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HomeMy WebLinkAboutPermit EL10-0806 - SEIU HEALTHCARE NORTHWESTSEIU HEALTHCARE 635 ANDOVER PK W EL1O-0806 Parcel No.: Address: Tenant Name: CityIf 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 NW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0806 10/11/2010 04/09/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SOUTHCENTER CORPORATE SQUAR 150 CALIFORNIA ST , SAN FRANCISCO CA 94111 SABRINA SMITH 3702 WEST VALLEY HY N #302 , AUBURN WA 98001 EFFICIENT COMM SOLUTIONS INC 3702 W VALLEY HY N, STE 302 , AUBURN WA 98001 Contractor License No: EFFICCS944M5 Phone: 253 886 -5444 Phone: 253 886 -5400 Expiration Date: 07/25/2012 DESCRIPTION OF WORK: INSTALL VOICE /DATA CABLING Value of Electrical Work: NRES: $13,980.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: ti I hereby certify that I have read and governing this work will be complie exa wi $333.30 National Electrical Code Edition: 2008 Date: 1O(UI4D ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether 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 t}i performance o work. I thorized to sign and obtain this electrical permit. r' 2/ Date: /k it jv Print Name: j/'//J» t/!a`. 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 EL1 0-0806 Printed: 10 -11 -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.tukwila.wa.us Parcel No.: 2623049143 Address: Suite No: Tenant: 635 ANDOVER PK W TUTOR SEIU HEALTHCARE NW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0806 ISSUED 10/11/2010 10/11/2010 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: Aa4x Date: /o.-//--/o doc: Cond -Elec ELI 0-0806 Printed: 10 -11 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us SITE LOCATION Electrical Permit No. t 0 ~ O Upc, 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 Address: 635 Andover Park West Tenant Name: SEIU Healthcare NW Training Partners King Co Assessor's Tax No.: 1,Ot4 —1143 Suite Number: 200 Floor: New Tenant: c]c Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Sabrina Smith Mailing Address: 3702 West Valley Highway N #302 E -Mail Address: accounting @ecsolutionz.com Day Telephone: (253) 886 -5444 Aubum WA 98001 City State Fax Number: (253) 886 -5450 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: ,(4 Y flJ NAlvl-la,Ki i C--A110 Nit 4OU,,4j t,-)C I M Mailing Address: 3702 West Valley Highway N #302 Auburn WA 98001 Contact Person: Sabrina Smith E -Mail Address: accounting @ecsolutionz.com Contractor Registration Number: EFFICCS944M5 City Day Telephone: (253) 886 -5444 State Zip Fax Number: (253) 886 -5450 Expiration Date: 07/25/2012 Valuation of Project (contractor's bid price): $ 13,980 Scope of Work (please provide detailed information): Install Voice /Data cabling Will service be altered? ❑ Yes pit No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: J4 Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Electncal Permit Apphcahon.doc bh Page 1 of2 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 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. 1 HEREBY CERTIFY THAT 1 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: �—e �--r� ° Date: 10/11/2010 Print Name: 12.10-e, ('t:L 1/1A-12 I) Mailing Address: 3702 West Valley Highway North #302 Day Telephone: (253) 886 -5444 Auburn 98001 Zip IDate Application Accepted: 10 City State Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 4. 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.: 2623049143 Address: 635 ANDOVER PK W TUKW Suite No: Applicant: SEIU HEALTHCARE NW RECEIPT Permit Number: EL10 -0806 Status: PENDING Applied Date: 10/11/2010 Issue Date: Receipt No.: R10 -02039 Payment Amount: $333.30 Initials: JEM Payment Date: 10/11/2010 04:09 PM User ID: 1165 Balance: $0.00 Payee: EFFICIENT COMMUNICATION SOLUTIONS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3978 333.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 333.30 Total: $333.30 doc: Receiot -06 Printed: 10 -11 -2010 INSPECTION RECORD Retain a copy with permit ftI0 -Y`3O( INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 000 e ""t Type of Inspection: Address: v hjeg Date Called: Special Instructions: -?11-14 btyq- A- Date Wanted: qi...rk, Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS: rAlha/ Inspector: Ecdi\k6f Date: 14)////C) n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 (1/t(0-40(0 Project: 561 J /gyp %0 tic a jype of Inspection: 7003 COMMENTS: Address: Date Called: K1 . .i c,611.,14)6‘ IAvC e, Special Instructions: Date Wanted: /® / a:m: Requester: Phone No: t, : Ltix tilatFa c to 11) t J P+ -be._ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0, K1 . .i c,611.,14)6‘ IAvC e, gOtico4 (Al 63,- jpt,ot t, : Ltix tilatFa c to 11) t J P+ -be._ o 6S -5kAi f otN& Uk©wt.19 Inspector: /r Date: /a /0ra REINSPECTIO 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 &1 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 EFFICIENT COMM SOLUTIONS INC 2538865400 3702 W Valley Hwy N Ste 302 Auburn WA 98001 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602536415 Active EFFICCS944M5 Electrical Contractor 7/25/2006 7/25/2012 Telecommunications Electrical Administrator INFORMATION License CAMERRM922JJ Name CAMERON, ROBERT M Status Active Business Owner Information Name Role Effective Date Expiration Date CAMERON, ROBERT M Agent 06/10/2010 Bond Amount CAMERON, ROBERT M President 07/25/2006 105446556 BARBER, DONALD E Vice President 07/25/2006 GRIMES, TAMRA L Agent 07/25/2006 06/10/2010 GRIMES, TAMRA L President 07/25/2006 06/10/2010 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 TRAVELERS CAS & SURETY CO 105446556 07/05/2010 Until Cancelled $4,000.0007/02/2010 06/22/2010 1 COLONIAL AM CAS & SURETY OF MD LPM4070377 07/05/2006 Until Cancelled 08/21/2010 $4,000.00 07/25/2006 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 FARMERS INS EXCHANGE 60171 -26 -95 05/14/2010 05/14/2011 $2,000,000.00 06/22/2010 6 FARMERS INS EXCHANGE 601712695 09/21/2009 09/21/2010 $1,000,000.00 09/21/2009 5 FARMERS INS EXCHANGE 60171 -26 -95 09/21/2008 09/21/2009 $1,000,000.00 09 /05/2008 3 FARMERS INS EXCHANGE 60171 26 95 09/21 /2007 09/21 /2008 $170,000.00 08/02/2007 2 FARMERS INS EXCHANGE 60171 26 95 09/21 /2006 09/21 /2007 $170,000.00 08/22/2006 1 FARMERS INS EXCHANGE 60171 -26 -95 09/21/2005 09/21/2006 $1,000,000.00 07/25/2006 https: / /fortress.wa. gov /lni/bbip/Print.aspx 10/11/2010