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Home My WebLink AboutPermit EL11-0525 - GROUP HEALTHGROUP HEALTH 455 ANDOVER PK E EXPIRED 06 -08 -12 ELi 1 -0525 Parcel No.: Address: Tenant Name: City* Tukwila 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 0223400060 455 ANDOVER PK E TUKW GROUP HEALTH ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: ELl 1 -0525 06/09/2011 12/06/2011 Owner: Name: GIBSON PROPERTIES LLC Address: PO BOX 50268 , BELLEVUE WA 98015 Contact Person: Name: RANDY DREYER Address: 11816 NE 116 ST , KIRKLAND WA 98034 Contractor: Name: JOHNSON ELECTRIC INC Address: 11816 NE 116TH ST , KIRKLAND WA 98034 Contractor License No: JOHNSEI384RU Phone: 425 821 -8226 Phone: (425) 821 -8226 Expiration Date: 11/30/2012 DESCRIPTION OF WORK: INSTALL EGRESS PATHWAY LIGHTING AND EMERGENCY EXIT LIGHTS Value of Electrical Work: NRES: $15,000.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature:/ I hereby certify that I have read and governing this work will be complie $350.50 National Electrical Code Edition: 2008 exan tl wit The granting of this permit does not pr construction o - - %e orm e of work of this permit. Signature: Date: tuNb Led this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. one to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Print Name: O/� C ' ' i V �5�� Date: C& `� 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 -9/09 EL11 -0525 Printed: 06 -09 -2011 o • PERMIT CONDITIONS Permit No. EL11 -0525 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0525 Printed: 06 -09 -2011 CITY OF TU Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwci.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 Site Address: 4155 e A74 f / Tenant Name: Grew, e4L1 Property Owners Name: G1 l�7 !UTfr LLL Mailing Address. 'C *AL 522-46 701W City King Co Assessor's Tax No.: Suite Number: New Tenant: ❑ Floor: Yes GNP• State CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: /Y o Y i F•GY Er— Mailing Address. I Day Telephone: -[ e.trt— 7.6 1.41-410 LAU- E -Mail Address: (ai&d a C JOgaSDLIELEct. O City ��// State Fax Number: 4' 5r4V1.. +r Zip ELECTRICAL CONTRACTOR INFORMATION Company Name. Mailing Address. II eP Contact Person: City Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: . OWWi(SE( 3R1 IsitiCIA Expiration Date: I (f / Z_ State Zip too Valuation of Project (contractor's bid price): $ (S /mv • Scope of Work (please provide detailed information): SJU #144.0 ePutiestextsy heit L16b1-6. Will service be altered? ❑ Yes O. No Adding more than 50 amps? ❑ Yes [d No Type of Use: Type of work: ❑ New (1 Addition ❑ Service Change ❑ Remodel El Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: (.. Puget Sound Energy ❑ Seattle City Light H: ApplictdianWomn- Applicaticos On LinM2010 Applicano®17.20I 0 - Electrical Permit Applicationdoc bh • Page I of 2 11, RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ' ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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. I HEREBY CERTIFY THAT I 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: Will( Print Name: Mailing Address: RAY '1) v IDate Application Accepted: rti2 011 k Day Telephone: 7 Z5' gtzG City State Zip Date Application Expires: Staff Initials: H:\Applications \Portns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.dec bh Page 2 of 2 • • 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.TukwilaWA.Eov Parcel No.: 0223400060 Address: 455 ANDOVER PK E TUKW Suite No: Applicant: GROUP HEALTH RECEIPT Permit Number: EL11 -0525 Status: PENDING Applied Date: 06/09/2011 Issue Date: Receipt No.: R11 -01166 Initials: User ID: Payee: JEM 1165 Payment Amount: $350.50 Payment Date: 06/09/2011 08:39 AM Balance: $0.00 JOHNSON ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 042146 350.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 350.50 Total: $350.50 doc: Receipt -06 Printed: 06 -09 -2011 i INSPECTION NO. INSPECTION ,RECORD Retain a copy with permit ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 y, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 0lie f L t_ A4 Type of Inspection: 42/00 Address: 1/ 6 Date Called: Raiove R AO N't thiNIcifrit) So m 619 a( LAWookist Special Instructions: Date Wanted: r nJ, Requester: Phone No: Approved per applicable codes. O Corrections required prior to approval. COMMENTS: fki4 Afr$ AfPf.otim, 6r- otokerm, LbitiA y gJILD1,49 144tor-6 Raiove R AO N't thiNIcifrit) So m 619 a( LAWookist Inspector: Li Date: Ai n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • 05 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RANDY DREYER 11816 NE 116 ST KIRKLAND WA 98034 RE: Permit No. EL11 -0525 GROUP HEALTH 455 ANDOVER PK E TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 06/08/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 06/08/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. ELI 1 -0525 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director November 17, 2011 Jeff Johnson Johnson Electric, Inc. 11816 NE 116 Street Kirkland, WA 98034 RE: Request for Extension Electrical Permit Number EL11 -0525 Group Health — 445 Andover Pk E Dear Mr. Johnson, This letter is in response to your written request for an extension to Permit Number and EL11- 0525. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending your permit an additional 180 days from the date of expiration, June 8, 2012. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, AC, fer Marshall t Technician File: Permit No. EL11 -0525 W:\Permit Center\Extension Letters \Permits\2011\EL11 -0525 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Jennifer Marshall From: Sent: To: Subject: Jeff Johnson <jeffj @johnsonelect.com> Monday, November 14, 2011 8:28 AM Jennifer Marshall Request for permit extension Jennifer: We are requesting a permit extension for permit #EL11 -0525. We have had control. Sorry we did not ask for this extension prior to now, we got mixed up on the 6 month v. expiration date was a holiday so we could not call in for the extension. If the extension is granted we expect calling for a final within two weeks. Please call if questions. Jeff Johnson I Johnson Electric, Inc I Superintendent Direct 425.821.8226 I Fax 425.821.48361 Mobile 425.864.4067 I ieffi @iohnsonelect.com 01;krWs igq r 1 a couple of delays outside of our 12 month permit duration and the IT dtvM ` �2 tiJe k) • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RANDY DREYER 11816 NE 116 ST KIRKLAND WA 98034 RE: Permit No. EL11 -0525 GROUP HEALTH 455 ANDOVER PK E TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/11/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/11/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. ELI 1 -0525 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Pester Friendly Page • Electrical Contractor A business licensed by L &I 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 JOHNSON ELECTRIC INC 4258218226 11816 Ne 116Th St Kirkland WA 980347105 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600361519 Active JOHNSEI384RU Electrical Contractor 12/31/1962 11/30/2012 General Unused Electrical Administrator INFORMATION License JOHNSDB250MT Name JOHNSON, DANIEL B Status Active Business Owner Information Name Role Effective Date Expiration Date JOHNSON, DANIEL B JR Violation Amount 01/01/1980 8/12/2009 JOHNSON, DANIEL B SR ELECTRICAL CITATION 01/01/1980 $250.00 JOHNSON, JEFFREY J 8/12/2009 01/01/1980 ELECTRICAL CITATION JOHNSON JR, DANIEL B Agent 01/25/1980 4/20/2011 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 HARTFORD INS GROUP RN5038112 11/20/1980 Until Cancelled $4,000.00 11/20/1980 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EMABQ03047 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03046 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESWAT00272 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ESWAT00273 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/09/2011