HomeMy WebLinkAboutPermit EL08-0503 - GROUP HEALTHGROUP HEALTH
12401 EAST MARGINAL
WAY S
ELO8-503
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:
Issue Date:
Permit Expires On:
EL08 -503
04/30/2008
10/27/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
GROUP HEALTH
12401 EAST MARGINAL WY S , TUKWILA WA
GROUP HEALTH COOPERATIVE
JIM DOUMA PROPERTY MGMT , 521 WALL ST
JOE SCHULER
13301 26 ST SE , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIIVIEEI134BT
Phone: (206)448 -4699
Phone: 425 747 -5200
Phone: 425 747 -5200
Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
REMODEL/RECONFIGURE 1ST FLOOR EAST HALF OF BUILDING. WORK WILL INCLUDE
CONNECTING NEW FURNITURE CUBICLES, WIRING NEWLY BUILT WALLS, REARRANGING
EXISTING LIGHTS, AND ADDING FA DEVICES.
Value of Electrical:
$45,250.00 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 complie
Date:
$836.40
2005
AcI(22Of ci)
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether 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 perfo anc9�.�f wlyyI am authorized to sign and obtain this electrical permit.
Signature:
Print Name: \r,s r,) _ cG
Date: z /_` (3d`6>f
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 -503 Printed: 04 -30 -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.: 7345600490
Address: 12401 EAST MARGINAL WY S TUKW
Suite No:
Tenant: GROUP HEALTH
Permit Number: EL08 -503
Status: ISSUED
Applied Date: 04/30/2008
Issue Date: 04/30/2008
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:
Date: 2-)--3c)- DS)
Print Name: 2l,' V v)v lei
doc: Cond -Elec
EL08 -503 Printed: 04 -30 -2008
CITY OF TUKWILS
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
6/09-1f3
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
King Co Assessor's Tax No.:
Site Address: 12 t O 1 � �/' a/``7 �d Lt%d y S. Suite Number:
Tenant Name: ('/YJCJ /7'`j v New Tenant:
P�`L
Property Owners Name: .Jdl e �4r`p
Mailing Address: /
zip
�eO�la
Is
Floor:
❑ Yes Er .No
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
L _SJ7CJ/ei ! - irkie-E /ecJfT /L Day Telephone: �,5-- 17147.- SIG
Mailing Address: )330 % 26'=`' Sr SE ��J /e.vc '✓4 9c
City State Zip
Fax Number: 4''2.s
E -Mail Address: -SC"w I e , Corr,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PI^ / 0-7e,
Mailing Address:
City State Zip
Contact Person: G °gyp � s�'� Day Telephone:
E -Mail Address: I wit Fax Number:
Contractor Registration Number: P fZ .n E � 1355? 7 Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please rovide detailed inform
mast' 1-�a I-�' o�' .!- �e�,1d�� e.�Jo�k
2Sc
information): M��
2
c-arc, 104r
w, ! 7G 3. Co.- Pr7ec7ti'-
inew 4v,n i1 .-- ev6) &e s, e,wir -) mewl bo if wa%%�
reairs•-, ex! s7-/� )) J's 4J cJ/ l FA dIGvic e_s
Will service be erect?' ❑ Yes ( Io \ Adding more tl rt 0 amps? ❑ Yes Er No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change [{Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Qf Seattle City Light
ti: Wppltcaltons\Forms- Applicntions On Line\4 -2007 - Electncal Permit Application.dnc
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) .$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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Qa
•
Print Nam : G p� L
e'/er Day Telephone:Lt —S. 79752
Mailing Address: ).3310/ LE 26 ' .r Belevac_ WA 98e0S-
City State Zip
Date: It
IDate Application Accepted:
J`
Date Application Expires:
ii:'Apr -''.ica;ions,forms- Applications On Line14 -2007 - Electrical Permit Application.doc
Staff Initials: 10-1 1
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:/lwww.ci.tukwila.wa.us
RECEIPT
Parcel No.: 7345600490 Permit Number: EL08 -503
Address: 12401 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 04/30/2008
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R08 -01433
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $836.40
Payment Date: 04/30/2008 03:32 PM
Balance: $0.00
PRIME ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 16186 836.40
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 836.40
Total: $836.40
1863 05/01 9711 TOTAL 83640
doc: Receiot -06 Printed: 04 -30 -2008
INSPECTION RECORD G
Retain a copy with permit L L - 50
INSPECTION NO. PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: �C 01/r �
4tAli
Type of Inspection:
PO
Address:
ee��
Date Called:
Special Instructions:
Date Wanted:
jt !
[/
:m
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
04. /:Jk,
Inspector:
661,16
IDate: O3 /1 ( 0'
El $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 NO.
INSPECTION RECORD E -co
Retain a copy with permit L,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0
Project: , OED JP 4694-IN
(��•U
Type of Inspection: 7QO3
V
Address:
Date Called:
Special Instructions:
Date Wanted:
/o I
a:m.
Requester:
CteAlK. &ooi
Phone No:
DI
JApproved per applicable codes. ❑ Corrections required prior to approval. e/
COMMENTS:
P1\
O.K. - ci/ c6itArAi cs _P
?o 'Fot La 11434 5 49
CteAlK. &ooi
DI
- it 56151l1(- (p4
x) R0i Mit /i_ /
. \ .
Inspector:
hr4/61
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: L 7 f O i/o
Receipt No.:
'Date:
INSPECTION RECORD o
Retain a copy with permit V{'" J S
INSPECTION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION .1
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
C -�Qa�� 4641/11-ki
Type of Inspection:
.7003
Address:
17,401 (. tom,. EY.
Date Called:
Special Instructions:
Date Wanted:
toic
a.
.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
S)A
/14. - caves, 6IE 2001 tv
Inspector:
Date: 1)12
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:
INSPECTION RECORD
Retain a copy with permit
CW- 9)5
INSPECTION NO. PEF�IIT NO.
CITY OF TUKWILA BUILDING DIVISION 1�/�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ����
����
Type of Inspection: 700
W
Address:
/ Vio t C.
• c�Y-
Date Called:
Special Instructions:
Date Wanted:
(�I /.ry
7
``-��m.
Requester:
Phone No:
DApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
P4-
Lij44(,
K
C o J� {�
P 1ti teal Ulez Apeks4
Inspector: 'oak
Date: 061 pk
EJ $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:
r
INSPECTION RECORD _
Retain a copy with permit t r3 13
INSPECTION NO. PERMIT NO.
CITY.OF TUKWILA BUILDING DIVISION C`
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PO ct: fi
Type of Inspection: � 61-05
Address:
�- Yr%t ,�
/26/1/.
ate Called:
Special Instructions:
Date Wanted:
(a /6
a.m.
Requester:
Phone No:
proved per applicable codes. Corrections required prior to approval.
OMMENTS:
0/4- ccuioy --safe wayv
Insp
kr7 611 !Date:/ /6 /a(
0 $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:
1y_� �.eaMir +++� ..�+® �:3eiw.�a�,. '__. � •.�= sl6fisdl�wlwt�vi:a.�p�id�.ir r.L, sr. •.r,�t�•��"
INSPECTION RECORD 618- 5Q
Retain a copy with permit
INSPE ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1'-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: / p j—c �
C
Type of Inspection:
7o03
Address:
/71 o r 6. 11 c,. IAbi .
Date Called:
�-
Special Instructions:
Date Wanted:
r 2�
J
a:m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. i _'
COMMENTS:
P�
4. - W414.. Oder\
sraem6 Kom✓)
Inspector:
Altic
Date:
❑ $58.00 REINSPECTION FEE REdUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.: (Date:
2-
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
(10'-so3
Project: / oA JP �
/�"[t�L1
Type of Inspection:
w f�
00, 1
Address:
Date Called:
Special Instructions:
Date Wanted:
/
eirn.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
FA
X- -'c] occ, p
SI'Ec14ti'I7 64-e6 Ate}
Inspector: 2 -1/7
Date: pC e,g
$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:
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
E.og- So3
PERMIT NO.
(206)431 -3670
Project: !
- I
_
Type of Inspection:
Address:
7 0!
f
�,`
!
t
Date Called:
Special Instructions:
Date Wanted:
5 Or
/aim.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
“lui,J61
SitcocT`i
Inspector:
Date: 0S D5 0�
0 $58.00 REINSPECTION FEE REdUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
Date:
Look Up a Contractor, Electri an 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
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PRIMEEI134BT 04/30/2008