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Home My WebLink AboutPermit EL13-1297 - NORTHWEST HEALTHCARE - LOW VOLTAGENORTHWEST HEALTHCARE 7100 FORT DENT WY SUITE 210 EL1 3-1297 • City of Tukwila • Department of Community Development ��\::_)•T + �O' 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 1908 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.eov Parcel No: Address: ELECTRICAL OTC PERMIT 2954900440 7100 FORT DENT WAY 210 Project Name: NORTHWEST HEALTHCARE Permit Number: Issue Date: Permit Expires On: EL13-1297 12/17/2013 6/15/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: RADOVICH PROPERTIES LLC 2835 82ND AVE SE STE 300, MERCER ISLAND, OR, 98040 LESLIE PARSONS 7929 SW BURNS WY, SUITE F , WILSONVILLE, OR, 97070 TECHNOCOM INC 7929 SW BURNS WAY SUITE F , WILSONVILLE, OR, 97070 TECHNI*962CE 1// Phone: (503) 454-7352 Phone: (503) 682-4195 Expiration Date: 2/10/2014 DESCRIPTION OF WORK: INSTALL (22) 2-PLEX WALL OUTLET LOCATIONS Valuation of single family: $0.00 Valuation of mf/comm: $3,997.07 Type of Work: LOW VOLTAGE Fees Collected: $161.80 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: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: /Oy/ ///-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 lawregulating cons • ;• i• r the performance of work. I am authorized to sign and obtain this development p: r it and .free t• t onditions attach o this permit. Signature: Print Name: Date: /a-17— This 217 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 TUKKLA 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: 71000hfy-t j Tenant Name: P11i?.L- PROPERTY OWNER Name: ' , iS vlv \� Address^ q p ` u fn.c W 1. slip Name: Phon e60z /j t;4 'i5 ax. 603,64c,c /U d Email: 3. k, aro .Nc-K4?630 kr.-h(wooly) . rt Address: y.., / ip I//4 Contr Reg No,J -ion 1 j C/2 Date: 0.2/// Tukwila Business License No.; 6116 _ oe/C/ City: State: Zip CONTACT: PERSON = person' receiving allproject: communication • Name: ' , iS vlv \� Address^ q p ` u fn.c W 1. slip City) �1' j,` wI 1 Stater/ Zip(707c Phon e60z /j t;4 'i5 ax. 603,64c,c /U d Email: 3. k, aro .Nc-K4?630 kr.-h(wooly) . rt )N1 King Co Assessor's Tax No.: !!\\ Suite Number: V621 V Floor: New Tenant: ❑ Yes 0 ELECTRICAL CONTRACTOR INFORMATION .. Company Name: i 4,1 r 14G m J) ,� 1„r Addressiq q u..6.4 bb City ) I`` ,�^�� 6,wy1v) pState19 e, Zip: circ) !J Phone:f0 7 05 Fax: 603142 32 27Q7 y.., / ip I//4 Contr Reg No,J -ion 1 j C/2 Date: 0.2/// Tukwila Business License No.; 6116 _ oe/C/ //3 Valuation of Project (contractor's bid price): $ 04? 7.07 v n' 4" Scope of Work (please provide detailed information): 1 II Is?) ,. .f ip,K i o41 L 1+11 Ian' • .J Will service be altered? ❑ Yes If No Adding more than 50 amps? ❑ Yes ® to Type of Use: Type of work: 0 New 0 Addition ❑ Service Change 0 Remodel Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication Property Served by: .21 --Puget Sound Energy ❑ Seattle City Light H:Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-I-13.docx Revised: July 2013 bh ❑ Tenant Improvement ❑ Temporary Service 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 CO TRACTOR: Signature: Print Name: Date: ./e ) i() Day Telephone 3 454- is14=' ' Mailing Address:764%,)"` SOD $i4..irrd UV J�1 I 1 s/� Vi / 7070 V VCity State Zip H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 2 of 2 Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY I PAID $161.80 EL13-1297 Address: 7100 FORT DENT WAY 210 Apn: 2954900440 $161.80 ELECTRICAL PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R418 R000.322.101.00.00 $161.80 $161.80 $161.80 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1335101-1 12/17/2013 BR1 T121 Tue Dec17,2013 10:48AM Trans#9-9 9 $161.80 DCDGEN - DCD Permits Plus General Fund ID: PERMIT EL13 1297 1 ITEM(S): TOTAL: $161.80 Cash PAID $200.00 CHANGE DUE: $38.20 www.tukwilawa.gov 206-433-1835 Date Paid: Tuesday, December 17, 2013 Paid By: SEAED KAMERIC Pay Method: CASH Printed: Tuesday, December 17, 2013 10:39 AM 1 of 1 INSPECTION RECORD 1 Retain a copy with permit f x'1'43 INSP CTION N0. PERMIT NO. .CITY OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (2 .6.) 431-3670 Permit Inspection Request Line (206) 431-2451 �. Project: i1/4).4 M (elm '� t Type of Inspection: /" Address: ( 6. Date Called: Special Instructions: Date Wanted: t )j 1( (a m� p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 K',/ - Date: 40113 13 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100: Call to schedule reinspection. TECHNOCOM INC 0 • Washington State Department of Labor & Industries • Page 1 of 2 TECHNOCOM INC Owner or tradesperson CORPORATION SERVICE COMPANY Principals CORPORATION SERVICE COMPANY Doing business as TECHNOCOM INC WA UBI No. 601 340 585 7929 SW BURN WAY STE F WILSONVILLE, OR97070 503-682-4195 Business type Corporation Governing persons KEVINROBERTDOHERTY License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. TECHNI*962CE Effective — expiration 02/05/2004 — 02/10/2014 Designated administrator SANDNER, JEFF License type Electrical Administrator Bond Old Republic Surety Co Bond account no. W150131487 Active. Meets current requirements. ACTIVE License no. SANDNJ*000NK $4,000.00 Received by L&I Effective date 06/22/2012 07/11/2012 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601340585&LIC=TECHNI*962CE&SAW= 12/17/2013