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Home My WebLink AboutPermit EL08-1473 - PROVIDENCE HEALTH & SERVICEPROVIDENCE HEALTH AND SERVICE 3355 S 120 PL ELO8-1473 Cityflbf 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 Nc.: ELECTRICAL PERMIT Permit Number: EL08 -1473 Issue Date: 11/25/2008 Permit Expires On: 05/24/2009 Tenant: Name: PROVIDENCE HEALTH & SERVICE Address: 3355 S 120 PL , TUKWILA WA Owner: Name: SABEY CORPORATION Phone: Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA Contact, Person: Name: MARK TELLER Phone: 206 963 -9824 Address: 12500 AURORA AVE N , SEATTLE WA Contractor: Name: COCHRAN INC Address: PO BOX 33524 , SEATTLE WA Contractor License No: COCHRI *088LB Expiration Date: 05/13/2009 Phone: 206 367 -1900 DESCRLPTION OF WORK: INSTALLATION OF COMMUNICATION INFRASTRUCTURE IN DATA CENTER, CAT6 COPPER AND FIBER C FiBLING AND COMPONENTS. Value of Electrical: 206,845.48 Fees Collected: Type of :Eire Protection: National Electrical Code Edition: Electric■Ll Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: V $2,786.00 2005 Date: t (12047' I hereby certify that I have read and a .. ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether specified herein or not. The granting of this permit does not pres ' e 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 autho ' ed to sign and obtain this electrical permit. Signatur Print Name: J/9: J/V v✓/ e -/-)- 0 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. Date: // doc: EL -4/07 EL08 -1473 Printed: 11 -25 -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 & SERVICE Permit Number: Status: Applied Date: Issue Date: EL08 -1473 ISSUED 11/25/2008 11/25/2008 1: * * *EpJECTRICAL * ** 2: A coley 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: Whet i 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 i.suance of art 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 presuxn s 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. r Signaturef %12 �� Date: // 2 Print Name: J%5 ° Aj 1// E 1D doc: Conch -Elec EL08 -1473 Printed: 11 -25 -2008 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httd://www.ci.tukwila.wa.us • 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.: 107.---7)0Ci "11()V1 Site Address: :1;355 5 / ZDTl' Tll/�euf�,a, wA Suite Number: 51X- - 6 Z- Floor: 2 'tenant Name: - PiaDV1 ,EiueG HLL1LT>-1 $r}'LVi _E New Tenant: ❑ Yes .. No Property Owners Name: .5i4 G ~/ Mailing Address: /22.01 1 UIL-Iw l Coal -Ton_ • &LV \ , %ASE v�A �� i 1.,e) City State Zip iCONTACT PERSON - Who do we contact when your permit is ready to be issued :game: ikA la2IL TeLLE2 Mailing Address: I ZSDb k)R 4211QA /41(Y,NkJ Ijatl Day Telephone: 21)4.- `.1 ('3 - 7,6z S 7TLl I.) 18/3 �p City State l Zip All E-Mail Address: IVI E.LLf<. -V HQAR1 / 4i • C_OY" Fax Number: 2Dfv 369, - 3Zv DELECTRICAL CONTRACTOR•JNFORMATION Company Name: CU/Mai l NL &ailing Address: 1 ZSDO A U 23r2A Avgiv 1G Amami Contact Person: M Fa/LdL Tlri- 1 Mail Address: MTa..LE%1- a-C.0 041/dItUL LJev`- ContractorRegistrationNumber: 606-1-42:1* 0BSi -� City State Zip Day Telephone: 2Ot) -/6 3 " gZ Fax Number: 21) — 305 -32R-) 1 Expiration Date: s' 13 zooci Valuation of Project (contractor's bid price): S 2Uro ,B45 . e ;cope of Work (please provide detailed information): iM,57 4LLAT/CNU )F CD /1/1 MON FiST%Lu ruez- Ns barA CFN TE 1z- , 6,1 rG c_opp 2 AND F t ( ►c. CA &r iuh -/ top Je W5 , Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm pr Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light F. Applications\Forms- Applications On Line4-2007 - Electrical Permit Application.doc 6h Page 1 of 2 • �] RESIDENTIAL. NEW RESIDENTIAL SERVICE New single family dwellings $140.00 (including an attached garage) O Garages, pools, spas and outbuildings $75.00 ea b] 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 $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 ea �] Meter /mast repair $65.00 O Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees arc 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 ca LPERNIIT 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 13Y THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW OR CTRICAL CONTRACTOR: t. v Print Name: M AJut. ¶ . 1a .,ignaturc: Date: Day Telephone: 2 06 Mailing Address: 17-5D0 U(L1f -A U N0(U SEArrLE wA City - 25 -o? -(26,3 -`J8 2 4/ 60 67 State Zip )ate Application Accepted: Date Application Expires: Staff Initials: tl.Wpplications \Fonts- Applications On line \4 -2007. Electrical Permit Application doc to Page 2 of 2 901LA 11,4 � ,1111�� - �r�i 1908 _ 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 -1473 Address: 3355 S 120 PL TUKW Status: APPROVED Suite No: Applied Date: 11/25/2008 Applicant: PROVIDENCE HEALTH & SERVICE Issue Date: Receipt No.: R08 -03819 Payment Amount: $2,786.00 Initials: JEM Payment Date: 11/25/2008 08:51 AM User ID: 1165 Balance: $0.00 Payee: COCHRAN TRANSJLCTION LIST: Type Method Descriptio Amount Payment Check 13491 2,786.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 2,786.00 Total: $2,786.00 9923 11/25 9707 TOTAL 2786.00 doc: Receiot -06 Printed: 11 -25 -2008 INSPECTION RECORD Retain a copy with permit OL (LO'?' llin, INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: t I> M ' Type of Inspection: /00 Address: .3 355 5. i2o PL- Date Called: . _ Special Instructions: Date Wanted: n/ /� v a.m Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 140 Inspector: Date: o I O 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: kRarwVt7 -4gfe rti M`fi•ry +.. . .. « ... . _ .._ _ y..-■••s •R y.,,.Lti •'a...- .�e�bl 04 -02 -2009 MARX TELLER 12500 AURORA AVE N SEATTLE WA 98133 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL08 -1473 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 05/24/2009 , 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. Since rely, Bill Rambo Permit Technician xc: Permit File No. ELM-1473 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 a Phone: 206 - 431 -3670 • Fax: 206-431-3665 Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name COCHRAN INC UBI No. 578042134 Phone 2063671900 Status ACTIVE Address PO BOX 33524 License No. COCHRI'088LB Suite /Apt. License Type CONSTRUCTION CONTRACTOR City SEATTLE Effective Date 6/2/1992 State WA Expiration Date 5/13/2009 Zip 981330524 Suspend Date County KING Previous License COCHRI *341MF Business Type CORPORATION Next License Parent Company Associated License Specialty 1 GENERAL Specialty 2 UNUSED Business Owner Information Name Role Effective Date Expiration Date COCHRAN, GORDON W Cancel Date 01/01/1980 Bond Amount COCHRAN - OLSEN, LEEANN G 7 01/01/1980 0815103559051 BCM COCHRAN, ROBERT L Until Cancelled 01/01/1980 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 TRAVELERS CAS a SURETY 0815103559051 BCM 05/13/2002 Until Cancelled $12,000.0004/25 /2002 6 TRAVELERS CAS a SURETY CO 0815103559051BCM05/13/2001 05/13 /2002 $6,000.00 06/28/2001 5 RELIANCE INS CO B2362535 05/13/1992 Until Cancelled 05/13/2001 56,000.00 4 RELIANCE INSCO B1731942 06/01/199006/01 /1992 S6,000.00 3 FEDERAL INS CO 81134839 06/01/1988 06/01/1990 S6,000.00 2 UNITED PACIFIC INS CO U543002 12/31/1984 06/01 /1988 1 UNITED PACIFIC INS CO U 508392 12/31/198112/31 /1984 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License = COCHRI * 08 8LB 11/25/2008