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Home My WebLink AboutPermit EL19-0462 - PACIFIC DENTAL - RELOCATE LIGHTS / ADD 16 DUPLEX RECEPTACLES AND 4 DEDICATED CIRCUITS.PACIFIC DENTAL 6840 FORT DENT WAY ELI 9-0462 Parcel No: Address: City of Tukwila t of Community Development 63O0SouthcenterBoulevard, Suite #1OU Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 2954900425 6840 FORT DENT WAY Project Name: PACIFIC DENTAL ELECTRICAL OTC PERMIT Permit Number: EL19'0462 Issue Date: 5/31/2019 Permit Expires On: 11/27/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: JOHN C RADOVICH DEV CO 2835OZNDAVSE#S-1'MERCER ISLAND, WA, 98040 MARTIN CHAVERO 4O7S3O6ST'FEDERAL WAY, WA, 98003 MCH ELECTRIC LLC Address: 4O7S3O6THST,FEDERAL WAY, WA, 98003 License No: MCHELEL856LP Lender: Name: Address: .,, Phone: (253) 250-5195 Phone: (253) 250-5195 Expiration Date: 6/17/2019 DESCRIPTION OF WORK: RELOCATING LIGHTS - 15. INSTALLING 16 DUPLEX RECEPTACLES AND 4 120V 20A DEDICATED CIRCUITS. INSTALLING 2 FLOOR BOXES, INSTALLING OSWITCHES. Valuation of single family: $0,00 Valution of mf/comm: $15'000.00 Type of Work: TENANT IMP Fees Collected: $397/2 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City o Tukwila: International Building Code Edition: lnternational Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signa u 2015 20152015 2015 2015 National Electrical Code: WA Cities Etectrical Code: WAC 296-46B: WA State Energy Code: 2017 20172017 2015 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 agree to t - conditions attached to this permit. Signature: Print Name: ).,./12 Yu Date: 3-31 --tei 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 and the Washington Cities Electrical Code. 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 TUKW Community DevelopmNeDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://w•ww.TukwilaWA.gov Electrical Pea No. 01-4(g2. Project No. Date Application Accepted: 5-1--/ 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: 66)q°Fort n•S—c UJ ALI Tenant Name: ^F Gi e. 'IC> 7. L. King Co Assessor's Tax No.: Suite Number: 2.c( PROPERTY OWNER Name: Name: I Ci State: • State: Zip: D.,:-: 124 L. c_suNA ‘ (-(2..._) A 'T 1 Address:2443S if2.14) ckv 5G a "5 -1 Email Mei,NkivN RAC. COI - City: State: Zip: VA_C ECM t PL." on cf oLic CONTACT PERSON — person receiving all project communication Name: Address: Ci State: • State: Zip: D.,:-: 124 L. c_suNA ‘ (-(2..._) A 'T 1 Phon?253) is 0 s.t c? ax:c....c) 6 ) s k ,,ri 7 c Email Mei,NkivN RAC. COI - New Tenant: Floor: '1 1.3 o Yes 0.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: Li ol. % 3061-k 21— City: State: Zip: , le.SX)S RP& tAAA-L, Lk, ‘, • Phone:) LS o Siet eax:(1.60 65 k -11,--io Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 000 - Scope of Work (please provide detailed information): 12,ti.-0 i 1.,CI LLQ — 1 sJS 'V XXVI Kr a) 1,(0 Duvk.ri ca_rcnioNis.cLe5 t i2ov 20A Dente/0-7p ct tzttivvif ikistottutA 1 pLoo t gootT I 1 -,5 -Alt 14 CI so-rk-tcAr Will service be altered? Yes a No Type of Use: Type of work: O New 0 Addition 0 Service Change 0 Remodel LIT Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Adding more than 50 amps? ID Yes V, No Property Served by: O Puget Sound Energy 0 Seattle City Light WAPermit CentenApplications-HandoutsWermit Applications WordkElectrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $155.91 (including an attached garage) 0 Garages, pools, spas and outbuildings $83.54 ea 0 Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $83.54 (no addecValtered circuits) O Service change with added/altered circuits $83.54 number of added circuits $12.00 ea Ei Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES EJ Temporary service (residential) $66.30 O Temporary service (generator) $82.52 O Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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 'ONTRACTOR: Signature: Print Name: Mailing Address: 4i01.. Date: S k evo Day Telephone: 0.53) 25 —SI S e e_A .PA W:\Permit CentenApplications-HandoutsWermit Applications1WoraElectrical Permit Application Revised 1-1-2017.doex Revised: January 2017 bh City State Zip Page 2 of 2 • Cash Register Receipt Receipt Number City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $397.42 E1.19-0462 Address: 6840 FORT DENT WAY Apn: 2954900425 $397.42 Credit Card Fee $11.58 Credit Card Fee R000.369.908.00.00 0.00 ELECTRICAL $367.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $367.47 TECHNOLOGY FEE $18.37 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17772 R000.322.900.04.00 0.00 $18.37 $397.42 Date Paid: Friday, May 31, 2019 Paid By: MARTIN CHAVERO Pay Method: CREDIT CARD 020795 Printed: Friday, May 31, 2019 10:32 AM 1 of 1 CRWSYS TEMS CO0 TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433'1870 CITY OF TUKWILA Date: 05/3I/20I9 I0:31:37 AM CREDIT CARD SALE VISA CARD NUMBER: *****^**+*3092 K TRAN AMOUNT: $397.42 APPROVAL CD: 020795 RECORD #: 000 CLERK ID: kandace Thank you! Customer Copy INSPECTION RECORD Retain a copy with permit CTION NO. P T NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special Instructions pproved per applicable codes. COMMENTS: Date Wanted: Requester: 7 Phone No: Corrections required prior to approval. inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee nust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT" NO. CITY OF TUKWILA BUILDING DIV SION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Address: Special Ins ruct ons: Type of Inspection: Date Called: Date Wanted: Requeste Phone No: proved per applicable codes. Corrections required prior to approval. nspector: '� �;. Date. REINSPECTFEEFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 outhcenter Blvd.. Suite 100, Call to schedule reinspection. 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) 438-9350 E Z-1 - 041 Type of Inspe 4Approvied per applicable codes. Corrections required prior to approval. OMMENTS: In • ecto REINSPE FEE REQUIRED. Prior to next inspection. fee mu be/ paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. /iU1H I.sanol ont) ct. Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I A -Z Index Help My 1.&.1 Workplace Rights Trades & Licensing MCH ELECTRIC LLC Owner or tradesperson Principals MARTIN, CHAVERO, PARTNER/MEMBER MARTIN, CHAVERO, AGENT Doing business as MCH ELECTRIC LLC WA UBI No. 603 513 566 407 S 306th St FEDERAL WAY, WA 98003 253-250-5195 KING County Business type Limited Liability Company Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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. MCHELEL856LP Effective — expiration 06117/2015— 06/17/2021 Designated administrator PORTER, JEREMY T License type Electrical Administrator Bond Western Surety Co Bond account no. 63690570 Active. Meets current requirements. License no. PORTEJT971P0 $4,000.00 Received by L&I Effective date 06/22/2018 06/14/2018 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Help us improve