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