HomeMy WebLinkAboutPermit EL19-0954 - AMERICAN MEDICAL RESPONSE - 1-HR GENERATOR LOAD BANKAMERICAN MEDICAL
RESPONSE
13075 GATEWAY DR 100
ELI 9-0954
Parcel No:
Address:
Project Name:
Owner:
Name:
Address:
Contact Perso
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
City of Tukwila
a
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwlla, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438'9350
Web site: http://www.TukwilaWA.gov
0004800010
ELECTRICAL OTC PERMIT
13075 GATEWAY DR 100
AMERICAN MEDICAL RESPONSE
GATEWAY BLDG 10 LLC
Permit Number:
Issue Date:
Permit Expires On:
EL19-0954
11/18/2019
5/16/2020
2829 RUCKER AVE STE 100 C/O COAST
REAL ESTATE SVCS, EVERETTWA,
98201
KRAIG KURATA
1S135NE92ST,REDMOND, WA,
98052
SEQUOYAH ELECTRIC LLC (ELECTRICAL
15135 NE 92NDST,REDMOND, WA,
98052-3519
Phone: (425) 864-1503
Phone: (425) 814'6000
Expiration Date: 1/30/2021
DESCRIPTION OF WORK:
Valuation of single family: $0.00
Valuation of mf/comm: $360l0
Type of Work: GENERATOR
Fees Collected: $8120
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the Clty of Tukwila:
International Buliding Code Edition:
International Residential Code Edition:
InternationI Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
Permit Center Authorized Signa
I hearby certify that | 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. 1 arn authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
Date: //— �7'/4
� .. ,'
This permit shaU become null and void if the work is not commenced within 180 days for the date of issuanceor if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
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 and the Washington Cities Electrical Code.
5: When any portion of the electrical installation 15 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 ofofthe provisions of the electrical code or other ordinances ofthejurisdiction. 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.
PERMIT INSPECTIONS REQUIRED
Permit lnspection Line:(206) 438-9350
2I00 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
0
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. F_ _1 q-- Q95 -4 -
Project No.
Date Application Accepted: (1-165-1431
Date Application Expires:
(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
booLt oCj 10
King Co Assessor's Tax No.:
Site Address: 1101 5&Cake( es' dve_ ILO Suite Number: 1 OC) Floor: f .CFCs
Tenant Name: Amt) riCf,A cYNe6kCcA RCSS)0115e_ New Tenant: D Yes ` ..No
PROPERTY OWNER
Company Name:
Seq ua(40,\A [leer ►c.
Name: ,/ v
Name:Ga
o,q �LQG
10 LLC.
st-
Address:
City: keltokit State:
Zip
2
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name:
Seq ua(40,\A [leer ►c.
Name: ,/ v
City: nea mcva State: W a
Zi4:606.z
Address: (5-136- )0E q 2 1
st-
Contr Reg No.: Exp Date:
City: keltokit State:
Zip
2
Phone: 4 4 0q _1503 Fax:
Email: ti` a t "Lva
sevume 14 Call
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Seq ua(40,\A [leer ►c.
Address:15135 WE 9`4,4 St<
City: nea mcva State: W a
Zi4:606.z
Phone: Los' iN (NY \ Fax:
1
Contr Reg No.: Exp Date:
Tukwila Business License No.;
EQtj iELeti7Sq
Valuation of Project (contractor's bid price): $ 'NCO
Scope of Work (please provide detailed information): 1 \' eocs ®e_pcianc— \ \k
Will service be altered? ❑ Yes 51 No Adding more than 50 amps? Q Yes CZ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:'Permit Center \ Applications -Handouts \Permit Applications \PDF's\Electrical Permit Application Revised 1-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change ...... ,$60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80,00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
0 Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11,00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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: 11- 1E- iq
Print Name: cti%cb Day Telephone:
Mailing Address: 1 Ci2ala geextvitf. 4'8652
City State Zip
W:\Permit CenterVipplkations-liendoutsWermit Applications \ PDFsliElectrical Permit Application Revised I-17-1 Rdoca
Page 2 of 2
Receipt Number
R19097
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$81.20
EL19-0954 Address: 13075 GATEWAY DR 100
Apn: 0004800010
$81.20
Credit Card Fee
$2.37
Credit Card Fee
R000.369.908.00.00
0.00
ELECTRICAL
$75.08
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$75.08
TECHNOLOGY FEE
$3.75
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R19097
R000.322.900.04.00
0.00
$3.75
$81.20
Date Paid: Monday, November 18, 2019
Paid By: KRAIG KURATA
Pay Method: CREDIT CARD 02050C
Printpri• Mnnriav NnvPmhPr 1 2019 11:21 AM
1 of 1
tal;PUII
CO TUKWILA ETRAnIT
6200 SUUTH[EnTEK BLVD
TUKWILA, WA 98188
206-4]]'1870
CITY OF TUKWILA
0017340080802374464500
Date: 11/18/2019 1I:21:15 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********2448 K
TRAN AMOUNT: $81.20
APPROVAL CD: 82050[
RECORD #: 000
CLERK ID: fronkie
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RIVOT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
c -J
Type of nspec ion:
Date Called:
Address:
7
Special ns uc
tP /k4
7
ns:
(0
Date Wanted:
t
a.m.
P.m.
Requester:
Phone No.
63
PCOMMENTS:
Approved per applicable codes.
rections required prior to approval.
Inspector:
Date:
F-1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
°Labor Industries (hltps://lni.wa.govi
Contractors
SEQUOYAH ELECTRIC LLC
Owner or tradesperson
Principals
Nichols, David E, PARTNER/MEMBER
GHASSEMI,
MAHMOOD, PARTNER/MEMBER
Angeline, Scott R, PARTNER/MEMBER
Jeffrey, Peter Casino, PARTNER/MEMBER
Trocano, Rick, PARTNER/MEMBER
Nagel, Cheryl L, PARTNER/MEMBER
Nichols, Christopher R, PARTNER/MEMBER
Doing business as
SEQUOYAH ELECTRIC LLC
VVA UBI No.
602 252 591
15135 NE 92ND ST
REDMOND, WA 98052
425-814-6000
KING County
Business type
Limited Liability Company
Governing persons
DAVID
E
NICHOLS
MAHMOOD GHASSEMI;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active
Meets current requirements.
License specialties
GENERAL
License no.
SEQUOEL977S9
Effective — expiration
01129/2003-01/30/2021
Designated administrator
Nichols, Christopher
License type
Electrical Administrator
Bond
HARTFORD CAS INS CO
Bond account no.
52BSBAB5541
Active
Meets current requirements.
License no.
NICHOC*835RE
$4,000.00
Received by L&I Effective date
01/29/2003 01/29/2003
Expiration date
Until Canceled
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
ELY0001375
Issue date
Satisfied
RCW/WAC