HomeMy WebLinkAboutPermit EL13-1195 - NORTHWEST HEALTHCARE - TENANT IMPROVEMENTNORTHWEST
HEATLHCARE
7100 FORT DENT WY
EL13-1 195
Parcel No:
Address:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2954900455 Permit Number:
6720 FORT DENT WAY 210
Project Name: NORTHWEST HEALTHCARE
Issue Date:
Permit Expires On:
EL13-1195
11/22/2013
5/21/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
JOHN C RADOVICH LLC
2835 82ND AVE SE #300 , MERCER
ISLAND, WA, 98040
ANDY MITALAS
10002 AURORA AV N, SUITE 36-11,
SEATTLE, WA, 98133
AIM ELECTRIC LLC
10002 AURORA AV N , SEATTLE, WA,
98133
AIMELEL918RG
Phone: (206) 909-4907
Phone: (206) 909-4907
Expiration Date: 12/7/2013
DESCRIPTION OF WORK:
INSTALL NEW OUTLETS IN NEW ROOM. RECONFIGURE EXISTING LIGHTING
Valuation of single family: $0.00
Valuation of mf/comm: $10,500.00
Type of Work: TENANT IMP
Fees Collected: $289.50
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: L \--)-)--/
3
• •
I hearby 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 the performance of work. I am authorized to sign and obtain this
development pernd agree to the conditions attached to this permit.
Signature:
Print Name:
66—e-4 S' /0
Date: ///z4
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical; Permit- No. C Li i P5--
Project
ali
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
King Co Assessor's Tax No.:
Site Address: 6 7 1\1 Tv f°g� °T T WAY Tv kW I I.�r Suite Number: 21 0 Floor: 2
Tenant Name: Ik kL1 C E
PROPERTY OWNER
Name: AND.( M I TA LA5
Address: 10007...A"E0J I# Ayt 410 *36 „pct
Name:
Phone: tab ,199 • ypo) Fax:
Email: 4,,, t kciv/ C e to halo - C t,wt
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: AND.( M I TA LA5
Address: 10007...A"E0J I# Ayt 410 *36 „pct
City: S E.A.T.rw State: Wt. Zip:y6133
Phone: tab ,199 • ypo) Fax:
Email: 4,,, t kciv/ C e to halo - C t,wt
New Tenant: X Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AIM Electri c. LLC.
Address: 10002,Au,ZORAr AVE NO #36 -IIS!
City:rseA.r,`iot State: wA. Zip:It133
Phone: 2O6 -909 -490 7 Fax: N I A
Contr Reg No.:AIMaact1dri26t Exp Date:
Tukwila Business License No.; 09 //1.2.1Li
Valuation of Project (contractor's bid price): $ 10)Soo . m
Scope of Work (please provide detailed information): S'F 411 Ntw of t 1- le_f s 1 h V1 a tA)
roD • 1?ct.vr15 w -P tic/VP/PIS 11 „S
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: OfFicr / \
Type of work:
0 New Addition 0 Service Change 0 Remodel
❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
0 Tenant Improvement
Property Served by:
0 Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Appl cations\Electrical 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
❑ 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) $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:
Date:
Day Telephone:
City
H:Wpplications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
PermitTRAK
$289:50
EL13-1195 Address: 6720 FORT DENT WAY 210 Apn: 2954900455
$289.50
ELECTRICAL
$289.50
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R177
R000.322.101.00.00
$289.50
$289.50
Date Paid: Friday, November 22, 2013
Paid By: ANDREAS MITALAS
Pay Method: CREDIT CARD 014516
Printed: Friday, November 22, 2013 1:41 PM 1 of 1
WSYSTEMS
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: p
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Type of Inspection: .
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Address:
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Date Called:
Special Instructions:
Date Wanted:
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Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Metilokis yam.
Inspector:.
Date: la
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 th3'
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:
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Type of Inspection:
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Address: A!� / i Y
Date Called:
Special Instructions:
Date Wanted:
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Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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REINSPECTION FEE REQUIRED. Prior.to next inspection. fee must. be .
paid at 6300 Southcenter Blvd.; Suite 100. Call to schedule reinspection.
Date:
INSPECTION RECORD
Retain a copy with permit
INSPE1TION 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
643-(17CI
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Type of Inspection:'�,
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Called:
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Special Instructions: '
Date Wanted:
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Phone No:
Approved per applicable codes. n Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee.must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION.RECORD
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INSPECTION NO. p
PERMIT NO. I l�
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
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Date Called:
Special Instructions:
Date Wanted:
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Requester:
Phone No:
Approved per applicable codes. E ] Corrections required prior to approval.
COMMENTS:
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Date:
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n REINSPECT, N 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 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
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Type of Inspection: /��
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Address:
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Date Called:
Special Instructions:
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Date Wanted:
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: .
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Date: f
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C 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.
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CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
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Date Called: .
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Corrections required prior to approval.
COMMENTS: -
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REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be
paid at 6300 Southcenter Blvd.. Suite 100._Call to schedule reinspection.
Contractors or Tradespeople Peer 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
AIM ELECTRIC LLC
2069094907
10002 Aurora Ave N
Seattle
WA
98133
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602971337
Active
AIMELEL918RG
Electrical Contractor
12/7/2009
12/7/2015
General
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
MITALAS, ANDREAS
Agent
12/07/2009
r
MITALAS, ANDREAS C
Partner/Member
12/07/2009
MITALAS, IRENE
Partner/Member
12/07/2009
Bond Information
Bond Company Name
CBIC
Bond
1
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
SI4722
12/01/2009
Until Cancelled
$4,000.00
12/07/2009
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
https://fortress.wa.gov/lni/bbip/Print.aspx 11/22/2013