HomeMy WebLinkAboutPermit EL19-0597 - PACIFIC DENTAL - ADD THERMOSTATS AND RELOCATE 4 EXISTING THERMOSTATSPACIFIC DENTAL
6840 FORT DENT WAY
UNIT 225
ELI 9-0597
Parcel No:
Address:
City of Tukwila
a
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.Rov
ELECTRICAL OTC PERMIT
2854980425 Permit Number: EL19'0597
684OFORT DENT WAY Unit225 Issue Date: 7/25/2019
Permit Expires On: 1/21/2020
Project Name: PACIFIC DENTAL
Owner:
Name:
Address:
Contact Person:
Name:
Address:
JOHN C RADOVICH DEV CO
2B358ZNDAVSE#S-l^MERCER
ISLAND, WA, 98040
JOHN MERRILL
6426 18TH ST E , FIFE, WA, 98406
Contractor:
Name: MECHANICAL & CONTROL SERV INC
(ELECT)
Address: 6426 18 ST E , FIFE, WA, 98424
License No: MECHACS8821E
Lender:
Name:
Address:
Phone: (253) 831-4446
Phone: (253) 926-9777
Expiration Date: 4/6/2020
DESCRIPTION OF WORK:
INSTALL (2) NEW THERMOSTATS. RELOACTE (4) EXISTING THERMOSTATS.
Valuation of single family: $0{0
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $88.05
Electrical Servfte Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
International Residential Code £dition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
‘14/141,0 eY o
2017
2017
2017
2015
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 crr struction or the performance of work. I am authorized to sign and obtain this
development permit and agrz- to the conditions attached to this permit.
Signature:
Print Name:
C.)DfH Mevvf/
Date:
7-023,1f
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 TUKW1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
ht-tp://www.TukwilaWA.gov
Electrical Permit No. 05 Cl)
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:
Tenant Name: 1--)r
King Co Assessor's Tax No.:
Suite Number: i -RQ Floor: a ryi
PROPERTY 0 NER
Name:
Orn M ear i
Address: (0 Li (,)c, I rik 54_ E
Address: Liqta(0 1 g, t k .5 #
Name: i t
City: F,4 fe. State: AAJA Zip:
Phone: a s-3_ is 1 , gig, Fax: 3, cio7 6
0?
Email: aik 11 tn GC (DLit) Ine S. COM
Address: 9
Y
1
City: S'ec _44 e_
State:
A
Zip:
CONTACT PERSON PERSON — person receiving all project
communication
Name:
Orn M ear i
Address: (0 Li (,)c, I rik 54_ E
Address: Liqta(0 1 g, t k .5 #
ii
City: F,4 fe. State: AAJA Zip:
Phone: a s-3_ is 1 , gig, Fax: 3, cio7 6
0?
Email: aik 11 tn GC (DLit) Ine S. COM
_
New Tenant:
is. Yes ..No
ELECTRICAL CONTRAC I OR INFORMATION
Company Name: Mec 1 1 ‘•• 1&tvicvI
Address: (0 Li (,)c, I rik 54_ E
City: F.: ie_... state: w A Zip:c(//
Phone: a ..,-ci..c/77 7Fax: - 3_ cidG
Contr Reg No.:M EciA,ACSVQ4xp Date: 406 /
Tukwila Business License No.; 0 ciq -433 c(
Valuation of Project (contractor's bid price): $ 00
Scope of Work (please provide detailed information):
1" I 1
- mos te
1Zr o c ( 1i ) F zvtr,3
ryn.o s
Will service be altered? J Yes jJ No Adding more than 50 amps? E:3 Yes lEr No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPerrnit Center \ Applications -Handouts \Permit Applications\ PDFslElectrical Permit Application Revised I -17-19.docx
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
0 Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***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 Caller 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.
HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY TI -IE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT,
BUILDING OWNER OR ELECTRIC CONTRACTOR:
Signature:
Print Name:
L
uok, Mere?)
Mailing Address: 6 1341 E
WAPerrnit Center Applications -Handout saPermit A pplications1PDFAElectrical Permit Application Revised 1-17-19.docx
Da
5 /
Day Telephone:e2
City State Zip
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$88.05
EL19-0597 Address: 6840 FORT DENT WAY Un 225 Apn: 2954900425
$88.05
ELECTRICAL
$83.86
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$83.86
TECHNOLOGY FEE
$4.19
TECHNOLOGY FEE R000.322,900.04.00
TOTAL FEES PAID BY RECEIPT: R18194
0,00
$4.19
$88.05
Date Paid: Thursday, July 25, 2019
Paid By: MECHANICAL & CONTROL SERV INC
Pay Method: CHECK 30452
1111•1•1•1•1•1•0111•11•101111410111410OW
Printed: Thursday, July 25, 2019 12:52 PM
1 of 1
CPW5 Y5 TE
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P'RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431
Permit Inspection Request Line (206) 438-9350
Projec
Type o inspection: ''"1��.
Address: � � � .[late
Galled:
Specia Instructions:
-~✓� ��
Date Wanted:
a.rn.
p.m.
Requester:
rW...__.
Phone No:
proved per applicable codes. Ei Corrections required prior to approval.
Inspec r:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Washington State Department o
kf
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MECHANICAL & CONTROL SERV INC
Owner or tradesperson
Principals
Hunt, Travis Lamond, PRESIDENT
Hull, Travis Edward, VICE PRESIDENT
Mechanical & Control Services„ MEMBER
Doing business as
MECHANICAL & CONTROL SERV INC
WA UBI No.
602 338 440
6426 18th St E
FIFE, WA 98424
253-926-9777
PIERCE County
Business type
Corporation
Governing persons
ANGELA
DAWN
HULL
TRAVIS EDWARD HULL;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business,
Apprentice Training Agent
Registered training agent. Check their eligible programs and occupations.
Verify the contractor's active registration 1 hcense certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
MECHACS882JE
Effective — expiration
04/05/2012— 04/06/2020
Designated administrator
Taylor, Caleb David
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator TAYLOCD827CB
Bond
American Contractors Indem CO
Bond account no.
100239435
$4,000 00
Received by L&I Effective date
02/10/2014 02/06/2014
Expiration date
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First National ins Co of America
Bond account no.
6676649
Received by L&I
04/05/2012
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Until Canceled
$4,000.00
Effective date
02/08/2012
Expiration date
Until Canceled
Workers' comp
Public Works Requirements
Workplace safety and health
. Stale t abor !ndti$.;,4ie U64:I of Um., 'to fiw VVashingtoir
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