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Home My WebLink AboutPermit EL19-0741 - PACIFIC DENTAL SERVICES - ACCESS CONTROL FOR 4 DOORS WITHIN SUITEPACIFIC DENTAL SERVICES 6840 FORT DENT WAY SUITE 241 EXPIRED 03/09/2020 ELI 9-0741 Parcel No: Address: Project Name: C.) City of Tukwila a Department of Community Development 63005outhcente,Boulevard, Suite #1nn Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://vvwwJukwi|aVVA.gov ELECTRICAL OTC PERMIT 2954900425 Permit Number: EL19'0741 6840 FORT DENT WAY 241 PACIFJC DENTAL SERVICES Issue Date: 9/11/2019 Permit Expires On: 3/9/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVICH DEV CO Z&3582NDAVSE#S-1'MERCER ISLAND, WA, 98040 KRIS ROXBY lO675WILLOWS RD'SUITE l00' REDMOND, WA98052 TEKNON CORPORATION 10675 WILLOWS RD NE SUITE lDO' REDMOND, WA98052 T[KWO[~813KH Phone: (360) 224-7305 Phone: (425) 895-8535 Expiration Date: 5/8/2021 DESCRIPTION OF WORK: INSTALL ACCESS CONTROL FOR 4 DOORS WITHIN SUITE Valuation of snIe family: $0,00 Valuation of mf/comm: $I6'I45.00 Type of Work: LOW VOLTAGE Fees Collected: $436.46 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: nternatior,aI Building Code Edition: Interriational Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: Date: 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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: \. Date: T~\�— \d) 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 lnspector 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 lnspection 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.TukwilaWA.gov Electrical Permit No. -L-L-49— 074/ 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: 6 Tenant Name: .0fu A 6-ke_ PROPERTY OWNER Name: Name: Address: ws--15- Lo Akc23 -4 Address: 743 55_ <6 z.... vw..‘ teickj,e_ City: v„(ert_ei, i*1 State: wk Zip: G1/410,10 CONTACT PERSON — person receiving all project communication Name: Address: Address: ws--15- Lo Akc23 -4 k.._e_. \ DO City: a.ex,,,_Levka State:Lo 1,, Zip: c:c c6-- ' Phone: -7m) -1505-Fax: Email: 0:0144..e ,t_e_lc.4.A.stit - elz• LAA King Co Assessor's Tax No.: Suite Number: 1- 1.1. Floor: 2-, al New Tenant: Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: 7- 1_ ,,...A_DA Ceci Address: City:-,-.42.41State:Zip: ams-zn Phone: -2-5- Fax: Contr Reg No.: VExp Date: 2-2-I .2o -00 6 Tukwila Business License No.; , Pv NUN —07-1 Oa() Valuation of Project (contractor's bid price): $ 6( t C Scope of Work (please provide detailed information): k \ klx-kAAN Will service be altered? LJ Yes Type of Use: Type of work: El New El Addition 0 Service Change 0 Remodel Tenant Improvement El Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light WAPennit Center \ Applicario ns -Handouts \ Permit ApplicationsAPPFAElectrical Permit Application Revised I -17-19.docx Adding more than 50 amps? ED Yes D No Page 1 of 2 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) O Service change with added/aliered 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 0 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 D 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 i. nerator 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 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 ow 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 1 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: Date: Print Name: KiALA ti,kkitz(--- 12-0 Day Telephone: Mailing Address: t O6 \-1/4.\\\0,-.) fr St'e-- 103 \24P-eck kAitk GV60S-2— City State Zip WAPermit Center Applications-HandoinsWenint AppliceeionAPDFAElectrical Permit Application Revised I -I 7-I9 dam Page 2 of 2 Cash Register Receipt Receipt Number City of Tukwila DESCRIPTIONS 1 PermitTRAK ACCOUNT 1 QUANTITY I PAID $436.46 EL19-0741 Address: 6840 FORT DENT WAY 241 Apn: 2954900425 $436.46 Credit Card Fee $12.71 Credit Card Fee R000.369.908.00.00 0.00 $12.71 ELECTRICAL $403.57 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $403.57 TECHNOLOGY FEE $20.18 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18544 R000.322.900.04.00 0.00 $20.18 $436.46 Date Paid: Wednesday, September 11, 2019 Paid By: KRIS ROXBY Pay Method: CREDIT CARD 04131G Printed: Wednesday, September 11, 2019 1:56 1 of 1 PM CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 286'433-1870 CITY OF TUKWILA 0817340000802374404500 Date: 09/11/2019 01:55:31 PM CREDIT CARD SALE VISA CARD NUMBER: **********2726 K TRAN AMOUNT: $436.46 APPROVAL CD: 8413I6 RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT {MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Washington State Department of Labor & industries Home 1spanol Contact Safety & Health Claims & Insurance Search L&I A -Z ndox Help My L&I Workplace Rights Trade & Licensing TEKNON CORPORATION Owner or tradesperson Principals Spencer, Gordon J, PARTNER/MEMBER National Registration Agents, AGENT Doing business as TEKNON CORPORATION WA UBI No. 600 525 922 Parent company TEKNON INFRASTRUCTURE SERV LLC 10675 Willows Rd NE Ste 100 REDMOND, WA 98052 425-895-8535 KING County Business type Limited Liability Company Governing persons GORDON J SPENCER NEAL STOBAUGH; ROGER B SMITH; RANDY RANDAL OWNBEY; GAIL LOUISE SMITH; Certifications & Endorsements License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. TEKNOC*813KH Effective — expiration 05/08/2019— 05/08/2021 Designated administrator Spencer, Christopher James License type Master Electrician Bond Fidelity & Deposit Co of MD Bond account no. 9317258 Received by L&I 05/08/2019 Savings No savings accounts during the previous 6 year period. Licensc Violations Active. Meets current requirements. License no. SPENCCJ835BO $4,000.00 Effective date 04/26/2019 Expiration date Until Canceled Help us improve