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Home My WebLink AboutPermit EL13-0372 - PUGET SOUND INTERVENTIONAL PAI - LOW VOLTAGEPUGET SOUND INTERVENTIONAL PAIN CLINIC 7200 S 180 ST EL1 3-0372 City olOI'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 ELECTRICAL PERMIT Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Project Name: PUGET SOUND INTERVENTIONAL PAIN CLINIC Permit Number: EL13-0372 Issue Date: 04/22/2013 Permit Expires On: 10/19/2013 Owner: Name: KHK INVESTMENT LLC Address: 26329 8TH AVE S , DES MOINES WA 98198 Contact Person: Name: HOWARD WILLIAMSON Phone: 206-937-3654 Address: 919 SW 150 ST, SUITE A , 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 Expiration Date: 03/31/2014 DESCRIPTION OF WORK: FIRE ALARM SYSTEM - RELOCATE 3 EACH EXISTING SMOKE DETECTORS, RELOCATE 2 EACH AUDIBLE/VISUAL DEVICES Value of Electrical: NRES: $3,083.00 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: $157.50 2008 Date: "1'd —13 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 the p ormance of wor I am uthorized to sign and obtain this electrical permit. Signature:... Date: "I f! 3 Print Name: 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 EL13-0372 Printed: 04-22-2013 • PERMIT CONDITIONS Permit No. EL13-0372 **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 EL13-0372 Printed: 04-22-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, IIA 98188 http:/w‘\ w."I'ukwilaWA.gov • Electrical Permit No. EL_\ 3 0 3 %� Project No. Date Application Accepted: 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 Site Address: Tenant Name: 7200 S. 180th. ST., Tukwila, WA 98188 Puget Sound Pain Center PROPERTY OWNER Name: Howard Williamson Name: KHK INVESTMENT LLC City: Burien State: WA Zip: 98166 Address: 7200 S. 180th. ST. Email: howardw@crelectric.net City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Howard Williamson Address: 919 SW 150th. St, Suite A City: Burien State: WA Zip: 98166 Phone: (206) 937-3654 Fax: (206) 932-8538 Email: howardw@crelectric.net King Co Assessor's Tax No.: 362304-9013 Suite Number: #4 Floor: New Tenant: 0 Yes j..No ELECTRICAL CONTRACTOR INFORMATION Company Name: C & R Electric, Inc. Address: 919 SW 150th. St, Suite A City: Burien State: WA Zip: 98166 Phone: (206) 937-3654 Fax: (206) 932-8538 Contr Reg No.: CRELEI*415DW Exp Date: 03/31/2014 Tukwila Business License No.: BUS -0993612 Valuation of Project (contractor's bid price): $ 3,083 Scope of Work (please provide detailed information): Fire Alarm System - Relocate 3 EA Existing Smoke Detectors, Relocate 2 EA AudibleNisual Devices Will service be altered? ❑ Yes l No Adding more than 50 amps? 0 Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement O Low Voltage ❑ Generator 12:1 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: • Puget Sound Energy 0 Seattle City Light H:\Applications\Forret-Applications On Lme\2011 Applications Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 p • • 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) O 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: Wc►�a Date: 04/22/2013 Print Name: Howard Williamson Mailing Address: 919 SW 150th. St, Suite A Day Telephone: (206) 937-3654 Burien WA 98166 City H:\Applications\Forms-Applications On Line\201 l Applications\Electncal Permit Application Revised 8-9-11.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 RECEIPT Parcel No.: 3623049013 Permit Number: EL13-0372 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 04/22/2013 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date: Receipt No.: R13-01387 Initials: WER User ID: 1655 Payment Amount: $157.50 Payment Date: 04/22/2013 02:06 PM Balance: $0.00 Payee: C & R ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 35737 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 A....• oe..e;s Aa PriMarl • Ad -99-9A14 3 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 64412, Project tAer W-1ki Type of Inspection: Z(4°O Address:�o 5 ^ NO C�,• Date Called: Special Ins ructions: f pc,, Date Wanted:.. , . %� "gym: . m. Requester: Phone No: Approved per applicable codes. Corrections requiredprior to approval. COMMENTS: 0 tr// Inspector: "'"7 64iftS, Date: nn U 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 Na PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300.Southcenter.Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 CM/S-D37z Project j 1-1/4 (:T. SolAil) PPM Type of Inspection: "c-/►DJ5 Ppg2 Gr►a'\iS 1-v0)f Address:Date Called: KQJu14 11\1 ea1a if Special Instructions: .. . _:- Date Wanted:. 543 a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. �—* COMMENTS: "c-/►DJ5 Ppg2 Gr►a'\iS 1-v0)f i r/ i '11- - ebwAii) cavei KQJu14 11\1 ea1a if i\ID 6 : . _ c -1 lk-P r+e4 mac--PA--rir r APPLDVAL. Inspector: 'Nir -" ��/ /61 if 1 Date: i9.5 -I/0 ,3 0 J REINSPECTION FEE REQUIRE. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD �_®��r� (. . 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 InspectionRequest Line (206) 431-2451 I` Project: •,, slier 56� VA-11\11We of Inspection: 2/00 Address:Date Called: Special Instructions: Date Wanted:. y- y (96.- m, p.m. Requester: • Phone No: Approved per applicable codes. pCorrections required prior to approval. COMMENTS: b6110 1240t i Fk fturir14 44) &I -? '5 L43r z L fn+ sig' r A-41.1 c Ards t r. // Date: .051,02_16 3 t Nidi. �. n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Contractors or Tradespeople liter 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 7/2/2008 GARTIN, MARC S ELECTRICAL CITATION 01/01/1980 $250.00 GARTIN, REVA M 9/26/2008 01/01/1980 ELECTRICAL CITATION HECKER & FIELBERG PS Agent 01/26/1979 8/28/2009 Bond Information Page 1 of 1 Bond 2 Bond Company Name Bond Account Number CBIC 618511 Effective Date 05/29/1986 Expiration Date Cancel Date Impaired Date Bond Amount Received Date 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 EJONV00753 7/2/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EKNUM00210 9/26/2008 19.28.271 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 httns://fortress.wa.i?ov/lni/bbip/Print.aspx 04/22/2013