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HomeMy WebLinkAboutPermit EL10-0753 - SEIU HEALTHCARESEIU HEALTHCARE 635 ANDOVER PK W SUITE 200 EL 10-0753 Parcel No.: Address: Tenant Name: Citytf 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 2623049143 635 ANDOVER PK W TUKW SEIU HEALTHCARE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0753 09/22/2010 03/21/2011 Owner: Name: Address: Contact Person: Name: Address: SOUTHCENTER CORPORATE SQUAR 150 CALIFORNIA ST , SAN FRANCISCO CA 94111 PATRICK CONVERSE PO BOX 70 , FALL CITY WA 98024 Contractor: Name: ALL STAR HEATING & A/C INC Address: PO BOX 70 , FALL CITY WA 98024 Contractor License No: ALLSTSH91402 Phone: 425 - 766 -1941 Phone: 425 - 222 -7652 Expiration Date: 09/22/2011 DESCRIPTION OF WORK: INSTALL THERMOSTAT Value of Electrical Work: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 r- (VVVV Date: I hereby certify that I have read and examined this pe and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether s ified herein or not. The granting of this permi : oes not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf ance • • • . I am authorized to sign and obtain this electrical permit. Signature: Print Name: Et/,ti ids Date: 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 ELI 0-0753 Printed: 09 -22 -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: hup://www.ci.tulcwila.wa.us Parcel No.: 2623049143 Address: Suite No: Tenant: 635 ANDOVER PK W TUKW SEIU HEALTHCARE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0753 ISSUED 09/22/2010 09/22/2010 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 constru on or the perfo ance of work. Signature: Print Name: i Alfry5 Date: .2-2 Z -/6 doc: Cond -Elec ELI 0-0753 Printed: 09 -22 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.waus Electrical Permit No. - L G ©r C 763 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 q King Co Assessor's Tax No.:. `a 3 04:1 143 Site Address: 1635 A Y,ckOv.e,r 'T u.. uui\& WA 'l %Suite Number AX Floor: 2 Tenant Name: SfL H eali lrledur'e New Tenant: ❑ Yes • ❑..Np Property Owners Name: S15t1,a.hC.arv%er Corp SO (,AR4 /ART\ Mailing Address: 1~ C,q,k: c of k' Sr �...F tt-aKGi,Lp City c A °I,LLiti State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Tct,'ri1k (Ov■4.Lr e Mailing Address: .O , Bo•E. c) Day Telephone: (4 ag1 1-66 4(.4 ( fall CiA-t' W/4 2sroo4 City State Zip E -Mail Address:"lo.,r4 tc..k, Atijrir- %VAC.CUvy Fax Number: (uia51 a,D- ic-tc1 ELECTRICAL CONTRACTOR INFORMATION Company Name: rQ L1 S -V o-4- ea.,-Vw.os-se- A iIr Mailing Address:R,O -4- C) Contact Person: •P4'� j Cpv■ s) ��r •� E -Mail Address:-VOt'if .4 �C �A-(,1"5 — KVAC A Contractor Registration Number: ALL S� s \Aq 14 0 a City State Zip Day Telephone: (4 9' I- (L —Let 4 1 Fax Number: 0-19x1 a 21 -1- 4.5 Z tiep51 Expiration Date: t f a-a-1 1 1 Valuation of Project (contractor's bid price): $ 000' o C� Scope of Work (please provide detailed information):3_y\'g-t .\ rt\r12.d-nneSAa, Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes [ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change tg Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service )i 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, furnace [hemostat) $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: J u Mailing Address: .C) • 9)c."1— �-C) Date Application Accepted: Date: { tea 1,1 I o Day Telephone: C 4 D-S 1 1-a a -7 45_ - i....• Vv i4 R fro City J State Zip Date Application Expires: Staff Initial H: \Applications\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 City of Tukwila 7 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.: 2623049143 Address: 635 ANDOVER PK W TUKW Suite No: Applicant: SEIU HEALTHCARE RECEIPT Permit Number: EL10 -0753 Status: PENDING Applied Date: 09/22/2010 Issue Date: Receipt No.: R10 -01878 Payment Amount: $63.00 Initials: TLS Payment Date: 09/22/2010 07:50 AM User ID: 1670 Balance: $0.00 Payee: ALL STAR HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18508 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 09 -22 -2010 INSPECTION NO. )< INSPECTION RECORD Retain a copy with permit Gt O4i 5 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Set J [ n� Type of Inspection: s� roc) Address: Co '� Pai Date Called: Special Instructions: - '''r--- ST A4-. Date Wanted: ® U / 2-7 Cr p. p Requester: / Phone No: Approved per applicable codes. Corrections required prior to approval. - OMMENTS: ki Inspector: Date: 10/Z1/i0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD INSPECTION NO. Retain a copy with permit ,(10 -0153 PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA.98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: 54 Type of Inspection: 700) Address: li 3c /44bgliectiii Date Called: Special Instructions: of° 4V •( Date Wanted: ?fr 7 m. era.. a Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: _ Ro u� t t� l' O'h a � '."L 7 �r Inspector: -°°.112 PECTIO Date: i :) n REINS FEE REQUIRED. Prior to next inspection.. fee rI ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P.er 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 ALL STAR HEATING Et A/C INC UBI No. 601703920 Phone 4252227652 Status Active Address Po Box 70 License No. ALLSTSH91402 Suite /Apt. License Type Electrical Contractor City Fall City Effective Date 9/22/2009 State WA Expiration Date 9/22/2011 Zip 98024 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALLSTSH959CQALL STAR HEATING Et A/C INC Electrical Contractor General Unused 2/15/2005 2/15/2007 Expired Electrical Administrator INFORMATION License THROOCJ914C5 Name THROOP, CHRIS J Status Active Business Owner Information Name Role Effective Date Expiration Date CONVERSE, PATRICK N Agent 09/22/2009 CONVERSE, PATRICK President 09/22/2009 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 1 FEDERATED MUTUAL INS CO 2064404 09/09/2009 Until Cancelled $4,000.00 09/22/2009 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 09/22/2010