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Home My WebLink AboutPermit EL09-0185 - GROUP HEALTH124 GROUP HEALTH 0 EAST MARGINAL WAY S ELO9O 185 Cityllf Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us ELECTRICAL PERMIT Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Permit Number: EL09 -0185 Issue Date: 03/16/2009 Permit Expires On: 09/12/2009 Tenant: Name: GROUP HEALTH Address: 12400 EAST MARGINAL WAY S , TUKWILA WA Owner: Name: ANNE ARUNDEL APARTMENTS LLC Phone: Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: JOE SCHULER Phone: 425 - 747 -5200 Address: 13301 SE 265 ST , BELLEVUE WA Contractor: Name: PRIME ELECTRIC INC Address: 13301 SE 26 ST , BELLEVUE WA Contractor License No: PRIMEEI134BT Phone: 425 747 -5200 Expiration Date: 01/30/2011 DESCRIPTION OF WORK: WIRE NEW AIR CONDITIONER SPLIT UNIT. ADD CONVENIENCE RECEPTACLE ON ROOF AND IN IT CLOSET Value of Electrical: NRES: $2,433.00 Fees Collected: $130.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: --)—S �t� V(1 Date: I hereby 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 t e perform • ' of work. I am authorized to sign and obtain this electrical permit. Signature: . , Date: 31 ) 6 /07. Print Name: €iv 1 Li7\ This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL09 -0185 Printed: 03 -16 -2009 Parcel No.: 7340600480 Address: Suite No: Tenant: • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS 12400 EAST MARGINAL WY S TUKW GROUP HEALTH Permit Number: Status: Applied Date: Issue Date: EL09 -0185 ISSUED 03/16/2009 03/16/2009 1: ** *ELECTRICAL * ** 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: .,1i /IiL Print Name: rt.,/ l ice, (.1/ Date: doc: Cond -Elec EL09 -0185 Printed: 03 -16 -2009 J CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 N . %,vttvv ::1 1! ikwd:3 . w13. u.s • Electrical Permit No. G L..4Oq- Q (es- Project No. (For office use wilt) 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 121-top M King Co Assessor's Tax No.: -731-106o— 01180 Site Address: ' ,�_ ` t ^di/ �1d $ Suite Number: Floor: 4-7 Tenant Name: Gam' We/ a.% New Tenant: ❑ Ycs ..No Property Owners Name: /v� //' / Q �j 7 Mailing Address:32v WGS7t`1 1 ' ) L� ......671044., " ! `e9/0 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City State lip Fax Number: E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: PI-1/1-74e. e Jec'ft /C. Mailing Address: 133o/ .S E 21:7 S7 -. -- .4 c_ £ i,4 9$ City �1 State Zip Contact Person c® % Day Telephone: % _ZS 7171-7-5-2 � E -Mail Address: S C.1 ere r /�7eCie- /C- .C-d,'F3x Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): S ! �� CO-e. Scope of Work (please provide detailed information): l J 41/r€ /7ew 17,/' t of. . field COrNt re f n d / - c_ � f`oc � a T Will service be altered'? ❑ Yes [ No Adding more than 50 amps? ❑ Ycs [k No Type of Use: Type of work: ❑ New ❑ Addition r Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunicatio:3 ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy Z Seattle City Light Xnphc.mm. 1 onm 00 I ir c,4 -'' )7 n mcaH 'e min Apphcm on doe RESIDENTIAL NEW RESIDENTIAI, SERVICE ❑ New single family dwellings $140.00 (including an attachea garage) ❑ Garages. pools, spas and outbuildings 575.00 ea ❑ Low voltage system (alarm, furnace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANCES ❑ Service change or alteration $75.00 (no addedlalter.ad circuits) ❑ Service change with added/altered circuits 575.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change S50.00 (6 or more circuits) 57.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 555.00 (alarm. furnace thermostat) MULTI- FAMILY AND COMMERCIAL. Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) S75.00 ❑ Manufactured /mobile home service - $80.00 (excluding garage or outbuilding) ❑ Carnivals S75.00 Number of concessions 510.00 ea PERMIT APPLICATION NOTES - Value of Construction - In all cases, a value of construction amount should he 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 Revi;w - 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 TILE 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: Mailing Address: 41453o Date: 3 -/w -� Day Telephone: aeleVa w9 98 .5 City sate Lqt IDate Application Accepted: Date Application Expires: Staff initials: II ,Spplli.lnona Anplicaumi.d,'_ Page 242 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwila.wa.us RECEIPT Parcel No.: 7340600480 Permit Number: EL09 -0185 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 03/16/2009 Applicant: GROUP HEALTH Issue Date: Receipt No.: R09 -00415 Initials: WER User ID: 1655 Payment Amount: $130.00 Payment Date: 03/16/2009 02:06 PM Balance: $0.00 Payee: PRIME ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17020 130.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIP - NONR 000.322.101.00.0 130.00 Total: $130.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 03 -16 -2009 INSPECTION RECORD 631- 0 Retain a copy with permit rL PEMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Project: bgp ur Type of Inspection: 7003 PQO Addre 12 tito 6 M � • Date Called: Special C4 / 04 - p M 750 013)? VC V4`1 5737 Date Wanted: 93 17 4,,,,,. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: if\)A•V Inspector: Date: 03// 07 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page 0 • Page 1 of 2 Electrical Contractor A business licensed by Lett to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name PRIME ELECTRIC INC UBI No. 601004783 Phone 4257475200 Status ACTIVE Address 13301 SE 26TH ST License No. PRIMEEI134BT Suite /Apt. License Type ELECTRICAL CONTRACTOR City BELLEVUE Effective Date 1/30/1987 State WA Expiration Date 1/30/2011 Zip 98005 Suspend Date County KING Previous License Business Type Corporation Next License Parent Company Associated License TYRREWF973CK Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License TYRREWF973CK Name TYRRELL, WAYNE Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date TYRRELL, WAYNE F Cancel Date 01/01/1980 Bond Amount TYRELL, NANCY 01/01/1980 TYRELL, WAYNE AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date INS CO OF Until https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= PRIMEEI134BT 03/16/2009