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Home My WebLink AboutPermit EL10-0868 - PROVIDENCEPROVIDENCE 3355 S 120 PL EL1O-0868 Parcel No.: Address: Tenant Name: CityaNf 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 1023049082 3355 S 120 PL TUKW PROVIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0868 10/28/2010 04/26/2011 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD , 4TH FLOOR 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: INSTALL LOW VOLTAGE HVAC CONTROLS Value of Electrical Work: NRES: $8,500.00 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 an governing this work will be compli Fees Collected: $247.30 National Electrical Code Edition: 2008 Date: 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 p construction or the performance of work. Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: AVZ, /O Print Name: e"--74.*-1 ,.57<7,Ahe/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 -9/09 EL1 0-0868 Printed: 10 -28 -2010 • C 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.: 1023049082 Address: 3355 S 120 PL TUKW Suite No: Tenant: PROVIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0868 ISSUED 10/28/2010 10/28/2010 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:----Fr is �✓ i`✓ti�/� Date: /O — Z,? / O doc: Cond -Elec EL10 -0868 Printed: 10 -28 -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 No. 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: 3355 S. 120th PI King Co Assessor's Tax No.: 1 `D L'O 4 - l t/ D .. Tenant Name: Providence Suite Number: 5,203 Property Owners Name: Sabey Corporation Mailing Address: 12201 Tukwila International Blvd Floor: New Tenant: ❑ Yes ®..No Tukwila WA 98188 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 ELECTRICAL , CONTRACTOR.INFORMATION Company Name: McKinstry Electric Day Telephone: Seattle City Fax Number: (206) 832 -8403 WA 98134 State (206) 832 -8514 Zip Mailing Address: 5005 3rd Ave S Contact Person: Joe Beattie E -Mail Address: Joeb @mckinstry.com Contractor Registration Number: MCKINE *982KG Seattle City Day Telephone: Fax Number: Expiration Date: WA 98134 State (206) 764 -1686 (206) 832 -8514 Zip 05/08/2012 Valuation of Project (contractor's bid price): $ 8,500 Scope of Work (please provide detailed information): Install low voltage HVAC Controls Will service be altered? ❑ Yes Type of Use: Type of work: EI 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 \Forms - Applications On Line \I.2009 - Electrical Permit Application.doc bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $145.60 578.00 ea $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 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 Na7t'i €Y. vtN w,vP�� Mailing Address: BOOS— 3jtb Ave_ Date Application Accepted: 10 Day Telephone: se� City Date: i0 — Z 7 - l0 ZO(, -g 3 2- -ego 3 State Zip Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc bh 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 Parcel No.: 1023049082 Permit Number: EL10 -0868 Address: 3355 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 10/28/2010 Applicant: PROVIDENCE Issue Date: Receipt No.: R10 -02182 Initials: User ID: Payee: JEM 1165 Payment Amount: $247.30 Payment Date: 10/28/2010 09:18 AM Balance: $0.00 MCKINSTRY CO. SERVICE ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11156 247.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 doc: Receiot -06 Printed: 10 -28 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CUo- o86g PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: Pkoo b el `!` Type of Inspection: Address: /2 355 5. /2oA - Called: Special Instructions: 0/ t1vi Date Wanted: � / / a.rrL n. Requester: Phone No: MApproved per applicable codes. 1 Corrections required prior to approval. COMMENTS: 0,r). Inspector: Date: /2/071/0 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 P1ter Friendly Page 1 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 ELECTRIC UBI No. 2067623311 Status Po Box 24567 License No. License Type Seattle Effective Date WA Expiration Date 98124 Suspend Date King Specialty 1 Limited Liability Company Specialty 2 FACILITY ELECTRICAL SRVCS LLC 602198837 Active MCKINE *982KG Electrical Contractor 5/7/2002 5/8/2012 General Unused Master Electrician INFORMATION License ZEHNER'962CJ Name ZEHNER, RICK A Status Active Business Owner Information Name Role Effective Date Expiration Date BLACK, STEPHEN Partner /Member 05/07/2002 Bond Amount ALLEN, DEAN C Partner /Member 05/07/2002 929495258 MOORE, DOUGLAS J. Partner /Member 05/07/2002 ELECTRICAL CITATION TEPLICKY, J. WILLIAM Partner /Member 05/07/2002 TRAVELERS CAS & SURETY CO 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 2 WESTERN SURETY CO 929495258 05/04/2010 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 04/05/2010 1 TRAVELERS CAS & SURETY CO 103737415 04/29/2002 Until Cancelled 05/04/2010 $4,000.0005/07/2002 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 ESWAT00252 5/11/2009 19.28.010 RCW ELECTRICAL CITATION Satisfied $250.00 ESWAT00251 5/11/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $150.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 10/28/2010