HomeMy WebLinkAboutPermit EL11-0729 - GROUP HEALTH, E100GROUP HEALTH, E100
12400 EAST MARGINAL WY S
EL1 1 -0729
Parcel No.:
Address:
City Ai'ukwila
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
ELECTRICAL PERMIT
7340600480
12400 EAST MARGINAL WY S TUKW
Project Name: GROUP HEALTH, E100
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0729
08/04/2011
01/31/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
ANNE ARUNDEL APARTMENTS LLC
10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN
JOE SCHULER Phone: 425 864 -5771
13301 SE 26 ST , BELLEVUE WA
PRIME ELECTRIC INC Phone: 425 747 -5200
13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
Expiration Date: 01/30/2013
DESCRIPTION OF WORK:
WIRE NEW FURNITURE AND OFFICE TENANT IMPROVEMENT (FULL SCOPE OF WORK IN FILE)
Value of Electrical:
NRES: $74,959.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
ja9s
Date:
$1,268.40
2008
ottoctlii
I hereby certify that I have read and - ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, hether specified herein or not.
The granting of this permit does not prey • e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo ; ancj • f ork. I am authorized to sign and obtain this electrical permit.
Signature: —; _
VI
Print Name: OP, ,_cC.i'n v /el
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 -4/10
EL11 -0729 Printed: 08 -04 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0729
* *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 -4/10
EL11 -0729 Printed: 08 -04 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. TukwilaWA. qov
1
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: 12400 East Marginal Way South
Tenant Name: Group Health
Suite Number: E100 Floor: First
Property Owners Name: Group Health
New Tenant: ❑ Yes ..No
Mailing Address: Seattle WA
Zip
City
State
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Joe Schuler
Day Telephone: (425) 864 -5771
Mailing Address: 13301 SE 26th St Bellevue WA 98005
City State Zip
E -Mail Address: jschuler @primeelectric.com
Fax Number: (425) 747 -5552
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Prime Electric
13301 SE 26th St
Contact Person: Joe Schuler
E -Mail Address: jschuler @primeelectric.com
Contractor Registration Number: PRIMEEI 134 BT
Bellevue
City
Day Telephone:
Fax Number:
WA
State
(425) 864 -5771
(425) 747 -5552
98005
Zip
Expiration Date:
Valuation of Project (contractor's bid price): $ 74,959
Scope of Work (please provide detailed information): Wire new furniture and office TI
Will service be altered? ❑ Yes m No
Type of Use: Office space
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
m Seattle City Light
Adding more than 50 amps? ❑ Yes 21 No
❑ Service Change
❑ Fire Alarm
H:Wpplications\Ponns- Applications On Line \2010 Applications \7 -2010 - Electrical Pennit Application.doc
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Page 1 of 2
i I l- 4,37
❑ Remodel m Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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, fumace 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: ��, .i- ���i� Date: 08/04/2011
Mailing Address:
Day Telephone: (425) 864 -5771
Bellevue
City
\AjQ 98005
Zip
State
Date Application Accepted:
Date Application Expires:
Staff Initials:
HA Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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.TukwilaWA.gov
RECEIPT
Parcel No.: 7340600480 Permit Number: EL11 -0729
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 08/04/2011
Applicant: GROUP HEALTH, E100 Issue Date:
Receipt No.: R11 -01684
Payment Amount: $1,268.40
Initials: JEM Payment Date: 08/04/2011 03:56 PM
User ID: 1165 Balance: $0.00
Payee: PRIME ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 18298 1,268.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 1,268.40
Total: $1,268.40
doc: Receiot -06 Printed: 08 -04 -2011
PRIME • •
ELECTRIC Electrical Construction • Design • Service
INC
June 17, 2011
Bella Colthurst
CBRE
12501 East Marginal Way South
Tukwila, WA 98168
RE: Group Health — AMB
Renovate Optics Area
Bella,
Prime Electric, Inc, is pleased to present this not to exceed budget proposal for providing
electrical work to support the proposed renovation of the Optics area. Our pricing is
based upon the following:
Our proposal is based upon this anticipated scope of work:
Demo /Remove:
1. Approximately 100' of Wiremold with associated devices and wiring.
2. (12) surface boxes with devices and associated raceway and wiring
3. (3) switches for Exhaust Fans and wiring
4. (lot) devices and associated wiring in utility raceway
5. (1) 50 amp receptacle and surface raceway
6. (1) pushbutton for Dust Collector
7. (1) disconnect and wiring connection to the Dust Collector
8. Approximately (12) lighting fixtures in the old optics area to meet the Energy
Code requirements.
Relocate:
1. Light fixtures as shown on the plans
2. Fixtures as needed to balance Tight distribution
Furnish and install:
1. Occupancy sensors for light fixture switching in areas that will have that
requirement triggered by the Energy Code.
2. New power circuitry to relocated SMED walls for the offices. (We assume that
these walls will have existing power and voice /data locations pre - installed and
that they will be placed as shown on the plans.)
3. Flush power and voice /data boxes, power circuitry and power connections to
furniture systems along the north wall of E105.
4. Telepower poles, power circuitry and power connections to furniture systems
along the north (SMED) wall of E107.
5. Flush power and voice /data boxes, power circuitry and quadplex receptacles as
shown along the south wall of E107.
6. Telepower poles, power circuitry and power connections to furniture systems
along the north framed wall of E108.
13301 S.E. 26th , Bellevue, WA 98005 • (425) 747 -5200 • Fax (425) 747 -5552
• •
7. Surface Wiremold where needed to supplement existing flush devices on the
south wall of E108
8. 3 each Card Readers with REX and electric door latch connections, connected to
the building access control system.
9. Additional power and wiring for work stations in the Take Care Store portion of
this renovation. We will supplement existing power with flush and surface devices
as required.
Provide:
1. Revisions to the Fire Alarm system in these areas to meet the synchronization
requirements of the AHJ.
2. Our design -build services in coordination with the Architect and other trades.
3. The appropriate electrical permits.
4. Record drawings upon completion.
5. Revisions to the power panels as required for circuits for this renovation.
6. Our labor during `off- hours ", and a weekend for the reconfiguration of the office
spaces.
7. Connections of the office furniture partitions to each other.
Exclusions:
1. Washington State Sales Tax
2. Costs due to hazardous materials
3. Repairing faulty or existing Code - deficient items if not identified above
4. Furnishing, installing or repairing Exit fixtures or Egress Lighting
5. Electrical connections or revisions to mechanical equipment or smoke -fire
dampers
BASIC Not to exceed budget proposal: $74,959
Thank you for the opportunity to provide our quotation for this project. Should you have
any questions or comments, please do contact me at your convenience.
Sincerely,
Joe Schuler
Prime Electric, Inc
13301 S.E. 26th , Bellevue, WA 98005 • (425) 747 -5200 • Fax (425) 747 -5552
INSPECTION RECORD Reta in a copy with permit t4'f072i7 INS CTION N0. IT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: (*(5■A> kki
Type of Inspection:
O6
Address:
Date Called:
Special Instr. ctions:
'
Date Wanted:.
0
a. r
..
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
f COMMENTS:
Inspector:
0,14
Date:
A
°
n REINSPECTION FEE REQUIRED. Prior to next ins p a tion.
fee must st be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: 661)P 1
Type of Inspection:
Address: 12, e.tietiLii
Date Called:
Special Instructions:
Date Wanted:.
S
•
a:m:
Requester:
Phone No:
.
Approved per applicable codes.
IlCorrections required prior to approval:
COMMENTS:
�G siu1" 6I5iel
Inspector:
'Date: fl e Z
I1
ri REINSPECTION FEE REQUIRED. Pr or to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-
Permit Inspection Request Line (206) 431-2451
Project: 464,„ I _ ...,,a)
r titivt-n4 t- i
f i
Type o Inspecton:
7e0d, .
Address:
/21/W t. !Mc.
Date Called: •
.
Special Instructions:
.
Date Wanted: .
Requester:
• , . .-
Phone No:
'Approved per applicable codes. OCorrections required prior to approval..
-COMMENTS:
404 Li 14thJ12tfi.
Inspector:
'Date: a/2,111.i
ri REINSPECTION FEE REQUIRED. P ior to next inspection. fee must .0 •
paid at 6300 SouthCenter Blvd.. Suite 100. Call to schedule reinspectioh: '
Contractors or Tradespeople Per 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
PRIMEEI1348T
Electrical Contractor
1/30/1987
1/30/2013
General
Unused
Master Electrician INFORMATION
License WOODEDT970K8
Name WOODEY, DAVE T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRELL, WAYNE
Agent
01/01/1980
05/26/2011
TYRRELL, WAYNE F
Member
01/01/1980
05/26/2011
TYRELL, NANCY
Member
01/01/1980
05/26/2011
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
4
Corkley Regional Ins
0128653
01/30/2011
Until Cancelled
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
$4,000.0001
/30/2011
3
INS CO OF THE WEST
1200697
01/30/1992
Until Cancelled
01/30/2011
$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
EHAGR00280
1/14/2009
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
Satisfied
$250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 08/04/2011