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Home My WebLink AboutPermit EL09-0186 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL WAY S ELO9O186 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 ELECTRICAL PERMIT Parcel No.: 7340600480 Permit Number: EL09 -0186 Address: 12400 EAST MARGINAL WY S TUKW Issue Date: 03/16/2009 Suite No: Permit Expires On: 09/12/2009 Tenant: Name: GROUP HEALTH Address: 12400 EAST MARGINAL WAY S , TUKWILA WA Owner: Name: ANNE ARUNDEL APARTMENTS LLC Phone: Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: JOE SCHULER 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 Phone: 425 747 -5200 Expiration Date: 01/30/2011 DESCRIPTION OF WORK: ADD TWO NEW 20 AMP L6 -20 RESECTACLES FRO SERVER RACK IN 1ST FLOOR IT CLOSET Value of Electrical: NRES: $1,250.00 Fees Collected: $110.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: ck) ca Date: 3` (b 4t 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 Jhft performan of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 4W K, \C 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. Date: 311610q doc: EL -4/07 EL09 -0186 Printed: 03 -16 -2009 Parcel No.: 7340600480 Address: Suite No: Tenant: 0 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 12400 EAST MARGINAL WY S TUKW GROUP HEALTH Permit Number: Status: Applied Date: Issue Date: EL09 -0186 ISSUED 03/16/2009 03/16/2009 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 m 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: 1A. fcc,v\ Date: 37/6/09 doc: Cond -Elec EL09 -0186 Printed: 03 -16 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 • Electrical Permit No. ELog/- oleo Project No. (For office use wily) ELECTRICAL PERMIT APPLICATION Applications and plans must be complele in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION y� /' King Co Assessor's Tax No.: Site Address: )Z' �- /bar` ',el/ 4,43,› $ Suite Number: Tenant Name: 6r7ppp 1-/ea /.744 v Property Owners Name: CJ✓`��Ce3 //7/ 4 �/ �j' Mailing Address: 14/est/c -4 iii.. . 549. x, �A- ! 25 k, 7 New Tenant: Floor: Yes I" I..No City Stale Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: Lip E -Mail Address: City Fax Number: State ELECTRICAL CONTRACTOR INFORMATION Company Name: Pr /..-A7e c_ Mailing Address: 13 3 / SC 26Ty S 77' Contact Pcrso e /li by ter - E-Mail Address: ISe -Se / - api- i'`i2eJe&»',C. Contractor Registration Number: ��1�c per, 9 98c S City // ,, State Zip Day Telephone:4 S. 75-7 S2 ) C -.M-+ Fax Number: Expiration Date: Valuation of Project (contractor's hid price): $ JZ_ Scope of Work (please pro/vide detail information): jot -�-wci RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings S140.00 (including an attached garage) ❑ Garages. pools, spas and outbuildings S75.00 ea ❑ Low voltage system; (alarm. turnacc thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added /altered circuits S75.00 number of added circuits 510.00 ea ❑ Circuits added/altercd without service change S50.00 (up to 5 circuits) ❑ Circuits added/altered without service change S50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575,00 ❑ Manufactured /mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 ea PERMIT APPLICATION NOTES - I 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE 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: Signature: /�/ Date: 3��`'6 Print Name. SOS4O' SG4dls- Day Telephone: �-2�_ 7� %. 2dd Mailing Address: )33 i E 26. ST �vU� 4-449- 583GkiLC City Stale Lin IDate Application Accepted: Date Application Expires: Staff Initials: I I •.Nppliraunrs.hn:rn.,nplicaw,ns l ■r - Llecncal ecm,it .l:l:hcauon.a,c ',h Page _' of '_ 0 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: / /wwvv.ci.tukwila.wa.us RECEIPT Parcel No.: 7340600480 Permit Number: EL09 -0186 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 03/16/2009 Applicant: GROUP HEALTH Issue Date: Receipt No.: R09 -00416 Payment Amount: $110.00 Initials: WER Payment Date: 03/16/2009 02:12 PM User ID: 1655 Balance: $0.00 Payee: PRIME ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17020 110.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 110.00 Total: $110.00 PAYMENT RECEIVE doc: Receipt -06 Printed: 03 -16 -2009 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION 8-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:626 ,d�(�I f64.114, Type of Inspection: 2100 Address: z , yao 6. 144. Date Called: -- Special Instructions: Date Wanted: 03 j a.m. p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: o K Date: D3ion 1�o' ❑ to ins $60.00 REIN FEE REQUIRED. Prior p ec ee Fnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: Date: Untitled Page O 0 Page 1 of 2 Electrical Contractor A business licensed by LEtJ 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. Business and Licensing Information Name PRIME ELECTRIC INC UBI No. 601004783 Phone 4257475200 Status ACTIVE Address 13301 SE 26TH ST License No. PRIMEEI134BT Suite /Apt. License Type ELECTRICAL CONTRACTOR City BELLEVUE Effective Date 1/30/1987 State WA Expiration Date 1/30/2011 Zip 98005 Suspend Date County KING Previous License Business Type Corporation Next License Parent Company Associated License TYRREWF973CK Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License TYRREWF973CK Name TYRRELL, WAYNE Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date TYRRELL, WAYNE F Cancel Date 01/01/1980 Bond Amount TYRELL, NANCY 01/01/1980 TYRELL, WAYNE AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date INS CO OF Until https: // fortress .wa.gov /lni/bbip /Detail. aspx ?License =PRIM EEI 134BT 03/16/2009