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Home My WebLink AboutPermit EL16-0952 - TUKWILA DENTAL CENTER - PHONE LINE OUTLET FOR FIRE ALARM SYSTEMThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL16-0952 TUKWILA DENTAL CENTER 13995 INTERURBAN AVE S RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Coda Exemption, � � � I3ri6f Explanatory 6escrlofion, Sfatutte/Ruilo The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 9 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) (7a & c) apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. TUKWIIA DENTAL CENTER 13995 INTERURBAN AVE S EL16-0952 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 Parcel No: 3365900220 Permit Number: EL16-0952 Address: 13995 INTERURBAN AVE S Issue Date: 10/14/2016 WA Cities Electrical Code: 2014 Permit Expires On: 4/12/2017 Project Name: TUKWILA DENTAL CENTER 2014 Owner: 2015 WA State Energy Code: Name: SINGH HARCHAND+ANGREJ KAUR 2015 Address: 19225 102ND AVE SE, RENTON, WA, 98055 Contact Person: Name: JOHN MENDENHALL Phone: (253) 922-2146 Address: 5113 PACIFIC HWY E, SUITE 7, FIFE, Date: WA, 98424 Contractor: Name: SIGN -TECH ELECTRIC LLC Phone: (253) 922-2146 Address: 5113 PACIFIC HWY E, SUITE 7, FIFE, WA, 98424 License No: SIGNTEL988BG Expiration Date: 1/7/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL 120 VOLT 20 AMP OUTLET FOR THE PHONE LINE FOR NEW FIRE ALARM SYSTEM Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $150.00 Type of Work: NEW Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 VIA Permit Center Authorized Signature: Date: 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 and�gree to the conditions attached to this permit. Signature:/`� Date: % � Print Name: 2/ / `T / O le"-rI an 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. S: 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. Tukwila WA. go Electrical Permit No.�``� Project No. (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: 13955 Interurban Ave S Suite Number: Floor: Tenant Name: Tukwila Dental Center New Tenant: ❑ .....Yes m ..No Property Owners Name: Angie Singh Mailing Address: 13955 Interurban Ave S Tukwila WA 98168 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Sign Tech Electric - John Mendenhal Day Telephone: (206) 380-4114 Mailing Address: 5113 Pacific Hwy. East, Suite 7 Fife WA 98424 City State Zip E -Mail Address: info@signtechelectric.com Fax Number: (253) 922-2152 ELECTRICAL CONTRACTOR INFORMATION Company Name: Sign Tech Electric LLC Mailing Address: 5113 Pacific Hwy East, suite 7 Fife WA 98424 City State Zip Contact Person: John Mendenhal Day Telephone: (206) 380-4114 E -Mail Address: info@signtechelectrical.com Fax Number: (253) 922-2152 Contractor Registration Number: SIGNTEL988BG Expiration Date: 01/07/2017 I h✓ Valuation of Project (contractor's bid price): $ 6 V Scope of Work (please provide detailed information): Install 120 volt 20 amp outlet for the phone line for new fire alarm system... Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes 0 No Type of Use: install 120 volt 20 amp outlet Tyne of work: m New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H:\ApplicationskFoms-Applications On Line\2010 Applications\7-2010 - Electrical Permit Application.doc bh Page] 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) PERMIT APPLICATION NOTES - MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ................................. $63.00 ❑ Temporary service (generator) ................................... $78.75 ❑ Manufactured/mobile home service ........................... $84.00 (excluding garage or outbuilding) ❑ Carnivals.................................................................... $78.75 Number of concessions ......................... $10.50 ea 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. Date: 119-13-16 Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms-Applications on Une\2010 Applications\7-2010 - Electrical Permit Application.doc bh Page 2 of 2 DESCRIPTIONS • QUANTITY PAID PermitTRAK $68.25 EL16-0952 Address: 13995 INTERURBAN AVE S Apn: 3365900220 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTALR9645 R000.322.900.04.00 0.00 $3.25 .: .25 Date Paid: Friday, October 14, 2016 Paid By: SIGN -TECH ELECTRIC LLC Pay Method: CREDIT CARD 00021G Printed: Friday, October 14, 2016 9:43 AM 1 of 1 C SY57EM5 INSPECTION RECORD , Retain a copy with permit INSPECTION NO. P RMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36O�� Permit Inspection Request Line (206) 438-9350 Project: V - 6&—A Type of Inspection: Address: r2�r�y �! Date Called: Special Instructions: 6 PO J Date Wanted: a.rrs� Requester: Phone No: Approved per applicable codes. u Corrections required prior to approval. pector: E REINSPECTIO" FEE REQUIRED. Prior to next inspection, fee'must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SIGN -TECH ELECTRIC LLC Hone Fspahol ContacL Safety & Health ^ Washington State Department of "Labor & Industries SIGN -TECH ELECTRIC LLC Owner or tradesperson Principals MENDENHALL, JOHN C, PARTNER/MEMBER MENDENHALL, LINDA D, PARTNER/MEMBER Doing business as SIGN -TECH ELECTRIC LLC Page 1 of 5 Search L&I A-7 Index help boy L&I Claims & Insurance Workplace Rights Trades & Licensing 5113 PACIFIC HWY E #7 FIFE, WA 98424 253-922-2146 PIERCE County WA UBI No. Business type 602 152 490 Limited Liability Company Governing persons JOHN C MENDENHALL LINDA D MENDENHALL; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .............................................................. Meets current requirements. License specialties GENERAL License no. SIGNTEL988BG Effective — expiration 01/07/2002— 01/07/2018 Designated administrator MORRISON, TRAVIS License type Electrical Administrator Bond ..._........_. No bond accounts during the previous 6 year period. Savings ........... (in lieu of bond) Received by L&I 07/27/2010 Release date N/A Savings account ID Savings history License Violations Active. Meets current requirements. License no. MORRIT'943K6 $4,000.00 Effective date 07/02/2010 Impaired date NIA https:Hsecure.Ini.wa. gov/verify/Detail. aspx?UBI=602152490&LIC=SIGNTEL98 8B G& SAW= Help us improve 10/14/2016