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Home My WebLink AboutPermit EL09-0199 - SHIELD HEALTHCARESHIELD HEALTHCARE 615 STRANDER ELO9O199 L Citylf 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 Parcel No.: 0223300020 Address: 615 STRANDER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0199 Issue Date: 03/19/2009 Permit Expires On: 09/15/2009 Tenant: Name: SHIELD HEALTHCARE Address: 615 STRANDER BL , TUKWILA WA Owner: Name: WALTON CWWA TUKWILA 1 LLC Address: DEPT 325 , PO BOX 4900 Contact Person: Name: CLIFF WINFREY Address: 18133 NE 68 ST D -120 , REDMOND WA Contractor: Name: PRIDE ELECTRIC INC Address: 3984 150 AV NE , REDMOND WA Contractor License No: PRIDEEI077DR Phone: Phone: 425 - 466 -2796 Phone: 425 454 -3665 Expiration Date: 03/19/2011 DESCRIPTION OF WORK: 110 VOLT OUTLET AND FURNITURE PANEL CONNECTION Value of Electrical: I\-RES: $500.00 Fees Collected: $72.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: LJiLL Date: `D q 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 dces not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. 1 am authorized to sign and obtain this electrical permit. Signature: \\ Date: 1°Y-' b Print Name: \ 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 -0199 Printed: 03 -19 -2009 Parcel No.: 0223300020 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 615 STRANDER BL TUKW SHIELD HEALTHCARE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0199 ISSUED 03/19/2009 03/19/2009 1: ** *ELECTRICAL * ** 2: A copy of the electrical wcrk 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: Date:-)- 1'V doc: Cond -Elec EL09 -0199 Printed: 03 -19 -2009 CITY OF TUKWI• Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwci.tukwila.wa.us Electrical Permit No. 1 i-0 -!- ON l Project No. (ForofJice 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 Site Address: -154471' _ S S' N P1 a % C.,1\ 1i ` Tenant Name: S r\ l \ \t' i \-\ Property Owners Name: C Mailing Address: (0- Ste. 0. a King Co Assessor's Tax No.:D- 330 00010 Floor: 1 s- New Tenant: ItY Yes ❑..No Suite Number: V\ <W\) City QVIU State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: CA C ,' \) , 4 '1 Mailing Address: \ 4'L i, 0\ T t- 1,6 Day Telephone: T ((!� City State Zip )-Mail Address: \ fJ kE p E - t? e C . 6/r\ Fax Number: L` a,S ` 1+31. ` cR 7 �D 1 ELECTRICAL CONTRACTOR INFORMATION Company Name: 91.Z..' V 2 l\ @ C. ' k\c_. Mailing Address: \ ' j1 E- (;),,' 1) Contact Person: `,,, f r \ 14 t n1 Viv v\ &Mail Address: \ N Re \ CZ i ke - e 1 e (S . C h n Contractor Registration Number: Red_mN).11l 1 ()i/4 bcq City State Zip Day Telephone: L - Li ( L Fax Number: 9 IS 1-4 �' — J 7 00 Expiration Date: 3"' 'Q} L 1 4 Valuation of Project (contractor's bid price): $ �� p Scope of Work (please provide detailed information): t l6 V b\T c III kr A4, Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: `p f`^N\e �C P Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage [] Generator ❑ Fire Alarm Property Served by: 121' Puget Sound Energy ❑ Seattle City Light Appficationt'Pa®s- Apph®tioro On .;mu -tam - Electrical Permit AppIicahon.doc bh ❑ Remodel ❑ Telecommunication 0, Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ 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 ]3Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: , \�a Date: 3" \ r b) \ ' ,Tr` \& !'1 ' Day Telephone: t" \')i s L] i Li Print Name: � � t c� Mailing Address: \' \1i ,J� ttt 1' 3 -? Z, ti �c�nr• -t.po !� 1 3 \ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H.Appltcations \Forms - Applications On Line \I -2009 - Electrical Permit Applicat on doc bh Page 2 of 2 • 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.citukwila.wa.us Parcel No.: 0223300020 Address: 615 STRANDER BL TUKW Suite No: Applicant: SHIELD HEALTHCARE RECEIPT Permit Number: EL09 -0199 Status: PENDING Applied Date: 03/19/2009 Issue Date: Receipt No.: R09 -00441 Initials: WER User ID: 1655 Payment Amount: $72.00 Payment Date: 03/19/2009 10:23 AM Balance: $0.00 Payee: PRIDE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6257 72.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 72.00 Total: $72.00 PAYM ENT ECEIVED doc: Receiot -06 Printed: 03 -19 -2009 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P ' MIT NO. CITY OF TUKWILA BUILDING DIVISION 142- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 4#40.11 Type of Inspection: 3� �U Address: Date Called: Special Instructions: Date Wanted: [� / �! �f p.m. Requester: Phone No: 4 Approved per applicable codes. Corrections required prior to approval. COMMENTS: ►1. (144-L-- Inspector: LJife ❑ $60.00 REINSPECTION FEE R QUIRE!). Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 041/2 1 07 Receipt No.: Date: 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project et9 ✓uovizL Type of Inspection: T ype 2/00 Address: &l c Sripti<, Date Called: .---, Special Instructions: Date Wanted: O3 z / a:m: R Requester: q Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: /Jar -tvii21 KCA-R, r,JAt, 01)o4 CeriParroti or Pk4iTuR.0 uP Inspector:j &Al\ Date: 03/23/07 ❑ $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 • • Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 PRIDE ELECTRIC INC UBI No. Phone 4254543665 Status Address 18133 NE 68TH ST License No. PRIDEEI077DR D120 601451700 ACTIVE Suite /Apt. License Type ELECTRICAL CONTRACTOR City REDMOND Effective Date 3/19/1993 State WA Expiration Date 3/19/2011 Zip 98052 Suspend Date County KING Previous License Business Type Corporation Next License Parent Associated GOAD *CJ955DG Company License Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License GOAD *CJ955DG Name GOAD, CHRISTOPHER J Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date GOAD, CHRISTOPHER J AGENT 03/15/2005 GOAD, CHRISTOPHER J PRESIDENT 03/15/2005 GOAD, KIRK A SECRETARY 03/15/2005 GOAD, ROBERT L VICE PRESIDENT 03/15/2005 SEELEY, ROBERT M AGENT 01/01/1980 03/15/2005 SEELEY, ROBERT M PRESIDENT 01/01/1980 03/15/2005 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= PRIDEEI077DR 03/19/2009