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
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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
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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