The URL can be used to link to this page

Home My WebLink AboutPermit EL13-0371 - TAHOMA CLINIC - REMODELTAHOMA CLINIC 6835 FORT DENT WY EL1 3-0371 City oftukwila • 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.: 2954900445 Address: 6835 FORT DENT WY TUKW Project Name: TAHOMA CLINIC ELECTRICAL PERMIT Permit Number: EL13-0371 Issue Date: 04/22/2013 Permit Expires On: 10/19/2013 Owner: Name: FORT DENT WAY LLC Address: 801 SW 16TH ST #121 , RENTON WA 98057 Contact Person: Name: ALEX GOODWIN Address: 606 EAST ,MAIN ST, SUITE CI , PUYALLUP WA, 98372 Contractor: Name: FAR WEST TECHNOLOGIES, INC Address: 12914 144 ST E , PUYALLUP WA 98374 Contractor License No: FARWEWT898MJ Phone: 253-230-2618 Phone: 253 549-3423 Expiration Date: 08/01/2013 DESCRIPTION OF WORK: INSTALL 64 OUTLETS ON FIRST FLOOR, 89 ON SECOND FLOOR, CAT5E PLENUM, ALL TERMINATED WITHIN SECOND FLOOR SERVER ROOM ON CAT5E PATCH PANELS. Value of Electrical: NRES: $20,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $436.50 2008 Date: l_f)''{ 3 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 th erformance ork. I am authorized to sign and obtain this electrical permit. Signature: Date: Print Name: Al e7oec)u)e--) 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 EL13-0371 Printed: 04-22-2013 • • PERMIT CONDITIONS Permit No. EL13-0371 **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 EL13-0371 Printed: 04-22-2013 CITY OF TUKWal Community DevelopmeliFDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pe•t No. - J �"'`-- . G 1_J Project No. Date Application Accepted: Date Application Expires - .. (For once 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: 6 3 ! s rzT h -' 'TMI King Co Assessor's Tax No.: isr>< Suite Number: 2N o Tenant Name: T0.haww m d i\c,J C,NtC PROPERTY OWNER- Company Name: r�� c�c.sT ;EcMNoi_v(.7/t s Name: A!2,„ (766eiw�rj Name: Address: 66co CAST MAIN 5101TECI Contr Reg No.: Exp Date: Address: 2 Fax: Phone:25-3- Z30 -206 City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name: r�� c�c.sT ;EcMNoi_v(.7/t s Name: A!2,„ (766eiw�rj City: pti a ((up State: WA Zip: q 8372 Address: 66co CAST MAIN 5101TECI Contr Reg No.: Exp Date: City: Pt) �a ll v i, State: GJA. Zip: 7 2 Fax: Phone:25-3- Z30 -206 Email: PI( ex t7 �Ti4 IV e s F leek,oc (61; c 3 . d 6 t^ -L New Tenant: Floor: / Sr* Z,, Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Valuation Company Name: r�� c�c.sT ;EcMNoi_v(.7/t s Address: 6 o 6 6A -ST tmA 0 jSO IT 4_- T. C Z City: pti a ((up State: WA Zip: q 8372 Phone: c3 _ 35-C_ I CzsSax: Z Contr Reg No.: Exp Date: Tukwila Business License No.; FA W Em Ts 18/443- 8wiJ Valuation of Project (contractor's bid price): $ G 0 ®9 r, Scope of Work (please provide detailed information): 644 d L)+( e+S e,-) V` rs F \i o u t- Sec�N� .1t9d/'. CAS ce_ P(e,Juiti A(I Terwit: f't) Wit-n:e,c-r SerJer pet. -1-1,k Parr -f 3 Will service be altered? ❑ Yes Bv�w.UNtC�i-.dpJs Type of Use: No Adding more than 50 amps? ❑ Yes ES No Type of work: O New 0 Addition 0 Service Change ® Low Voltage ❑ Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 0 Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service 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: ae Date: g/727/3 Print Name: A Day Telephone: 3 23o- 2616 Mailing Address: 667'9 6-45T A -IN 5-UiTe c. {�vy�(lo C(}A 9,q37( City H \ Applications \Forms -Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I docx 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: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 2954900445 Address: 6835 FORT DENT WY TUKW Suite No: Applicant: TAHOMA CLINIC RECEIPT Permit Number: EL13-0371 Status: PENDING Applied Date: 04/22/2013 Issue Date: Receipt No.: R13-01378 Initials: WER User ID: 1655 Payment Amount: $436.50 Payment Date: 04/22/2013 10:41 AM Balance: $0.00 Payee: ALEX GOODWIN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 01194S ACCOUNT ITEM LIST: Description 436.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 436.50 Total: $436.50 D.inled• AA 77 OMQ INSPECTION RECORD Retain a copy with permit -6143 31 1 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: �� N«i Type of Inspection: Address: 683 Fr. - Date Called: ,� Special Instructions: Date Wanted:31 a:m: Requester: Phone No: Approved per applicable codes. EJ Corrections required prior to approval. /COMMENTS: 4r. Inspector: r Date: Date: 07 3I 13 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 • 7/i PERMIT NO. Project: _ —j' !/," Jir",'1;•.3 Type of Inspection: yL y ~ Address: i-e^:Yi7);-..'- Date Called: Special Instructions: A- i /A Date Wanted:. /-- /, /, 3 a.m. p.m. Requester: Phone No: J Approved per applicable codes. Corrections required prior to approval. COMMENTS: G9I C 11<:)1.(4-r t . _),j Vii.f'l,061 ir_- yL y ~ Inspector: ••/ /: 7eV ;. i ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: -, ,/•13 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 It- 643- a31 Project 4 ,1 / C/ �� Ilff614l�( Type of Inspection: 7003 Address: `43� ((�r_ Date Called: Special Instructions: /r /(L Date Wanted: XJ � � XJ p.m. Requester: Phone No: ElApproved per applicable codes. 1J Corrections required prior to approval. COMMENTS: Y7A if5r- kcie. CapA) Inspector: Date: 6411,113 ,,w 13 REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter 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 Phone Address Suite/Apt. City State Zip County Business Type Parent Company FAR WEST TECHNOLOGIES,INC 2535493423 12914 144Th St E Puyallup WA 98374 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603118666 Active FARWEWT898MJ Electrical Contractor 8/1/2011 8/1/2013 Limited Energy Unused Electrical Administrator INFORMATION License FONTATC895ME Name FONTAINE, TODD C Status Active Business Owner Information Name Role Effective Date Expiration Date RAMIREZ, PABLO Agent 07/11/2011 Bond Amount APFEL, STEVE BRADLEY President 07/11/2011 46WB001131 RAMIREZ, PABLO ANTONIO Secretary 07/11/2011 RAMIREZ, PABLO ANTONIO Treasurer 07/11/2011 Contractors Bonding & Insurance Co FONTAINE, TODD CHRISTIAN Vice President 07/11/2011 08/16/2012 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 Wesco Insurance Co 46WB001131 07/31/2012 Until Cancelled $4,000.0007/19/2012 1 Contractors Bonding & Insurance Co SJ2520 08/01/2011 Until Cancelled 08/16/2012 $4,000.0007/11/2011 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 No records found for the previous 6 year period httns://fortress.wa.gov/lni/bbip/Print.aspx 04/22/2013