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Home My WebLink AboutPermit EL08-1281 - PROVIDENCEPROM ENCE 3355 S 120 PL ELO 4281 Cit f 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: EL08 -1281 Issue Date: 09/26/2008 Permit Expires On: 03/25/2009 Tenant: Name: PROVIDENCE Address: 3355 S 120 PL , TUKWILA WA Owner: Name: SABEY CORPORATION Phone: Address: 12201 TUKVVILA INTL BLVD 4THFL , SEATTLE WA Contact Person: Name: TODD KAHL Phone: 206 718 -8481 Address: PMB 338 14241 WOODINVILLE - DUVALL RD , WOODINVILLE WA Contractor: Name: INTEGRATED POWER INCORPORATED Phone: 206 718 -7858 Address: PMB 338 14241 NE WOODINVILL-DUVALL RD , WOODINVILLE WA Contractor License No: INTEGPI935O6 Expiration Date: 09/26/2009 DESCRIPTION OF WORK: CONTROLS FOR PROVIDENCE HEALTH CARE SPACE Value of Electrical: $5,000.00 Fees Collected: $164.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signatures . % Date: Ivt I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie &wi 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: Date: Print Name: 2 cJ / 4272 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 -1281 Printed: 09 -26 -2008 Parcel No.: 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 1023049069 3355 S 120 PL TUKW PROVIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1281 ISSUED 09/26/2008 09/26/2008 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: 5/ 2 6 doc: Cond -Elec EL08 -1281 Printed: 09 -26 -2008 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. 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: 3 3S 5. 12-6;`- Pc Tenant Name: Property Owners Name: Scc -Lt �� Mailing Address: King Co Assessor's Tax No.: Suite Number: Floor: 02 New Tenant: Yes ❑..No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ( ac &oA kc - IA- 1 Day Telephone: ca-e,6 — ? /i• "gV e / Mailing Address: P 6 '3 .N.a ,4/L4// NK (AA, 41/ /ij4 wC4th4,1//t v--017 G 7•� City State Zip E -Mail Address: ' Odd ® hladtJac.r , i7 G . c firs, Fax Number: 2°6 VC?" 2VOd° ELECTRICAL CONTRACTOR INFORMATION Company Name: -1- 4 / See/ ®atr'c.(' Mailing Address: PAO 338 P-12 V/ c4 �d b7 /, //(- ea City Contact Person: E -Mail Address: ® i)7, c t...eo 11-2c Contractor Registration Number: IN t 11 4.9 P2 93.5- (e Gicaat.n #Jt ll ( 4-04 State Zip Day Telephone: 2 oeir 47/ e^ 5Y Si Fax Number: 2 06� Yo 7 ' 3 `(/Q Expiration Date: //26/0 p% Valuation of Project (contractor's bid price): $ S c XJ Scope of Work (please provide detailed information): Cu), A -kw Prd .Jt?.iLtacc c-a H.k CPba- V:b-c e_ Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: 65 k. Grti Type of work: ❑ New ❑ Addition ❑ Service Change F1w Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Fonns- Applications On tine44 -2007 - Electrical Permit Applicalion.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 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) . $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration S75.00 (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 ca ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (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 $I0.00 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: Signature: ' e<� `•) Date: 572 V2 Print Name: Day Telephone: Mailing Address: City State Zip IDate Application Accepted: Date Application Expires: j Staff Initials: H Apphcat ons\Fames- Applications On Gne14 -2007 - Electncal Pemm 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 SET RECEIPT RECEIPT NO: R08 -03370 Initials: JEM Payment Date: 09/26/2008 User ID: 1165 Payee: INTEGRATED POWER INC Total Payment: 1,524.00 SET ID: S000001110 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount EL08 -1280 410.00 EL021212 164.00 EL08 -1282 950.00 TOTAL: 1,524.00 TRANSACTION LIST: Type Method Description Amount Payment Check 1505 1,524.00 TOTAL: 1,524.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 1,524.00 TOTAL: 1,524.00 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 60-7, zgr PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: F20 .1 + DG,6 Type Inspection: 7002 Address: 3355 5 /2 �jp - r Date Called: Special Instructions: Date Wanted: /� °9 e Requester: Phone No: Approved per applicable codes. LJCorrections required prior to approval. COMMENTS: Q.K. - Fit.14t. Inspector: CIS Date: ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: a. .� . .sue. .w - -- A - - ..: B-- t• A. - V. Ur..eio-• 'I.' 4A - •- INSPECTION NO. INSPECTION RECORD Retain a copy with permit kr4 ts-). PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro '';y, . '� / h7'JC- E Type of Inspection: —, ess• _ "+ Add. r Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: P:AL-O P-P C MENTS: M {i7 roved per applicable codes. El Corrections required prior to approval. C'X ./e, /A/6 C.. c V// #‘: -- ,51,44/q - ^a7ii7 Inspecr!: '� ‘'f /- 4177/1/4/, 11 Dater y) _ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: tOthra tg.i6m w,w.w16 Lw..'e SOL .i•d 12.045 ,.w Ml!_.L + ciaCL 91CITOMiM itkagi.. ill,'l lekl&AailaaRLIg t�' , Untitled Page 0 Page 1 of 2 Electrical Contractor A business licensed by LFtI 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 INTEGRATED POWER INCORPORATED 2067187858 PMB 338 -14241 NE WOOD DUVLL RD WOODINVILLE WA 98072 KING Business Type CORPORATION Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602760522 ACTIVE INTEGPI93506 ELECTRICAL CONTRACTOR 9/26/2007 9/26/2009 KAH L *T *93 504 GENERAL UNUSED ADMINISTRATOR INFORMATION License KAHL *T *93504 Name KAHL, TODD A Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date KAHL, TODD A AGENT 09/26/2007 KAHL, TODD A PRESIDENT 09/26/2007 Bond Information 1 1 1 https:// fortress .wa.gov /lni/bbip/Detail. aspx ?License= INTEGPI93 506 09/26/2008