HomeMy WebLinkAboutPermit EL13-0581 - SEATTLE PAIN CENTER - REMODELSEATTLE PAIN CLINIC
74200 S 180 ST
EXPIRED 12/21/13
ELi 3-0581
City otTukwila
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: EL13-0581
Issue Date: 06/17/2013
Permit Expires On: 12/14/2013
Owner:
Name: KHK INVESTMENT LLC
Address: 26329 8TH AVE S , DES MOINES WA 98198
Contact Person:
Name: DANIEL HORD
Address: 7200 S 180 ST , TUKWILA WA, 98188
Contractor:
Name: AS YOU WISH ELECTRIC
Address: 825 S STACY ST , SEATTLE WA 98134
Contractor License No: ASYOUYW925NM
Phone: 206 313-1886
Phone: 206-391-6414
Expiration Date: 08/08/2014
DESCRIPTION OF WORK:
INSTALL (14) 120V/20A CUIRCUTS TO 37 DEVICES
Value of Electrical: NRES: $14,899.00 Fees Collected: $350.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
anu
'th,
National Electrical Code Edition: 2008
Date: ( I `1 I `
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction the perform e of work. I am authorized to sign and obtain this electrical permit. /,,(I J �j
Signature: GI( \,\-ey Date: Cf /I
Print Name: II)`0 0 a Y 02S
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
EL13-0581 Printed: 06-17-2013
0 11)
PERMIT CONDITIONS
Permit No. EL13-0581
**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
EL13-0581 Printed: 06-17-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. J L\'- OSI
Project No. OLP
I �1, f
Date Application Accepted: V.�,L3
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
n ^ (+— King Co Assessor's Tax No.: "t Z'✓u l
Site Address: � k) 0 J(� (1 \'b O Suite Number: Floor:
Tenant Name: lL i Ai 1. Pi{/1 New Tenant: ❑ Yes
PROPERTY OWNER
Name: Daniel Hord
Name: Seattle Pain Center
City: Seattle State: WA Zip: 98134
Address: 7200 S 180th St Suite 102
Contr Reg No.: ASYOUYW925NM Exp Date: 08/08/220141
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
conununication
Name: Daniel Hord
Address: 825 S Stacy St
City: Seattle State: WA Zip: 98134
Address: 7200 S 180th St
Contr Reg No.: ASYOUYW925NM Exp Date: 08/08/220141
Tukwila Business License No.: BUS -0993416 t/
City: Tukwila
State: WA
Zip: 98188
Phone: (206) 313-1886
Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: As You Wish Electric
Address: 825 S Stacy St
City: Seattle State: WA Zip: 98134
Phone: (206) 783-2525 Fax: (206) 462-6216
Contr Reg No.: ASYOUYW925NM Exp Date: 08/08/220141
Tukwila Business License No.: BUS -0993416 t/
Valuation of Project (contractor's bid price): $ 14,899
Scope of Work (please provide detailed information):
14- 120volt/20amp circuits to 37 devices
Will service be altered? ❑ Yes 0 No
Type of Use: Adding circuits for lights and outlets.
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage 0 Generator ❑ Fire Alarm
Property Served by:
® Puget Sound Energy 0 Seattle City Light
I I:\Appll,.nio s\corm.-Appriwtio s On Lu10201 I AppricatiunOElectrn_ai remit Application Revised 8.9-11 docs
Revised: August 2011
h1,
Adding more than 50 amps? 0 Yes 0 No
❑ Remodel
❑ Telecommunication
Tenant Improvement
1:jTemporary Service
Page I of?.
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 TI -IE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNS
Signature:
LECTRICAL CON CTOR:
Date: 06/17/2013
Print Name: Sea i • • riefDay Telephone: (206) 783-2525
Seattle WA 98134
Mailing Address: 825 S Stacy St
City
11:1Applicationaornu-Appliwtiuua On Line \2011 Appli�atimuV:h..tri..al Permit Appli,ation Rcs sed 8-9-11 docs
Revised: August 2011
hh
Stare 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.: 3623049013
Address: 7200 S 180 ST TUKW
Suite No:
Applicant: SEATTLE PAIN CENTER
RECEIPT
Permit Number: EL13-0581
Status: PENDING
Applied Date: 06/17/2013
Issue Date:
Receipt No.: R13-01897
Initials: JEM
User ID: 1165
Payment Amount: $350.50
Payment Date: 06/17/2013 12:39 PM
Balance: $0.00
Payee: LIVE WIRE ENTERPRISES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3466 350.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 350.50
Total: $350.50
Printed• (16-17-9013
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:r
Type of Inspection:
dA
Address:.
Date Called;
.
Special Instructions:
Date Wanted:
/
.m:
Requester:
Phone No:
• D Approved per applicable codes.
COMMENTS:
Corrections required prior to approval..
4
bhkl NIO l` A C0
tioikK
1z,� ,ice, kiji> QQ-O » D E
Date
t 2-0.11)
REINSPECTION FEE REQUIRED. Prior to next inspection: fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
As You Wish Electric
825 S. Stacy Street
Seattle, WA 98134
April 2, 2014
City of Tukwila
6300 Southcenter Boulevard, Ste#100 RECEIVED
Tukwila, WA 98188 CITY OF TUKWILA
Attention: Jennifer Marshall APR 01.2014 6�
PERMIT
Subject: Permit #EL13-0581 CENTER
To Whom it May Concern:
This permit has expired and we are aware that there hasn't been a final inspection for this
job. Before the job was completed, the general contractor that hired us was fired from the
job and we no longer are in contact with whoever will be completing the job. We have
made several attempts to resolve this matter but to no avail. We are just notifying your
office of the status of this permit as far as As You Wish Electric is concerned. Please feel
free to contact our office for any question or concerns.
Anthony Davis
Operations Mgr.
-Seattle 206-783-2525
825 S Slain St Seville WA 98114
-Port Orchard 800-698-0490
6435 SG Mile Hill Dr. Pmt Orchard WA 98366
Jennifer Marshall
From: Tim Black <TimB@pkjb.com>
Sent: Friday, January 03, 2014 3:58 PM
To: Jennifer Marshall
Cc: Paul Constantine (PaulC@constantinebuilders.com)
Subject: RE: PKJB 13063, WCPM Tukwila - Status of Extension, Permit EL13-0581
Hi Jennifer,
I discussed this permit in detail with the Constructor this morning. After reviewing the previous electrical
subcontractor's work, Paul has elected to allow the permit to lapse without extension, in favor of having the new
subcontractor permit the work under their own design. Thank you for all of your assistance in this matter.
Best Regards,
Timothy S. Black AIA
NCARB, RDI, LEED AP BD+C
Project Architect
PKJB Architectural Group, PS
119 South Main Street, Suite 410 - Seattle, Washington 98104
206.624.3210 P - 206.624.3243 F
PKJB Architectural Group
Aplease consider the environment before printing this email
From: Jennifer Marshall [mailto:Jennifer.Marshall(a>TukwilaWA.gov]
Sent: Friday, January 03, 2014 10:05 AM
To: Tim Black
Cc: Paul Constantine (PaulC@constantinebuilders.com)
Subject: RE: PKJB 13063, WCPM Tukwila - Status of Extension, Permit EL13-0581
Good morning gentlemen,
I still have not gotten the information that has been requested on behalf of the Building Official.
Will you please provide the following two items:
1. Which electrical contractor will be completing the work. (The Permit Center will need to verity their state and
city licenses.)
2. When the electrical work will be ready for the next inspection.
If we have not received this information by the end of next week (January 10`h) the extension request for this electrical
permit will be denied and a new permit will be required when work is ready to proceed.
Thank you,
Jennifer
From: Tim Black [mailto:TimB@pkjb.com]
Sent: Friday, December 27, 2013 1:04 PM
To: Jennifer Marshall
Cc: Paul Constantine (PaulC@constantinebuilders.com)
Subject: RE: PKJB 13063, WCPM Tukwila - Status of Extension, Permit EL13-0581
1
Jennifer,
We did not manage to connect, so thank you for forwarding the questions. Yes, the subcontractors left the job as well. I
will copy the contractor for the work on this email, and allow him to fill in the additional information regarding the new
electrical subcontractor. Paul, can you please provide Jennifer on the remaining information, for the extension of the
permit?
Thanks!
Timothy S. Black AIA
NCARB, RDI, LEED AP BD+C
Project Architect
PKJB Architectural Group, PS
119 South Main Street, Suite 410 - Seattle, Washington 98104
206.624.3210 P - 206.624.3243 F
PKJB Architectural Group
fot please consider the environment before printing this email
From: Jennifer Marshall[mailto:Jennifer.MarshallCa�TukwilaWA.gov]
Sent: Friday, December 27, 2013 12:24 PM
To: Tim Black
Subject: RE: PKJB 13063, WCPM Tukwila - Status of Extension, Permit EL13-0581
Hi Tim,
Currently the extension request is on hold due to the fact that after routing it to the Interim Building Official he had a
few questions. My understanding had been that he would call you. If you have not heard from him, then I will go ahead
and request the information on his behalf.
1. When stating that the original contractor left the job, it was not clarified if this included sub -contractors as
well. Who is the electrical contractor who will be performing the work? Has it changed since the time of
issuance? Is As You Wish Electric no longer completing the job?
a. If it is still As You Wish Electric completing the work, then provide additional information as to why they
need additional time before having an inspection.
b. If it is no longer AYWE doing the work, then we will need a written request to change the contractor on
the permit. This request would need to include clear documentation of the point at which the electrical
work was transferred from one contractor to another. The new contractor would then have to come in
and sign for the updated permit (at which point we would confirm that they have a valid City and State
license).
2. When will the electrical work be ready for the next inspection?
After having the above items answered/clarified, then the Interim Building Official will be ready to make a decision in
regards to the extension request.
Thank you,
Jennifer
From: Tim Black [mailto:TimB@ pkjb.com]
Sent: Friday, December 27, 2013 12:06 PM
To: Jennifer Marshall
Subject: PKJB 13063, WCPM Tukwila - Status of Extension, Permit EL13-0581
2
Hi Jennifer -
Can you tell me the status of the permit extension on permit EL3-0581?
Thanks!
Timothy S. Black AIA
NCARB, RDI, LEED AP BD+C
Project Architect
PKJB Architectural Group, PS
119 South Main Street, Suite 410 - Seattle, Washington 98104
206.624.3210 P - 206.624.3243 F
PKJB Architectural Group
please consider the environment before printing this email
3
•
architectural group, p.s.
December 20. 2013
Gary Schenk
City of Tukwila, Department of Community Development
6300 Southcenter Boulevard, Suite 100
Tukwila, Washington 98188
re: Permit #EL13-0581
Washington Center for Pain Management
7200 South 180th Street
Tukwila, Washington 98188
PKJB No. 13063
Dear Gary:
I am respectfully requesting an extension of the above noted permit for the Washington
Center for Pain Management facility at 7200 South 180th Street. The original contractor on
the project left the job abruptly, and we have only recently taken over to complete the
permitted work. If you have any questions, please do not hesitate to contact me at (206) 624-
3210, or Owner Jae Lee at (425) 492-5437.
Sincerest Regards,
Timothy Black, IA
Project Architect
CC:File
JL, WCPM
PC, CBI
119 South Hain Street, Suite 410 Seattle, WA 98104 n 206 624 1210 i 206 624 2243
11-01-2013
•
City of Tukwila
Jir�t Haggerton, Mayor
Department of Community Development Jack Pace. Director
DANIEL HORD
7200 S 180 ST
TUKWILA, WA 98188
RE: Permit No. EL13-0581
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 12/21/2013.
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 final 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 12/21/2013, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL13-0581
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fay 206-431-3665
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by LEtI 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'922MS
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
Et Insurance Co
SJ5484
04/03/2012
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
03/29/2012
1
HARTFORD FIRE INS
45BSBEM6650
04/03/2007
Until Cancelled
$250.00
$4,000.00
05/10/2007
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
ENESM00423
8/13/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00355
4/26/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
ELEIS00357
4/26/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.eov/lni/bbin/Print.aspx 06/17/2013