HomeMy WebLinkAboutPermit EL09-0194 - PROVIDENCE HEALTHP ' OVIDENCF HEALTH
3355 S 120 PL
ELO9O194
Cityf Tukwila 0
Department of Community Development
6300 Soulhcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 1023049069
Address: 3355 S 120 PL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0194
Issue Date: 03/17/2009
Permit Expires On: 09/13/2009
Tenant:
Name: PROVIDENCE HEALTH
Address: 3355 S 120 PL , TUKWILA WA
Owner:
Name: SABEY CORPORATION Phone:
Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA
Contact Person:
Name: GREG LANCE Phone: 206 - 683 -8381
Address: 5614 7TH AVE S , SEATTLE WA
Contractor:
Name: VECA ELECTRIC CO INC Phone: 206 860 -0231
Address: 5614 7 AV S , SEATTLE WA
Contractor License No: VECAECI542MU Expiration Date: 10/31/2009
DESCRIPTION OF WORK:
CUT IN CUBICLE RECEPTACLES & ADD SOME SWITCHING. ALSO INSTALL SOME RECEPTACLES
TO TEST SERVERS. MODIFY /RELOCATE SOME F/A DEVICES. CONNECT ONE A/C UNIT
Value of Electrical: NRES: $34,000.00 Fees Collected: $645.60
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
(3 Date: I t
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
construction
Signature:
Print Name:
rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ormance of work. I am authorized to sign and obtain this electrical permit.
Date: 3 -i7- 0 9
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
EL09 -0194. Printed: 03 -17 -2009
Parcel No.: 1023049069
Address:
Suite No:
Tenant:
•
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
3355 S 120 PL TUKW
PROVIDENCE HEALTH
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0194
ISSUED
03/17/2009
03/17/2009
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 p - t oes not presume to give authority to violate or cancel the provision of any other work or local
laws regulating const ctio or the performance of work.
Signature:
Print Name:
Date: _ 17 -0
doc: Cond -Elec
EL09 -0194 Printed: 03 -17 -2009
0
CITY OF TUKWILA
Community Development Department
Pef nit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa.us
--M 90&-6/
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
King Co Assessor's Tax No. =_ _ Q�_ -_ W -�—
Site Address. 3355 5: 1 ZOO- Suite Number: Floor: 2,s-lc
New Tenant: ❑ - -Yes .No
Tenant Name:
ProJ1DE.nJCJ✓
Property Owners Name: S 4t3E...\ A±q_ _Wter-_U C
Mailing Address: 335 -5 S. 2tr`f iUk' ).1i4 L.-) A `t St6 S
City
Slate
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: _Greg LA tJce.
Mailing Address: 5614 71h_Ave S Seattle, WA 98108
E -Mail Address :_ — ('°8g L&UCe (2 UEC.A , CO M
Day Telephone: 204, -1.083 = S3 01
City State Zip
Fax Number: Z,b(o - 7(03 °O5oC
ELECTRICAL CONTRACTOR INFORMATION
Company Name: VELA Electric Co, INC
Mailing Addre "s: 5614 7th Ave S Seattle, WA 98108
_� City Siatc Zip
Contact Person:_ le. /Y a GC J . Day Telephone: Zo-, - Co i ei r/ e q
E -Mail Address: C X6.2 @ U F Ci4 :C. o/■11 Fax Number: 206-69&- 7 391
Contractor Registration Number: VECAECI542MU Expiration Date: 10/31/09
Valuation of Project (contractor's bid price): $ ;? T�
Scope of Woork(please provide detailed information):_C)T /di /
4/So iit/ 22?f(L Sao's. ev j 4cLe S Z 7ES7 Se-- ,ee/e6g . frOo4 t /
fy
2ei064 -i` e SOME F/A �e ut r p j . 63AIAJer� oN� //
Will service be altered? ❑ Yes [A NO
Adding more than 50 amps'? ❑ Yes IBL No
Type of Use,
Type of work:
❑ New ❑ Addition ❑ Serviee Change ❑ Remodel a Tenant Improvement
❑ LoW Voltage ❑ Generator r❑ Fire Alarm ■ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Seattle City Light
I I:WpplicationsWorms- Applications On Lme■4 =2007 = Eicctncal 'crmat Application.doc
hh
Page I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwe.lings - - $140:00
(including an attached garage)
❑ Garages, pools, spas and' outbuildings - - $75:00 ea
❑ Low voltage systems
(aalarm;' furnace thermostat) - $55.40 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no add"ed%alteted circuits)
❑ Service change with added/altered "circuits $75.00
number of addcd!circuits ---------------------$I000 ea
❑ Circuits added /altered without service change - - -- - - -- '$50:00
(up to 5 circuits)
❑ Circuits!add'ed/altered without service change $50.00
(6 or more circuits)- $7.00 ea
❑ Mete? /mast repair $65 :'00
❑ Low voltage systems $55.00
'(alarm; furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees rare based on the valuation of the electrical contract.
MISCELLANEOUS_ FEES
❑ Temporary service "(residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactutcd/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 g -ant 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:
Signature:
Print Name,-_/(i
Mailing Address: 4 256,14 Ake-
Day 'Telephone:
&°07ZF
City
Date: - 7/09
&J.4 98 /oY
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
11:1ApplicationsToinis-Aliblications Oii Line \4 -2007 - Electrical I'5 iait'Appltcatton:doc
bh
Page 2 of 2
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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.: 1023049069 Permit Number: EL09 -0194
Address: 3355 S 120 PL TUKW Status: PENDING
Suite No: Applied Date: 03/17/2009
Applicant: PROVIDENCE HEALTH Issue Date:
Receipt No.: R09 -00426 Payment Amount: $645.60
Initials: WER Payment Date: 03/17/2009 01:03 PM
User ID: 1655 Balance: $0.00
Payee: VECA ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1277 645.60
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 645.60
Total: $645.60
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 03 -17 -2009
.tMCSPE TION NO.
INSPECTION RECORD
Retain a copy with permit
60 -DIgIf
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: IrkoV _ _ �r !
��C
Type of Inspection:
?./00
Address:
Date Called:
Special Instructions:
Date Wanted:
o
27
a.m.
P.
Requester:
Phone No:
Approved per applicable codes.
EiCorrections required prior to approval.
COMMENTS:
Inspector:
Date: 7.1
❑ $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid al 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
•at,b —e_ ,./Z- .......g 3.,
Z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
61/ P RMIT NO.
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project: P
Type of Inspection: ��,
6/C/
Address
3c5 5,124
L.
Date Called:
--..."
Special nstructions:
Date Wanted:
195 !4
L
p.m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval. II
COMMENTS:
- atin,J4 (4)4tic
Inspector. ' Date: 24 V
El $60.00 REINSP TION FEE REQUI D. Prior to inspecti 5./24
n, fee m st be
paid at 6300 Sou hcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: 'Date:
INSPECTION RECORD
Retain a copy with permit
Cio� -019'
INSPE ION NO PERMIT NO. /
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6
Projectn, f' J A
{��.(` , Y
�w
"� "1
Type of Inspection: O 3
7003
v
Address3 35 5.
120 pi,..
Date Called:
Special Instructions:
Date Wanted:
O J�`�
(/
4)i
m.
Requester:
Phone No:
flApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ln� Aliti Col
Inspector:
Date:
IS/1
03/Z1 /07
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
0
Page 1 of 3
Electrical Contractor
A business licensed by LII 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
Phone
Address
VECA ELECTRIC CO
INC
2064365200
5614 7TH AVE S
Suite /Apt. PO BOX 80467
City
State
Zip
County
Business Type
Parent
Company
SEATTLE
WA
98108
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601190731
ACTIVE
VECAECI542MU
ELECTRICAL
CONTRACTOR
7/31/1946
10/31/2009
CONTIK *965D6
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License CONTIK *965D6
Name CONTI, KEITH
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
FAIRBANKS, THOMAS
Cancel
Date
01/01/1980
Bond
Amount
ALLEN, RON
AGENT
01/01/1980
929407110
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
7
SURETY CO WESTERN
929407110
01/06/2007
Until Cancelled
$4,000.00
01/06/2007
TRAVELERS
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= VECAECI542MU
03/17/2009