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Permit EL10-0599 - GROUP HEALTH
GROUP HEALTH 12501 EAST MARGINAL wys EL1 0-0599 City oikukwila 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.: 7345600385 Address: 12501 EAST MARGINAL WY S TUKW Suite No: Permit Number: EL10 -0599 Issue Date: 07/26/2010 Permit Expires On: 01/22/2011 Tenant: Name: GROUP HEALTH Address: 12501 EAST MARGINAL WY S , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY EAST LLC Phone: Address: 12201 TUKWILA INTRNTNL BLVD 4TH FL , SEATTLE WA Contact Person: Name: RED SANDBLOOM Phone: 206 436 -5223 Address: 5614 7 AV S , SEATTLE WA Contractor: Name: VECA ELECTRIC CO INC Phone: 206 860 -0231 Address: 5617 7TH AVE S , SEATTLE WA Contractor License No: VECAECI542MU Expiration Date: 10/31/2011 DESCRIPTION OF WORK: PROVIDE AND INSTALL POWER MODIFICATIONS FOR NEW EQUIPMENT: (2) 20A 208V 2P CIRCUITS AND (1) 60A 280V 3P Value of Electrical: NRES: $3,120.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: H I hereby certify that I have read and xa ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wit whether specified herein or not. The granting of this permit does not pr construction or the per of"nanc o ork. I am authorized to sign and obtain this electrical permit. e to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: ./ j s e 3. Date: 7/2� / /e, 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 0-0599 Printed: 07 -26 -2010 • wq� 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.: 7345600385 Address: Suite No: Tenant: PERMIT CONDITIONS 12501 EAST MARGINAL WY S TUKW GROUP HEALTH Permit Number: Status: Applied Date: Issue Date: EL10 -0599 ISSUED 07/26/2010 07/26/2010 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: / SE_ 5 Date: doc: Cond -Elec EL1 0-0599 Printed: 07 -26 -2010 • • IZSGDa(Xo� CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. / t° / °C-111 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: 12501 East Marginal Way S Tenant Name: Group Health Property Owners Name: Group Health Mailing Address: 12501 East Marginal Way S King Co Assessor's Tax No.:� ^V'J Suite Number: Floor: 1st New Tenant: ❑ Yes ..No Tukwila City WA State 98168 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Red Sandbloom Mailing Address: 5614 7th Ave S Day Telephone: 206- 436 -5223 Seattle WA 98108 E -Mail Address: red.sandbloom @veca.com City State Fax Number: 206- 763 -0505 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: VECA Electric Co. INC Mailing Address: 5614 7th Ave S Contact Person: Laura Rannow E -Mail Address: laura.rannow @veca.com Seattle City Day Telephone: 206 -436 -5245 Fax Nulnber: 206- 763 -0505 Contractor Registration Number: VECAECI542MU WA 98108 State Zip Expiration Date: 10/31/10 Valuation of Project (contractor's bid price): $ 3120.00 Scope of Work (please provide detailed information): Provide and install power modifications: (2) 20A 208V 2P Circuits, 1 - 60A 208V 3P, for new equipment. Will service be altered? ❑ Yes ® No Type of Use: Commercial Adding more than 50 amps? ® Yes ❑ No 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: Wpplications\Fonns- Applications On line41-2007 - Electrical Permit Application.doc bb Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 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 $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW�NE ! OR ELECTR CONTRACTOR: `,' Signature: Q., C./s„."_ Print Name: Laura Rannow Day Telephone: Seattle City Mailing Address: 5614 7th Ave S IDate Application Accepted: tv 1 1 n/ j II I, 0 Date: ? / //e 206 -436 -5245 WA State 98108 Zip Date Application Expires: Staff Initials: e-- H: ApplicationslFonns- Applications On I1ne4-2007 - Electrical Penult Application.doc bb 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 PAYMENT RECFIVED Parcel No.: 7345600385 Permit Number: EL10 -0599 Address: 12501 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 07/26/2010 Applicant: GROUP HEALTH Issue Date: Receipt No.: R10 -01410 Payment Amount: $157.50 Initials: JEM Payment Date: 07/26/2010 03:35 PM User ID: 1165 Balance: $0.00 Payee: VECA ELECTGRIC CO INC PERMIT ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2007 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 07 -26 -2010 INSPECTION RECORD Retain a copy with permit 1 �l INSPECTION NO. PERMIT NV. CITY OF TUKWILA BUILDING DIVISION R, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431 -2451 Project: Bala 1464014 Type of Inspection: 2/©p �° Address: [7501 et,. Date Called: Special Instructions: Date Wanted: g O a.m.' Requester: r Phone No: Approved per applicable codes. a Corrections required prior to approval. OMMENTS: Cog2eilioiJ3 O_K‘ rderi, Inspector: Date: ©l, D2/ jl0 n REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3670 Project: Type of Inspection: tAl CEtli., A c tbo Afar u5E 6,1up FDA 13‘` C tT- .. PPoO.i- - AIL' Cc (Lcd c f c.o,J CWJ cR6 To 6e uJiCifihi Address: �Cf�� /�, J�� / 1. it Date Called: A1) G 2 c.f t -r- -:) After JS( 661(-144 •IcaS IFok CAainJ+T Special Instructions: au I t • j> `tv4 ' f 'PO Date Wanted: FAY q.im..r,c. Requester: Phone No: 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: A m[ 04∎1 V 64 D4 tr i' 3 1;�t) 2am Rew k e p tAl CEtli., A c tbo Afar u5E 6,1up FDA 13‘` C tT- .. PPoO.i- - AIL' Cc (Lcd c f c.o,J CWJ cR6 To 6e uJiCifihi 5A-(C CaN - LA-81-1— £t is PrtCIf wrrn-t Soo rLcL P el, A1) G 2 c.f t -r- -:) After JS( 661(-144 •IcaS IFok CAainJ+T `. oR Beix SrJQ a Inspector: IJr'.J&1(\ Date: 0272, y fw r7 $60.00 REINSPEtTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: r�.- ... +_r•.- +•,.v-..,` ,�nn.ryr:x^'wv"'�y:... - ^a/ r l yl;-- �.ry...n..,ru�b -•^ �,5:.'J >si.`- :-- <h -,�-r J�;�. ,!Y_ °i_.J•� -,y r ^.� 1_ +t Contractors or Tradespeople Per 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 VECA ELECTRIC CO INC 2064365200 5614 7Th Ave S PO BOX 80467 Seattle WA 98108 King Corporation 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 Cancel Date 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 $250.00 6 TRAVELERS CAS a SURETY CO 081S103520497 01/06/2001 Until Cancelled 01/06/2007 E54947 $4,000.0001/05/2001 19.28.161(6) RCW 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 EBOES00247 5/30/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EBOES00447 3/9/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0NV00207 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 EMEH000556 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/26/2010