HomeMy WebLinkAboutPermit EL08-1499 - WASHINGTON STATE NURSES ASSOCIATIONWASHINGTON STATE
NURSES ASSOCIATION
575 AND
VER PK W
Parcel No.: 2623049144
Address
Suite No:
Citylif 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
575 ANDOVER PK W TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL08 -1499
12/08/2008
06/06/2009
Tenant:
Name: WASHINGTON STATE NURSES ASSOC
Address: 575 ANDOVER PK W , TUKWILA WA
Owner:
Name: SOUTHCENTER CORPORATE SQUAR
Address: 150 CALIFORNIA ST , SAN FRANCISCO CA
Contact Person:
Name: MARK ANDERSON
Address: PO BOX 280 , SNOHOMISH WA
Contractor:
Name: ASSOCIATED ELECTRIC COMPANY
Address: PO BOX 280 , SNOHOMISH WA
Contractor License No: ASSOCEC088NL
Phone:
Phone: 425 334 -1955
Phone: 425 741 -9110
Expiration Date: 08/13/2010
DESCRIPTION OF WORK:
(4) RELOCATE EXISTING FEATURES
(1) SINGLE SWITCH
(4) OUTLETS
(1) RELOCATE HORN /STROBE
Value oi. Electrical: $2,100.00
Fees Collected:
Type of Fire Protection: National Electrical Code Edition:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature : /
I hereby certify that I have read and
governing this work will be complie
ex
wit
The granting of this permit does not pr
construction th rf
o ormance o f work
Signature:
$124.00
2005
Date: L ZL U9 ()�
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 authorized to sign and obtain this electrical permit.
Print Name: 14/2/44( 4
Date:
ilia P41?
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 abaniioned for a period of 180 days from the last inspection.
doc: EL -4/07
EL08 -1499 Printed: 12 -08 -2008
ID •
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.: 2623049144
Address:
Suite No:
Tenant:
575 ANDOVER PK W TUKW
WASHINGTON STATE NURSES ASSOC
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1499
ISSUED
12/08/2008
12/08/2008
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: Wheli 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 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 Na] ne:
Date: /4(J Ql
doc: Cond -Elec
EL08 -1499 Printed: 12 -08 -2008
CITY OF TUKWI •
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwci.tukwilawa.us
[SITE LOCATION
Electrical Permit No. fi/OS _ f LE 1,1
Project No.
For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications %vill not be accepted through the mail or by fax
* *Please Print **
L King Co Assessor's Tax No: �'�t Z 71 `� 1 -z 1LL1
site Address: S 7$ Aa d J i? �(��4 t ) Suite Number: Floor: /.I
Tenant Name: (A)Prb ,tl�V.i a� N. /vi►4 s s d New Tenant: ❑ Ycs
I'toperly Owners Name:
Mailing Address:
[CONTACT PERSON - Who do we contact when your permit is ready to be issued
City
State Lip
Name: /14¢4r 0� i4 dg'i J
Day Telephone. CYZ a J 3 3 Y-
Mailing Address. ,Rea` 43 k 2 tP *4s L✓A. 'tan
City State Zip
E-Mail Address: PI 9 41 'Qe f1)64 @ 9 4 J O0+161 C4. .w/■1 Fax Number: (f1401 3 = � (.S � a
[ELECTRICAL CONTRACTOR INFORMATION
Company Name:
'Mailing Address:
A3 300+440 0let,l4';L
et Oro S as 41~A !.Jfr f bb.2. ? (
/7
�
y d/� City State Zip
t 'ontact Person. /4144 t tJe4)4 .1 Day Tcicphone. �C *it) 33 te-
1 l f J S
Mail Address: /Pt f .t JQe 0.4 ••% P 43J Q �4�t.0 a !au. e.
'l" Fax Number: (,,, V a� 3 S /....C10 2.
Contractor Registration Number: ASS e•C r G_O 8 C UL. Expiration Date: 0 V( e 3 ( / o
'Valuation of Project (contractor's bid price): $ 2, L,,���O 1" f�'
,cope of Work (please provide detailed information). Tr 4e (. .* f t 4 k/) • "
.�D
Will service he altered? ❑ Ycs f' o Adding more than 50 amps? ❑ Ycs e-No
Type of Use.
Tyne of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property y . 'cd b y :
Puget Sound Energy
❑ Seattle City Light
F7.i.Applernhr•nas F'm++e- Applications')n line)4 - ?%)'- Plernicel Nine/ Applies/1m doe Page 1 or 2
b'a
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings S140.00
(including an attached garage)
❑ Garages. pools. spas and outbuildings $75.00 ca
�] Low voltage systems
(alarm. furnace thermostat) . $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CIIANGES
❑ Service change or alteration $75.00
(no added'altered circuits)
0 Service change with added'altered circuits $75.00
number of added circuits $10.00 ea
I] Circuits added'altered ithout service change $50.00
(up to 5 circuits)
I] Circuits added'altered without service change $50.00
(6 or more circuits) $7.00 ea
1] Meter'mast repair 565.00
Low voltage systems $55.00
(alarm. furnace thermostat)
MULTI-FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANE01'S FEES
❑ Temporary service (residential) $58.0C
❑ Temporary service (generator) $75.00
❑ Manufacturedimohile home service. $80.0t
(excluding garage or outbuilding)
❑ Carnivals - $75.00
Number of concessions $10.00 ea
p'ERMIT APPLICATION NOTES -
alue of Construction In all cases, a value of construction amount should be entered by the applicant. 'this figure will be reviewed and is sub,ect
to possible revision by the Permit Center to comply with current fee schedules.
1 piration of Plan Review Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
-fhe Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in wnting
and justifiable cause demonstrated.
I IIEREI3Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE 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 ELEC fRICAL CONTRACTOR:
:signature: 'n"� 7 /)
Print Natnc: fr2.44k L. .+� K P.,e_s 9
Mailing Address: � C,// dfAtIA. 2 65-
)ate Application Accepted:
Date:
/I/4 ‘`.
Day Te1ephone:642S9 3 J to--f $.S
Nig(
City State Lip
Date Application Expires: Staff Initials:
V1 , ApriIicatinnoFnrm•- AppIn-ar,on,""n t.ine'4 -2007 - Flet+rieal Permit A •Plication Arc
Ln
Page 2012
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.: 2623049144 Permit Number: EL08 -1499
Address ;: 575 ANDOVER PK W TURIN Status: PENDING
Suite No: Applied Date: 12/08/2008
Applicant: WASHINGTON STATE NURSES ASSOC Issue Date:
Receipt No.: R08 -03892
Payment Amount: $124.00
Initials: JEM Payment Date: 12/08/2008 12:22 PM
User ID; 1165 Balance: $0.00
Payee: ASSOCIATED ELECTRIC COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15107 124.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 124.00
Total: $124.00
0290 12/08 9707 TOTAL 124.00
doc: Receiot -06 Printed: 12 -08 -2008
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 -3670
Proje t:
,Type
A. STNTL` 11 5t5
of Inspection:
too
Address:
Date Called:
Special Instructions:
Date Wanted:
O I
'
Cazoto
p.m.
Requester:
Phone No:
X
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
0,K, /rd,
Inspector:
el\
Date:
Di f I O,
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION IA
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
ILIA • STAB. Ifiz.s€5 AS.
Type of Inspection:
i ioa 700
Address: � j
51 s aNJ�r I;N .
Date Called:
--
Special Instructions:
Date Wanted:
^/ O� a.m.
`/ /
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
0J(.. C6ruAC1 Co✓6
ko,g41.4 IA)
g(fr(, pamerti64r
A-p govitc., Of' C4tia1641 Art.tf5 �
L!A t rinlc1 m09 ri AL
Inspector:
.T7
Date:
ri must REINSPECTION FEE REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Vfi
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-
64-14'19
Project: t:. `TA� r J `f5
A �JQ7
Type of Inspection: 3
00
Address: p� /,�' `
57 c POVO DJ •
Date Called:
Special Instructions:
34$r
Date Wanted:
12 -iIG,
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. 1
COMMENTS:
Pa
vkimk, cm]
Inspector: j%j,j
Date:
/2116 ifef
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:
Fo12 vz -Ere ZC/Qcfb OILY Ceio AJAAPTrts)
h16(G: i fl►UG HORN 67Y2L ES
W1Au -rim
ALEt2 1-k5T Al2 PL12 11-4 Or j CA
5112.of3e wt
/.1E.12 TO 1J 1A/ELL. .
ATTORNEY
4/ -u0 SF
VEMoVE FOIMOa1 OF HA1¢b LID AT
Zomot t70YL, i JCL ALLOWAAICES FoR
t2E.c=ON iGtAttWC% CAkI 4iCMTS PACC#ti.
Btzok3ZE
ALUMiNJM
MAJDOWS
EXISTING BIS CONSTRUCTION TO
REMAIN.
NEW BIS CONSTRUCTION. (S'•6")
NEW OR RELOCATED GLAZING
EXISTING CONSTRUCTION TO BE
REMOVED
Marvin Ste sociates, LLC
planning \ design
mu SPACE PLAN
Job tw. 99135.060
Dote 9/08/08
2221 Fifth Avenue. Seattle, Washington 98121 12061441-1449 Job WA STATE NURSES ASSOC. @ SCS Sheet No. OPT 4
OF ruftwitA
•
DEC 0 81008
�'ERM17 CENTER
Untitled Page
1
•
Page 1 of 2
Electrical Contractor
A business licensed by L8t1 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
ASSOCIATED ELECTRIC
COMPANY
4257419110
PO BOX 280
SNOHOMISH
WA
98291
SNOHOMISH
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601371784
ACTIVE
ASSOCEC088NL
ELECTRICAL
CONTRACTOR
8/13/1992
8/13/2010
JOHNSD *970KH
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License JOHNSD *970KH
Name JOHNSON, DIRK A
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, DIRK A
Cancel
Date
01/01/1980
Bond
Amount
JOHNSON, DEBORAH A
01/01/1980
ANDERSON, MARK L
01/01/1980
JOHNSON, DIRK A
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
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ASSOCEC088NL
12/08/2008