HomeMy WebLinkAboutPermit EL07-309 - GROUP HEALTH COOPERATIVEGROUP HEALTH
12400 EAST MARGINAL
WAY S
ELO7-3 09
Cityif Tukwila
Parcel No.: 7340600480
Address: 12400 EAST MARGINAL WY S TUKW
Suite No:
Tenant:
Name: GROUP HEALTH
Address: 12400 EAST MARGINAL WAYS , TUKWILA WA
Owner:
Name: ANNE ARUNDEL APARTMENTS LLC Phone:
Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN
Contact Person:
Name: WAYNE TYRRELL Phone: 425 -747 -5200
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
DESCRIPTION OF WORK:
PROVIDE POWER AND CONTROLS TO (1) NEW WALK -IN COOLER AND (1) NEW WAREHOUSE
PHARMACY CAROUSEL
Value of Electrical: $44,014.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Signature:
Print Name:
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
Permit Number: EL07 -309
Issue Date: 07/17/2007
Permit Expires On: 01/13/2008
Phone: 425 747 -5200
Expiration Date: 01/30/2009
Fees Collected:
National Electrical Code Edition:
$820.00
2005
Date: / I -0 7
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 tpermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the this
erformance of wor? I am authorized to sign and obtain this electrical permit.
Date:
1,
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.
EL07 -309 Printed: 07 -17 -2007
Parcel No.: 7340600480
Address: 12400 EAST MARGINAL WY S TUKW
Suite No:
Tenant: GROUP HEALTH
1: ** *ELECTRICAL * **
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
PERMIT CONDITIONS
Permit Number: ELO7 - 309
Status: ISSUED
Applied Date: 07/17/2007
Issue Date: 07/17/2007
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.
Signature:
Print Name:
doc: Cond -Elec
Af e— 7
EL07 -309
Date: //-74
7
Printed: 07 -17 -2007
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwci.tukwila.wa.us
SITE LOCATION
CONTACT PERSON - Who do we contact when your permit is ready to be issued
ELECTRICAL CONTRACTOR INFORMATION
/33 'J• b ‘ 1X- rh Ctty State
E -Mail Address:
Contractor Registration Number:WM'agX 3 4
Valuation of Project (contractor's bid price): $ �f J a / 7
Scope of Work (please provide de 1 d information):
-/O (/J 'V 4/ 4 4 " I_ am. e
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
Seattle City Light
rNo
H:1ApplicationsWorns- Applications On Lineal -2007 - Electrical Permit Application.doc
bh
❑ Fire Alarm
/o7- 2Os/ -
Electrical Permit No. ELO 309
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 **
-2✓
❑ Service Change
King Co Assessor's Tax No.: 13 O 6120 ,
Suite Number: Floor:
a Telephone: v / /
City --• "G
d 4 � V State
New Tenant: ❑ Yes
�� Zip
e✓1C
Day Telephone:. i3 y / • D
Fax Number: it 5 -
Expiration Date: /1 °i q /• 0
, le) Ore A.A.P -P
Addin more than 50 amps? ❑ Yes
- ee -1 / W 114rIe- pJL
Remodel
Telecommunication
1
X.No
• ,6 Pa
- �1�Ovt
Zip
No
g Tenant Improvement
❑ 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)
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 OWNE ' tl R ELECTRICAL C( iTRACTOR:
Signature:
Print Nam
Mailing Address:
I Date Application Accepted:
H :lApplicationsWorms- Applications On Line4-2007 - Electrical Permit Application.doc
bh
Date Application Expires:
City
MULTI - FAMILY 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
Day Telephone:
Date: - 7/7/a 7
State
Staff Initials:
Page 2 of 2
Receipt No.: R07 -01404
Payee: PRIME ELECTRIC
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
Parcel No.: 7340600480 Permit Number: EL07 -309
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 07/17/2007
Applicant: GROUP HEALTH Issue Date:
Initials: WER Payment Date: 07/17/2007 01:47 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7002 820.00
Account Code Current Pmts
000.322.101.00.0 820.00
Total: $820.00
Payment Amount: $820.00
doc: Receipt -06 Printed: 07 -17 -2007
Project:
90Y, //i& 7 71
Type of Inspection:
2 /
Address: , ,
AZ WO .407 ',Iota
Date Called:
Special Instructions,
/ rpri
....vs!....
Date Wanted:
/
/ 14.1
0 • I
Requester:
— ■
Phone No:
INSPECTION RECORD
Retain a copy with permit
6 7- '30
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (2 06)43 1 -3670
OMMENTS:
0/,
Ap oved per applicable codes. Corrections required prior to approval.
'Inspect Date: /fi /
I Ail Arri rh
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project:
C, RouP y(4 rH
Type of Inspection:
/ DO ,3
Address:
/dyv0 F »IAR( dvs.
Date Called:
8 -8 -U
Special Instructions:
-
Date Wanted:
8 "8 U
(a.m.,)
P.m.
Requester
99
Phone No:
h /mss 82, y 2,
93...2
0/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1 1 : 46- ,31)) .
PER
( 06)431 -3670
Approved per applicable codes. 11 Corrections required prior to approval.
COMMENTS:
O l�
$58.00 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
01 -08 -2008
WAYNE TYRRELL
13301 SE 26 ST
BELLEVUE WA 98005
RE: Permit No. EL07 -309
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 02/04/2008 , 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,
Ca
ifer Marshall
Permit Technician
xc: Permit File No. ELO7 -309
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
PRIMEEI134BT
Licensee Name
PRIME ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601004783
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
13301 SE 26TH ST
Address 2
City
BELLEVUE
County
KING
State
WA
Zip
98005
Phone
4257475200
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/30/1987
Expiration Date
1/30/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
TYRREWF973CK
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
01/01/1980
TYRELL, NANCY
01/01/1980
TYRELL, WAYNE
AGENT
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of Saw'
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
TYRREWF973CK
TYRRELL, WAYNE
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= PRIMEEI134BT 07/17/2007