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Home My WebLink AboutPermit EL14-0770 - BACK & NECK PAIN CENTER - VOICE AND DATA CABLEBACK & NECK PAIN CENTER 7200 S 180 ST EL14-0770 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 3623049013 7200 S 180TH ST ELECTRICAL OTC PERMIT Project Name: BACK & NECK PAIN CENTER Permit Number: EL14-0770 Issue Date: 8/8/2014 Permit Expires On: 2/4/2015 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 CORRIE BENDER 1402 LAKE TAPPS PKWY SE, STE 1, AUBURN, WA, 98092 PACIFIC BUSINESS SYSTEMS INC PO BOX 1453 , SUMNER, WA, 98390 PACI F BS991JT III Phone: (253) 862-7600 Phone: (253) 862-7600 Expiration Date: 4/1/2015 DESCRIPTION OF WORK: VOICE/DATA CABLING Valuation of single family: $0.00 Valuation of mf/comm: $2,000.00 Type of Work: LOW VOLTAGE Fees Collected: $124.53 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: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: Vt a II 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 permit an ego the conditions attached to this permit. Signature: Date: Print Name: 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: 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. 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 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** ORATION Site Address: 7200 S 180th St. King Co Assessor's Tax No.: %41_ oc-t1at Suite Number: Floor: 1 St Tenant Name: Back and Neck Pain Center New Tenant: ® Yes ❑..No PROPERTY OWNER. Name: V. IttL C Address: City: or, A j D i„ ((IState: Zip: q t(Gi CONTACT PERSON — person receiving all project communication Name: Corrie Bender Address: 1402 Lake Tapps Pkwy SE Suite 104-158 City: Auburn State: WA Zip: 98092 Phone: (253) 862-7600 Fax: (253) 862-5900 Email: ELECTRICAL, CONTRACTOR; INFORMATION Company Name: Pacific Business Systems Address: 1402 Lake Tapps Pkwy SE Suite 104-158 City: Auburn State: WA Zip: 98092 Phone: (253) 862-7600 Fax: (253) 862-5900 Contr Reg No.: PACIFBS991JT Exp Date: 04/01/2015 Tukwila Business License No.; `ta /4 62,t vI (Mot Valuation of Project (contractor's bid price): $ 2,000 Scope of Work (please provide detailed information): Install Voice/Data Cabling Will service be altered? E Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New D Addition ❑ Service Change El Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H.\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1.14.docx Revised: January 2014 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 ❑ 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) 0 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT PL T,ION 11' 1111'ry11ull ll�l 9i I�I. 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 EJ.ECT AL CONTRACTOR: Signature: Print Name: Corrie Bender Date: 08/08/2015 Day Telephone: (253) 862-7600 Mailing Address: 1402 Lake Tapps Pkwy SE Suite 104-158 Auburn, WA 98092 City H:\Applications\Forms-Applications 0n Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK 245 EL14-0770 Address: 7200 S 180TH ST Apn: 3623049013 124.53 ELECTRICAL $118.60 "r PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2826 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $118.60 $5.93 $5.93 $124.53 Date Paid: Friday, August 08, 2014 Paid By: PACIFIC BUSINESS SYSTEMS INC Pay Method: CHECK 1092 Printed: Friday, August 08, 2014 2:05 PM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION'RECORD Retain a copy with permit h.+1- 0770 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:6w,L` 4.' �(. voj ►'"`' Type of Inspection:F'Azett, Address: Date Called: .--, 7Wo5'3Osr: Special Instructions: l//��" '" 1 `: ' ' ,l Date Wanted: 1/2-1 /Z a.m . p.m. Requester: Phone No: '`Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( Date: 03 1 71 Inspector: ti 0 „ 4 . 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. L CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 1� � r P/A14� Type of Inspection: bid Address: 700 1 . /'O 7/+ Date Called: Special Instructions: i ltibitsf-A. Date Wanted: a.m. 1 (t- p.m Requester: Phone No: 3 .pj!a. '74 DO Approved per applicable codes. OCorrections required prior to approval. COMMENTS: icej -(41( io Jet )6J4 4 r t)i-e- f Inspector: .0`JI4 I 1 - f jC� Date: aYf/ 2--h/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PACIFIC BUSINESS SYSTEMS IT Page 1 of 3 41111111 Washington State Department of Labor & Industries PACIFIC BUSINESS SYSTEMS INC Owner or tradesperson BENDER, CORRIE D Principals BENDER, CORRIE D, PRESIDENT BENDER, CORRIE, AGENT Doing business as PACIFIC BUSINESS SYSTEMS INC WA UBI No. 601 601 545 22013 26TH ST E SUMNER, WA98391 253-862-7600 PIERCE County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY HVAC/RFRG License no. PACIFBS991JT Effective — expiration 04/30/2001— 04/30/2015 Designated administrator BENDER, CORRIE D Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician BENDECD962NF Bond Ohio Cas Ins Co Bond account no. 32S404296 $4, 000.00 Received by L&I Effective date 06/14/2013 07/28/2013 Expiration date Until Canceled Bond history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601601545&LIC=PACIFBS991 JT&SAW= 08/08/2014