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HomeMy WebLinkAboutPermit EL07-761 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL WAY S ELO7-761 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Value of Electrical: Type of Fire Protection: Permit Center Authorized Signature: Signature: Print Name: doc: EL -4/07 Cityf 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 7340600480 12400 EAST MARGINAL WY S TUKW GROUP HEALTH 12400 EAST MARGINAL WAY S , TUKWILA WA ANNE ARUNDEL APARTMENTS LLC 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN JOE SCHULER 13301 SE 26 ST , BELLEVUE WA PRIME ELECTRIC INC 13301 SE 26 ST , BELLEVUE WA Contractor License No: PRIMEEI134BT $250.00 Electrical Service provided by: SEATTLE CITY LIGHT voe S e-4.) /-6 LAI ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: DESCRIPTION OF WORK: REPLACE EXPIRED L & I PERMIT WHICH NEEDS FINAL ONLY. INSTALL NEW PACKAGING EQUIPMENT IN PHARMACY Phone: Phone: 425 -747 -5552 Phone: 425 747 -5200 Expiration Date: 01/30/2009 EL07 -761 12/07/2007 06/04/2008 Fees Collected: $58.00 National Electrical Code Edition: 2005 Date: ' ) - 1 0 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 performancepf wq;k. I am authorized to sign and obtain this electrical permit. Date: ) 2 7-6, 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 -761 Printed: 12 -07 -2007 Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Tenant: GROUP HEALTH 1: ** *ELECTRICAL * ** 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 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 4 1 /_ Date: 12 7 O 7 oe Se..,hJJ r PERMIT CONDITIONS Permit Number: EL07 - 761 Status: ISSUED Applied Date: 12/07/2007 Issue Date: 12/07/2007 EL07 -761 Printed: 12 -07 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwci.tukwila.wa.us SITE LOCATION King Co Assessor's Tax No.: -1 .4.0 (PO r 01 1211-00 "I y s Site Address: Group "ITT n Q (.�Jq S. Suite Number: Floor: Tenant Name: Group Pe c I i New Tenant: ❑ Yes ❑ ..No Property Owners Name: Mailing Address: CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: E -Mail Address: H:Upplications\Forms- Applications On Line4-2007 - Electrical Permit Application.doc bh or Electrical Permit No. PLO 1 to ( 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 ** City _Wffgr State Zip Day Telephone: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Pr the° Elec7 . Q Mailing Address: 1 330 I _SE 2 T-41 ST L/GVUt_ JA 95 5 / City State Zip Contact Person OG . /� (-I D/ -r Day Telephone: E -Mail Address: SChOie''(� pt'n' ee1e ctr,c . C r►-' Fax Number:L} 7'f-7 J SSZ. Contractor Regi ?ation Number:PR 13'* 237 Expiration Date: ©/AY g Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 7-,r-s1? J1 r t) pae-ir-ari ��, pre- t 1 — phe r,-p- c Will service be altered? ❑ Yes Pc No Adding more than 50 amps? Er Yes ❑ No Type of Use: T e of ork: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy Q Seattle City Light 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) H:'Applications\I orms- Applications On Line4-2007 - Electrical Permit Application.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 $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 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: Date: )2 7 — © Joe . S. 4 !J/ Day Telephone: – 797 SGZ 't Signature: Print Na g 1 330/ SE 2/' .St Yfevuc, t-)fl- 'BSS Mailing Address: City State Zip I Date Application Accepted: Date Application Expires: Staff Initials: 1 Page 2 of 2 Parcel No.: 7340600480 Permit Number: EL07 -761 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 12/07/2007 Applicant: GROUP HEALTH Issue Date: Receipt No.: R07 -02695 Initials: WER Payment Date: 12/07/2007 12:25 PM User 1D: 1655 Balance: $0.00 Payee: PRIME ELECTRIC TRANSACTION LIST: Type Method Description Payment Check 15796 58.00 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 58.00 Total: $58.00 Payment Amount: $58.00 5781 12/07 9710 TOTAL 58.00 doc: Receiot -06 Printed: 12 -07 -2007 Project: f 0 //� / jf, 71-/ Type of Inspection: T ri ddd , ,v L ft M, 4'/S Date Called: Special Instructions: Date Wanted: / / Vi., ^�� Requester: Phone No: INSPECTION NO. INSPEtrTION RECbEtb Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 proved per applicable codes. ❑ Corrections required prior to approval. - �,� 2 r , 99 I I ns pecto it e/`62Gf(7 ❑ $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 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 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 TYRREWF973CK TYRRELL, WAYNE ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= PRIMEEI134BT 12/07/2007