HomeMy WebLinkAboutPermit EL08-1400 - GROUP HEALTHROUP HEALTH
12400 EAST MAfliGINAL WY S
1108-1400
Parcel No.:
Address:
Suite No:
CitAbf 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
7340600480
12400 EAST MARGINAL WY S TUKW
Permit Number:
Issue Date:
Permit Expires On:
EL08 -1400
10/30/2008
04/28/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
GROUP HEALTH
12400 EAST MARGINAL WAY S , TUKWILA WA
ANNE ARUNDEL APARTMENTS LLC
10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN
JOE SCHULER
13301 SE 26 ST , BELLEVUE WA
PRIME ELECTRIC INC
13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
Phone:
Phone: 425 - 747 -5200
Phone: 425 747 -5200
Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
MAKE EMERGENCY REPLACEMENT OF DAMAGED FIRE ALARM PANEL
Value of Electrical:
Type of Fire Protection:
$750.00
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $78.00
National Electrical Code Edition: 2005
Date: 1 V
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 p _ o . e of�uvor ;,am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
10-��,
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 -1400 Printed: 10 -30 -2008
Parcel No.: 7340600480
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
PERMIT CONDITIONS
12400 EAST MARGINAL WY S TUICW
GROUP HEALTH
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1400
ISSUED
10/30/2008
10/30/2008
1: * * *ALFCTRICAL * **
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.
Date:
doc: Cond -Elec
EL08 -1400 Printed: 10 -30 -2008
y,s+`�N;II�t tV4�
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
!Ifs, : tv r'w c't tul tv l,t. wa.us
Electrical Permit No. C LoS_ I1jt90
Project No.
(For office rise onir)
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
King Co Assessor's Tax No.: / 31-1 Q &so— D`Z acs
Site Address: 1 1-00 E. / - Li: L-2(), S
Tenant Name: Ned /4) New Tenant:
Grp 1./ec, //-1,
Mailing Address: 32O inlestkt // r `4.-'
Suite Number:
Property Owners Name:
City
Floor:
❑ Yes
No
-✓f 98/0
State lip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
Day Telephone:
)33cc / g e c/C qc »
city
� � i H ( J � r , E / C � � //2.70. /C� -, Fax Number:
Gc�/✓7
ELECTRICA CONTRACTOR INFORMATION
Company Name'
State zip
f_S- 754-2- SSS '?
c
Mailing Address: ) �� / SE 26 � � % �UGi✓ //1//, //1//, 6 M.C5C)J."
Contractor Registratior Number: ric= i41E G. Z„ 4-3 Expiration Date:
Contact Person:
E -Mail Address:
City State z t,
Day Telephone:
Fax Number:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
/11.d/A -e etb replace",-,e-17- o dpdo
,r f a r t p e w - )
Will service be altered: ❑ Yes 2/No Adding more than 50 amps'? ❑ Ycs 1*.<1u
Type of lase:
Tvne of work:
t/ New
❑ Low Voltage
Property Served by:
—1Puget Sound Energy
Seattle City :_ chi
❑
Addition
Generator
❑ Service Change
❑ Fire Alarm
I Arpnca u.m. I 01 I me,- 1 -218n7 - Irc•ire, 1•rm•ai Ao,Iic.mnn doi
Ih
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIA1. SERVICE
❑ New single family dwellings S 140.00
(including an attached garage)
❑ Gara CS, pools, spi.s and outbuildings S75.00 ea
❑ Low voltage systcr.is
(alarm, furnace thermostat) 855.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration 575.00
(no added/altered circuits)
❑ Service change wita added/altered circuits 875.00
numb r of added circuits $10.00 ea
Circuits added/altered without service change 850.00
(up to 5 circuits)
❑ Circuits added/altered without service change 550.00
(6 or more circuits) S7.00 ea
❑ Meter /mast repair . 865.00
❑ Low voltage systems . 855.00
(alarm, furnace thermostat)
L7
MULTI- FAMILY AtNi) COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (resiuential) 558.00
❑ Temporary service (generator) 575.00
❑ Manufactured /mobile home service 'SK0.00
(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 Appiications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official mt.y grant one extension of time for an additional period not to exceed 90 days. The extension shall he requested in writing
and justifiable cause den.onstrated.
111EREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRIJEE UNDER
PENALTY OF PERJU 2Y BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTIIORIZED iY) APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: L / �/� Date: 10 --36› e
Print Name: S 1DS GprlL��i' r )!]'U Dav Telephone: Li-2,S-
mailing Address: � '2 I �� S)7 � i t� �� 9B S
(',tv Stale
11) .te Application Accepted:
Date Application Expires: Staff initials:
II I mr,I, . \npI n :an„r..I.d I i .� . -_t)tI - i_Icw ;rival i cir•il .\; 1,1n :,�n,�n.,I,'
.+h
1'.gi:n1','.
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 -1400
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 10/30/2008
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R08 -03652
Initials: WER
User ID: 1655
Payment Amount: $78.00
Payment Date: 10/30/2008 03:52 PM
Balance: $0.00
Payee: PRIME ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 16663 78.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERM_T - NONR
000.322.101.00.0 78.00
Total: $78.00
doc: Receipt -06 Printed: 10 -30 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 431 -3670
fI,og -lyoo
I�-
Project: / izoU P
/•"!�
�m i
,'1
Type of Inspection:
, \
—�\ \J
Address:
►2'{oo E. rf.
Date Called:
Special Instructions:
OA"
Date Wanted:
I r'Z {
�p
p.m.
Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
Inspector: 6cimeit Date:
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I lip fag
Receipt No.:
Date:
Untitled Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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 PRIME ELECTRIC INC UBI No. 601004783
Phone 4257475200 Status ACTIVE
Address 13301 SE 26TH ST License No. PRIMEEI134BT
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City BELLEVUE Effective Date 1/30/1987
State WA Expiration Date 1/30/2009
Zip 98005 Suspend Date
County KING Previous License
Business Type CORPORATION Next License
Parent Company Associated License TYRREWF973CK
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License TYRREWF973CK
Name TYRRELL, WAYNE
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
Cancel
Date
01/01/1980
Bond
Amount
TYRELL, NANCY'
01/01/1980
TYRELL, WAYNE
AGENT
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
INS CO OF
Until
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= PRIMEEI 134BT
10/30/2008