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HomeMy WebLinkAboutPermit EL10-0785 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL wys EL1O-0785 Citylk 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 Tenant Name: GROUP HEALTH Permit Number: EL10 -0785 Issue Date: 10/05/2010 Permit Expires On: 04/03/2011 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN 46204 Contact Person: Name: JOE SCHULER Phone: 425 - 460 -4651 Address: 13301 SE 26 ST , BELLEVUE WA 98005 Contractor: Name: PRIME ELECTRIC INC Address: 13301 SE 26 ST , BELLEVUE WA 98005 Contractor License No: PRIMEEI134BT Phone: 425 747 -5200 Expiration Date: 01/30/2011 DESCRIPTION OF WORK: ADD (2) 2 X 4 FIXTURES, (2) FOURPLEX RECEPTACLES, (3) DUPLEX RECEPTACLES, (1) LIGHT SWITCH AND (1) FA ROUGH -IN Value of Electrical Work: NRES: $3,200.00 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: 0— c"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 permit doe of presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t e perfo pf work. I, authorized to sign and obtain this electrical permit. i Signature: Print Name: _7_ ,y e7 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. Date: 70 ' o doc: EL -9/09 ELI 0 0785 Printed: 10 -05 -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. tukwi la. wa. us Parcel No.: 7340600480 Address: Suite No: Tenant: PERMIT CONDITIONS 12400 EAST MARGINAL WY S TUKW GROUP HEALTH Permit Number: Status: Applied Date: Issue Date: EL10 -0785 ISSUED 10/05/2010 10/05/2010 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 m 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 th performance of work. Signature: Print Name: c Date: /O • 1/45.'7.0 doc: Cond -Elec ELI 0-0785 Printed: 10 -05 -2010 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. II-10 07 OS" 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 ng Co Assessor's Tax No.: 71 0 lP 0— 011,0 12960 Et. /il - a, / . s Site Address: j^� �-/ Suite Number: Floor: Tenant Name: 6rocio r7 /41 New Tenant: ❑ Yes K.. No Property Owners Name: r090 e67/74 VVe 1 Mailing Address: 32 c�f!C%//P e� "C. City !/11f9 State sg$1 o9 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name Day Telephone: /--z5- 9-!a0- Mailing Address: / , % City 4' C Stat 2_� 2_ E-Mail Address: SSG CJ e M« eG' G. ����Fax Number: �'� 7 7 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Pr //)'7e E )eerie 1330 Contact PersonVOe' -A /d E -Mail Address: pp T ^7'- Contractor Registration Number:PR 1.,I1E E _L.. )3 71 / City r State Zip Day Telephone: 1-12.54 t Fax Number: Expiration Date: 200/ Valuation of Project (contractor's bid price): $ ' 2_© `/ r Scope of Work (please provide detailed information): i (2. - Z✓�. 9 t"' (.�!4C,MJ J 2 F o p�e� re'Cepte GlCi/ (3) Dui �x `eceptc) C0 J 0 �f ,Sat i-41 d (1 ) . Ow, Will service be altered? ❑ Yes ❑c' No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel /Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes (fr No Property Served by: ❑ Puget Sound Energy [2/ Seattle City Light H:`..Applicmionsd-or .Appli.mions On Linc4-2007 - Electrical Permit Applir..5on.doc Lh Pat4e 1of2 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 CHANCES ❑ Service change or alteration 875.00 (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 850.00 (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 t AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRJ.CAL CONTRACTOR: Signature: Print Name. Mailing Address: X336 I �� s 7' Date: Day Telephone: L/'25 " 4}' /eo,0''577 ( ie) ? City State Zip Date Application Accepted: Date Application Expires: Staff Initials: 1 LtApplicaiiens %It n, -Appli . iou On 1.in A4 -20117 - EI .trial Permit Appli..ation.doc I,h Page 2of2 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: hto://www.ci.tulcwila.wa.us RECEIPT Parcel No.: 7340600480 Permit Number: EL10 -0785 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 10/05/2010 Applicant: GROUP HEALTH Issue Date: Receipt No.: R10 -01985 Initials: WER User ID: 1655 Payment Amount: $157.50 Payment Date: 10/05/2010 01:32 PM Balance: $0.00 Payee: PRIME ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17952 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: 10 -05 -2010 f � INSPECTIONLRECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 367 Permit Inspection Request Line (206) 431 -2451 6-(0 -o185' Project: Type of Inspection: 7 0 00 Address: 111100 •11 y Date Called: Special Instructions: . Date Wanted: / t /2-o a.mN p. Requester: Phone No: JKJ 1COMMENTS: Approved per applicable codes. Corrections required prior to approval. 9_4 au,f/Nick eiodee\ s 44(04 (c ('pI1P( E 2400 g / 4 IvVkt"., Inspector: t5(P) ,,,, JJ 6c REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 16/2.6 INSPECTION NO. INSPECTION RECORD Retain a copy with permit o -o7K PERMIT NO. f -2 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: n oop ,`�,// /j'� Type of Inspection: 7po 3 Address: l lZ (00 (a ` l Date Called: Special Instructions:' Date Wanted: / /- r °00 m. .m Requester: ea r74- Phone No: lac- 74 5-5ro ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 17� - Exbew/ C..otrel\ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr ter 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 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 W00DEDT970K8 Name WOODEY, DAVE T Status Active Business Owner Information Name Role Effective Date Expiration Date TYRRELL, WAYNE F Violation Amount 01/01/1980 1/6/2009 TYRELL, NANCY ELECTRICAL CITATION 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 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 EH0UD00390 1/6/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 E46320 6/6/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EHAGR00280 1/14/2009 WAC 296 -46B- 901(15) ELECTRICAL CITATION Satisfied $250.00 EHAGRO0281 1/14/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 10/05/2010