The URL can be used to link to this page

Home My WebLink AboutPermit EL07-067 - GROUP HEALTH COOPERATIVEGROUP HEALTH 12400 EAST MARGINAL WY S EXPIRED 02 -OS -08 ELO7-067 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: City►f Tukwila 7340600480 12400 EAST MARGINAL WY S TUKW GROUP HEALTH 12400 EAST MARGINAL WY S , TUKWILA WA GROUP HEALTH COOPERATIVE CONTROLLER , 521 WALL ST JUDY OR ROBBIN 11410 NE 124 #127 , KIRKLAND WA Contractor: Name: JORMAC ELECTRIC INC Address: 11410 NE 124 ST 127 , KIRKLAND WA Contractor License No: JORMAEI014JH DESCRIPTION OF WORK: LOW VOLTAGE CCTV (30 DEVICES, 3 CONTROLLERS) Value of Electrical: $20,850.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signature. doc: EL -4/07 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 ELECTRICAL PERMIT EL07 -067 Permit Number: EL07 -067 Issue Date: 08/09/2007 Permit Expires On: 02/05/2008 Phone: Phone: 425 820 -7243 Phone: 206 679 -3734 Expiration Date: 04/08/2009 Fees Collected: $426.40 National Electrical Code Edition: 2005 I hereby certify that I have read and ex - ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • 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 perrf ce of work. I am autho • ed to sign and obtain this electrical permit. Signature: l �� ti i � — Date:( h Print Name: Date: 0111.140" 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. Printed: 08-09 -2007 1: ** *ELECTRICAL * ** doc: Cond -Elec City of Tukwila Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Tenant: GROUP HEALTH 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 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. PERMIT CONDITIONS Permit Number: ELO7 - 067 Status: ISSUED Applied Date: 04/26/2007 Issue Date: 08/09/2007 Date: F/1/°7 EL07 -067 Printed: 08-09 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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: a4 00 Tenant Name: Cr Property Owners Name: Mailing Address: E rc\ ar9 c n o- ()Dr. L t S Name: � �� O v 010 b. r Mailing Address: 11410 N t t 1 # 1 E -Mail Address: .Vl. ` -.\.P C_o M Contact Person: •3 � � b b I f> E -Mail Address: w0-C (n e, - M Contractor Registration Number: C INN G n 1q 3 A Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 3 eort4 a l le► HMpplications'Fonns- Applications On Line\ -2007 - Electrical Permit Application.doc bh Electrical Permit No. �U�'-' C�ltr Project No. (For office use only) King Co Assessor's Tax No.: 1 at() ' Suite Number: City Will service be altered? ❑ Yes O. No Adding more than 50 amps? Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator ❑ Fire Alarm Floor: New Tenant: ❑ Yes Z..No State CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: 6-1- -.$) - -' ■{ w A- Zip ❑ Yes No rlaLI3 q f�o3� Zip 1 a . 5 7 City State Fax Number: 64-s) F5 " ELECTRICAL CONTRACTOR INFORMATION Company Name: nr Mac- EA e_C -r C— City State Zip Day Telephone: (LI--.i. S 1 a- Fax Number: ( . - 1 gy Expiration Date: 4 - - 2 O S 00 Valuation of Project (contractor's bid price): $ 2 D Sd Scope of Work (please provide detailed information): Low Vo\ c c CcTJ . )o C` � �ce,S ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 I Date Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) HAApplications\Forms- Applications On Line 4 -2007 - Electrical Permit Application.doc bh $140.00 $75.00 ea $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name tDb b t ..) L.. M C- Qt-n r e_tAnS Mailing Address: 11(1-1 u Ill E. 1, . (4`4. 4.1 MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $58.00 ❑ 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI-IIS 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. Day Telephone: .K , r Kt cx. nc City MISCELLANEOUS FEES 411310 (4 L) fr 7 4- ,W4 q. kD39 Date: State Zip Date Application Expires: Staff Initials: Page 2 of 2 1 Parcel No.: 7340600480 Permit Number: EL07 -067 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 04/26/2007 Applicant: GROUP HEALTH Issue Date: Receipt No.: R07 -00692 Initials: JEM Payment Date: 04/26/2007 06:02 PM User ID: 1165 Balance: $0.00 Payee: JORMAC ELECTRIC, INC. TRANSACTION LIST: Type Method Description Payment Check 16675 426.40 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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 Amount Account Code Current Pmts 000.322.101.00.0 426.40 Total: $426.40 Payment Amount: $426.40 7582 04/27 9716 TOTAL 426.40 doc: Receiot -06 Printed: 04 -26 -2007 01 -08 -2008 JUDY OR ROBBIN 11410 NE 124 #127 KIRKLAND WA 98034 RE: Permit No. EL07 -067 12400 EAST MARGINAL WY S 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 Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 02/05/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, fer Marshall Permit Technician xc: Permit File No. EL07 -067 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 License Information License JORMAEI0I4JH Licensee Name JORMAC ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601944633 Ind. Ins. Account Id AGENT Business Type CORPORATION Address 1 11410 NE 124T1I ST 127 Address 2 City KIRKLAND County KING State WA Zip 980344399 Phone 2066793734 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/8/1999 Expiration Date 4/8/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License MCANDR*996P9 Business Owner Information Name Role Effective Date Expiration Date MCANDREWS, TIM AGENT 04 /08/1999 JORDAN, JAMES W AGENT 04 /08/1999 REDDICK, DAVID J AGENT 04 /08/1999 JAMES, GLORIA R AGENT 04 /08/1999 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. Electrical Administrator Information License Name Status MCANDR *996P9 MCANDREWS, ROBIN ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= JORMAEI014JH 08/09/2007 P625-052.001 p;4RT.IVIENT' OF;LABOR, AND mro TRIES LICENSED AS 'PROV IDE'Di ' BT 'LAW AS ELEC, CONTR GENERAL LICENSE; # :. -DATE . ECOi I 4 . 04Jci8J2009 EFFECTIVE DATE " 04/0S/1999 - JO.RMAC, :ELECTR2 C; , INC 11410- "NE' "124TH_, " ST '12'7 KIRKLAND` WA; 79S034 Detach And Display Certificate