1980 72BSBFT5007 DWTREJ CORP Agent 11/05/2007 ELECTRICAL CITATION 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 8 HARTFORD FIRE INS CO 72BSBFT5007 06/11/2010 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0006/18/2010 $500.00 7 OHIO CAS INS CO 3 610 465 06/11/2003 Until Cancelled 09/02/2010 ECOXE00599 $4,000.00 06/16/2003 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 ESHA000351 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EMEHU03697 2/11/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 ENASE00306 1/26/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECOXE00599 1/9/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJEFS00344 9/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBRIC01293 6/26/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EJEFS00338 7/25/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EHRAL00418 12/5/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 04/20/2012