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HomeMy WebLinkAboutPermit EL14-0734 - CHIROPRACTIC OFFICE - X-RAY MACHINE POWER OUTLETS AND LIGHTINGCHIROPRACTIC OFFICE 7200 S 180 ST STE 101 EL14-0734 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.eov 3623049013 7200 S 180TH ST 101 Project Name: CHIROPRACTIC OFFICE ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL14-0734 7/31/2014 1/27/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KHK INVESTMENT LLC 26329 8TH AVE S , DES MOINES, WA, 98198 SCOTT HEDLUND 34108 170TH AVE SE , AUBURN, WA, 98092 PRO CRAFT ELECTRIC LLC 34108 170 AV SE , AUBURN, WA, 98092 Phone: (206) 510-4994 Phone: (253) 939-4618 PROCREL013LS Expiration Date: 6/17/2015 DESCRIPTION OF WORK: POWER CONNECTION X-RAY MACHINE POWER OUTLETS AND LIGHTING - FED FROM EXISTING Valuation of single family: $0.00 Valuation of mf/comm: $8,760.00 Type of Work: TENANT IMP Fees Collected: $266.81 Electrical Service Provided by: PUGET SOUND ENERGY Water District: RENTON Sewer District: RENTON SEWER SERVICE Current Codes adopted by the City of Tukwila: International 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: il.C.c�C Ge_"1/--'6A Date: U-7/3//'/V. 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 per it and agree to the conditions attached to this permit. Signature: '" L - Print Name: Scoff %Le, l (ii4 Date: WS/ ! l 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 TUC -rA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. 073 Date Application Accepted: Date Application Expires: 7731 /lc/ (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 Site Address: ?ZOO S /or0 sk TUL‘IAJ i Li_, ' W 'NJ too Suite Number: le / Floor S Tenant Name: CIA re) ) &c.$ L. O° 1 &-,t. New Tenant: Dil' Yes ❑..No PROPERTY OWNER Name: tI4 L T V e M-el� L 1 C_ Address, 6329 ell AV E J C+ City: t1� lz 4 Q n N.e 5 State:IA) A. Zip:ry f/ j r CONTACT PERSON - person receiving all project communication Name: Scc ) )pe) `UM10 jg Address:3, j/ o g0-0, `,E /�f 5 LE City: /I 10 u rr'.. State::l1W - OV h Zip: q oq Phone:(? 06) 5.10 _ L q 7 Fax: (3 %' t7I/ Email: A li(It) R l lDMf d,5+ $ r er King Co Assessor's Tax No.: ELECTRICAL CONTRACTOR INFORMATION Company Name: CrkTt �Ik.0 btL 1`L(J ll - Address: `7 for 1)044' AVE 5 c E City: /1 `_ urn State:, • W , Ziip:909z_ ne PhoC ) �9-y6 ax: (z5)gJ! ` cite Contr Reg No.:n ,.R , p 150 Exp Date: Tukwila Business License No.; 000(790 / Valuation of Project (contractor's bid price): $ O` blii, Scope of Work (please provide detailed information): 1-LJWAY' C. ,t e_ 4 'OJ\ X- fh.y brg (; et \ -C. C> ,'5 a di G t`rll �t�nq � FmotA £'\CisA ,.5 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change 0 Remodel Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.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 0 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 0 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERIVHT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: ..Scott /4eOIIuvO( Mailing Address: 3L//Oey'141 AVE Date: 7/. 1 /j 14 Day Telephone: (ZOO 510 ` '-jgel L% Aulnv-ter\ tiiP. 4 8O92- City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY ( PAID PermitTRAK 6681 EL14=0734 Address: 7200 S 180TH ST.101 Apn: 3623049013 66 ELECTRICAL $25410 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $254.10 TECHNOLOGY FEE, $12.71 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2752 R000.322.900.04.00 0.00 $12.71 $266.81 Date Paid: Thursday, July 31, 2014 Paid By: PRO CRAFT ELECTRIC LLC Pay Method: CREDIT CARD 045555 Printed: Thursday, July 31, 2014 12:56 PM 1 of 1 CRWSYSTEMS N INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 a, I - 073 f Project: Aft(14nk4CA-1 Type of Inspection: Address: 7Z> S 570 Called: , Sr' Special Instructions: Date Wanted: 0 0 ......„.Date ,,�a;m ,..., Requester: Phone No: Approved per applicable codes. t�J Corrections required prior to approval. COMMENTS: 64740 ass I r/ Inspector: '`` • Date: Oti OKt 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 Project: /% !}V'f L4' 4-h Type of Inspection: riA 1 Address: /(/ `) i 4, Date Called: 1, 0 7 Special Instructions: % VI, � i/A( l� t (L Date Wanted:. l- ( / / 4.41 a.mP. p.m. Requester: Phone No: 2 ;■1/ 4/ Approved per applicable codes. gCorrections required prior to approval. r COMMENTS: ` I -- ND C if:oS 0.0.1. (AYJAIor CiT 4i1 J W To Vf.446 fvvriligk, PR.°Jot=4) 4.L"Sct`JL-f 4) pa...fit btu 4ec($ Inspector: •-••••7it/(01 f4C. Date: 09/Idl y C REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit tz4-o?3/ 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: / -(2l PitACTIC'i Type of Inspection: e / t1(i c4 Address: 7�ov 5'' ` ' sr Date Called: Special Instructions: Date Wanted: j r3 a.m. p.m. Requester: Phone No: 2,5,3 .% f 063L_ Approved per applicable codes. t�J Corrections required prior to approval. COMMENTS: (oJ(jo /Af' Cori/r. £ Inspector: _ /4 A4 I Date: "if 3 /1, 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 64- 07q 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: ,� t rt(L)(Mr—rlc.- Type of Inspection: r� Kp0. !Ai Address: 7200 5. (FO st. Date Called: _ Special Instructions: �� Date Wanted: IOLI a.m. Requester: GoT% Phone No: O I/?V/ Approved per applicable codes. tj Corrections required prior to approval. COMMENTS: /'-) VA ri? ' / LVI 4 '." LiT it t w ( / /j VW AV` ("NV- /► ). 60Y, Inspector: ,�► tit`. Date: ov /©N t n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Calf to schedule reinspection. PRO CRAFT ELECTRIC LLC Page 1 of 3 inWashington State Department of Labor & Industries PRO CRAFT ELECTRIC LLC Owner or tradesperson HEDLUND, SCOTT E Principals HEDLUND, SCOTT E, PARTNER/MEMBER HEDLUND, SHARON R, PARTNER/MEMBER DEMARRE, JOHN M, PARTNER/MEMBER (End: 06/15/2012) Doing business as PRO CRAFT ELECTRIC LLC WA UBI No. 601 960 056 34108-170TH AVE SE AUBURN, WA 98092 253-939-4618 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. PROCREL013LS Effective — expiration 06/10/1999— 06/17/2015 Designated administrator HEDLUND, SCOTT E License type Master Electrician Bond RLI Ins Co Bond account no. LSM0334340 Received by L&I 06/07/2012 Bond history Active. Meets current requirements. Active. Meets current requirements. License no. HEDLUSE978O5 $4,000.00 Effective date 06/10/2012 Expiration date Until Canceled https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601960056&LIC=PROCREL013LS&SAW= 07/31/2014