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HomeMy WebLinkAboutPermit EL13-0996 - JS DENTAL - TENANT IMPROVEMENTJS DENTAL 327 TUKWILA PY EXPIRED 04/09/14 EL1 3-0996 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.: 0223000010 Address: 327 TUKWILA PY TUKW Project Name: JS DENTAL ELECTRICAL PERMIT Permit Number: EL13-0996 Issue Date: 10/11/2013 Permit Expires On: 04/09/2014 Owner: Name: BETA HOLDINGS LTD Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011 Contact Person: Name: BK CHAE Address: 30833 PACIFIC HWY 5 , FEDERAL WAY WA, 98003 Contractor: Name: AD ONE CORP Address: 1626 S 341 PL, #A-24 , FEDERAL WAY, WA 98003 Contractor License No: ADONEOC931DR Phone: Phone: 253 942-3688 Expiration Date: 03/19/2015 DESCRIPTION OF WORK: INSTALL ILLUMINATED SIGN AND CONNECT TO EXISTING J -BOX (S13-070) Value of Electrical: NRES: $80.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Fees Collected: Washington Cities Electrical Code: Permit Center Authorized Signature.ZA. I hereby certify that I have read and examined fs 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 perfo ance of ork� I am authorized to sign and obtain this electrical permit. $65.00 2011 Date: (0 / Signature: Print Name: g,K. CLAP -- Date: LP ^ 1 1 ( 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 -7/13 EL13-0996 Printed: 10-11-2013 • • PERMIT CONDITIONS Permit No. EL13-0996 **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 -7/13 EL13-0996 Printed: 10-11-2013 CITY OF TUK Community Developm t Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Piit No. FL/3 -a 9 Q u 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 ?72 7 7 �'N kwik p( 17;\ bk.) King Co Assessor's Tax No.: Site Address: Suite Number: Floor: Tenant Name: PROPERTY OWNER Name: „ ,� _ r AS C��'C{ Name: 4144'^')^�-ny Ll Address: Address (34,6 " N City: city: Bothell State: Zip:1 R 0 it CONTACT PERSON - person receiving all project communication Name: „ ,� _ r AS C��'C{ Company Name: AD ONE � . C Address: City: State: Zip: City: State: Zip: Phone: Fax: -o(� Email: New Tenant: ❑ Yes .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: AD ONE � . ��tV Address �0 g�� "� , Q S City: State: Zip: pn p,„ y/ e fin/ ( Phone:C -) *i_2_,_-;686 Fax: Contr Reg No.:ApOIVE0014/ ple....Exp Date:Vil / (( �I / -o(� Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): -6,6{-2...a( �lvl-ems- ?+ k'v -erg . -a— G� vL^'nl Will service be altered? ❑ Yes T' No Adding more than 50 amps? ❑ Yes ' No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Pro s - . erved b ►� Puget Sound Energy 0 Seattle City Light H:\Apphcations\Forms-Applications On Lme\2013 Apphcanons\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh 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 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 O 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: ;04,8'ea/cc:y-4'4 ovl H:\Applications\Forms-Applications On Line\2013 Applications\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: (.0 /( ( 63 Day TelephoneU- / ��-3 U(J, i°/ L Teo3 City 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.: 0223000010 Address: 327 TUKWILA PY TUKW Suite No: Applicant: JS DENTAL RECEIPT Permit Number: EL13-0996 Status: PENDING Applied Date: 10/11/2013 Issue Date: Receipt No.: R13-02868 Payment Amount: $65.00 Initials: TLS Payment Date: 10/11/2013 02:11 PM User ID: 1670 Balance: $0.00 Payee: AD ONE CORP DBA SIGN GUY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4633 65.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 65.00 Total: $65.00 rinr• P . inf_nn Drinfcr!• 1 n_11 _In9 3/3/2014 • City of Tukwila Department of Community Development BK CHAS 30833 PACIFIC HWY S FEDERAL, WA 98003 RE: Permit No. EL13-0996 JS DENTAL 327 TUKWILA PY Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director New Inspection Request Line 206 438-9350 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 4/9/2014. 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 4/9/2014, 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, 9J, fer Marshall it Technician File No: EL13-0996 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Wier 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 AD ONE CORP 2539423688 30833 Pacific Hwy S Federal Way WA 98003 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602298178 Active ADONEOC931DR Electrical Contractor 3/19/2007 3/19/2015 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SIGNGC'024J2 SIGN GUYS CORP Electrical Contractor Sign Unused 4/22/1998 4/22/2008 Out Of Business Electrical Administrator INFORMATION License CHAE'BK044CC Name CHAE, BYUNG KWAN Status Active Business Owner Information Name Role Effective Date Expiration Date CHAE, BYUNG KWAN Agent 03/19/2007 Bond Amount CHAE, BYUNG K President 03/19/2007 525346 CHAE, BYEONG W Vice President 03/19/2007 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 4 AEGIS SECURITY INS 525346 02/17/2012 Until Cancelled $4,000.0004/26/2012 3 PLATTE RIVER INS CO 41217831 02/17/2011 Until Cancelled 04/21/2012 $4,000.0002/04/2011 2 American Contractors Indem CO 100107876 12/18/2009 Until Cancelled 02/17/2011 $4,000.0012/18/2009 1 TRAVELERS CAS & SURETY CO 103490961 12/11/2006 Until Cancelled 12/18/2009 $4,000.0003/19/2007 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 IInfraction / Citation Date RCW Code Type Status Violation Amount ESEA000249 11 /14/2009 119.28.101 RCW {ELECTRICAL CITATION !Satisfied 1 $165.00 httns://fortress.wa. sov/lni/bbin/Print.asnx 10/11/2013