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Home My WebLink AboutPermit EL12-0434 - RAINIER CANCER CENTERThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL12 -0434 Rainier Cancer Center 200 Andover Park East RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 9 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. RAINIER CANCER CENTER 200 ANDOVER PK E EL1 2-0434 City c*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 Parcel No.: 0223100099 Address: 200 ANDOVER PK E TUKW Project Name: RAINIER CANCER CENTER ELECTRICAL PERMIT Permit Number: EL12 -0434 Issue Date: 05/11/2012 Permit Expires On: 11/07/2012 Owner: Name: ANDOVER PLAZA LLC Address: 1501 N 200TH ST , SHORELINE WA Contact Person: Name: SCOTT LEU Address: PO BOX 46546 , SEATTLE WA Contractor: Name: MAX ELECTRIC Address: 7107 SW SYLVAN LN , SEATTLE WA Contractor License No: MAXELE *954R0 Phone: 206 - 799 -2396 Phone: 206 799 -2396 Expiration Date: 12/19/2013 DESCRIPTION OF WORK: ADDING (2) 208 WATER HEATER CIRCUITS ANS (1) 120V CIRCUIT Value of Electrical: NRES: $800.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $88.20 2008 Date: s` ! 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: 56-61A5, t cl 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 EL12-0434 Printed: 05 -11 -2012 PERMIT CONDITIONS Permit No. EL12 -0434 * *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 -0434 Printed: 05 -11 -2012 CITY OF TUKtv(ofi,4 Community Develop Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hup: / /www.TukwilaWA.gov 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 ** King Co Assessor's Tax No.: Site Address: a 00 An old 1;^f 47t ( ✓� < / �� vv, s Suite Number: Floor: `c4 /1 / Tenant Name: /r er ( - hCC'" C' Y- k Name: Address: p0 City: -'ec) // (( bb / Phone: x(5 7/.g 73 9,� Fa /x: SC8%�`( !CerCC' Email: State:. 1 Zip: 67w New Tenant: ❑ Yes Company Name: 24X C�G /1:4-irf c Address: /400 6 jx- ? qq/ �y City: r State: 2� Zip: /y / Phone: ( 06 ) 7 ?. e 3y6,-Fax: eat 7(5. r 9'2 0 Contr Reg No.: 95 ^�� Exp Date: Tukwila Business License No.; c�u Valuation of Project (contractor's bid price): $ X.CO 6 Scope of Work (please provide detailed information): 120 v zek, Will service be altered? ❑ Yes o Adding more than 50 amps? ❑ Yes 1W Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Name: t / / eh-, rittcr -,-- col • Address: 2 2 v e4itioyee- City: (v/ �`I� State: , /J , Zip: Name: Address: p0 City: -'ec) // (( bb / Phone: x(5 7/.g 73 9,� Fa /x: SC8%�`( !CerCC' Email: State:. 1 Zip: 67w New Tenant: ❑ Yes Company Name: 24X C�G /1:4-irf c Address: /400 6 jx- ? qq/ �y City: r State: 2� Zip: /y / Phone: ( 06 ) 7 ?. e 3y6,-Fax: eat 7(5. r 9'2 0 Contr Reg No.: 95 ^�� Exp Date: Tukwila Business License No.; c�u Valuation of Project (contractor's bid price): $ X.CO 6 Scope of Work (please provide detailed information): 120 v zek, Will service be altered? ❑ Yes o Adding more than 50 amps? ❑ Yes 1W Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 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: Print Name: .5(0)4 (3 Mailing Address: v I-1 \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I 1.docx Revised. August 2011 bh Date: (r /(. Day Telephone: o 6 79 p1-2 591' 957ca State Zip City Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.00v Parcel No.: 0223100099 Address: 200 ANDOVER PK E TUKW Suite No: Applicant: RAINIER CANCER CENTER RECEIPT • Permit Number: EL12 -0434 Status: PENDING Applied Date: 05/11/2012 Issue Date: Receipt No.: R12 -01554 Payment Amount: $88.20 Initials: WER Payment Date: 05/11/2012 10:05 AM User ID: 1655 Balance: $0.00 Payee: MAX ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2417 88.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 88.20 Total: $88.20 doc: Receiot -06 Printed: 05 -11 -2012 INSPECTION 'RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IF, (206) 431 -36• Permit Inspection Request Line (206) 431 -2451 fu2-o3L/ Project X41 ! AZV Type of Inspection: ,211iU Address: A�` Date Called: t Special Instructions :. • Date Wanted:. /n 51 arn r m. Requester: Phone No Approved per applicable codes. • ' a Corrections required prior to approval. COMMENTS: /1 • Date: 0512,1 REINSPECTION FEE :REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prater Friendly Page e 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 MAX ELECTRIC 2067992396 Po Box 46419 Seattle WA 98146 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602485090 Active MAXELE'954R0 Electrical Contractor 12/19/2005 12/19/2013 General Unused Master Electrician INFORMATION License LAU• *SB953RR Name LAU, SCOTT B Status Active Business Owner Information Name Role Effective Date Expiration Date LAU, SCOTT B Owner 12/20/2005 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 12/19/2005 Until Released Bond $4,000.00 12/20/2005 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/11/2012