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Home My WebLink AboutPermit EL13-0364 - SOUND ORTHORDONTICS - TENANT IMPROVEMENT This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL13-0364 Sound Orthodontics 411 Strander Blvd DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those Social Security Numbers 5 U.S.C. sec. individuals’ privacy pursuant to 5 U.S.C. sec. DR1 Generally – 5 U.S.C. sec. 552(a); RCW 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington 552(a); RCW 42.56.070(1) State Public Records Act, which exempts under 42.56.070(1) the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW 11 DR2 Financial Information – account numbers, which are exempt from 42.56.230(5) disclosure pursuant to RCW 42.56.230(5) RCW 42.56.230(4 5) , except when disclosure is expressly required by or governed by other law. SOUND ORTHODONTICS 411 STRANDER BL EL1 3-0364 City oleI'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.Tukw ila WA .gov Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Project Name: SOUND ORTHORDONTICS ELECTRICAL PERMIT Permit Number: EL13-0364 Issue Date: 05/20/2013 Permit Expires On: 11/16/2013 Owner: Name: MEDICAL CENTERS CO LLC Address: 411 STRANDER BLVD STE 108 , TUKWILA WA 98188 Contact Person: Name: RICHARD SINNEMA Address: PO BOX 1268 , CARNATION WA, 98014 Contractor: Name: HEATTRANSFER CO Address: P 0 BOX 1268 , CARNATION WA 98014 Contractor License No: HEATTC*009DA Phone: 425 885-3247 Phone: 425-885-3247 Expiration Date: 05/30/2014 DESCRIPTION OF WORK: INSTALL AND RELOCATE THERMOSTATS FOR TI Value of Electrical: NRES: $600.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Fees Collected: National Electrical Code Edition: $79.80 2008 Permit Center Authorized Signature: Date: S-- 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: —� ��` -� 6 Date: /3 Print Name: This permit shall become null and void if the work is nht 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 EL13-0364 Printed: 05-20-2013 PERMIT CONDITIONS Permit No. EL13-0364 **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 EL13-0364 Printed: 05-20-2013 CITY OF TUI Community Developmef Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.ggov Electrical Pe.t No: __ _U(22— Project U Project No: Date Application Accepted: A,_ Date Application Expires:- -_-- Q (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 Address: '"1 I I �1t"U 0, t I V 17 King Co Assessor's Tax No.: 0 ZZ3 ZoeoS z -- Tenant Tenant Name: 50V V/„, 04-1,00wic5 Suite Number: 10z -- PROPERTY 0Z PROPERTY OWNER -. Name: / 1i. It c.((/j I y f,Q9 / l/ . V Address: 1.4 if (1,0, ,,s �, h t,/X , U City: tUI� wt G "L State: (� (j Zip: �,D ( 71 CONTACT PERSON — person receiving all project communication .,/ UD1_____ Name: 12.I c f.i A .) ' p,f— _ to 144 Address: ® 0, be O x I Z 6 g City:Cq to,fir �0 State: ///4. Zip: ofL.J _ �!5�.c Phone: /4Z ..A��J6g- Zrr4 ax: Lam( 17_-3,Jot- Email: �tY 1 fit." d1 � . / .Pf/ 1-6/41 Floor: New Tenant: "J Yes 0..No ELECTRICAL CONTRACTOR INFORMATION .. . Company Name: flYt p 4 ('F i CO Address: pi, i 0 ho x ;7i 6 s City:c State: Zi Gy, 0 4t l o� vvpl go or Phone: 1,(7i%-gg5•5 (,ty Fax: z-- ”.... /l 5/ Contr Reg No.: ET Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ,„11ti // /IZt/A7e `i -Re io52`RI`S P&A Will service be altered? ❑ Yes No Type of Use: 7 .fY t _ d fF . C -9 Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2011 Apphcations\Electncal Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh ❑ Remodel O Telecommunication O Tenant Improvement O Temporary Service Page I 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: Print Name. Mailing Address: 1) cfi o1Z 5 M mvi J - Date: 0 — i q / 3 Day Telephone: 3 ('/" D< doh l b g ��:�7,'0� w,4 T DII- v z 6 b City State H \Apphcatmns\Forms-Applications On Line \201 I Apphcat ons\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh Zip Page 2 of 2 • J��1�Q wq 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 Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: Applicant: SOUND ORTHORDONTICS RECEIPT • Permit Number: EL13-0364 Status: APPROVED Applied Date: 04/19/2013 Issue Date: Receipt No.: R13-01676 Payment Amount: $79.80 Initials: WER Payment Date: 05/20/2013 01:47 PM User ID: 1655 Balance: $0.00 Payee: THOMAS MCCLOSKEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 031447 ACCOUNT ITEM LIST: Description 79.80 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 79.80 Total: $79.80 Printad• 05_90_913 3 INSPECTION RECORD 63_0%4 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 a Project: s)/J>Qc Type of Inspection: C a n Address: Ili1 S f Date Called: Special Instructions: -r 51-A1-5 Date Wanted: Requester: Phone No: 4•-=i Approved per applicable codes. Corrections required prior to approval. COMMENTS: 17? AL, Inspector: Date: 00 ( 3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 7( 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: ��,P Ukil� _ c Type of Inspection: 4( 00 Address:�( �C� i_ _ „ 19 rWr Date Called: Special Instructions: Tom sivYr5 Date Wanted: a 6:;-; p.m. Requester: Phone No: QApproved per applicable codes. Corrections required prior to approval. COMMENTS: 0 J 6 Inspector:, /1 Date: 64480 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit Project: 5,tiType ratait3 of Inspection: 2140:7 -.2 . Address:'� �� Called: Special Instructions: Date Wanted:. cDate iZ� e p.. Requester: Phone No: LTJ Approved per applicable codes. El Corrections required prior to approval. 1 COMMENTS: f ;/JLv — 30C\A i Inspector: '�'fri ". d ec Date: 3 n 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 L8I 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 HEATTRANSFER CO 4258853247 Po Box 1268 Carnation WA 980141268 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600353193 Active HEATTC*009DA Electrical Contractor 3/1/2000 5/30/2014 Hvac/Rfrg Ltd Energy Unused Electrical Administrator INFORMATION License MCCLOT*003UA Name MCCLOSKEY, THOMAS Status Active Business Owner Information Name Role Effective Date Expiration Date MCCLOSKEY, THOMAS 01/01/1980 MCCLOSKEY, GRACE 01/01/1980 MCCLOSKEY, THOMAS Agent 01/01/1980 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 2/24/2000 Until Released Bond $4,000.00 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 ECHIR00535 8/31/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbip/Print.aspx 05/20/2013