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Home My WebLink AboutPermit EL09-0265 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL WAY S ELO9-0265 Cityilif Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suitc #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 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Permit Number: EL09 -0265 Issue Date: 04/22/2009 Permit Expires On: 10/19/2009 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- 864 -5771 Address: 13301 SE 26TH , 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 NEEDED CIRCUITS FOR FANS AND A/C EQUIPMENT IN FITNESS CENTER Value of Electrical: NRES: $950.00 Fees Collected: $88.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: 1 )"). - O ci 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 doe t presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfor cepf wore am authorized to sign and obtain this electrical permit. Signature: / _ vti, G Date: 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 -0265 Printed: 04 -22 -2009 Parcel No.: 7340600480 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 PERMIT CONDITIONS 12400 EAST MARGINAL WY S TUKW GROUP HEALTH Permit Number: Status: Applied Date: Issue Date: EL09 -0265 ISSUED 04/22/2009 04/22/2009 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 in the :,cope 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. g. Print Name: (t° /" ` G' .S S e / / - Date: doc: Cond -Elec EL09 -0265 Printed: 04 -22 -2009 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://wwwei.tukwila.wa.us 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 tom. Kiinng Co Assessor's Tax No.: -714060' O U O Site Address: 12. / Q e /4/44--11,—, d / _..7 1 S'T f , Suite Number: Floor: Tenant Name: (2t C�,O Ilea %47 New Tenant: ❑ Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: s3oe S I'O Day Telephone:' .5 34: 7 7 / Mailing Address: J 33e) / c E 0�.4)73v !/• L i/9 98 GPO j1— E -Mail Address: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: / (-1n"7e Mailing Address: 13 Contact Person: • 3 de E -Mail Address: /�//�� ^^ l 2 2 Contractor Registration Number: P�C. L/f'7� t[.__ X31+ t3T eft S City �C �%r 9 ec 9 State Zip Day Telephone:9-2S 79'7 S2OC. Fax Number: -fir_ Expiration Date: Jan 2O//% Valuation of Project (contractor's bid price): S 9.50 .mfr Scope of Work (please provide detailed inform tion): '71-4116 e -- /?'S Will service be altered? ❑ Yes r_VNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage El Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes /No Tenant Improvement Property Served by: ❑ Puget Sound Energy Tir Seattle City Light 1 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) 355.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 375.00 (no added/altered circuits) ❑ Service change with added/altered circuits ...... S75.00 number of added circuits S10.00 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) • MCLTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) .. S58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service.... . 380.00 (excluding garage or outbuilding) ❑ Carnivals .......... ..... $75.44 Number of concessions 510.00 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: Signature: Print Name: �/ aG Je Mailing Address: City Date: Day Telephone: State Zip IDate Application Accepted: Date Application Expires: Staff Initials: 1 `Applications`Forms•Apphcations On Line'•4- 2007 - Electrical Permit Applicauon.doc 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.ci.tukwila.wa.us RECEIPT Parcel No.: 7340600480 Permit Number: EL09 -0265 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 04/22/2009 Applicant: GROUP HEALTH Issue Date: Receipt No.: R09 -00616 Initials: WEP: User ID: 1655 Payment Amount: $88.00 Payment Date: 04/22/2009 01:51 PM Balance: $0.00 Payee: PRIME ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17109 88.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 88.00 Total: $88.00 PAYMENT ECE!VED doc: Receiot -06 Printed: 04 -22 -2009 INSPECTION RECORD Retain a copy with permit 64" 0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 ��t• 70 Project: &out' 4 641, Type of Inspection: 7003 00 Address: % � I�IIO0 6. ' 1 - 8 Date Called: Special Instructions: Date Wanted: oy z3 a.m. p. . Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: rAl44.-- Date: Oy 23 6 0. fT7� $6 00 REIN PECTION FEE EQUtRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: 2 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 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 Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company 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 3 01/01/1980 1200697 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 3 INS (:0 OF THE WEST 1200697 01/30/1992 Until Cancelled $4,000.00 STATE https: // fortress .wa.gov /1ni/bbip /Detail.aspx 04/22/2009