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Home My WebLink AboutPermit EL08-0020 - PUGET SOUND BLOOD CENTERPUGET SOUND BLOOD CENTER 130 ANDOVER PK E ELO8-020 City(if 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.: 0223100040 Address: 130 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -020 Issue Date: 01/07/2008 Permit Expires On: 07/05/2008 Tenant: Name: PUGET SOUND BLOOD CENTER Address: 130 ANDOVER PK E , TUKWILA WA Owner: Name: OMNI PROPERTIES INC Phone: Address: 909 S 336TH ST #205 , FEDERAL WAY WA Contact Person: Name: MIKE SEELY Phone: 425- 454 -3665 Address: 18133 NE 68 D -120 , REDMOND WA Contractor: Name: PRIDE ELECTRIC INC Phone: 425 454 -3665 Address: 3984 150 AV NE , REDMOND WA Contractor License No: PRIDEEI077DR Expiration Date: 03/19/2009 DESCRIPTION OF WORK: REISSUEANCE OF EXPIRED PERMIT (EL07 -249). INSTALL (1) 50 AMP SHORE POWER CONNECTION FOR BUS AND (1) 20 AMP GFCI RECEPTACLE Value of Electrical: $5,500.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 $180.40 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 1-7-0 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of ' ork. I am autho ed t• -ign and obtain this electrical permit. Signature: a Date: /4"-- Gary 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 EL08 -020 Printed: 01 -07 -2008 Parcel No.: 0223100040 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 130 ANDOVER PK E TUKW PUGET SOUND BLOOD CENTER PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -020 ISSUED 01/07/2008 01/07/2008 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 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: ,A4 SZT":54---/ Date: /2"-e7-7.).5 doc: Cond -Elec EL08 -020 Printed: 01 -07 -2008 CITY OF TUKWILA Community Developmelpepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Peit No. LT-Log-0.2_6 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 Site Address: Tenant Name: ) 30 AID t�r12 Pbt 6-1E-r- _Cowin Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 0_2)-3 (0 - 00 L{ 0 Suite Number: Floor: New Tenant: ❑ .... Yes ,E4:-.No fLnb(ac�l2. N\nj 1 P FOP F._:: (2 1-t l^s /A/C 61 CA S 3 S i c .) 4( G,J)/�/ &� City State Zip CONTACT PERSON - Who do we contact when your permit Is ready to be issued Name: NIKE ; EFLE/ /b(35 4/E 62e)7'1 , -i2 f, A4OWD City State Zip Fax Number: Day Telephone: VC 4/s - � s� Mailing Address: E -Mail Address: ELECTRICAL CONTRACTOR, INFORMATION Company Name: Mailing Address: PR/6E Ec7r c //IC, tb(as At /5 bzzi 0-420 nDleavz•) La) City State Zip Contact Person: Day Telephone: 4423— ' 4/ Y E -Mail Address: /41,g F_ t= Lam/ Fax Number: V,7-- C ?CZ) Contractor Registration Number: /e //JEE/ 077 rye Expiration Date: 3 -- Valuation of Project (contractor's bid price): $ o[�- w Scope of Work (please provide detailed information): /4/S7;91_ �� C �•+ . C" . ( 6 cz- / c��GCf Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ,arNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: Puget Sound Energy ❑ Seattle City Light H: Applications\Forma- Applications On Line\4 -2007 - Elcetrical Permit Application.doc ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 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) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added /altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 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) MULOAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PE ` 'T APFL CATION-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 CONT)AC'hOR: ., Signature: Print Name: A C%C_ /C'T �- 6r Mailing Address: /✓/7 Day Telephone: -)O/Cl✓/ ) City Date: / ( ' 7'C't: Lv6 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Application\rorma- Application! On Line\4 -2007 - Electrical Permit Application 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.: 0223100040 Permit Number: EL08 -020 Address: 130 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 01/07/2008 Applicant: PUGET SOUND BLOOD CENTER Issue Date: Receipt No.: R08 -00046 Payment Amount: $90.20 Initials: WER Payment Date: 01/07/2008 02:06 PM User ID: 1655 Balance: $0.00 Payee: PRIDE ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 6005 90.20 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 90.20 Total: $90.20 6880 01/07 .9710 TOTAL 90.20 ring Racaint -0 Printarl• 01- 07 -200R 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 11.0-o20 PERMIT NO. u(� CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: OKA 7 -i/jiiii AM (-44/d 3g Type of Inspection: "It3 Address: Date Called: Special Instructions: G i v Date Wanted: �/ ,///! a.m. p.m. Requester: Phone No: roved per applicable codes. Ei Corrections required prior to approval. COMMENTS: /0/6//- /7u C7Z f Inspect, (:)4CW '`! ,f Date://, El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3670 Pr ject: O MI6 .C!/Nd `�' ti 4/7 Type of Inspection: / Ad�jess: rso/iv.661��' � , / Date Called: Special Instructions: Date Wanted: //� e.�'' Requester: Phone No: Olproved per applicable codes. Corrections required prior to approval. r ,COMMENTS: - (1( --- iy<V iiit49Y / icZ/fi ,- Inspeci /-5, G1 i 44. Date:41Woeis $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electric or Plumber License Detail Washington State Department of Labor and Industries 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. License Information License PRIDEEI077DR Licensee Name PRIDE ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601451700 Ind. Ins. Account Id Business Type CORPORATION Address 1 18133 NE 68TH ST D120 Address 2 City REDMOND County KING State WA Zip 98052 Phone 4254543665 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/19/1993 Expiration Date 3/19/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License GOAD *CJ955DG 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 PRESIDENT 03/15/2005 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PRIDEEI077DR 01/07/2008