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Home My WebLink AboutPermit EL17-0046 - MINDFUL THERAPY - CAT6 CABLESMINDFUL THERAPY 7100 FORT DENT WAY SUITE 220 ELI 7-0046 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 2954900440 7100 FORT DENT WAY 220 Project Name: MINDFUL THERAPY Permit Number: EL17-0046 Issue Date: 1/19/2017 Permit Expires On: 7/18/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVICH DEV CO 2835 82ND AV SE #S-1, MERCER ISLAND, WA, 98040 ART GULLEDGE Phone: (253) 391-8090 107 110 AVE CT E , EDGEWOOD, WA, 98372 A.GULLEDGE SERVICES Phone: (253) 391-8090 107 110 AVE CT E , EDGEWOOD, WA, 98372 GULLES*840CA Expiration Date: 2/1/2018 DESCRIPTION OF WORK: CAT6 CABLE INSTALLATION, 30 CABLES IN 23 LOCATIONS Valuation of single family: $0.00 Valuation of mf/comm: $4,500.00 Type of Work: LOW VOLTAGE Fees Collected: $202.30 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature:itiii Date: I 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 agree to the conditions attached to this permit. Signature: Print Name: Date: G l�l 2 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 TUKW1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical: Permit No. ' L 00 1-tV 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 Site Address: 7/elf' tir; Qty Tenant Name:/�'%i /�Df' f rT e e4/07 King Co Assessor's Tax No.: 4/ Z2 d.) Suite Number: L? D 9i • New Tenant: PROPERTY OWNER Name: Au 7-0, .�� 1 Gl,L ,el‘. ei Address: . Name: `� q Phone: &/4, Y-4 eiio. 70ds x: cdzf.< yo • q`d 4 V E//g' mail: - , ` )G ✓a�K40►t`c,madoI T4ei'dov1.foSPOIO. r Address: 4 a,- 0,i,,, / , •C jGam+ 1, 3 4 j City/ LGti«." , /�ydl s tatera Zip:/ �v,r¢ CONTACT PERSON — person receiving all project communication Name: Au 7-0, .�� 1 Gl,L ,el‘. ei Address: . City: State: Zip: Phone: &/4, Y-4 eiio. 70ds x: cdzf.< yo • q`d 4 V E//g' mail: - , ` )G ✓a�K40►t`c,madoI T4ei'dov1.foSPOIO. r ..( Floor: A J. Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: [% /S, d i/ 4- .�e�,v�Cd.1 Address: 7 fI/hti � Is me Ci, , ' ��' city:t4 2'tl/4 o / State:4„,c, Zip:7,37z Phone:2 0 ,,,(1,Pr ax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ �io Scope of Work (please provide detailed information): cwd C?4/ i0-,/m+t/% au 3e, Ch f%f ;t4 2) /P ,e2 Will service be altered? ❑ Yes 2rNo Type of Use: Type of work: • ` ••• 0 Npw . ,, , 0 Addition 0 Service Change Low Voltage ❑, Generator 0 Fire Alarm Property Served by: ••• Adding more than 50 amps? 0 Yes rrNo Puget Sound Energy 0 Seattle City Light H:\Applications\Forms•Applications On Line12014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh • 0 Remodel- . , Q Tenant Improvement ,❑ Telecommunication 0 , 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 O Circuits added/altered without service change $54.60 (up to 5 circuits) O Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter/niast repair $68.25 Low voltage sy8tems .,...;$59.85 (alarm, furnace thermostat) tt MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $65.00 O Temporary service (generator) $80.90 O Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and'generator truck $10.80 ea 4 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT 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,p`eriod 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: oltf 4' Mailing Address: / 7 //AN 41hr H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Date: ! ^/P 1 Day Telephone:a J Ara 39/ • ,8 4 9 it— 00 44— 9:J7� City State Zip • Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $202.30 EL17-0046 Address: 7100 FORT DENT WAY 220 Apn: 2954900440 $202.30 Credit Card Fee $5.89 Credit Card Fee 1 R000.369.908.00.00 1 0.00 I $5.89 ELECTRICAL $187.06 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 I 0.00 1 $187.06 TECHNOLOGY FEE $9.35 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10496 R000.322.900.04.00 0.00 $9.35 $202.30 Date Paid: Thursday, January 19, 2017 Paid By: ART GULLEDGE Pay Method: CREDIT CARD 000033 Printed: Thursday, January 19, 2017 12:09 PM 1 of 1 SYSTEMS INSPECTION RECORD �/ Retain a copy with permit -Q� l INSPECTION NO. E MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 /{ Permit Inspection Request Line (206) 438-9350 Project-.o� ��(�I s 4ZA-P3 Type of Inspection: �� Address: 1006.7j)gr Date Called: Special In tructions: Date Wanted: I 6 / t 7 ! a r p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: 0 47117 REINSPECTIQN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. j INSPECTION RECORD Retain a copy with permit elq-00Y(6 INSPECTION NO. MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438350 Project: f r ItIryL T e ins l ctio. nd , 91'` "`` Ifs► COMMENTS: Address: 6PK �lao Date Called: Special Ins ructions: �� (� C) • F Date Wanted: 3-10, 6.-.1- C a p.m. P.m. Requester: 4 �- Phone No: iT .� Approved per applicable codes. Corrections required prior to approval. COMMENTS: 41K 4 �- (L k e(Weic asir4b4 ezretzrc .... &Le ,A9 ur.i;,,heo ..... 0 .., /i Inspector: ic\i/j 6ic Date: 0 Q r C7 REINSPECTIONEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6/5/2017 City of Tukwila Department of Community Development ART GULLEDGE 107 110 AVE CTE EDGEWOOD, WA 98372 RE: Permit No. EL17-0046 MINDFUL THERAPY 7100 FORT DENT WAY - SUITE 220 Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 7/31/2017. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 7/31/2017, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Rachelle Ripley Permit Technician File No: ELI7-0046 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 A.GULLEDGE SERVICES Iiomne Espanol Contact Search L&I Page 1 of 2 A-I:Index Help My 1,&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing Clik Washington State Department of 4 Labor & Industries A.GULLEDGE SERVICES Owner or tradesperson Principals Gulledge, Art L, OWNER Doing business as A.GULLEDGE SERVICES WA UBI No. 602 154 509 107 110TH AVE CT E EDGEWOOD, WA 98372 253-391-8090 PIERCE County Business type Individual Governing persons ART L GULLEDGE VICTORIA JOY GULLEDGE; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ......................_........_............................ Meets current requirements. License specialties TELECOMMUNICATIONS License no. GULLES*840CA Effective — expiration 02/01/2016— 02/01/2018 Designated administrator GULLEDGE, ART License type Electrical Administrator Bond ................. Wesco Insurance Co Bond account no. 46WB072462 Active. Meets current requirements. License no. GULLEA*979KW $4,000.00 Received by L&I Effective date 02/01/2016 02/01/2016 Expiration date Until Canceled Insurance ......................... Navigators Ins Co Policy no. NA114010700 . $1,000,000.00 Received by L&I Effective date 09/30/2016 11/05/2015 Expiration date 11/05/2017 Savings Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602154509&LIC=GULLES*840CA&SAW= 01/19/2017