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Home My WebLink AboutPermit EL11-0594 - GROUP HEALTH AMBGROUP HEALTH AMB 12400 EAST MARGINAL WY S CANCELLED 07 -07 -I1 EL1 1 -0594 City,f 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 ELECTRICAL PERMIT Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Tenant Name: GROUP HEALTH AMB Permit Number: EL11 -0594 Issue Date: 07/07 /2011 Permit Expires On: 01/03/2012 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN 46204 Contact Person: Name: JEFF COULTER Address: 900 N 34TH ST #108 , SEATTLE WA 98103 Contractor: Name: TITAN ELECTRIC INC Address: 900 N 34 ST, SUITE 108 , SEATTLE WA 98103 Contractor License No: TITANEI963OB Phone: (206)853 -1850 Phone: 206 - 633 -2811 Expiration Date: 09/02/2012 DESCRIPTION OF WORK: TIE EXISTING 120V CIRCUIT INTO LOW VOLTAGE POWER SUPPLY. Value of Electrical Work: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 Date: 07/07(// 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 Name: a72-Ece-- Date: ) — ? — t 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 1-0594 Printed: 07 -07 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0594 * *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 EL11 -0594 Printed: 07 -07 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://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 King Co Assessor's Tax No.: Site Address: /2100 ,E."614. c, %,(Y S Suite Number: jor Floor: Tenant Name: ��li� /- 10X6Tfd r4/lM Property Owners Name: Mailing Address: NewTen:{nt: ❑ Yes .. No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: J &Tr 6,c1 7232 Day Telephone: Zc SS-3 1 g -V Mailing Address: IV - Sr ' ia 5-A4 4.1 / City State Zip E -Mail Address: J fL C C7 7:14.1O60clue•A.1 Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: 77 TAiti $G GTl2/c- Mailing Address: '2 40e Oja City State Zip Contact Person: ni f l/1�7 -It- Day Telephone: Za 9.5-3 /g E -Mail Address: ,J Si � G7-/-7;f e, A/Cr-Fax Number: Contractor Registration Number:7 %700(4f/ ,9C3 013 Expiration Date: Valuation of Project (contractor's bid price): $ S 3 ) Scope of Work (please provide detailed information): �/8 e /ec -/ /X/72) "%I /47z xi/f / Will service be altered? ❑ Yes ( ' o Adding more than 50 amps? ❑ Yes ®r17o Type of Use: Type of work: ❑ New pr-Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc 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 CONTRACTOR: Signature: Print Name: Date: — l 4'E 1 Day Telephone:c SSO ` / d 3 3 Mailing Address BLS l-% '3 77-) F S l C 108 l i ti-A9 "J ° (03 City State Zip Date Application Accepted: 0-7 /0.7/1/ Date Application Expires: 0/ /O, /// Staff Initials: A 4) It \Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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.TukwilaWA.gov 7340600480 12400 EAST MARGINAL WY S TUKW GROUP HEALTH AMB RECEIPT Permit Number: Status: Applied Date: Issue Date: EL11 -0594 ISSUED 07/07/2011 07/07/2011 Receipt No.: R11 -01388 Initials: LAW User ID: 1165 Payee: Payment Amount: Payment Date: Balance: $ -75.60 07 /07/2011 11:38 AM $75.60 JOB CANCELLED, CHECK VOIDED RATHER THAN PROCESSING PAYMENT AND REFUND TRANSACTION LIST: Type Method Descriptio Amount Payment Void Authorization No. ACCOUNT ITEM LIST: Description 11874 -75.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $ -75.60 -75.60 doc: Receiot -06 Printed: 07 -07 -2011 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.TukwilaWA.gov RECEIPT Parcel No.: 7340600480 Permit Number: EL11 -0594 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 07/07 /2011 Applicant: GROUP HEALTH AMB Issue Date: Receipt No.: R11 -01388 Payment Amount: $75.60 Initials: LAW Payment Date: 07/07 /2011 11 :09 AM User ID: 1632 Balance: $0.00 Payee: TITAN ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11874 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 07 -07 -2011 -irmoJ Contractors or Tradespeople P 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 TITAN ELECTRIC INC 2066332811 900 N 34Th Ste 108 Seattle WA 98103 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602250925 Active TITANEI9630B Electrical Contractor 9/2/2004 9/2/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TITANE'986Q5 TITAN ELECTRIC Electrical Contractor General Unused 11/25/2002 11/25/2004 Expired Electrical Administrator INFORMATION License CROOKT'011 PB Name CROOK, TRAVIS Status Active Business Owner Information Name Role Effective Date Expiration Date FUNG, LAWRENCE H Agent 09/02/2004 8/10/2009 BURKE, PATRICK D President 09/02/2004 $1,000.00 FUNG, LAWRENCE H Secretary 09/02/2004 ELECTRICAL CITATION CROOK, TRAVIS J Vice President 09/02/2004 8/25/2008 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 COLONIAL AM CAS & SURETY OF MD LPM4066933 08/03/2004 Until Cancelled $4,000.00 08/10/2004 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 EREEB00416 8/10/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EREEB00206 2/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00321 8/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00469 7/29/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 https:// fortress .wa.gov /lni/bbip/Print.aspx 07/07/2011