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Home My WebLink AboutPermit EL07-249 - PUGET SOUND BLOOD CENTERPUGET SOUND BLOOD CENTER 130 ANDOVER PK E EXPIRED 12-24-07 ELO 7-249 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 0223100040 130 ANDOVER PK E TUKW Cityf Tukwila Contractor: Name: PRIDE ELECTRIC INC Address: 3984 150 AV NE , REDMOND WA Contractor License No: PRIDEEI077DR 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 PUGET SOUND BLOOD CENTER 130 ANDOVER PK E , TUKVVILA WA OMNI PROPERTIES INC 909 S 336TH ST #205 , FEDERAL WAY WA MIKE SEELY 181336 N E 68 ST #D -120 , REDMOND WA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: 03/19/2009 DESCRIPTION OF WORK: INSTALL 1 - 50 AMP SHORE -POWER CONNECTION FOR (BLOOD MOBILE) BUS AND 1 - 20 AMP GFCI RECEPTACLE FOR CONVENIENCE POWER Value of Electrical: $5,500.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Signature: Phone: Phone: 206 - 817 -6760 Phone: 425 454 -3665 ELOT -249 06/27/2007 12/24/2007 Fees Collected: $180.40 National Electrical Code Edition: 2005 4 Date: LP 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 = / • u orized to sign and obtain this electrical permit. Date: Print Name: Z,4:.L/?T AA S 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 -4/07 EL07 -249 Printed: 06-27 -2007 Parcel No.: 0223100040 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond -Elec 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 130 ANDOVER PK E TUKW PUGET SOUND BLOOD CENTER PERMIT CONDITIONS 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. 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. 6: 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. 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 Number: Status: Applied Date: Issue Date: Date:_6 7 7 ELO7 -249 ISSUED 06/27/2007 06/27/2007 EL07 -249 Printed: 06-27 -2007 CITY OF TUKWILA Community Developme{ ,epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://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 ** King Co Assessor's Tax No.: V3 (0 Doi [d Site Address: / 2 0 / AiDou4? PK, 044, Suite Number: Floor: f900//6 AO Tenant Name: /% 16, r , coc,,vp 8 co D C,?/ New Tenant: ❑ .... Yes jg".No Property Owners Name: T/ 1 '27_)C Mailing Address: City State Zip CONTACT PERSON --Who do we contact when your permit is ready to be issued Name: /14 /Kg cLrE1- y Q Mailing Address: / c'5/ _ 3 / /v: (7//- /) — /fin J�,527140t//) Cit State Zip Fax Number: V f/77- r-/70) E -Mail Address: A ' \ S E /E y cq) PRi/�i=- FtFG . c ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: Day Telephone: o?D(v -6/7-6 ?Go /6/33 (br`47- () -42C, e,,6,C)4'cc#t/4 Lv/t 9 MIKE G g ot ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ,®" Puget Sound Energy ❑ Seattle City Light H:\Applications\Porma- Applications On Line\4 -2007 - Electrical Permit Application.doc ❑ Service Change ❑ Fire Alarm City State Zip Day Telephone: G/ C/<l/ - � E -Mail Address: M. SFrL iE J / a� �P,/�- " /Fl Po�vt Fax Number: yak 4 /9 7— 70U Contractor Registration Number: per-DE-6:r c.)77 0!? Expiration Date: 3 2 " r-- Valuation of Project (contractor's bid price): S �3Gb. Uip Scope of Work (please provide detailed information -7 . / Z 4. 1iP nos/A/EEcTi r✓ / ( Z COO 10,8/Z.- bus y /- 0 6 f eOA /!/ /Fir e --- Will service be altered? ❑ Yes en Adding more than 50 amps? ❑ Yes , 'No Type of Use: COM/VlF_ iCC /1}L Type of work: ❑ Remodel el Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $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 CONTRA Signature: Print Name: ,AA , H:Wpplications\Forms- Applications On Lineal -2007 - Electrical Permit Application.doc Mailing Address: / 5/ A/f .-a' (*)- f20 I Date Application Accepted: r * - 0) - - 7 MUL'4MILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ 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 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. Date: 4- Day Telephone: / 7- CP 74 0 City State Zip Date Application Expires: X7_0 Staff Initials: 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.ci.tukwila.wa.us RECEIPT Parcel No.: 0223100040 Permit Number: ELO7 -249 Address: 130 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 06/27/2007 Applicant: PUGET SOUND BLOOD CENTER Issue Date: Receipt No.: R07 -01230 Initials: WER User ID: 1655 Payee: PRIDE ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 5820 180.40 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 180.40 Total: $ 180.40 Payment Amount: $ 180.40 Payment Date: 06/27/2007 09:07 AM Balance: $0.00 9742 06/27 9710 TOTAL 180.40 doc: Receiot -06 Printed: 06 -27 -2007 11 -06 -2007 MIKE SEELY 181336 N E 68 ST #D -120 REDMOND WA 98052 RE: Permit No. EL07 -249 130 ANDOVER PK E TUKW Dear Permit Holder: City of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director 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 12/24/2007 , 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, xc: ifer Marshall t Technician Permit File No. EL07 -249 6300 .Snnthrenter Rnnlevard_ stilt() #100 • Tukwila Wa OR1RR • Phnno• 2/)R- 421 -21571) • Pay. MA- A21 -2RRS License Information License PRIDEEI077DR Licensee Name PRIDE ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601451700 Ind. Ins. Account Id Business Type CORPORATION Address 1 18133 NE 68TH ST D120 Address 2 City REDMOND County KING State WA Zip 98052 Phone 4254543665 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/19/1993 Expiration Date 3/19/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License GOAD *CJ955DG Business Owner Information Name Role Effective Date Expiration Date SEELEY, ROBERT M 01/01/1980 SEELEY, KAROLYN J 01/01/1980 SEELEY, ROBERT M AGENT 01/01/1980 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. Master Electrician Information License Name Status GOAD *CJ955DG GOAD, CHRISTOPHER J ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= PRIDEEI077DR 06/27/2007