HomeMy WebLinkAboutPermit EL13-0548 - SOUND ORTHODONTICS - REMODELSOUND ORTHODONTICS
411 STRANDER BL
EL1 3-0548
City oifukwila
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 TUICW
Project Name: SOUND ORTHODONTICS
ELECTRICAL PERMIT
Permit Number: EL13-0548
Issue Date: 06/05/2013
Permit Expires On: 12/02/2013
Owner:
Name: MEDICAL CENTERS CO LLC
Address: 411 STRANDER BLVD STE 108 , TUKWILA WA 98188
Contact Person:
Name: ERIK YURKANIN
Address: 900 FIRST AV S, SUITE 208 , SEATTLE WA, 98134
Contractor:
Name: MAX TECHNOLOGIES LLC
Address: 900 FIRST ST, SUITE 3208 , SEATTLE WA 98134
Contractor License No: MAXTETL904MN
Phone: 206-664-7025
Phone: 206-682-2887
Expiration Date: 08/01/2014
DESCRIPTION OF WORK:
INSTALL 7 SINGLE DROPS, 10 DUAL DROPS, SPEAKER WIRING & AUDIO INSTALLATION,
VISUAL. POSSIBLE SECURITY
Value of Electrical: NRES: $5,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Fees Collected:
National Electrical Code Edition:
$178.50
2008
Permit Center Authorized Signature: Date: 1.0 _ 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 or ormance of work. I ant authorized to sign and obtain this electrical permit.
Signature:
Date: 4/6/201 Tj
Print Name: 41 I �Q(J -
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
EL13-0548 Printed: 06-05-2013
• PERMIT CONDITIONS •
Permit No. EL13-0548
**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
EL13-0548 Printed: 06-05-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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 Address: 41. \ Ul IG AND617,LUD
Tenant Name: vJ ()UM t7 (.S
King Co Assessor's Tax No.:
Suite Number: 10... Floor: 1
PROPERTY OWNER
Name:
BOO J CNt1 2oc- ioMA1_, PLA2A
Address: 4t � cpiteikvo ;t 7\ tj
City: TuyAA/ uet
State: W/A Zip: /I lye
CONTACT PERSON — person receiving all project
communication
I
Name: `alt(- \ `IUZ-,,,,,NtI,1
7�
Address: Clopt 5T AVE 5, Cd U IR t ( D
City:0eAl State: \nM g(L�
�`Zip:
Gt
Phone: o_ Uua 1cl5 Fax: 'LLJu-10 '$l— t2ti)
Email: ey1/1 i1(�, .Ill i 1 & il(iooktktec ea lu to . con'
New Tenant: Ix Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION`
Company Name: Mix. 1Nowat s
Address: Cl(�o t 1-- Y�1 S t sut. 2
1'C
City: o at. p State: wpt Zip: qbj `bi
Phone: 2uu...,,u n 2b51 Fax: 'J0,II_ (Jo YjZ—tZl8
Contr Reg No.: t, -ucto4F�xp Date: O 1 t 114 14
������11
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ l 60 0 . b b
Scope of Work (please provide detailed information):
1 fotNctie pops, to Dint. DSPs t `Dpe et V41421N61 PruDtD
v ISUP(1. , Pc t FhLe 6ectletq
Will service be altered'? ❑ Yes X No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served bv:
❑ Puget Sound Energy 511Seattle City Light
11 \Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9.11 docx
Rev iced August 2011
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❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
O 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
O Temporary service (residential) $63.00
O Temporary service (generator) $78.75
O Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O Carnivals $78.75
Number of concessions $10.50 ea
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.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER Ol ' ECT • IC CONTRACTOR:
Signature:
Print Name: VO
Mailing Address:
BSN
ave Is-` P St Sutra
H \Applications\Forms-Applications On Line \2011 Applications\Electrical Perna' Application Re, iced 8.0-11 docx
Revised August 2011
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Date:
Day Telephone: ZU JI —U 5t 2,M1
Stecrn,t-
City
\'/v.1/ fit. a fii
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.: 0223200052
Address: 411 STRANDER BL TUKW
Suite No:
Applicant: SOUND ORTHODONTICS
RECEIPT
Permit Number: EL13-0548
Status: PENDING
Applied Date: 06/05/2013
Issue Date:
Receipt No.: R13-01816
Payment Amount: $178.50
Initials: WER Payment Date: 06/05/2013 12:30 PM
User ID: 1655 Balance: $0.00
Payee: MAX TECHNOLOGIES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1331 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
Printati• na_nS_7m1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDINGDIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ~� (206) 431-3670
Permit Inspection Request Line (206) 431-2451
It—
Project:
Type of Inspection:
�l 00
�;�
J
Address: 0 s
Date Called:
Special Instructions:
Date Wanted:
p.m.
VIa.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. 4
COMMENTS:
aDRKC&FloPis m#416
Inspector:
fie&
Date:%U
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
Permit Inspection Request Line (206) 431-2451
9.— (206) 431-3670
Project:
4 0040
Type of Inspection:
/Ute
Address: r%(�t�
litSpecial
Date Called:
Instructions:
/
Date Wanted:az_p.m.
a.m
Requester:
,
Phone No:
Approved per applicable codes.
Corrections required -prior to approval.
COMMENTS:
-5050(C. ,sv(PoQr %,(-6)J11.61> f o
SP 4 5
i6 L/POsr(d CA -65 ibEtt)
Inspector:
Date:
(4(04,3
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 BUILDINGDIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 rL. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
6,6 -Mg
Project:
toento
Type of Inspection:
Dae Called:
Address: (n sc - r^",
Special Instructions:
L -IRequester:
Date Wanted:
6
a.
....p.m.
Phone No:
0 Approved per applicable codes.
t_.J Corrections required prior to approval. ..
COMMENTS:
0
,/
A'St
Date: 0003
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
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Mos
PERMIT" NO.
. (206) 431-3670
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
124
Project:
4,0 t
Type of Inspection:
�
5
Address: ll 3
be... /�
Date Called:
Special Instructions:...„ -
i -Ai
Date Wanted:
6
p.m.
Requester:
Phone No:
LjApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
) /
IU 1 - Gl i/tAi i C0/67
ROLA ,t‘l6914
Inspector:
6.1c,
Date: ix,/ /r3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prier 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
MAX TECHNOLOGIES LLC
2066822887
900 1St Ave S Suite 208
Seattle
WA
98134
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603000191
Active
MAXTETL904MN
Electrical Contractor
7/26/2010
8/1/2014
Limited Energy
Unused
Electrical Administrator INFORMATION
License YURKAEA901L5
Name YURKANIN, ERIK A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, ROBERT
Agent
07/13/2010
BROWN, ROBERT
Partner/Member
07/13/2010
SIGGARD, JEFFREY
Partner/Member
07/13/2010
HARDEN, JERRI
Partner/Member
07/13/2010
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
1
CBIC
516787
07/07/2010
Until Cancelled
$4,000.00
07/13/2010
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. s?ov/lni/bbip/Print.aspx 06/05/2013