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Home My WebLink AboutPermit EL10-0533 - GROUP HEALTH - ANBGROUP HEALTH ANB 12401 EMWS EL1 0-0533 Parcel No.: Address: Suite No: City oPi'ukwila • 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 7345600490 12401 EAST MARGINAL WY S TUKW Permit Number: EL10 -0533 Issue Date: 07/08/2010 Permit Expires On: 01/04/2011 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: GROUP HEALTH, ANB 12401 EAST MARGINAL WY S , TUKWILA WA GROUP HEALTH COOPERATIVE JIM DOUMA PROPERTY MGMT , 521 WALL ST KIM JARUSSI 19717 62 AV S F103 , KENT WA Contractor: Name: R F I COMM & SECURITY SYS Address: 360 TURTLE CREEK COURT , SAN JOSE CA Contractor License No: RFICOS *990MC Phone: (206)448 -4699 Phone: 253 981 -6100 Phone: 408 - 298 -5400 Expiration Date: 07/03/2011 DESCRIPTION OF WORK: GROUP HEALTH ANB 3 CARD READER ADD (JOB #32- 09- A0188) Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: 011, L The granting of this permit does not !time to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t ance of w q;k. I am authorized to sign and obtain this electrical permit. &_9( je?(-WJ t).), W LLJ Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. Signature: Print Name: Date: C X2-01 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 -0533 Printed: 07 -08 -2010 • J��LA wq City of Tukwila t�z 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.tukvvila.wa.us Parcel No.: Address: Suite No: Tenant: • PERMIT CONDITIONS 7345600490 12401 EAST MARGINAL WY S TUKW GROUP HEALTH, ANB Permit Number: Status: Applied Date: Issue Date: EL10 -0533 ISSUED 07/08/2010 07/08/2010 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 Nam Co_ MA Date: 7 -0 -20/0 doc: Cond -Elec ELI 0-0533 Printed: 07 -08 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us Electrical Permit No. Cab �'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 4- site Address: 12A01 E Marginal Way So Tenant Name: Group Health Property Owners Name: Group Health Mailing Address: PO Box 34124 -1919 King Co Assessor's Tax No.: 14 (A.147 1Y-1 Suite Number: ANB Floor: New Tenant: ❑ Yes 0 .. No Seattle City WA State 98124 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Kim Jarussi Mailing Address: 19717 62nd Ave S F103 E -Mail Address: kjarussi @rfi.com Day Telephone: (253) 981 -6100 Kent City Fax Number: (253) 981 -9996 WA 98032 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: RFI Communications & Security Systems Mailing Address: 19717 62nd Ave S Suite F103 Contact Person: Kim Jarussi E -Mail Address: kjarussi @rfi.com Contractor Registration Number: RFICOS *990MC Kent City WA 98032 State Zip Day Telephone: (253) 981 -6100 Fax Number: (253) 981 -9996 Expiration Date: 07/03/2011 Valuation of Project (contractor's bid price): $ 3,000 Scope-Of Work (please provide detailed information): Group Health ANB 3 Card Reader Add job #32- 09 -A0188 Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement O Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh Page 1 of 2 ipvr 9s • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, fumace thermostat) $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 - FAMILY 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 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 ELECTRICAL CONTRACTOR: Signature: Print Name: Kim arussi Mailing Address: 19717 62nd Ave S F103 Day Telephone: Kent City Date: 06/14/2010 (253) 981 -6100 WA 98032 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \1.2010 - Electrical Permit Application.doc bh Page 2 of 2 CitPof 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 SET RECEIPT RECEIPT NO: R10 -01265 Initials: JEM Payment Date: 07/08/2010 User ID: 1165 Total Payment: 401.00 Payee: RFI COMMUNICATIONS & SECURITY SET ID: 0708 SET NAME: RFI COMMUNICATIONS SET TRANSACTIONS: Set Member EL10 -0532 EL10 -0533 TOTAL: Amount 264.50 136.50 264.50 TRANSACTION LIST: Type Method Description Amount Payment Check 5582 401.00 TOTAL: 401.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 401.00 TOTAL: 401.00 PAYMENT RFCF;. IVED INSPECTION RECORD Retain a copy with permit 6,t0..1953 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: �'�� (1 (4.0 J it Type of Inspection: Address: I2 o � 1I E' Date Called: Special Instructions: q ki 1 Date Wanted: 7 Z-o p' a. Requester: Phone No: Si_ Approved per applicable codes. ❑ Corrections required prior to approval. ,� COMMENTS: N Inspector: jvl&tWE\ Date: 0 7 /�w r $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Pre 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 R F I Comm Et Security Sys 4082985400 360 Turtle Creek Court San Jose Ca 95125 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602126766 Active RFICOS'990MC Electrical Contractor 7/3/2001 7/3/2011 Limited Energy Hvac /Rfrg Ltd Energy icenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RFIELI0099LS R F I Electronics Inc Oregon Electrical Contractor Limited Energy Unused 6/10/1991 6/10/2001 Archived ADMINISTRATOR INFORMATION License LUND'BD035PD Name Lund, Brian Douglas Status Active Business Owner Information Name Role Effective Date Expiration Date Lund, Brian Agent 07/03/2001 Bond Amount Reece, Lawrence Chief Operating Officer 06/24/2004 6500546 Wilson, Brad President 07/03/2001 Brooks, Michelle Secretary 06/24/2004 STAR INS CO Duell, Marilyn Vice President 07/03/2001 Reece, Dean Chief Executive Officer 06/24/2004 01/20/2009 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 2 FIRST NATIONAL INS CO OF AMERI 6500546 07/03/2008 Until Cancelled $4,000.0006/13/2008 1 STAR INS CO SA1317066 07/03/2001 Until Cancelled $4,000.0007/17/2001 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESTRL00641 8/11 /2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https://fortress.wa.gov/lni/bbip/Print.aspx 07/08/2010