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Home My WebLink AboutPermit EL12-0410 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL wys EL12 -0410 City o.['ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #I00 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH Permit Number: EL12 -0410 Issue Date: 05/03/2012 Permit Expires On: 10/30/2012 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: ROBERT SCHANTZ Address: 19717 620 AV S, SUITE F -103 , KENT WA Contractor: Name: R F I COMM & SECURITY SYS Address: 360 TURTLE CREEK COURT , SAN JOSE CA Contractor License No: RFICOS *990MC Phone: 253 - 981 -6100 Phone: 408 - 298 -5400 Expiration Date: 07/03/2013 DESCRIPTION OF WORK: CAMERA MOVE (TICKET #70007901) Value of Electrical: NRES: $550.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 Date: �—. 1,2 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 the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 1243 t3F-a_ - -r Date: 3 /Z. 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 -4/10 EL12 -0410 Printed: 05 -03 -2012 PERMIT CONDITIONS Permit No. EL 12 -0410 * *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 -4/10 EL12 -0410 Printed: 05 -03 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. 1) — 0 Ll 10 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: 12400 E Marginal Way S Tenant Name: Group Health - AMB Property Owners Name: Group Health King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes Mailing Address: 12400 E Marginal Way S Tukwila WA City State .. No 98168 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Robert Schantz Mailing Address: 19717 62nd Ave S #F103 E -Mail Address: Day Telephone: (253) 981 -6100 Kent WA City State Fax Number: (253) 981 -9996 98032 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Robert Schantz IZ_, T GYM M. 19717 62nd Ave S #F103 Kent WA 98032 City State Day Telephone: (253) 981 -6100 Fax Number: (253) 981 -9996 Contact Person: Robert Schantz E -Mail Address: Contractor Registration Number: RFICOS *990MC Zip Expiration Date: 07/03/2013 Valuation of Project (contractor's bid price): $ 550 Scope of Work (please provide detailed information): Camera Move (ticket #70007901) Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service No Adding more than 50 amps? ❑ Yes m No ❑ Remodel ❑ Tenant Improvement Property Served by: m Puget Sound Energy ❑ Seattle City Light l:Wpplications \Forms - Applications On Line\20I0 Applications \7-2010 - Electrical Permit Application.doc bh Page 1 of 2 ?)1 q4 C Sff✓� b -1001 `15# 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 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: Mailing Address: 19717 62nd Ave S #F103 Day Telephone: Kent City Date: 04/27/2012 (253) 981 -6100 State 98032 Zip Date Application Accepted: Date Application Expires: Staff Initials: H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 r � 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.gov RECEIPT Parcel No.: 7340600480 Permit Number: EL12 -0410 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 05/03/2012 Applicant: GROUP HEALTH Issue Date: Receipt No.: R12 -01483 Initials: WER User ID: 1655 Payment Amount: $75.60 Payment Date: 05/03/2012 10:30 AM Balance: $0.00 Payee: RFI COMMUNICATIONS & SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5839 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 05 -03 -2012 INSPECTION NO. RECORD L,L- INSPECTION RECO % Retain a copy with permit " vy 1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -367 Project: 6/(04) tk T f� Type of Inspection: 4-1 vU I Address: t r ff '' �' �' Date Called: Special Instructions: Spe Zed` CAI HNA Date Wanted: . a. .m. Requester: Phone No: 7 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: t Date: i/ n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. __a 1-,:: rL,_.,-:;% a= ae�.. w- cn.aa.s""c,r'r+r:�-- t�mtJL -B ^c -.. "-- -4tn -' `.— ✓•�:- ••h.+�2 as,.. b„ti� . 09 -04 -2012 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director ROBERT SCHANTZ 19717 620 AV S, SUITE F -103 KENT WA 98032 RE: Permit No. EL12 -0410 GROUP HEALTH 12400 EAST MARGINAL WY S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal 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 10/30/2012. 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 fmal 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 10/30/2012, 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, c L Bill Rambo Permit Technician File: Permit File No. EL12 -0410 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople Pry ter 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 R F I COMM & SECURITY SYS 4082985400 360 Turtle Creek Court San Jose CA 95125 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602126766 Active RFICOS'990MC Electrical Contractor 7/3/2001 7/3/2013 Limited Energy Hvac /Rfrg Ltd Energy ther Associated Licenses L License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RFIELI0099LS R F I ELECTRONICS INC OREGON Electrical Contractor Limited Energy Unused 6/10/1991 6/10/2001 Archived Electrical Administrator INFORMATION License LUND *BD035PD Name LUND, BRIAN DOUGLAS Status Active Business Owner Information Name Role Effective Date Expiration Date LUND, BRIAN Agent 07/03/2001 Bond Amount REECE, LAWRENCE Chief Operating Officer 06/24/2004 2139836 WILSON, BRAD President 07/03/2001 BROOKS, MICHELLE Secretary 06/24/2004 FIRST NATIONAL INS CO OF AMERI DUELL, MARILYN Vice President 07/03/2001 09/20/2011 REECE, DEAN Chief Executive Officer 06/24/2004 01/20/2009 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 North American Spec Ins Co 2139836 09/20/2011 Until Cancelled $4,000.0008/17/2011 2 FIRST NATIONAL INS CO OF AMERI 6500546 07/03/2008 Until Cancelled 09/20/2011 $4,000.00 06/13/2008 1 STAR INS CO SA1317066 07/03/2001 Until Cancelled $4,000.0007/17/2001 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 https://fortress.wa.gov/lni/bbip/Print.aspx 05/03/2012