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Home My WebLink AboutPermit EL13-0301 - SEATTLE PAIN CENTER - REMODELSEATTLE PAIN CENTER 7200 S 180 ST EXPIRED 11-24-13 EL1 3-0301 City afi'I'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 Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Project Name: SEATTLE PAIN CENTER ELECTRICAL PERMIT Permit Number: EL13-0301 Issue Date: 03/27/2013 Permit Expires On: 09/23/2013 Owner: Name: KHK INVESTMENT LLC Address: 26329 8TH AVE S , DES MOINES WA 98198 Contact Person: Name: DANI OMASICH Address: 825 S STACY ST , SEATTLE WA, 98134 Contractor: Name: AS YOU WISH ELECTRIC Address: 825 S STACY ST , SEATTLE WA 98134 Contractor License No: ASYOUYW925NM Phone: 206 783-2525 Phone: 206-391-6414 Expiration Date: 08/08/2014 DESCRIPTION OF WORK: INSTALLATION OF (14) 120V/20AMP CIRCUITS TO (35) DEVICES IN PHARMACY LAB Value of Electrical: NRES: $5,843.00 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: Date: $195.70 2008 I hereby certify that I have read and ex: n: 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, ether specified herein or not. The granting of this permit does not pres 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: U J— 2 (- 1 5 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 EL13-0301 Printed: 03-27-2013 • PERMIT CONDITIONS Permit No. EL13-0301 **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 EL13-0301 Printed: 03-27-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. EL_k'7.7(P)%1 Project No. Date Application Accepted: VJI ri 3 Date Application Expires: (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 '12_0 0 c 12) �-}'ti c� , t�n 1 C2 1-22Y-1 -1 O pp �� n Suite Number: ) D 2._ Floor: Tenant Name: S'ea.--i—�.e 1'&I' 1 IJL��—Q 1` New Tenant: 14 Yes ❑..No 1 (� King Co Assessor's Tax No.: Site Address: -1 1O () SV V Q� PROPERTY OWNER Company Name: 5' JD � W ('►n Ell o}-{) UGS-Lt U ► 1rp Name: Sean_ Q. •" ( $ --Q g_ Address: 72_00 61 01N 31- #-102- City: j 0) + State: �U Zip: 61,6 b CONTACT PERSON — person receiving all project communication Company Name: 5' JD � W ('►n Ell o}-{) UGS-Lt U ► 1rp Name:'Pc I% \' DI I l u.sl (y-) City: �.;D0 .4 r, State: i)f Zip: Qi f� 1< V �• Address: rbiS J5.1-a_is--- -- Jl Contr Reg No.:/y0d74 ,Exp Date: Q 9, j) L City: (`��-�-(n State: \AZip: (1 0 133 Phone: -2.P' SZS Fax: Z— kQ Z le mail:A .O L"" 401k 110\ St' CLQ L1 ELECTRICAL CONTRACTOR INFORMATION Company Name: 5' JD � W ('►n Ell o}-{) UGS-Lt U ► 1rp Address: Q �L�i%7 5 al City: �.;D0 .4 r, State: i)f Zip: Qi f� 1< V �• Phone: —2-0�V2.0A Fax: '�O%-9 to Z L5 / LD 2-1 Li) Contr Reg No.:/y0d74 ,Exp Date: Q 9, j) L Tukwila Business License No.: R`7Vi ' rr`�--1 b ot p''5'`,I l Le C'CoV' L Valuation of Project (contractor's bid price): $ S () u1 Scope of Work (please provide detailed information): OA Zoe Zo w (�� e &WI -5 u l CQ S Will service be altered? ❑Yeess Ngo, A `, Adding more than 50 amps? ❑ Yes No Type of Use: Ci) (,LType of work: J ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: 36 Puget Sound Energy ❑ Seattle City Light II:\Applications\Forms-Applications On I. nc\2011 Apphcalions\Electrical Permit Application Revised 8.9-1 I docx 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 TIIIS 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 OW R OR ELECT L CONTRACTOR: Signature: Print Name: 1 icy) • r a -S i A Day Telephone: Mailing Address: (a Z5 SHO_cj Sri- j A j ft City H \Apphcations`Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh Date: 2:1 ' aaJ2 v .ZS -ZS \AA oud5Lii State Zip Page 2 of 2 • • CCity 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.: 3623049013 Address: 7200 S 180 ST TUKW Suite No: Applicant: SEATTLE PAIN CENTER RECEIPT Permit Number: EL13-0301 Status: PENDING Applied Date: 03/27/2013 Issue Date: Receipt No.: R13-01142 Initials: JEM User ID: 1165 Payment Amount: $195.70 Payment Date: 03/27/2013 12:19 PM Balance: $0.00 Payee: LIVE WIRE ENTERPRISES, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3370 195.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 195.70 Total: $195.70 rinn• Denning 11C: Drinfnd• AZ_97_)A1 615-6301 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 Project: 504Al Type of Inspection: A Address: ye)Date Called: Special Instructions: Date Wanted:. s Z' �m. Requester: Phone No: DApproved per applicable codes. Corrections required prior to approval. COMMENTS: ger-c-P-rAct LJrnf to F661— cc Sri ieEEJ t S 6r -c-1 Inspector: Date: dui/ t 1 I I 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. -05.) CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 sg_ (206) 431-3670 .Permit Inspection Request Line (206) 431-2451 Project:5(kAilik Pfri All Type of Inspection: 712,5 Address: 5, 170 5r. Date Called: " Special. Instructions: Date Wanted:. , `/� ry/ (� Ca rx+= p.m. Requester: Phone No: NApproved per applicable codes. COMMENTS: , Corrections required prior to approval. v K v Ciu4k Corn - 14 eptiner6- r 1 t Date: ilincli3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: r 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 Project, �� +C,� Type of Inspection: X0.5 , Address: 72..o..` /�d S . J i Date Called: Special Instructions: Date Wanted:. L/ D ( / CA to me p.m. Requester: Phone No: . 0 Approved per applicable codes. 11 Corrections required prior to approval. COMMENTS: \--0—)A, ril , ri yi_K. - rAmliv eoti& 0414 -Do (1D1 -1-11, a1LAARA Tb cods - Inspector: /1 Date: /AliU7 ( /I2 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 10-01-2013 DANI OMASICH 825 S STACY ST SEATTLE WA 98134 • City of Tukwila Jim Hcrggerlon, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL13-0301 SEATTLE 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 11/24/2013. 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 fmal 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 11/24/2013, 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, --3>b0 Bill Rambo Permit Technician File: Permit File No. EL13-0301 6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fwc 206-431-3665 Contractors or Tradespeople fitter Friendly Page • Electrical Contractor A business licensed by Lal 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 AS YOU WISH ELECTRIC 2067832525 825 S Stacy St Seattle WA 98134 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602700559 Active ASYOUYW925NM Electrical Contractor 8/8/2008 8/8/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ASYOUYW933KH AS YOU WISH ELECTRIC Electrical Contractor Residential Unused 5/8/2007 5/8/2009 Expired Electrical Administrator INFORMATION License MONCRS*922M5 Name MONCRIEF, SEAN Status Active Business Owner Information Name Role Effective Date Expiration Date MONCRIEF, SEAN P Agent 08/14/2008 Bond Amount PORTER, MICHAEL Partner/Member 08/14/2008 SJ5484 MONCRIEF, SEAN P Partner/Member 08/14/2008 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 2 Contractors Bonding Ft Insurance Co SJ5484 04/03/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0003/29/2012 $250.00 1 FIRE INS CO 45BSBEM6650 45BSBEM6650 04/03/2007 Until Cancelled $250.00 $4,000.0005/10/2007 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 Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ELEIS00355 4/26/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 ELEI500357 4/26/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEHU03622 11/9/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbin/Print.asnx 03/27/2013