HomeMy WebLinkAboutPermit EL08-1333 - PROVIDENCE HEALTH AND SERVICESPROVIDENCE HEALTH
& SERVICES
3355 S 120 PL
EXPIRED 09 -02 -09
ELO8-1 333
CiOV Tukwila 0
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 -1333
Issue Date: 10/08/2008
Permit Expires On: 04/06/2009
Tenant:
Name: PROVIDENCE HEALTH AND SERVICES
Address: 3355 S 120 PL , TUKVVILA WA
Owner:
Name: SABEY CORPORATION Phone:
Address: 12201 TUKW LA INTL BLVD 4THFL , SEATTLE WA
Contact Person:
Name: LANCE CALVO Phone: 206 856 -9529
Address: 22651 83 AV S , KENT WA
Contractor:
Name: WESTFIRE COASTAL INC
Address: 22651 83 AV S , KENT WA
Contractor License No: WESTFCI96OLD
Phone: 206 381 -3090
Expiration Date: 05/27/2010
DESCRIPTION OF WORK:
INSTALL NEW FIRE ALARM DETECTION AND CONTROL SYSTEM
Value of Electrical: $25,000.00
Fees Collected:
$492.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
x
wi
Date: I0 (,OI1oi'
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, 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 erfo ce of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: /0 b"--- OEr-
Print Name: :Gi- 5J'E 40 N
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 -1333 Printed: 10 -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.: 1023049069
Address:
Suite No:
Tenant:
3355 S 120 PL TUKW
PROVIDENCE HEALTH AND SERVICES
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1333
ISSUED
10/08/2008
10/08/2008
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:
l
Print Name: `rc;;'(F J tI-49""V`
Date: 10—
doc: Cond -Elec
EL08 -1333 Printed: 10 -08 -2008
Oct 03 2008 5:17PM Westfire Coastal Inc.
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htt, :Hwww. cl. Tkwila. wa. us
380_888 -0682
P.3
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.: 1 01-AA - 1
Site Address: 3 3.57`1 120 - 101 *Cc Suite Number: 6-2 et 3 Floor:
Tenant Name: 1%P V 0-1,6 cc__04 ttt 1)G4 /rf1 Aal$' $e'�ev ic..s New Tenant RI .....Yes ❑..No
Property Owners Name: 3h i3E y
Mailing Address: /ZZO/ Tuk-'r/4 r,.rre.C44rie�A4) JWpr rt.,*wcm- 141A etei‘rS
City State Zip
2
Name: L G E C..4 i Y Cr
Mailing Address: 22 t%O5'/ '3 40 Ave &urh
E -Mail Address: 1-4 AI GG t LjE31" s f 2E • G &m
Company Name: 14 J EST Fr/.#2 a CO/kYr* / X-^/ C ,
Day Telephone: 20 (O' 2370 9.5-2�
k'ed r W4 ler 032.
City
State Zip
Fax Number: 2010 - r/- .3y
} D
Mailing Address: 2Z 4,5-1 R.L A ie -$O
Contact Person: LAAICL- 04 j ✓t0
E -Mail Address: L 44 GE 47 U..56 3'r' Fs`it6 • C'i > wt
Contractor Registration Number: a 5r p- a ..� 9 t'O ;D L 27
Ktt.d ,
City
wA 980.3 2
Slate Zip
Day Telephone: 2d, - e5-6 p.SZ 9
Fax Number: 204. -'.3V .3 9Q
Expiration Date: /27 / Z e / t7
rr
Valuation of Project (contractor's bid price): $ r 107
Scope of Work (please provide detailed information): 1 h/.S r rY 1/ A/G I.) grog e ,4 /4dN7 PC r c rtad
A4D Cow Tito c y�rtri ,
Will service be altered? ❑ Yes pi No Adding more than 50 amps? ❑ Yes 0 No
Type of Use: f!
Type of work;
❑ New D Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
tyt Low Voltage ❑ Generator Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
❑ Puget Sound Energy
tg Seattle City Light
Applintim sTonna- Applivatim On LiaeNd007 - Elodriwi Permit Applieationdoc
bk
Page t of 2
Oct 03 2008 5:17PM Winstfire Coastal Inc.
360-668 -01382
p.4
RESIDENTIAL
NEW RE1 EN IAL 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
❑ 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 550.00
(6 or more circuits) $7.00 ea
❑ Meter/mast repair 565.00
❑ Low voltage systems 555.00
(alarm, furnace thermostat)
kijaM I- Y ifitinglaRCLML
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) 575.00
❑ Manufactured/mobile home service S80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
Valve 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: 1. * "IGE IC 4/ 110
Mailing Address: Z ZG.S / ^ *63A A /¢viE
IDate Application Accepted:
Date: /d .3 / ZOa
9s�.9
7?else
zlp
Day Telephone: 206 - 25-6 -
Kea 10
City State
Date Application Expires: 01-(1.95 I
Staff Initials:
HAAPPIicabooN orno- APpacattons On IimUa.2007 . Q ctflc l Permit Application doe
bh
Page2of2
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: EL08 -1333
Address: 3355 S 120 PL TUICW Status: PENDING
Suite No: Applied Date: 10/08/2008
Applicant: PROVIDENCE HEALTH AND SERVICES Issue Date:
Receipt No.: R08 -03472
Payment Amount: $492.00
Initials: ]EM Payment Date: 10/08/2008 12:09 PM
User ID: 1165 Balance: $0.00
Payee: WESTFIRE COASTAL, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 007851 492.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 492.00
Total: $492.00
doc: Receiot -06 Printed: 10 -08 -2008
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.•
CITY OF TUKWILA BUILDING DIVISION 12'"
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project VIDEAtt 44014
Type of Inspection: 2..r.00
Address:
3355- 5 1 Zo PL .
Date Called:
Special Instructions:
Date Wanted:
D VO4
j��
Lam.
p.m.
Requester:
Phone No:
A
: o r /5f es (iiet5 F4 OErLIA1
IDApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
PA
0.4. - Ft/M t.. 41456 2_
A
: o r /5f es (iiet5 F4 OErLIA1
Cam. (Jkt, - DAJ Otviiteriod of
P SE VT 11e? AW Ott ix *t
iLoi4
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:
...-�. • mS == - -'�s.- - - . _.�.� - ..en�r-`r- -wlf� - - - - ...•4t6M1.AW °�a� -- ti — = - - --aa1.4afia.P1AAIOSInIu
07 -31 -2009
LANCE CALVO
22651 83 AV S
KENT WA 98032
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL08 -1333
3355 S 120 PL TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 09/02/2009 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely, 4401
r Marshall
Pe .1 Technician
xc:
Permit File No. EL08 -1333
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
03 -02 -2008
LANCE CALVO
22651 83 AV S
KENT WA 98032
Department of Community Development
RE: Permit No. EL08 -1333
3355 S 120 PL TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 04/06/2009 , yot.:r permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
C J
Jenriifer Marshall
it Technician
4bdt,
xc:
Permit File No. EL08 -1333
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
Untitled Page
•
0
Page 1 of 2
Electrical Contractor
A business licensed by L£tI 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
WESTFIRE COASTAL
INC
2063813090
22651 83RD AVE S
KENT
WA
98032
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601823499
ACTIVE
WESTFC1960LD
ELECTRICAL
CONTRACTOR
5/27/2004
5/27/2010
WESTFCI005LK
CALVOL *935Q0
LIMITED ENERGY
UNUSED
ADMINISTRATOR INFORMATION
License CALVOL *935Q0
Name CALVO, LANCE A
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RAAB, STEVEN D
AGENT
06/04/2004
POLITO, JOSEPH
PRESIDENT
06/04/2004
ELLIOTT, KEVIN
SECRETARY
06/04/2004
RAAB, STEVEN D
VICE PRESIDENT
06/04/2004
Bond Information
I I
I
I
I
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= WESTFCI96OLD
I
I
10/08/2008