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Home My WebLink AboutPermit EL07-596 - HIGHLINE HOSPITALHIGHLINE HOSPITAL 12844 MILITARY RD S ELO7-596 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 1623049001 12844 MILITARY RD S TUKW Contractor: Name: SOUTH SOUND ELECTRIC INC Address: 1894 SE SEDGWICK RD , PORT ORCHARD WA Contractor License No: SOUTHSE957K5 DESCRIPTION OF WORK: INSTALL 1" PVC CONDUIT FROM BUILDING TO LN 2 GAS TANK FOR LOW VOLTAGE CONTROL Value of Electrical: $3,186.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of : pe t does not pres construction or e ormance of wor Signature: Print Name: HIGHLINE HOSPITAL 12844 MILITARY RD S , TUKWII,A WA RAY BOINK 1894 SE SEDGWICK RD , PORT ORCHARD WA Ciq..af 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 PUGET SOUND ENERGY ELECTRICAL PERMIT HCH SPECIALTY CENTER ATTN ACCOUNTING DEPT , 12844 MILITARY RD S Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 871 -3881 Phone: 360 871 -3881 Expiration Date: 05/25/2009 ELM-596 10/19/2007 04/16/2008 Fees Collected: $144.00 National Electrical Code Edition: 2005 Date: t O1 M,V J ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. Date: 101 V 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 -596 Printed: 10 -19 -2007 Parcel No.: 1623049001 Address: Suite No: Tenant: 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 12844 MILITARY RD S TUKW HIGHLINE HOSPITAL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -596 ISSUED 10/19/2007 10/19/2007 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. 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. 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. Signature: Print Name: doc: Cond -Elec The granting of this pe d• - s not presume to give authority to violate or cancel the provision of any other work or local laws regulating cons ctio or the performance of ' ork. 1(4 i'sivp.Q.a Date: to J ICI /\r_ EL07 -596 Printed: 10 -19 -2007 Site Address: 11■Vi M l �l Tenant Name: H1 9 1 l r N c � Name: q rn Contact Person: Rill CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.citukwila.waus H: Applications\Forms- Applications On Line \A-2007 - Electrical Permit Application.doc bh Electrical Permit No. 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 ** SITE LOCATION 'I s t E -Mail Address: ° — Valuation of Project (contractor's bid price): $ 3 / Sfv King Co Assessor's Tax No.: it, 2V1 - 10)1 Suite Number: City New Tenant: Property Owners Name: Mailing Address: 12 g L/ t-/ c'11 1. r f 4 e y pcl' S Tu U w, 11 h City i� State Floor: ❑ Yes lg..No State 99 Z ip CONTACT PERSON Who do we contact when your permit is ready to be issued C ew 7 2 n cfi Telephone: Mailing Address: Zip Fax Number: Company Name: .5 O U '{- _ SO U # 0 EJ e c f ✓, c Mailing Address: 1 / 7 Si S C of7 ,(P poa f- Orc h r3, c/ (J '9 5p 96 C City State Zip Day Telephone:..? c � C Q / 3 (e E -Mail Address: ra S0 rri i SO o Nc / e le r f r< , r 0" Fax Number:L Contractor Registration Number: Expiration Date: Scope of Work (please provide detailed information): � ► - � S$ .g- / ( / i, f v G c 0 0 . L 0, ✓ �j L ry Z s fi n - 0 "- t r l a w U n t f -i - o A Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings S75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) S55.00 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 S10.00 ea ❑ Circuits added/altered without service change S50.00 (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 0 R . ' ELECTRI ' sj' CTOR: Signature. Print Name: Mailing Address: 1 S9 1 4 SQ- Sed' i Ct Cat - f Date Application Accepted: H: Applicaions Fomn- Applications On Line41- 2007 - Electrical Permit Appliation.doc bh 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 S80.00 (excluding garage or outbuilding) ❑ Carnivals S75.00 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 PE t' :Y THE LAWS OF i . •TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: /9/I '/v 9 b""crEf C ajrTelephone: 3 Coo - S7 / - 3g - / poRc 01/4)-d 7. City State Zip Staff Initial Date Application Expires: Page 2 of 2 Parcel No.: 1623049001 Permit Number: ELO7 -596 Address: 12844 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 10/19/2007 Applicant: HIGHLINE HOSPITAL Issue Date: Receipt No.: R07 -02291 Initials: JEM Payment Date: 10/19/2007 10:50 AM User ID: 1165 Balance: $0.00 Payee: SOUTH SOUND ELECTRIC TRANSACTION LIST: Type Method Description 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 Payment Check 3565 144.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 144.00 Total: $144.00 Payment Amount: $144.00 i.., ._ 10 TO1AL 144.00 doc: Receiot -06 Printed: 10 -19 -2007 Project: /1/01.- // tiO //la S4719L Type of Inspection: 2 \,) 'Address: j Fsvy Akirivy /as ? Date Called: cial InStructions: Date Wanted: , 2\ // a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 linsp INSPECTION RECORD Retain a copy with permit fittr446M/‘// 1407-576 PERMIT NO. (206)431- COMMENTS: proved per applicable codes. El Corrections required prior to approval. I Date: ti / 06 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: IDate: • Project: /1/6//4 Type of Inspection: 7 / Address: Y / cJ 3 Date Called: /o h /U1/ 7 Special Instructions: Date Wanted: a.m. p.m. Requester: / y Phone o: S /305 INSPECTION RECORD 1 0 7 _� y � Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. COMMENTS: - ;"i ' c 6 /1)AwrT t/" iSf/O — ES ef/2fn/T iS5-4(6 roved per applicable codes. ❑ Corrections required prior to approval. Iinspecto tt erCA /1 (Date : /0 / / /c02 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: License Information License SOUTHSE957K5 Licensee Name SOUTH SOUND ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 602505286 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 STE 104 PMB 226 Address 2 1894 SE SEDGWICK RD City PORT ORCHARD County KITSAP State WA Zip 98366 Phone 3608713881 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 5/25/2005 Expiration Date 5/25/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License BOINKR*959KU Business Owner Information Name Role Effective Date Expiration Date BOINK, RAYMOND H AGENT 05/25/2005 BOINK, RAYMOND H PRESIDENT 05/25/2005 BOINK, KATHLEEN 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 BOINKR*959KU BOINK, RAYMOND ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SOUTHSE957K5 10/19/2007