HomeMy WebLinkAboutPermit EL09-0757 - GROUP HEALTH COOPERATIVEGROUP HEALTH C t OP
12400 EAST MAR INAL WY S
EL09M757
City* Tukwila
O
Department of Community Development
6300 Southcenter Boulevard, Suite # 100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
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 -0757
Issue Date: 11/30/2009
Permit Expires On: 05/29/2010
Tenant:
Name: GROUP HEALTH COOPERATIVE
Address: 12400 EAST MARGINAL WY 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 26 ST , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC Phone: 425 747 -5200
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT Expiration Date: 01/30/2011
DESCRIPTION OF WORK:
INSTALL WIRING FOR NEW WATER SPRINKLER SYSTEM FIRE ALARM TAMPER SWITCHES (FA
PERMIT BY CONVERGENT)
Value of Electrical: NRES: $1,450.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: / V
I hereby certify that I have read and
governing this work will be complie
Fees Collected: $110.00
National Electrical Code Edition: 2008
Date: 1113101(-7
xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 perform e o o k. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
cc tris-
Date: cl/c.) 5
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 -0757 Printed: 11 -30 -2009
Parcel No.: 7340600480
Address:
Suite No:
Tenant:
01)
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.u.s
PERMIT CONDITIONS
12400 EAST MARGINAL WY S TUKW
GROUP HEALTH COOPERATIVE
Permit Number:
Status:
Applied Date
Issue Date:
EL09 -0757
ISSUED
11/30/2009
11/30/2009
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:
Print Name: c)!A!
Date: 11,Z4 /cN
doc: Cond -Elec
EL09 -0757 Printed: 11 -30 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
(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
® King Co Assessor's Tax No.: 1?7'1 0l.c 0 " UU
Site Address: 12 9-0,C� E-- a ST /' 2� J�'cq ( �e) S Suite Number:
Tenant Name: GAUP HEAL-7- New Tenant: ❑ Yes
Property Owners Name: — .Sati, -
Mailing Address:
Floor:
ErNo
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Day Telephone:
Mailing Address:
Zip
E -Mail Address:
City
State
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: P/` lc-, e
E c
Mailing Address: ) 3c==./ SC 2 �?' 67
Contact Person 5 e Sc-1,0
E -Mail Address: se�u%erkppr ��ee %G�Y`�G , e
Contractor Regiration Number: Pty I M EEL )31-t- /27T
e---2/ 84=zp.
City State Zip
Day Telephone( ) 7z/ 7 —S2c:3C.
Fax Numbes(L/"5) 74 7^ 5Q /
Expiration Date: J --> 2ca //
Valuation of Project (contractor's bid price): $ %14:5'
Scope of Work (please provide detailed information): P757 i - . P-7 r" aiec
eter- . F�4 --, j y Cow v�c
CJ
Will service be altered? ❑ Yes 0/No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator in Fire Alarm
Property Served by:
❑ Puget Sound Energy
L3 Seattle City Light
H:Wpphcations \Forms - Applications On Line \I -2009 - Electrical Permit Appltcation.doc
bh
Adding more than 50 amps? ❑ Yes
Etr-No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration ......... $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $1 1.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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.
1 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: i!
Print Name:
Mailing Address:
Date Application Accepted: 1`
H 'App l icat i onsTom s -Appl cat ions On Line! -2009 - Electri cal Permit A ppli canon doc
b,
Date Application Expires:
Date: 1
Day Telephone:
City
State
Staff Initials:
Zip
Page 2 of 2
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 -0757
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 11/30/2009
Applicant: GROUP HEALTH COOPERATIVE Issue Date:
Receipt No.: R09 -01908
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $110.00
Payment Date: 11/30/2009 10:26 AM
Balance: $0.00
PRIME ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 17529 110.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 110.00
Total: $110.00
P" YMENT
DECEIVE
doc: Receipt -06 Printed: 11 -30 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT NO.
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Projectfioo n 4640 A _ n
Type of Inspection:
-OGe
Address:
2iioo 6. /14A. .
Date Called:
Special Instructions:
Date Wanted:
I✓I 4,
m.
:
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Kf
Date: 0//06/1 0
r7 $60.00 REINSPE TION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
0,07-0757
P MIT NO.
CITY OF TUKWILA BUILDING DIVISION V-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ZO deptviu (
/: I
yKpe of Inspection: /91°1
�N �Q�
Address
Address:/21/00 1 °i v �, �p(°ty1 .
Date Called:
Special Instructions:
Date Wanted: ,
/ m.
P•
Requester:
Phone No:
NI Approved per applicable codes. Ei Corrections required prior to approval.
COMMENTS:
0
4a4 - 6.)Sua& JSE of ‘46-1-
eArgt4
Inspector:
Date:
ri $60.00 REINSPEbTION 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
0
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
PRIME ELECTRIC INC
4257475200
13301 SE 26TH ST
BELLEVUE
WA
98005
KING
Corporation
UBI No.
Status
License No.
601004783
ACTIVE
PRIMEEI134BT
License Type ELECTRICAL CONTRACTOR
Effective Date 1/30/1987
Expiration Date 1/30/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License WOODEDT970K8
Name WOODEY, DAVE T
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
Cancel
Date
01/01/1980
Bond
Amount
TYRELL, NANCY
3
01/01/1980
1200697
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
3
INS CO OF
THE WEST
1200697
01 /30/1992
Until
Cancelled
$4,000.00
STATE
https: // fortress .wa.gov /lni /bbip /Detail.aspx
11/30/2009