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HomeMy WebLinkAboutPermit EL10-0217 - PROVIDENCEPROVIDENCE 3355 S 120 PL EL1O-0217 City9f Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 1023049082 Address: 3355 S 120 PL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0217 Issue Date: 03/18/2010 Permit Expires On: 09/14/2010 Tenant: Name: PROVIDENCE Address: 3355 S 120 PL , TUKWILA WA Owner: Name: SABEY CORPORATION Phone: Address: 12201 TUKWILA INTL BLVD , 4TH FLOOR Contact Person: Name: LLOYD TIBEAU Phone: 206 - 850 -8239 Address: 5614 7 AV S , SEATTLE WA Contractor: Name: VECA ELECTRIC CO INC Phone: 206 860 -0231 Address: 5614 7 AV S , SEATTLE WA Contractor License No: VECAECI542MU Expiration Date: 10/31/2011 DESCRIPTION OF WORK: 120V OFFICE RECEPTACLES, PDU BRANCH FEEDS, PDU LINE CONNECTIONS Value of Electrical: NRES: $3,500.00 Fees Collected: $157.50 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date:--(0—(0 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 t . - • erformance of work. I . - uthorized to sign and obtain this electrical permit. Signature: Print Name: Date: 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 EL10 -0217 Printed: 03 -18 -2010 Parcel No.: Address: Suite No: Tenant: • 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 1023049082 3355 S 120 PL TURIN PROVIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0217 ISSUED 03/18/2010 03/18/2010 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: Print Name: Date: 3 — % U doc: Cond -Elec ELI 0-0217 Printed: 03 -18 -2010 CITY OF TUKWIte Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.liWww.ci.tukwila.wa.us Electrical Permit No. 11L4I& a).1 7 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 Site Address: 3355 South 120th. Place Tenant Name: PROVIDENCE Property Owners Name: SABEY CORP. King Co Assessor's Tax No.: l 03044 ' O Suite Number: Floor: 1 New Tenant: ❑ Yes ® ..No Mailing Address: 3355 South 120th. Place Tukwilla WA 98168 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Lloyd Tibeau VECA Electric Day Telephone: (206) 850 -8239 Mailing Address: 5614 7th. Ave S Seattle WA 98108 E -Mail Address: Iloyd.tibeau @veca.com City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: VECA Electric Mailing Address: 5614 7th. Ave Seattle WA 98108 Contact Person: Lloyd Tibeau E -Mail Address: Iloyd.tibeau @veca.com Contractor Registration Number: VECAEC1542MU City State Zip Day Telephone: (206) 850 -8239 Fax Number: Expiration Date: 10/31/2009 Valuation of Project (contractor's bid price): $`2755" 31 5457 Scope of Work (please provide detailed information): 120v office recepticles, PDU branch feeds, PDU line connedtions. Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® 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 ® Seattle City Light H:1Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ 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 CON TOR: Signatur Print Name: Lloyd Tibeau Mailing Address: 5614 7th. Ave. South Date: 09/18/2009 Day Telephone: (206) 850 -8239 Seattle WA 98108 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: HAApplicationsWorns- Applications On Line 11 -2009- Electrical Permit Application.doc bh 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 Parcel No.: 1023049082 Address: 3355 S 120 PL TUKW Suite No: Applicant: PROVIDENCE RECEIPT Permit Number: EL10 -0217 Status: PENDING Applied Date: 03/18/2010 Issue Date: Receipt No.: R10 -00482 Payment Amount: $157.50 Initials: WER Payment Date: 03/18/2010 11:30 AM User ID: 1655 Balance: $0.00 Payee: LLOYD TIBEAU TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 079885 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 PAYMENT RECEIVED doc: Receipt -06 Printed: 03 -18 -2010 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 6t-'o -oi7 Project:VY,�� Type of Inspection: Address: 335 "s• 120 PL. Date Called: /-- Special Instructions: Date Wanted: Z-0 a. .m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. ° ^' COMMENTS: r Date: ay/240110 ri $60.00 REIN PECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit f1fFO217 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: tRoj, I) cilk Type of Inspection: 72_-. Address: �`� �5 3./2.0R. 1 Date Called: r-._ Special Instructions: , Date Wanted: 3 Z C:45.71. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: c)Dd) 6 +7 Inspector: Date: 93/27//c) D $60.00 REINSPE`CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: OE tiL.s4a?ss3s.,rmfa,act+H►a x INSPECTION NO. INSPECTION RECORD ���,r1Z1� Retain a copy with permit V PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Project: V fke41 04Cie Type of Inspection: I 00) Address: 3355_3 Date Called: Special Instructions: Date Wanted: 3/11 6,... Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: (AK/ (wea) Inspector: Date03 El $60.00 REINS1ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: C*-- thhn ..��-- ,.- .•>.`- f- tw�a,sa:K_' ;Lti�•,�.' "vim- .,.�:n ...le•+`i�.r�.•.":..._.,,. rwc.3.x�u�;.•fw- i`+�..e1.4..� ...�.- - -- . Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by LEI 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 Veca Electric Co 2064365200 5614 7Th Ave 5 PO BOX 80467 Seattle Wa 98108 King Corporation Inc UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601190731 Active VECAECI542MU Electrical Contractor 7/31/1946 10/31/2011 General Unused MASTER ELECTRICIAN INFORMATION License CONTIK *965D6 Name Conti, Keith Status Active Business Owner Information Name Role Effective Date Expiration Date Fairbanks, Thomas EtNbsp; 01/01/1980 Bond Amount Allen, Ron Agent 01/01/1980 929407110 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 WESTERN SURETY CO 929407110 01/06/2007 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0001/06/2007 $1,000.00 6 TRAVELERS CAS SURETY CO 0815103520497 01/06/2001 Until Cancelled 01/06/2007 EMEH000554 $4,000.00 01/05/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EBOES00247 5/30/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJONV00207 9/13/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 E54947 8/8/2005 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000554 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000552 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000548 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000561 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000547 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000559 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000556 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000550 4/19/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 03/18/2010