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