HomeMy WebLinkAboutPermit EL10-0273 - GROUP HEALTHGROUP HEALTH
12400 EAST MARGINAL
wys
EL1O-0273
Cityllif 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
ELECTRICAL PERMIT
Parcel No.: 7340600480
Address: 12400 EAST MARGINAL WY S TUKW
Suite No:
Permit Number: EL10 -0273
Issue Date: 04/30/2010
Permit Expires On: 10/27/2010
Tenant:
Name: GROUP HEALTH
Address: 12400 EAST MARGINAL WY S , TUKWILA WA
Owner:
Name: ANNE ARUNDEL APARTMENTS LLC Phone:
Address: 10 W MARIOT -1200 MARKET TOWE , INDIANAPOLIS IN
Contact Person:
Name: JOE SCHULER Phone: 425- 747 -5200
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC Phone: 425 747 -5200
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT Expiration Date: 01/30/2011
DESCRIPTION OF WORK:
INSTALL (6) 25' RUNS OF STARLINE BUSWAY FOR SERVING DATA PROCESSING EQUIPMENT.
INSTALL (1) 300 KVA, (3) 112 KVA TRANSFORMERS. (6) 250 AMP ENCLOSED CB'S AND
(6) 250 FEEDERS TO NEW BUSWAY. PROVIDE (6) 30A & (2) 20A CORD DROPS
Value of Electrical: NRES: $108,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $2,121.00
National Electrical Code Edition: 2008
Date: 4- -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 arty other state or local laws regulating
construction or the erforms %ce • v • k. I am authorized to sign and obtain this electrical permit.
Signature: /---4* - �' / Date:
Name: - e v G ter-
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
ELI 0-0273 Printed: 04 -30 -2010
Parcel No.: 7340600480
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
PERMIT CONDITIONS
12400 EAST MARGINAL WY S TUKW
GROUP HEALTH
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0273
ISSUED
04/13/2010
04/30/2010
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:
(J7-6,,& Date: —ZO r l a
\Iv e S L /ff-
doc: Cond -Elec
ELI 0-0273 Printed: 04 -30 -2010
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tuAwila.wa.(is
Electrical Permit No. �`O 0)=7 3
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.: -73'101,0 D O l g t/
Site Address: / 0V Tha� / "[�' Suite Number: Floor: 1 y?
New Tenant: ❑ Yes 2 ..No
Tenant Name: /? //__
Property Owners Name: Gr p erg /7-47
Mailing Address: .32o west /� e. 4ve N
£r-o� J/�/fiA U
P
10 — ceait /e . k44 981
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: -Toe �ScJ) „ley- '7 Day /Telephone: 'OS— 7�` 7-S20
0
Mailing Address:
1330 / Sc Z(o Tti Sr J3 I/e � 1AM 9800.E
City State Zip
E -Mail Address: .SL.I J/e Y'i#7aeleCi7 "L„ Coo"? Fax Number: 5-79-?-5S-5.2
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
pp,4 -if L. lecrriC'
1330 - Sc_. 26' S.r • . /eve.e ti✓
E -Mail Address:
Contractor Registration Number: Pr/ .n ee... Z )3S
City State
Day Telephone:
Fax Number:
Expiration Date:
Zip
r 442' Valuation of Project (contractor's bid price): 5 /0 R, _`.J O O
-� n
Scope of Work (please pro , i ._ C.
%JUS �-✓d yy� - c ���rV� r, CJLTc?!`v CeSaS t 2r2S7a%%
(1 )300 1 ?v/1 (3) ll-Z (6 )--R5 A -?P &c"r-jcxSear - s
(lo) Z56) feed r "tcam ,-yew jv ,St,‘Jd •Pro',JJ (6)30A 4(2) ecD ' c�
Will service be altered? ' ❑ Yes [f No 50 amps'? [k Yes
°P .
Adding more than
❑ No
Type of Use:
Type of work:
❑ New Er Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Pr Seattle City Light
11: )Appii<.uioo,lorms- Application6 On Linc4-2007 - i;iatrical l rmit App;ic.n on.doo
bh
Page I o2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, fumace thermostat)
•
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -WILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name Iio P
Mailing Address: )3'30
Date Application Accepted: )
Day Telephone: Lr2
f 3e/ evu e �l%9
City
State
Zip
Date Application Expires: I / — ( 0
Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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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.: 7340600480 Permit Number: EL10 -0273
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 04/13/2010
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R10 -00618
Payment Amount: $2,121.00
Initials: WER Payment Date: 04/13/2010 10:29 AM
User ID: 1655 Balance: $0.00
Payee: PRIME ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 17720 2,121.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
ELECTRICAL PLAN - NONRES 000.345.832.00.00
Total: $2,121.00
1,696.80
424.20
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -13 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6Uv -oZ13
CITY OF TUKWILA BUILDING DIVISION
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
ri
Type of Inspection:
D
Address:
Date Called:
Special Instructions:
1 ( : 00
Date Wanted:
p.m.
Or
Con
Requester:
Phone No:
ICApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Co Wm 04 5 rim*
h' ‘1Jtri
614/61\ Date: 05. os o
ri $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
INSPEQTION NO.
INSPECTION :RECORD
Retain a copy with permit
duo -o213
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(6
PERMITINO.
(206)431 -3670
Project: /
1�1 ed Vi)
/
- 'a►t1)t t1A- 4)( lJ (3 59E C
R
Type of Inspection: I./00
1a4E 1,oP -t tittJk
Address:
GonIDJc-iofi. /o 'To sir:-cr
Date Called:
Special Instructions:
/0:3 0
WA/ %
. PRI ° lc
Date Wanted: f�3
a:6:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: '
/
- 'a►t1)t t1A- 4)( lJ (3 59E C
R
ei 16 (4D t g6/6-es & t
1a4E 1,oP -t tittJk
- IpRJ'DI S'St 6041)tp 61.01/01)E
GonIDJc-iofi. /o 'To sir:-cr
- f634n1Ec -r 6%cisr+EJc1 6.6.c,. m
Date: 05 D
D $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
6
Receipt No.:
Date:
• ..
PY
PLANP IEW /ROUTING SLIP
ACTIVITY NUMBER: EL10 -0273 DATE: 04 -13 -10
PROJECT NAME: GROUP HEALTH
SITE ADDRESS: 12400 EAST MARGINAL WY S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
(DEEPARTMENTS:
Budding Division
Public Works
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
n
DUE DATE: 04-15 -10
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route
Structural Review Required
No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 05 -13-10
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28-02
Contractors or Tradespeople Peter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Prime Electric Inc
4257475200
13301 Se 26Th St
Bellevue
Wa
98005
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601004783
Active
PRIMEEI1348T
Electrical Contractor
1/30/1987
1/30/2011
General
Unused
MASTER ELECTRICIAN INFORMATION
License WOODEDT970K8
Name Woodey, Dave T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Tyrrell, Wayne F
&Nbsp;
01/01/1980
1/6/2009
Tyrell, Nancy
&Nbsp;
01/01/1980
$250.00
Tyrell, Wayne
Agent
01/01/1980
ELECTRICAL CITATION
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
INS CO OF THE WEST
1200697
01/30/1992
Until Cancelled
54,000.00
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
EHOUD00390
1/6/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
E46276
9/2/2004
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
E46278
9/2/2004
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
E46320
6/6/2005
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
E60550
6/9/2004
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
51,000.00
EHAGR00280
1/14/2009
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
Satisfied
5250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https.: // fortress .wa.gov /lni/bbip/Print.aspx 04/30/2010
2" EMT W/ (3) 3/0 AND (1) #6GND
REVISIONS
No changes shall b mac de to the scope
of work without prior approval of
Tu kwila Building Division_
OTE: Revisions will require a new plan subrnitte
add;ticnal plan reverf
PRIME
ELECTRIC •
INC
E /ectrical Construction
Design 6 Service
425=741 7 —:5200
The vtformahon contained on these document is the
�varkpro�jtci aril pjoperCy Of PrOO:FIOtk:10, and k
not usable by atrypar ty without expressed written'consent
ojPrbne Electric,` Inc. Prime' Electric only d01g0;
electrical Hark for insta11adons Mar it directly performs.
wiih'i(.s'ot�m resources. In the - .event that anoiher port), it
in$A2!Jwg eleeiriea7 . work : ctdained twithu these
documents, th¢y' do sa and Prune.
E104(6;!47.0: takes no''resportsitiilityfor the cpmpletefteee
or aee*.e yoftheseiiacumems. Ifun engmeerwdcrampi
inelecieet on the doctonents it' is mr7l and gid "unless
immgeil b,"y Prime Eleile , Inc. ' -
SITE ADDRESS:
12400 E. MARGINAL
WAY SOUTH
TUKWILA, WA 98168
JOB NUMBER:
110 -497
REGISTRATION:
cc
1
400A STARLINE BUSWAY
KEYPLAN
NUKE
MAIL
RECTIFIER.
BATTER¢
DESIGN TEAM:
Design:
Prime Electric, Inc.
Drawn:
K. Rich
Checked:
is X
S YST t CO T
REVISIONS:
No. Date: Description:
PARTIAL ONE LINE DIAGRAM
UPS DIST SWITCHBOARD
Existing UPS Distribution Switchboard Load
CDP -1
CDP -2
CDP -5
Total Existing Load
Based on Thirty Day Recordings
63,232 VA
200,512 VA
153,088 VA
416,832 VA
CDP -1
CDP -2
TO MAIN
SERVICE
Proposed New Server Load
Each Server Rack
Ten Racks per Row
Three Total Rows
Total Proposed Load
review approval is subject errors and omissions.
oval of constriction documents does not authorize
4 riclation of any adopted code or ordinance. Receipt
approved Field Copy - nd t-. nditions is acknowledged:
Total Combined Existing and New Loads
526,812 VA 1 480V =633 Amps
300KVA
112KVA 112KVA
112KVA
400A STARLINE
BUSWAY (TYP)
SHEET NO.