HomeMy WebLinkAboutPermit EL08-0026 - GROUP HEALTHGROUP HEALTH
12400 EAST MARGINAL WY
S
ELO8-026
CitAf 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.: 7340600480
Address: 12400 EAST MARGINAL WY S TUKW
Suite No:
Permit Number: EL08 -026
Issue Date: 01/08/2008
Permit Expires On: 07/06/2008
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 TOWS , INDIANAPOLIS IN
Contact Person:
Name: JOE SCHULER Phone: 425- 747 -5200
Address: 13301 SE 26 , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC Phone: 425 747 -5200
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
TENANT IMPROVEMENT OF PFS AREA. INVOLVES REMOVAL OF SOME EXISTING MODULAR
WALLS INSTALLATION OF SOME NEW WALLS RECONFIGURATION OF FURNITURE CUBICLES.
NEGLIGABLE ELECTRICAL LOAD CHANGE. ALSO ALTER FIRE ALARM SYSTEM TO NEW LAYOUT.
Value of Electrical: $63,450.00 Fees Collected: $1,070.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
70•J'\Date: k (J V e
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 work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:30S(Ph s 0)er-
Date:
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 -026 Printed: 01 -08 -2008
•
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.: 7340600480
Address: 12400 EAST MARGINAL WY S TUKW
Suite No:
Tenant: GROUP HEALTH
Permit Number: EL08 -026
Status: ISSUED
Applied Date: 01/08/2008
Issue Date: 01/08/2008
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:
Date: g k
doc: Cond -Elec
EL08 -026
Printed: 01 -08 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.atilkwila.wa.us
Electrical Permit No. G 2_0 g - 0)4
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
I
Q Q
King Co Assessor's Tax No.:
Site Address: )2..9-00 a. ,4 ar el a) t1) Q`7 S . Suite Number: PCS Floor:
Tenant Name: Group He Q /fN Coop New Tenant: ❑ Ycs t0'No
Same_
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
woe SGhv)er
Mailing Address: I '33O! — ‘071z1
Day Telephone: 1-712-S 79-7. 520c
5evve c 444 9 c s
E -Mail Address SGw1 et- e pr/MeeleG17-1C...Cof)
ELECTRICAL CONTRACTOR INFORMATION
City State Zip
Fax Number: 4L 74'7 ASS 2
Company Name:
Mailing Address:
Pry /)-7 1e Lt7, i e-
13'3(, l - 06-r
13e-17evue L)/ 9ge;t:›.-c-
Contact Person: S c -Sc.-^U `er
E -Mail Address: D
Contractor Registration Number: 1 R 1 Al E EZ.. 13 1T
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): S 63 L7'5
Scope of Work (please provide detailed information): 'T /-?Q 7f' �n`'�d V `/)-' e- f o P P FS
a Iwo. Zn✓olve S re va I of' ssor-7e e-t- st -�� n-'4ot:44J Est'
i-vekeS _ 1-/-7 -51a Jt fio. -, o 4) So Cz-g) �..al�%S n �ec7S.� -�. u�a ��o•�
Adding more than 50 amps? ❑ Yes ENo V
t l service be altered. Yes No
C.4) r-7 - €rc, a / p- ice SP 4c e
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
L i' Seattle City Light
❑ Service Change [Remodel Tenant Improvement
'Fire Alarm ❑ Telecommunication ❑ Temporary Service
WApphcntions'torms- Applications ()n Line14 -2,117 - Electric Permit Apphcanon.doc
I.h
Pagc 1 of
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 575.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change 550.00
(up to 5 circuits)
❑ Circuits added/altered without service change 550.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems S55.00
(alarm, furnace thermostat)
MULTI- FAMILY 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 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.
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
)330/ SE Sf
Date: J-8-0
Day Telephone: 92.- -2 `'`' 7.52.o0
L3�1�� vvc W�9 98c
State Zip
City
IDate Application Accepted: Date Application Expires:
Staff Initials:
i i. Appncanons.Fmrns- Applications t to I.ine:4 -20117 - lilrxtncal Permit .Apphcatmn.don
hh
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: EL08 -026
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 01/08/2008
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R08 -00059
Initials: WER
User ID: 1655
Payment Amount: $1,070.00
Payment Date: 01/08/2008 11:15 AM
Balance: $0.00
Payee: PRIME ELECTRIC
TRANSACTION LIST:
Type Method Description Amount
Payment Check 15874 1,070.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 1,070.00
Total: $1,070.00
6964 01/08 9710 TOTAL 1070.00
rinr.• RRraint -0f
Printp.d 01 -08 -2008
INSPECTION RECORD
Retain a copy with permit G� ,'�
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 0
INSPECTION NO.
Pro ect:
�jet
Type of Inspection:
42/T-0
�` r /T �go�L h)to
Called:
ns:£u
Special s t
Date Wanted:
/Z`
m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMM ENTS:
0/4- Fi/v/f
Pl1�ISF �
Inspec
�TftM # #I?
Date:
Ei $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 RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
nec : �� ��� `
!r
Type of Inspection:
Address:
,» 69sr %tGiAinc kly .�
Date Called:
Special Instructio s:
Date Wanted:
J/ a"
m.
m.
Requester:
Phone No:
r MENTS:
proved per applicable codes. Corrections required prior to approval.
og, 6,11c_/-,/1011
Inspe�"' L� Aivivzwa #
Dat,/,/a K
0 $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 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
Protect:, / / /M" 777/
Type of InspecYnb j
Address
at ailed:
Special Instructions:
Date Wanted:
Z / .2.
a.m.
p.m.
Requester:
Phone No:
proved per applicable codes. Corrections required prior to approval.
COMMENTS iJ/9
0/4--
InspectO
r.�
r i ' /i'
Date: a"2g / c!
$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:
INSPECTION RECORD km .�
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION l2 3
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 7
Project:
640
Type of Inspection:
7 V V .7
`.
Address:
)71 f G //1/114 4.;
date Called:
Special Instructions:
Date Wanted: `
/�
a.m.
Requester:
Phone No:
proved per applicable codes. LJ Corrections required prior to approval.
COMMENTS: plq.
0/4/, -- CE-I1-1/1)4 -- //7/1/8_9:: 2
rX C//'7 - ,r?" F0),(4 /b/C
I.ie,1T &4d1S
nspe
3 /1. &-MijCH
Date:
7-44 r
El $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:
a-...,�.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION it-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
\\v
Project:
CAW, Hi,L . '
Type of Inspection:
;
Address:
,-1+
Da Called:
Special Instructions:
Date Wanted:
��
r
l a•�
m.
Requester:
Phone No:
roved per applicable codes. ID Corrections required prior to approval.
COMMENTS: Azy
(r4Q - 1.l %/9w, C mie7<
I n s P4 a 649 elgo/1
Date, /,
$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:
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION 'ca'
Probe t:
Type of Inspection:
Address:
1/1-10 his? /49,6//06
Da a Called:
Special Instructions:
Date Wanted:
//) y
p.m.
Requeestteerr:, 1
i
Phone
,C.? Lrig 0:753 s'
ElApproved per applicable codes. El Corrections required prior to approval.
COMMENTS: pig
0 /( -NNE- coVf4 — 44W $
nspe 6aT I /9Ip/T
'jL L
Date: 4/2_34g
0 $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, Election 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
fu-m or a full -time supervisory employee.
License Information
License
PRIMEEI134BT
Licensee Name
PRIME ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601004783
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
13301 SE 26TH ST
Address 2
City
BELLEVUE
County
KING
State
WA
Zip
98005
Phone
4257475200
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/30/1987
Expiration Date
1/30/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
TYRREWF973CK
Master Electrician Information
License TYRREWF973CK
Name
TYRRELL, WAYNE
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
01/01/1980
TYRELL, NANCY
01/01/1980
TYRELL, WAYNE
AGENT
01/01/1980
•
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