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Home My WebLink AboutPermit EL10-0738 - HMC SCHMC SC 12844 MILITARY RD S EL1O-0738 Cityef 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.: 1623049001 Address: 12844 MILITARY RD S TUKW Tenant Name: HMC SC ELECTRICAL PERMIT Permit Number: EL10 -0738 Issue Date: 09/14/2010 Permit Expires On: 03/13/2011 Owner: Name: HCH SPECIALTY CENTER Address: ATTN ACCOUNTING DEPT , 12844 MILITARY RD S 98168 Contact Person: Name: BRIAN SKINNER Address: 5005 3 AV S , SEATTLE WA 98134 Contractor: Name: MCKINSTRY ELECTRIC Address: PO BOX 24567 , SEATTLE WA 98124 Contractor License No: MCKINE *982KG Phone: 206 832 -8403 Phone: 206 832 -8513 Expiration Date: 05/08/2012 DESCRIPTION OF WORK: EMERGENCY ATS REPLACEMENT Value of Electrical Work: NRES: $45,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied ami ith, Fees Collected: $866.50 National Electrical Code Edition: 2008 OLI Date: \`" l ed this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 the performance of work. I am authorized to sign and obtain this electrical permit. Signature: /%% Date: Print Name: '"""---<fr" (a.� �� /mod✓ G1� 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 -9/09 EL10 -0738 Printed: 09 -14 -2010 • 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.tulcwila.wa.us Parcel No.: 1623049001 Address: Suite No: Tenant: HMC SC 12844 MILITARY RD S TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0738 ISSUED 09/14/2010 09/14/2010 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: V i 4 kJ 57 /r ✓i✓etf- Date: _ /7---70 doc: Cond -Elec ELI 0-0738 Printed: 09 -14 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 'Electrical :Permit eNo. 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: 12844 Military Road South Tenant Name: HMC SC Property Owners Name: Highline Medical Center Mailing Address: 12844 Military Road South King Co Assessor's Tax No.: Suite Number: New Tenant: N9-4304— lcO\ Floor: ❑ Yes ®..No Tukwila WA 98168 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Brian Skinner Mailing Address: 5005 3rd Ave S E -Mail Address: Briansk @mckinstry.com Day Telephone: Seattle City Fax Number: (206) 832 -8403 WA 98134 State Zip (206) 832 -8514 ELECTRICAL' CONTRACTOR :INFORMATION Company Name: McKinstry Electric Mailing Address: 5005 3rd Ave S Seattle WA 98134 Contact Person: Rick Zehner E -Mail Address: Rickz @mckinstry.com Contractor Registration Number: MCKINE *982KG City Day Telephone: Fax Number: Expiration Date: State (206) 832 -8012 (206) 832 -8514 05/08/2012 Zip Valuation of Project (contractor's bid price): $ 45,000 Scope of Work (please provide detailed information): Emergency ATS replacement. Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ® No Adding more than 50 amps? ® Yes ❑ No Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applications\Ponns- Applications On Line \1 -2009 - Electrical Permit Application.doc bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 1 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature;,- Print Nang ,.4A-/ 5X /A ive,/L Day Telephone: ''- (73 Z-- 7`/03 Mailing Address: SO0-3— 322 ,v& 98(3y Date: 9_ /y. /Q IDate Application Accepted: City State Zip Date Application Expires: H:\Applications\Fomts- Applications On Line \I -2009 - Electrical Permit Application.doc bh Staff Initials: Vv— Page 2 oft • 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.: 1623049001 Address: 12844 MILITARY RD S TUKW Suite No: Applicant: HMC SC RECEIPT Permit Number: EL10 -0738 Status: APPROVED Applied Date: 09/14/2010 Issue Date: Receipt No.: R10 -01826 Initials: User ID: Payee: JEM 1165 Payment Amount: $866.50 Payment Date: 09/14/2010 12:55 PM Balance: $0.00 MCKINSTRY CO. SERVICE ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11101 866.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 866.50 Total: $866.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 09 -14 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 61,10-07V PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pr1 Project: /� Type of Inspection: / (00 Address: / TF111 till/ OP/ Date Called: Special Instructions: Date Wanted: az Requester: Phone No: Iy� Approved per applicable codes. EJCorrections required prior to approval. fo COMMENTS: Date: 46/to ■ n REINSPECTION'FEE REQUIRED: Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer 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 MCKINSTRY CO LLC 2067623311 Po Box 24567 Seattle WA 98124 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602569922 Active MCKINCL942DN Electrical Contractor 3/15/2006 3/15/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status LYDIGML901JL LYDIG + MCKINSTRY LLC Construction Contractor General Unused 4/13/2010 4/13/2012 Active MCKINC`993QE MCKINSTRY CO Electrical Contractor General Unused 11/5/2001 11/5/2007 Out Of Business ADMINISTRATOR INFORMATION License WILLIDR93304 Name WILLIAMS, DAVID RAY Status Active Business Owner Information Name Role Effective Date Expiration Date BLACK, STEPHEN Agent 03/15/2006 6/10/2009 ALLEN, DEAN CHARLES Partner /Member 06/09/2010 $500.00 MOORE, DOUGLAS J Partner /Member 03/15/2006 ALLEN, DAVID Partner /Member 03/15/2006 TEPLICKY, JOSEPH W (BILL) Partner /Member 03/15/2006 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 1 TRAVELERS CAS 8 SURETY CO 104702041 03/06/2006 Until Cancelled $4,000.00 03/15/2006 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 ECHAE00359 6/10/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 https://fortress.wa.gov/lni/bbip/Print.aspx 09/14/2010