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HomeMy WebLinkAboutPermit EL08-0232 - GROUP HEALTH COOPERATIVEGROUP HEALTH 12400 EAST MARGINAL WY S ELO8-232 CitAf 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 TUICW Suite No: Permit Number: EL08 -232 Issue Date: 03/11/2008 Permit Expires On: 09/07/2008 Tenant: Name: GROUP HEALTH COOPERATIVE Address: 12400 EAST MARGINAL WY S , TUKWILA WA Owner: Name: ANNE ARUNDEL APARTMENTS LLC Phone: Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: TERRY COSSETTE Phone: 425 864 -5737 Address: 13301 SE 26 ST , BELLEVUE WA Contractor: Name: PRIME ELECTRIC INC Address: 13301 SE 26 ST , BELLEVUE WA Contractor License No: PRIMEEI134BT Phone: 425 747 -5200 Expiration Date: 01/30/2009 DESCRIPTION OF WORK: REMOVE AND INSTALL (4) LIGHT FIXTURES, (1) HEAT DETECTOR, (2) PULL STATIONS, (2) CALL BOXES, AND (4) STROBES. Value of Electrical: $2,650.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 $124.00 Electrical Service provided by: SEATTLE CITY LIGHT A _a cJ Permit Center Authorized Signature: (' Cr-Ap'Yn�IM Date: I hereby certify that I have read and e 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform f work. I am authorized to sign and obtain this electrical permit. Signature JA c Date: 3 -11 _ ,/ Print Name: e if if y �d 5 S e 7`t 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 -232 Printed: 03 -11 -2008 Parcel No.: 7340600480 Address: Suite No: Tenant: o 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 TUKW GROUP HEALTH COOPERATIVE Permit Number: Status: Applied Date: Issue Date: EL08 -232 ISSUED 03/11/2008 03/11/2008 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. Print Name: A- X7 C i/' SS[a l I (_ Date: 3 l 7 D " doc: Cond -Elec EL08 -232 Printed: 03 -11 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http./ /www ci. tukwila. wa. us �o 103 Electrical Permit No. Project No. (For office use only) 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 2.400 E. niarbui S o Site Address: Tenant Name: Aare- co cy Peca-liel coovei- -fixed Property Owners Name: Mailing Address: ri4 E Y a rbin.4J L)Ct.( SCsfin Lift. n l p (L City State Zip King Co Assessor's Tax No.: at (2 - t/ Suite Number: Floor: New Tenant: El Yes CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: FC,(f Day Telephone: 4,2S- 04— 5 ?37 Mailing Address: i( 5 ZOO S 3����e W A agQOS City St ,ate Zip ii1 l et M eAeLly5c. CCWJ Fax Number: " 747 -SS-S- E-Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: Wtme, tie c Y I G w-t'I c. Mailing Address: 133o( S I Z(a+''' cs + -Lt Contact Person: E -Mail Address: ([Yl.l prole i(1-16 L .CCW Contractor Registration Number: ,IY e City State Zip Day Telephone: 42-S- "7' FSZ-oO Fax Number: (t-ZJ - 74-? - -s-s-2_ Expiration Date: I-2-'3 (- 6g Valuation of Project (contractor's bid price): $ Z1e.a) Scope of Work (please ro ide detailed information): Z2,� • u!� (Y � `I �� �IG�V�� (v� � r� UXQ, hQu- tP: edrr b _ t .•" Will service be altered? ❑ Yes IS No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy V, Seattle City Light H •Appncanons•Fonns- Applications On Line 4.2007 - rlecrncal Perrot Appitcaton doc hn Adding more than 50 amps? ❑ Yes ( No V./ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ 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 ca ❑ Low voltage systems (alarm. fumace 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 ❑ Low voltage systems $55.00 (alarm, furnace 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 $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases. a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TIIIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 3 - 1 - D$ Print Name: Mailing Address: lDate Application Accepted: it [01 Day Telephone: (P7S-- ' '4Th Z...e) d City State 7 p Date Application Expires: Staff Initials: 11,Apphcanonr Forms- Applicanons On L.nr.4 -2007 - Electecal Permit Apphcanon doe hit Page 2of2 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 -232 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 03/11/2008 Applicant: GROUP HEALTH COOPERATIVE Issue Date: Receipt No.: R08 -00699 Initials: User ID: Payee: JEM 1165 Payment Amount: $124.00 Payment Date: 03/11/2008 11:17 AM Balance: $0.00 PRIME ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 16052 124.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 124.00 Total: $124.00 ^- "'••', 13/11 ';'710 T0TA:. 124.30 rinr. Rar .int -f1R Printpri- 03- 11 -700R INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36'. Project: 6blit /1 (411,72 Type of Inspection: 03 Address: 41 A Va-.0 ee-4S7 Date alled: 1/24/16#114i- Special lnstructions: a Wanted: 31f / 2— p.m. Requester: Phone No: roved per applicable codes. El Corrections required prior to approval. OMMENTS: f� I `16H -- w ox,_ ' /04C.. Inspector3. / ,csr rm fig ' ` � f Date: ,-5// 710 f $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: Look Up a Contractor, Electr 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 PRIMEEI134BT Licensee Name PRIME ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601004783 Ind. Ins. Account Id Business Type CORPORATION Address 1 13301 SE 26TH ST Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4257475200 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/30/1987 Expiration Date 1/30/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License TYRREWF973CK Master Electrician Information License TYRREWF973CK Name TYRRELL, WAYNE Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date TYRRELL, WAYNE F 01/01/1980 TYRELL, NANCY 01/01/1980 TYRELL, WAYNE AGENT 01/01/1980 1 I Page 1 of 2 https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= PRIMEEI134BT 03/11/2008