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Home My WebLink AboutPermit EL08-0138 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL wys ELO8-138 CityV 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 -138 Issue Date: 02/11/2008 Permit Expires On: 08/09/2008 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 TOWE , INDIANAPOLIS IN Contact Person: Name: ANN GRIFFORD Phone: 206 - 774 -7145 Address: 3849 1 AVE S , SEATTLE WA Contractor: Name: NETVERSANT WASHINGTON INC Phone: (206)774 -7100 Address: 3849 1ST AVE S , SEATTLE WA Contractor License No: NETVEWI972RN Expiration Date: 12/15/2009 DESCRIPTION OF WORK: LOW VOLTAGE VOICE & DATA CABLING Value of Electrical: $30,000.00 Fees Collected: $574.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: cidtkci Date: 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 pe ormance ork. I am authorized to sign and obtain this electrical permit. p Signature: a1 ul L �� Date: 12-4e? Print Name: �7t12%Zcf .7� 4 (l This permit shall become hull 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 -138 Printed: 02 -11 -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 -138 Status: ISSUED Applied Date: 02/11/2008 Issue Date: 02/11/2008 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: �G(iyL� Date: .2 l / —L` r doc: Cond -Elec EL08 -138 Printed: 02 -11 -2008 CITY OF TUKWILP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tkwila. wa. us l3 Electrical Electrical Permit No. Project No. (For office use only) ELECTRICAL PERMIT APPLICATION t l t 0 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: 1 2461) &L Tenant Name: t tw -i /1] . • .1' Property Owners Name: Mailing Address: King Co Assessor's Tax No.: W / (1,.� Suite Number: (taro, ar 14 0 4d 04k eal Floor: New Tenant: ❑ Yes No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: nvl Mailing Address: E -Mail Address: Q 4V S Day Telephone: �" 74 7/V SeA-t -e 134- City State zip d ` s 45-m Fax Number: Pl 315- 2-QS ELECTRICAL CONTRACTOR INFORMATION Company Name: 1 ep- -/Vfrs a.. 4-v n Mailing Address: 3O`I'1 [ \'S Contact Person: E -Mail Address: a-131 i el,.e�� (eT V e"SQLt C-tY✓1 Contractor Registration Number: 44 !✓ 1 Y ,�61 �-2t City Day Telephone: Fax Number: Expiration Date: Wk g013i- fate zip 2(3p 774- 714 colt GIs- 2-7- 3 12 -lS -CF) Valuation of Project (contractor's bid price): $ Scope of Work (please p ovide detailed information): (2'w VD I44 So) no, " VDT 62 i 1 • Will service be altered? ❑ Yes 6it, No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change %Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy `Seattle City Light 11 \Applications'Fonns- Applications On tine \4 -2007 - Electrical Permit Applicamon.doc bh Adding more than 50 amps? ❑ Yes Im No ❑ Remodel El Tenant Improvement ❑ Telecommunication ❑ 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 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 $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, fumace 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 $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 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 CTOR: Signature: Print Name: Mailing Address: 3 /I iU W+' i trl- Date Application Accepted: Day Tele hone: Date: 2 774 7q C/ S7/34 State Zip Date Application Expires: Staff Initials: H:Wpplications\Forms- Applications On Line\4 -2007 - Electrical 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.: 7340600480 Permit Number: EL08 -138 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 02/11/2008 Applicant: GROUP HEALTH Issue Date: Receipt No.: R08 -00382 Payment Amount: $574.00 Initials: WER Payment Date: 02/11/2008 01:50 PM User ID: 1655 Balance: $0.00 Payee: NETVERSANT TRANSACTION LIST: Type Method Description Amount Payment Check 10303697 574.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 574.00 Total: $574.00 8403 02/11 9710 TOTAL 574.00 doc: Receiot -06 Printed: 02 -11 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro a t: %j s 1- I i / 4. " 7/ Type of Inspection:� % //) i" V V /z Addrlelss�: � 1,' G WY Called: al I"nstruci s Special `B�te Wanted: 171/1/ Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: 6;3'l- FiNA� nsp�t I &417Z<6/)//6,9 Date: g ` Ot E] $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit Project: Gam//' /9/hi 274 Type of Inspectni es/ arl bv. /�sf: A/ e �` / t /off � %4� �(?� / G� ,9L (� Sate Called: f`vm 4 Av Special Instructions: 4Y ,' ,9c(($ Date Wanted: a.m. p.m. Requester: Phone No: 0 Approved per applicable codes. ijrrections required prior to approval. COMMENTS: /?oiiJ -p1£ %fim 10€/ /,4ifv7- /2Mu45 -- f)WiNC cci/A)77/vu/ 7 7. f`vm 4 Av 4Y ,' ,9c(($ Insp r: /c'- Date: / /4r $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. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION la. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: GA ,P /04 27' Type of Inspection: c7 Address: /104494 4 ate Called: Special Instructions: Date Wanted: --• / ,512. a.m. p.m. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. a OMMENTS: 0/L - C4C/G /A16- Ins pitf3 `` 67.44.4641 Date: 2 1_1/4) $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 -36 Project: �' Type of Inspection: Address: L.:1/(V 17 ,/ - /'/ `f ,' //' i �� D to Called: Special Instructions: ate Wanted: %) // .per a.r p.m. Requester: Phone No: oved per applic le codes. J Corrections required prior to approval. /COMMENTS: C_4/6/i1i6- f//4‹.1: Ins or: ��&& a Date: $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: 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 NETVEWI972RN Licensee Name NETVERSANT WASHINGTON INC Licensee Type ELECTRICAL CONTRACTOR UBI 601628538 Ind. Ins. Account Id 40450001 Business Type CORPORATION Address 1 3849 1ST AVE S Address 2 City SEATTLE County KING State WA Zip 98134 Phone 2067747100 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 12/15/2003 Expiration Date 12/15/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License NEWMAGM972RN Electrical Administrator Information License NEWMAGM972RN Name NEWMAN, GEOFFREY M Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CAPITOL CORP SVCS INC AGENT 12/15/2003 NEWMAN, GEOFFREY M PRESIDENT 12/15/2003 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NETVEWI972RN 02/11/2008 fl P1 Detach And Display Certificate Detach And Display Certificate • F625- 052 -000 (8/97) City of Tukwila, Washington Io3MS��1 [1C NSI 206 774 -7100 Cable system install /maint TELEPHONE NATURE OF BUSINESS LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI- NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED HEREUNDER. NetVersant Washington 3849 1ST AVE S SEATTLE WA 98134 -2203 EXPIRATION DATE 12 -31 -2007 DATE ISSUED 12/20/2006 LICENSE NUMBER 07 -224 FEE PAID $50.00 SALES TAX CODE No. 1729 CITY CLERK This license is to be displayed conspicuously at the location of business and is not transferable or assignable. Please note the following guidelines In the operation of your business: 1. It is necessary to contact the City Clerk's Office at 206 - 433 -1800 in the event your business: • Moves within the city limits of Tukwila • Moves outside the city limits • Ceases operation • Changes ownership • Changes use or type of operation • Will be having a special event (such as a tent sale, parking lot sale or any other event) outside its routine operation. 2. Additional licenses are required if your business has live music /entertainment, tow trucks, amusement devices, solicitors /peddlers, or adult entertainment. 3. Any retail sales tax generated in Tukwila needs to be reported to the Washington State Department of Revenue, under sales tax code # 1729. 4. Tukwila business license renewals are mailed to all licensed businesses in December and payable without penalty until January 31.