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Home My WebLink AboutPermit EL09-0695 - GROUP HEALTH COOPERATIVEGROUP HEALTH CORD 12501 EAST MARGINAL WY S ELO9-0695 Cityif 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.: 7345600385 Address: 12501 EAST MARGINAL WY S TUKW Suite No: Permit Number: EL09 -0695 Issue Date: 11/09/2009 Permit Expires On: 05/08/2010 Tenant: Name: GROUP HEALTH COOPERATIVE Address: 12501 EAST MARGINAL WY S , TUICVVILA WA Owner: Name: INTERNATIONAL GATEWAY EAST LLC Phone: Address: 12201 TUKVVILA INTRNTNL BLVD 4TH FL , SEATTLE WA Contact Person: Name: JOE SCHULER Phone: 425 747 -5200 Address: 13301 SE 26 ST , BELLEVUE WA Contractor: Name: PRIME ELECTRIC INC Phone: 425 747 -5200 Address: 13301 SE 26 ST , BELLEVUE WA Contractor License No: PRIMEEI134BT Expiration Date: 01/30/2011 DESCRIPTION OF WORK: INSTALL (2) NEW FIXTURES, (1) NEW SWITCH, AND (3) NEW DUPLEX RECEPTACLES POWERED FROM EXISTING FURNITURE CIRCUITS. Value of Electrical: NRES: $2,115.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied whether specified herein or not. Fees Collected: $130.00 National Electrical Code Edition: 2008 /q/ii/ Date: ,1 I DC\ I °1 ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 o he performance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: II-9-0? . Print Name: lh 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 -0695 Printed: 11 -09 -2009 Parcel No.: 7345600385 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 12501 EAST MARGINAL WY S TUICW GROUP HEALTH COOPERATIVE Permit Number: Status: Applied Date: Issue Date: EL09 -0695 ISSUED 11/09/2009 11/09/2009 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: 4a106 1,C644 Print Name: 114 da Dat4(_Q r/ doc: Cond -Elec EL09 -0695 Printed: 11 -09 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. 6mil9 o((/lc 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 King Co Assessor's Tax No.: Site Address: 12501 E. Marginal Way South, Tukwila, WA 98168 Suite Number: Floor: Tenant Name: Group Health Cooperative Property Owners Name: Group Health Cooperative Mailing Address: 12501 E. Marginal Way South, New Tenant: ❑ Yes 21 ..No Tukwila WA 98168 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Joe Schuler Mailing Address: 13301 SE 26th Street Day Telephone: (425) 747 -5200 Bellevue WA 98005 E -Mail Address: Jschuler @primeelectric.com City State Fax Number: (425) 747 -5552 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Prime Electric, Inc. Mailing Address: 13301 SE 26th Street Bellevue WA 98005 Contact Person: Joe Schuler E -Mail Address: Jschuler @primeelectric.com Contractor Registration Number: PRIMEEI134BT City State Zip Day Telephone: (425) 747 -5200 Fax Number: (425) 747 -5552 Expiration Date: 01/31/2010 Valuation of Project (contractor's bid price): $ 2,115 Scope of Work (please provide detailed information): Install (2) new fixtures (1) new switch, and (3) new duplex receptacles powered from existing furniture circuits. Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ® Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H \ApplicaaonsWoma- Appl ¢ anons On Line \I -2009 - Electncal 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 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 1 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: Signatur Print Na e. Lin 64-W-k) Anderson / Joe Schuler Date: 11/04/2009 Day Telephone: (425) 747 -5200 Mailing Address: 13301 SE 26th Street Bellevue WA 98005 IDate Application Accepted: 0 I I ( 0� City State Zip cp Date Application Expires: Staff Initials: H.Wpplications\Forms- Apphcanons On Lme11 -2009 - Electncal 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.: 7345600385 Permit Number: EL09 -0695 Address: 12501 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 11/09/2009 Applicant: GROUP HEALTH COOPERATIVE Issue Date: Receipt No.: Initials: User ID: R09 -01765 JEM 1165 Payment Amount: $130.00 Payment Date: 11/09/2009 10:17 AM Balance: $0.00 Payee: PRIME ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17501 130.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 130.00 Total: $130.00 PAYMENT RECEIVED doc: Receipt-06 Printed: 11 -09 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISI 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P RMIT NO. ON (206)431 -360 Project' .p Tt n (l/ Type of Inspection: (0C) Address: �Zsor F. r - Date Called: Special Instructions: Date Wanted: // j� ` . . / 5 Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: 0 dr664k-is Date: `' 15-101 ri $60.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: • INSPECTION RECORD 4 60 Retain a copy with permit C �+t INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION la- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: /�� `-tkVTg (TYPeofInsPe 1X� ction:7 3 Address: i 490 L, • 1104 . Date Called: --. Special Instructions: Date Wanted: 1/ / t 7 a.m; Requester: Phone No: riApproved per applicable codes. Corrections required prior to approval. COMMENTS: 0-K_ - eoaR, Inspector:S 136J Date: 11/17 (b 0 $60.00 REIN$PECTION FEE REQUIRED. Prior to inspection, fee fnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: