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Home My WebLink AboutPermit EL09-0287 - PROVIDENCE HEALTH & SERVICEPROVIDENCE HEAL H 3355 S 120 PL, STE 52 ELO9-0287 City* 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.: 1023049069 Address: 3355 S 120 PL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0287 Issue Date: 05/04/2009 Permit Expires On: 10/31/2009 Tenant: Name: PROVIDENCE HEALTH & SERVICE Address: 3355 S 120 PL, STE 52 , TUKWILA WA Owner: Name: SABEY CORPORATION Phone: Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA Contact Person: Name: MARK TELLER Phone: 206 963 -9824 Address: 12500 AURORA AV N , SEATTLE WA Contractor: Name: COCHRAN INC Address: PO BOX 33524 , SEATTLE WA Contractor License No: COCHRI *088LB Phone: 206 367 -1900 Expiration Date: 05/13/2009 DESCRIPTION OF WORK: INSTALLATION OF COMMUNICATIONS CATEGORY 6 CABLING AND ANCHORING (1) OWNER PROVIDED CABINET. Value of Electrical: NRES: $15,363.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $350.40 National Electrical Code Edition: 2005 Date: I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied " whether specified herein or not. The granting of this permit oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t :rfo ance of work. I am authorized to sign and obtain this electrical permit. Signature: !/ Date: 51 Z/— D I Print Name: &/) /21k-- -re-u,5) ex- 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 -0287 Printed: 05 -04 -2009 41 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 Parcel No.: 1023049069 Address: Suite No: Tenant: 3355 S 120 PL TUKW PROVIDENCE HEALTH & SERVICE Permit Number: Status: Applied Date: Issue Date: E]L09 -0287 ISSUED 05/04/2009 05/04/2009 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, arty 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: /1414/14-- rat- n Date: doc: Cond -Elec EL09 -0287 Printed: 05 -04 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us 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 ** King Co Assessor's Tax No.: 102-1204 —1,k,Q ` Site Address: 3355 S 120th Tenant Name: Providence Health & Service Suite Number: 52 Floor: 2 Property Owners Name: Sabey New Tenant: Yes ❑ ..No Mailing Address: 12201 Tukwila International BLVD Seattle WA 98168 Name: Mark Teller Mailing Address: E -Mail Address: 12500 Aurora Avenue North City State Day Telephone: (206) 963 -9824 Zip Seattle WA 98133 mteller @cochraninc.com JFCTRICAL', CONTRACTOR "Oi MATION Company Name: Cochran, Inc City Fax Number: State (206) 368 -3281 Zip Mailing Address: 12500 Aurora Avenue North PO Box 33524 Contact Person: Seattle WA 98133 Mark Teller E -Mail Address: mteller @cochraninc.com Contractor Registration Number: COCHTI *088LB City State Zip Day Telephone: (206) 963 -9824 Fax Number: (206) 368 -3281 Expiration Date: 05/13/2009 Valuation of Project (contractor's bid price): $ 15,363 Scope of Work (please provide detailed information): Installation of communications Category 6 cabling, anchoring 1 owner provided cabinet. Will service be altered? ❑ Yes 1 No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes ❑ No Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms- Applications On Line \1 -2009 - Electrical Permit Application.doc bh 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 $10.00 ea PPLICATI Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: "Ui l/`' ( Date: 5- - 4/- U 9 Print Name: /14 rata_ Mailing Address: /2 Svo AUVI—arL# Date Application Accepted: 0--t 101 AvmLF NII rufM Day Telephone: 2-01. b 3 75 Z 4/ 5 17Zt M!A City 9$i33 State Zip Staff Initials: '--'' c...) Date Application Expires: H.\Applications\Forns- Applications On Line \1 -2009 - Electrical Permit Application.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.ci.tukwila.wa.us RECEIPT Parcel No.: 1023049069 Permit Number: EL09 -0287 Address: 3355 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 05/04/2009 Applicant: PROVIDENCE HEALTH & SERVICE Issue Date: Receipt No.: R09 -00675 Initials: User ID: Payee: JEM 1165 Payment Amount: $350.40 Payment Date: 05/04/2009 11:43 AM Balance: $0.00 COC :HRAN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13718 350.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 350.40 Total: $350.40 PAYMENT ECEIVED doc: Receiot -06 Printed: 05 -04 -2009 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 4. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 3 t1,01- 02E17 (206)431 -3 7 Project: Y Type of Inspection: 100 Address3- 3c- 3 • 'ID PL . Date Called: Special Instructions: Date Wanted: , .lo 0 a rn. Requester: Phone No: LApproved per applicable codes. Corrections required prior to approval. COMMENTS: rozgee-nor,15 eteriyt Inspector: Date: U (9/o I /07 ED. Prior to inspection, $60.00 REIN�PECTION FEE REQUIRED. p , fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 INSPECTION NO. PE Project:pizoot.Ild t � Type of Inspection: r f�U Address: Address: 5.12o PL. Date Called: Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: �A- 14 ' / r) -netotiwoiv,5 _dare a_44,19 Inspector: Date: r7 $60.00 REINSPECTION FEE REbUIRED. Prior to inspection, fee fnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 42' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36( 0 Project:�k A n t j Type of Inspection: o Address: `. 1 Z0 QL . J f Date Called: � (a.rn�� s Special Instructions: Date Wanted: d 5_ /2.1? p.m. Requester: Phone No: g0IY I Approved per applicable codes. Corrections required prior to approval. COMMENTS: J init—GoHVatE Inspector: Date: pc— V o7 ri$60.00 REINS ECTION 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 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company COCHRAN INC 2063671900 PO BOX 33524 SEATTLE WA 981330524 KING Corporation UBI No. 578042134 Status ACTIVE License No. COCHRI *088JS License Type ELECTRICAL CONTRACTOR Effective Date 4/10/1992 Expiration Date 4/11/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status COCHREC4`_iOBKELECTRIC COCHRAN CO INC ELECTRICAL CONTRACTOR GENERAL UNUSED 1/12/19554/30/1992 01/01/1980 ARCHIVED ADMINISTRATOR INFORMATION License COCHRRL259R2 Name COCHRAN, ROBERT L Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date COCHRAN, ROBERT L Cancel Date 01/01/1980 Bond Amount COCHRAN, GORDON W 01/01/1980 COCHRAN - OLSEN, LEEANN G Until 01/01/1980 COCHRAN, ROBERT L AGENT 01/01/1980 Bond Information Page 1 of 2 Bond Bond Company Narne Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date TRAVELERS Until https: // fortress .wa.gov /lni /bbip/Detail.aspx 05/04/2009