HomeMy WebLinkAboutPermit EL10-0291 - GROUP HEALTHGROUP HEALTH
12400 EAST MARGINAL
WY S
EL1O-0291
City* 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 -0291
Issue Date: 04/21/2010
Permit Expires On: 10/18/2010
Tenant:
Name: GROUP HEALTH
Address: 12400 EAST MARGINAL WY S , TUKWILA WA
Owner:
Name: ANNE ARUNDEL APARTMENTS LLC Phone:
Address: 10 W MARKET -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 TWO 20 AMP CIRCUITS FOR TEMPORARY PUMP POWER NEXT TO STORM RETENTION
POND. THIS IS A PERMANENT CIRCUIT FOR TEMPORARY /EMERGENCY USE PUMPS.
Value of Electrical: NRES: $15,819.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $367.70
National Electrical Code Edition: 2008
Date: L\--D-A-4 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 permi
construction or the pe
s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
e of work authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: L-16 .^/ ' /�
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 0-0291 Printed: 04 -21 -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 -0291
ISSUED
04/21/2010
04/21/2010
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:
DSSel f .e
Date:
-21-/6
doc: Cond -Elec
ELI 0-0291 Printed: 04 -21 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.ci.tukwila.wa.us
Air
Electrical Permit No. 6 L l Q— Qa_R 1
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: ) 2 t dC% �--a_cs 7`- /1v4-
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
....Suite Number: Floor:
New Tenant: ❑ Yes [Er No
-7 310 6o -- 640
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
Day Telephone:
City
State
Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ]t^ ii." --,ter✓ E/G (1 --t' / c_ �j _
Mailing Address: )J / S� 2. CG T � _S%/ B /,e ! /`h°_ lit4 / e3 2 C
Contact Person:sT1 - .5 G hCj /er— Day Telephone: Z S ?' ? 2c-:-.c.
E -Mail Address: tJ) v It- Gpe- ,/"7ee ee !'1C- +CG'k ?Fax Number: 1f>-
'''? —mss
City State Zip
Contractor Regis ration Number: pg L/ ai 2.3. 87- Date:
1 2�
Valuation of Project (contractor's bid price): $ JJr
Scope of Work (please provide : etailed information): 1 S la./(
Will service be altered? ❑ Yes ErNo A.. g more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
ti:WpplicationsWorns- Applications On Line NA-2007 - Electrical Permit Application.doc
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❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ....$140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings S75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) . ........... 555 00 ea
RESIDENTIAL REMODEL AND SERVICE CHANCES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added /altered circuits 575.00
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 S50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair .... $65.00
❑ Low voltage systems $55.00
(alarm, fumace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) 558 00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals 575.00
Number of concessions 510.00 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICA( CONTRACTOR:
Signature:
Print Name:
Mailing Address:
vV S6-4 l�-
City State Zip
Date: -/
/d
Day Telephone: 2742—S-- i7'
IDate Application Accepted: Date Application Expires:
Staff Initials:
I l:4 \pplic.1 ou '.I mis- Applications un Line \4 -:007 - Ekt.trii.al Permit Application.doe
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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 -0291
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 04/21/2010
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R10 -00676
Initials: WER
User ID: 1655
Payment Amount: $367.70
Payment Date: 04/21/2010 11:20 AM
Balance: $0.00
Payee: PRIME ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 17740 367.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 367.70
Total: $367.70
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -21 -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
fro- 029
Project: / _ 1
/.�f'1l�
Type of Inspection:
2100
Addresst:
120o E. tikkti.
Date Called:
Special Instructions:
I, = 0n
(�/
Date Wanted:
5 D5-
p.m.
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
rnitri/
Inspector:
Date: 195/05,0-/i 0
Ei $60.00 REINSIECTION 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
Retain a copy with permit
CL'HJ; Dzq1
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PERMIT NO.
zg
Project: w, 11 404
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Type of Inspection:
.}�/
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Addres
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Date Called:
dolt : 7,e, virri 5fril J Li ficic1 caitc
orl C&0594(/ Ta P ESir t
Special Instructions:
jt ' 0
II•V
Date Wanted:
9
26
Q.
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval. 1/
COMMENTS:
qA
- h . - 13A-c44 e IIA% bu1oiicx -rtkaJti if
cRossi AI
dolt : 7,e, virri 5fril J Li ficic1 caitc
orl C&0594(/ Ta P ESir t
Inspector:
tA,
Date: 01//24/1 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:
r._'-- c '2-- a «x-�- rn^.n'.t— ` ^ "",'`:i. -', '"r' sec, eve etc"-, t'"""= v"'+, r`.,.,. C; e, e` �a�,j.- sY 'srn:w"_*fnl.,,�- ;•w.a+''•..,: ,.:.,�,;•,ti. r, v',±
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
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
PRIMEEI134BT
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
aNbsp;
01/01/1980
1/6/2009
Tyrell, Nancy
EtNbsp;
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
$4,000.00
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
$250.00
E46278
9/2/2004
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
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
$1,000.00
EHAGR00280
1/14/2009
WAC 296- 46B - 901(15)
ELECTRICAL CITATION
Satisfied
$250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 04/21/2010