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Home My WebLink AboutPermit EL12-0953 - JS DENTAL CLINICJS DENTAL CLINIC 327 TUKWILA PY EL1 2-0953 City oflltukwila 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.: 0223000010 Address: 327 TUKWILA PY TUKW Project Name: JS DENTAL CLINIC ELECTRICAL PERMIT Permit Number: EL12 -0953 Issue Date: 10/09/2012 Permit Expires On: 04/07/2013 Owner: Name: BETA HOLDINGS LTD Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011 Contact Person: Name: C & R ELECTRIC Address: 919 SW 150 ST , BURIEN WA , 98166 Contractor: Name: C & R ELECTRIC INC. Address: 919 SW 150 ST , SEATTLE WA 98166 Contractor License No: CRELEI *415DW Phone: 206 - 937 -3654 Phone: 206 937 -3654 Expiration Date: 03/31/2014 DESCRIPTION OF WORK: MODIFICATION TO EXISTING ADDRESSABLE SILENT KNIGHT 5808 FIRE SYSTEM (ADDING (2) HORN - STROBES, (6) STOBES & (1) PULL STATION. Value of Electrical: NRES: $2,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Fees Collected: National Electrical Code Edition: Permit Center Authorized Signature. i Ai AV �1 _ f _ Date: I hereby certify that I have read and exa ne his 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. $115.50 2008 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:0QAU Date: (6 /C0 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 -0953 Printed: 10 -09 -2012 0 • PERMIT CONDITIONS Permit No. EL12 -0953 * *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 -0953 Printed: 10 -09 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit Project No:., Date Application Accepted Date Application Expires; or 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: 327 Tukwila Pkwy; Tukwila, WA 98188 JS Dental Clinic PROPERTY OWNER Name: G 8. l E( �lJ1ry . Address: ql9 ;1 04 54-. City: (�„"1 \ , �� State: ujpc Zip: Qg''1� Name: e ,��, r l Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: G 8. l E( �lJ1ry . Address: ql9 ;1 04 54-. City: (�„"1 \ , �� State: ujpc Zip: Qg''1� Phone:9_Q ;? (o� Fax: - t -RS jto Email: _Q �a.44'L'rfDC rtL1.2._e_A -Y,L (_. pik.02T King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: Di. Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: C &R Electric, Inc. Address: 919 SW 150th St. #A City: Burien State: WA Zip: 98166 Phone: (206) 937 -3654 Fax: (206) 932 -8538 Contr Reg No.: CRELEI *415DW Exp Date: Tukwila Business License No.: BUS - 0993612 Valuation of Project (contractor's bid price): $ -4379;2, CO Q Scope of Work (please provide detailed information): Modifications To Existing Addressable Silent Knight 5808 Fire System (Adding 2 Horn- Strobes, 6 Strobes & 1 Pull Station) Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement m Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:\ Applications \Forms- Applications On Line\2011 Applkations\Electrtcal Permit Application Revised 8 -9 -I Ldocx Revised: August 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 - 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: 1- Date: (O P Print Name: Andrew R. Earle Day Telephone: (206) 920 -4321 Mailing Address: 919 SW 150th St. #A Burien WA 98166 City H. \ApplicationsTorms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -I Ldocx Revised: August 2011 bh State Zip Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0223000010 Address: 327 TUKWILA PY TUKW Suite No: Applicant: JS DENTAL CLINIC RECEIPT Permit Number: EL12 -0953 Status: APPROVED Applied Date: 10/09/2012 Issue Date: Receipt No.: R12 -02812 Initials: TLS User ID: 1670 Payment Amount: $115.50 Payment Date: 10/09/2012 01:30 PM Balance: $0.00 Payee: C & R ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 34802 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: 10 -09 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0.. CITY OF TUKWILA BUILDING- DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �� b& Type of Inspection: too Address i7 1VI p e Date Called: Special Instructions: Date Wanted: am Requester: Phone No: yiApproved per applicable codes. COMMENTS: Corrections required prior to. approval. /4 Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection, 'fee -mustbe paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:: - INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection :;. Address: 317 lliL n) �✓y1 ! Date Called: - - Special Instructions: Date Wanted a: m. Requester: t .= Phone No: 0 Approved per applicable codes. COMMENTS: t c OCorrections required prior to approval. /n'ti 00 k(-c kni D 92-0 t . - • T 5 r 11 Inspector: Date:: n REINSPECTION FEE REQUIRED. Prior to next inspection;' fee: must :be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. INSPECTION RECORD Retain a copy with permit INSPECTION NO. 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 B Project: bap", Type of Inspection: 7003 Address: Date Called: \ Special Instructions: 2 .f %d Date Wanted:. a. . .. Requester: Phone No: nnApproved per applicable codes. El Corrections required prior to approval. T:. COMMENTS: OUto-f (A) r � Date: l r REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: ti 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 -3670 Permit Inspection Request Line (206) 431 -2451 (tAZ-DK3 Project: 5 ttio-A-L., Type of Inspection: Lip Address: 3Z1 A— N • Date Called: Special Instructions: Date Wanted:. r O f L 4.1.rk. Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: (hilau,69 do Pik( 1)0n-k7rj c\/7' AA ak/M.- Inspector: K n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: (O /fl. Contractors or Tradespeople Prer Friendly Page Electrical Contractor A business licensed by L &I 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 C & R ELECTRIC INC UBI No. 600316021 Phone 2069373654 Status Active Address 919 Sw 150Th St #A License No. ' CRELEI'415DW Suite /Apt. License Type Electrical Contractor City Burien Effective Date 3/16/1959 State WA Expiration Date 3/31/2014 Zip 98166 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Master Electrician INFORMATION License GARTIW'9730W Name GARTIN, WAYNE Status Active Business Owner Information Name Role Effective Date Expiration Date GARTIN, CECIL W Violation Amount 01/01/1980 9/26/2008 GARTIN, MARC 5 ELECTRICAL CITATION 01/01/1980 $250.00 GARTIN, REVA M 7/2/2008 01/01/1980 ELECTRICAL CITATION HECKER & FIELBERG PS Agent 01/26/1979 8/28/2009 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 CBIC 618511 05/29/1986 Until Cancelled $4,000.00 05/29/1986 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 EKNUM00210 9/26/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV00753 7/2/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EULMD00333 8/28/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECOXE00557 10/21/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 10/09/2012