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Home My WebLink AboutPermit EL11-0067 - PROVIDENCE HEALTH & SERVICESPROVIDENCE HEALTH & SERVICES 3355 S 120 PL EL1 1-0067 Parcel No.: Address: City4f 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: / /wwwci.tukwila.wa.us 1023049082 3355 S 120 PL TUKW ELECTRICAL PERMIT Tenant Name: PROVIDENCE HEALTH & SERVICES Permit Number: Issue Date: Permit Expires On: EL11 -0067 01/31/2011 07/30/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SABEY CORPORATION 12201 TUKWILA INTL BLVD , 4TH FLOOR 98168 LEILA BERG PO BOX 80467 , SEATTLE WA 98108 VECA ELECTRIC CO INC 5617 7TH AVE S , SEATTLE WA 98108 Contractor License No: VECAECI542MU Phone: 206 - 436 -5200 Phone: 206 860 -0231 Expiration Date: 10/31/2011 DESCRIPTION OF WORK: INSTALL FIBER OPTIC AND CAT6 TIE CABLING: R3 AND LAB Value of Electrical Work: NRES: $6,307.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $212.90 National Electrical Code Edition: 2008 Lu-ASI,"21 Date: t 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 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 and agree to the conditions on the back of this permit. Signature: Print : Ryles C! /� Date: / ' 3) • // 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 1-0067 Printed: 01 -31 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0067 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 E L 11 -0067 Printed: 01 -31 -2011 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. I (Q, 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 South 120th PI - Seattle, WA 98168 Tenant Name: Providence Health & Services Property Owners Name: Sabey Mailing Address: 12201 Tukwila Intl. Blvd - 4th Floor King Co Assessor's Tax No.: 10- -30'1— CO Suite Number: Floor: 2 New Tenant: ❑ Yes m ..No Seattle WA 98168 City State Zip CONTACT PERSON – Who do we contact when your permit is ready to be issued Name: Leila Berg Mailing Address: PO Box 80467 E -Mail Address: Leila.Berg @VECA.com Day Telephone: Seattle City Fax Number: WA State 98108 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Alex Walkup Mailing Address: PO Box 80467 Contact Person: Alex Walkup Seattle WA 98108 E -Mail Address: AIex.Walkup @VECA.com City State Zip Day Telephone: (206) 715 -7483 Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ 6,307 Scope of Work (please provide detailed information): Fiber Optic and CAT6 tie cabling: R3 and Lab Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: \Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicationdoc bh Page 1 of 2 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. 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 CO ' ' CTOR: Signature: Print Name: Mailing Address: PO Box 80467 Date: 01/03/2011 Day Telephone: (206) 715 -7483 Seattle, WA City 98108 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H :\Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bit 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: EL11 -0067 Address: 3355 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 01/31/2011 Applicant: PROVIDENCE HEALTH & SERVICES Issue Date: Receipt No.: R11 -00181 Initials: WER User ID: 1655 Payment Amount: $212.90 Payment Date: 01/31/2011 01:28 PM Balance: $0.00 Payee: VECA ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 056292 212.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doc: Receiot -06 Printed: 01 -31 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMIT NO. • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 =2451 {L Project: o{ ( Type of Inspection: 2�]] / Vii( Address: Date Called: Special Instructions: . Date Wanted: 3 2- .. ,, P.m. Requester: Phone No: • Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: Date: 03/02111 . REINSPECTION FEE REQUIRED. Prior-to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Contractors or Tradespeople Per Friendly Page • Page 1 of 1 Electrical Contractor A business licensed by L81 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 VECA ELECTRIC CO 2064365200 5614 7Th Ave S PO BOX 80467 Seattle WA 98108 King Corporation INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601190731 Active VECAECI542MU Electrical Contractor 7/31/1946 10/31/2011 General Unused Master Electrician INFORMATION License CONTIK *965D6 Name https: // fortress .wa.gov /lni/bbip /Print.aspx 01/31/2011