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HomeMy WebLinkAboutPermit EL08-0918 - GROUP HEALTHGROUP HEALTH 12401 EAST MARGINAL WAY S ELO8-918 Parcel No.: Address: Suite No: Cityif Tukwila D*artment 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: EL08 -918 Issue Date: 07/07/2008 Permit Expires On: 01/03/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: GROUP HEALTH 12401 EAST MARGINAL WAYS , TUKWILA WA GROUP HEALTH COOPERATIVE Phone: (206)448 -4699 JIM DOUMA PROPERTY MGMT , 521 WALL ST TODD KAHL Phone: 206 - 718 -8481 PMB 338 , 14241 NE WOODINVILLE- DUVALL RD Contractor: Name: INTEGRATED POWER INCORPORATED Phone: 206 718 -7858 Address: PMB 338 14241 NE WOODINVILL- DUVALL RD , WOODINVILLE WA Contractor License No: U TEGPI935O6 Expiration Date: 09/26/2009 DESCRIPTION OF WORK: CONTROLS FOR (1) VAV BOX AND RELOCATE (3) ZONE SENSORS Value of Electrical: $1,500.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $104.00 2005 Date: ".09 I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: ;/ ; ( Date: 7/7/cl. 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 -918 Printed: 07 -07 -2008 0 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 -918 Status: ISSUED Applied Date: 07/07/2008 Issue Date: 07/07/2008 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: 4 «� Date: 777/OF Print Name: ��� r doc: Cond -Elec EL08 -918 Printed: 07 -07 -2008 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. EL© q ( g 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.: % 39 5100- 04q0 Site Address: /2 (10/1.4..)./. 1"i%f4 -/ Wy g• Suite Number:A'd 4rFloor: / Tenant Name: I /tot -7-n, New Tenant: ❑ Yes C•-i Property Owners Name:.5 /�9�a • y' Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 7 , /_/ / Mailing Address:"ig 9.52 / /y.2 VI MC /c '^ea-4' I/ 74.0 �� '� 7-3,,e20✓er i- • cave'*', E -Mail Address: Day Telephone: oaC:o' — 7/ 1, - t yv i c-t L7.i /t da 99-7.2 City State Zip Fax Number: 0266 ezola 7- ye r. ELECTRICAL CONTRACTOR INFORMATION Company Name: 1rrac ✓ ��g� ,.107C Mailing Address:/2/26 Sib /r/1 S/i ova' (..c/C - /: Li 4. ! /t0 Contact Person: E -Mail Address: 7404, Ems' // k7c_ --C, the Contractor Registration Number //t' %(bR..1 5"..4.5"—in 6 4 ,,,''tunic wta 9g4 2.1 City State Zip Day Telephone: 2-d 6- 7/8' -'4/ f Fax Number: .v4 Expiration Date: 96/09 Valuation of Project (contractor's bid price): $ , S a) Scope of Work (please provide detailed information): (3) 20,-,e cm'E -Sr 67,4-0 Is- A,r </) V#• Y �Cldar . ill4c4.1C- Will service be altered'? ❑ Yes [No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Eow Voltage ❑ Generator ❑ Fire Alarm Property Served by: [/`Puget Sound Energy Seattle City Light H:\Applications \Forms- Applications (hr Lineal -2007 - F-lechical Permit Application.doc bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 oft 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) $55.011 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 $50.0( (6 or more circuits) ¶7.00 ea ❑ Meter /mast repair $65.0( ❑ 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 ?ERIVI APPLICATION NOTES - Value of Construction In all cases, a value of construction amount should be entered by the applicant. This figure will he 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. 1 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER O` R ELECTRICAL CONTRACTOR: Signature: Print Name: 7--,) s'c/ �C4 s6. / Mailing Address: /' 3.J /y2 c/(N2 LA-'dde 1 %OVrc -ft /t1 H:\ApplicatiorsFonns- Applications On 1 inc 4 -2007 - Electrical Permit Appli canon doc bh Date: Day Telephone: 2 - 7/F g Y� wrh CTIt, %% City State Zip 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: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 7345600490 Permit Number: EL08 -918 Address: 12401 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 07/07/2008 Applicant: GROUP HEALTH Issue Date: Receipt No.: R08 -02425 Payment Amount: $104.00 Initials: WER Payment Date: 07/07/2008 11:37 AM User ID: 1655 Balance: $0.00 Payee: INTEGRATED POWER INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check :2093 ACCOUNT ITEM LIST: Description 104.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 104.00 Total: $104.00 4501 07/07 9711 TOTAL 104.00 doc: Receiot -06 Printed: 07 -07 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: (� / 4O J^ t .. t C� Type of Inspection: 2/00 '.7 n03 (! Address: Date Called: Special Instructions: rT Date Wanted: v 15— a. , • . m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: , A) Inspector: ..37/1 Date: 0? /I 513V ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Look Up a Contractor, Electrician 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 INTEGPI93506 Licensee Name INTEGRATED POWER INCORPORATED Licensee Type ELECTRICAL CONTRACTOR UBI 602760522 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 PMB 338 -14241 NE WOOD DUVLL RD Address 2 City WOODINVILLE County KING State WA Zip 98072 Phone 2067187858 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 9/26/2007 Expiration Date 9/26/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License KAHL*T*93504 Electrical Administrator Information License KAHL *T *93504 Name KAHL, TODD A Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date KAHL, TODD A AGENT 09/26/2007 KAHL, TODD A PRESIDENT 09/26/2007 • Bond Information Page 1 of 2 https: // fortress. wa. gov /lnilbbip /printer.aspx ?License= INTEGPI93506 07/07/2008