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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 Labor & industries H oine Espa Contact. Safety & Health Claims & Insurance [Search L&I A -Z tudc> lel My MI Workplace Rights Trades & Licensing 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 Help us improve 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 Help us improve