HomeMy WebLinkAboutPermit EL08-1429 - GROUP HEALTH COOPERATIVEGROUP HEALTH
12401 EAST MARGINAL
WAY S
ELO8-1 429
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
7345600490
12401 EAST MARGINAL WY S TUKW
Permit Number: EL08 -1429
Issue Date: 11/10/2008
Permit Expires On: 05/09/2009
Tenant:
Name: GROUP HEALTH COOPERATIVE
Address: 12401 EAST MARGINAL WY S , TUKWILA WA
Owner:
Name: GROUP HEALTH COOPERATIVE
Address: JIM DOUMA PROPERTY MGMT , 521 WALL ST
Contact Person:
Name:
Address:
JOE SCHULER
13301 SE 26 ST , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
Phone: (206)448 -4699
Phone: 425 747 -5200
Phone: 425 747 -5200
Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
WIRE REMODEL OF MAIL ROOM IN SE CORNER OF 1ST FLOOR. WORK INCLUDES (9) DUPLEX
RECEPTACLES, CONDUIT FOR DATA TO WORK STATIONS, RELOCATE (3) 2X4 MGM AND
RELOCATE SECURITY WIRING FOR DOOR.
Value of Electrical: $5,584.00
Fees Collected:
Type of Fire Protection: National Electrical Code Edition:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this permit does not pres
construction or th :, • erfo s anc of
Signature:
Print Name:
$180.40
2005
Date: l C t CIC D
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
S,1)4/-
Date: n/5/6
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 -1429 Printed: 11 -10 -2008
Parcel No.: 7345600490
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
12401 EAST MARGINAL WY S TUKW
GROUP HEALTH COOPERATIVE
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1429
ISSUED
11/10/2008
11/10/2008
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:
4dEZ
Date: 'o /U Se
doc: Cond -Elec
EL08 -1429 Printed: 11 -10 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.ci.trikwilawa.11S
Electrical Permit No.
Project No.
(For office use on /y)
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: I /2 9-O 1 J& / ' / Jr�
1
h42 Suite Number:
Tenant Name: Gee a /ye /7 3pd c t" /(...<.- New Tenant: ❑ Yes [>.No
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.: 1-121-1C1.62 01-1,1.0
Floor:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
Day Telephone:
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Persons TeX=) C c )C.. -4 J/ /
-ers
E -Mail Address: SC-40 )er-e r, ,q, e e e e-fe yCo^�r-�
Contractor RegiJation Number: P 7 /'rzEI )39�
Valuation of Project (contractor's bid price): S5
5.4.1 r
LL c
Prole, Es/ea-Inc
a
/eve)
Scope of Work (please provide detailed infor ation):
V) _S� (- rr )er o )5- F1 r�. 1A✓Dr lie < - S 9 rie e-ik
G 7aryS , c'-du i f - f Aj -T -i-e t,,Jorir S'o7' or)
l
Will service be altered? ❑ Yes [Y11'0) Adding more than 50 amps? n Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change V Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ TelecommunicLtion ❑ Temporary Service
City Sta a Zip
Day Telephone: -79-7-__S 2c
Fax Number: '-*2
Expiration Date: )
- 75'-7- �SS2
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
I I: 'Applieatinns\Forms- Applications e)n Line'4 -2007 - Electncal Permit Applicatmn.dnc
hh
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) 355.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits
number of added circuits
❑ Circuits added/altered without service change
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) 37.00 ea
❑ Meter /mast repair 365.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
$75.00
310.00 ea
$50.00
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) 358.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions 310.00 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 CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date: ji
o
Daay,Telephone:
)30 - — SST / /�v Wfl
State Zip
City
tDate Application Accepted:
Date Application Expires:
Staff Initials:
\AppheationsTonns- Applications On Lineal- 2007 - Electncal Permit Applicanon.doc
Irh
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.: 7345600490 Permit Number: EL08 -1429
Address: 12401 EAST MARGINAL WY $ TUKW Status: PENDING
Suite No: Applied Date: 11/10/2008
Applicant: GROUP HEALTH COOPERATIVE Issue Date:
Receipt No.: R08 -03730
Initials: JEM
User ID: 1165
Payment Amount: $180.40
Payment Date: 11/10/2008 01:23 PM
Balance: $0.00
Payee: PRIME ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 16697 180.40
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 180.40
Total: $180.40
doc: Receipt -06 Printed: 11 -10 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
64-1 PERMIT NO. 1
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Project: (i�O4P �'—„�
Type of Inspection:
700,
/2100
Address:
12101 (M
6.
Date Called:
Special Instructions:
Date Wanted:
/ O
�f �Z
a.m
.m.
Requester:
Phone No:
0 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
- cztLwo, Coal\
O-11\ • -
Inspector:
,-1/-16(4Ait
Date: LI j2cJfO
❑ $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:
INSPECTION RECORD
Retain a copy with permit
beg- 1
INSPE TION NO. PERMIT ' 791
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
ix/
Project: t1COQ{
Type of Inspection:
Address:
q9 o 1 E. ri ce► .
Date Called:
--�
Special Instructions:
Date Wanted:
j1 3
I
f a.m.
�m.
Requester:
Phone No:
❑ Approved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS:
P�-
p -gnu, coy
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:
Sfw... �iw.s: •A.,.. Z..a • ��'i ."^�lY.L "40.''* —. "Y.M
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
PRIME ELECTRIC INC
4257475200
13301 SE 26TH ST
BELLEVUE
WA
98005
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated License TYRREWF973CK
Specialty 1 GENERAL
Specialty 2 UNUSED
601004783
ACTIVE
PRIMEEI134BT
ELECTRICAL CONTRACTOR
1/30/1987
1/30/2009
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
11/10/2008