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Home My WebLink AboutPermit EL11-1017 - GROUP HEALTHGROUP HEALTH 12401 EAST MARGINAL VVY S EL1 1 -1017 City oikukwnla • 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 Parcel No.: 7345600490 Address: 12401 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH Permit Number: EL11 -1017 Issue Date: 11/09/2011 Permit Expires On: 05/07/2012 Owner: Name: GROUP HEALTH COOPERATIVE Address: JIM DOUMA PROPERTY MGMT , 521 WALL ST Contact Person: Name: RAEDEIT KIFLE Address: 1743 1 AV S , SEATTLE WA Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Address: 1743 1 AV S , SEATTLE WA Contractor License No: GUARDSS233K5 Phone: 206 359 -1268 Phone: 206 622 -6545 Expiration Date: 09/30/2012 DESCRIPTION OF WORK: ADD ONE STROBE TO EXISTING FIRE ALARM SYSTEM Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature. Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: ll toot �61 I hereby certify that I have read an . exa ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli d wit whether specified herein or not. The granting of this permit does not p - e 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. Signature: Date: (! /0 l i ) Print Name: iceecte:t4 K to 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 EL 11 -1017 Printed: 11 -09 -2011 PERMIT CONDITIONS • Permit No. EL11 -1017 * *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 EL11-1017 Printed: 11 -09 -2011 , CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No.'` 1 on Project No. Date Application Accepted: 1 ° 11 Date Application Expires: (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: Tenant Name: King Co Assessor's Tax No.: 122'1 -(,j O i t°iD 12401 East Marginal Way S, tukwila wa, 98168 Group Health - � et PROPERTY OWNER Name: Raedeit Kifle Name: &v,12 tfv/) ��•�11yY1 �L 1 lr i� Phone: 2063591268 Fax: 2063419928 Address: V c bA J �f Contr Reg No.: GUARDSS233K5 Exp Date: I City: �G;a„<(1 c, State`:"�bit. Zip: CO 2,i CONTACT PERSON - person rece wing 'al1 project communication Name: Raedeit Kifle Address: 1743 1st ave s City: seattle State: wa zip: 98134 Phone: 2063591268 Fax: 2063419928 Email: rkifle @guardiansecurity.com Suite Number: Floor: New Tenant: ❑ Yes p .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Guardian Security ` Address: 1743 1st ave s City: seattle State: wa Zip: 98134 Phone: 2063591268 Fax: 206341992 Contr Reg No.: GUARDSS233K5 Exp Date: I j® ✓✓Zbg, Tukwila Business License No.: Q,j I (, f � Valuation of Project (contractor's bid price): $ 200.00 Scope of Work (please provide detailed information): adding one strobe only to the exisitng fire alarm system Will service be altered? ❑ Yes D No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Low Voltage ❑ Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H.\Applications \Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I I.docz Revised: August 2011 bh 0 ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) ❑ Carn ivals $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: 4 Date: 11/0/2011 Print Name: Raedeit Kifle Day Telephone: (206) 359 -1268 Mailing Address: 1743 1st ave s Seattle wa 98134 City H: Applications \Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State Zip 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.aov RECEIPT Parcel No.: 7345600490 Permit Number: EL11 -1017 Address: 12401 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 11/09/2011 Applicant: GROUP HEALTH Issue Date: Receipt No.: Initials: User ID: R11 -02452 JEM 1165 Payment Amount: $63.00 Payment Date: 11/09/2011 12:00 PM Balance: $0.00 Payee: GUARDIAN SECURITY SYSTEMS INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 100833 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 11 -09 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 640de �� Type of Inspection: �'00 Address:'] �//� r I- Date Called: Special Instructions: Date Wanted:. �� '� (1:,,k, Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: -tc ri REINSPECTION FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr,; er 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 GUARDIAN SECURITY SYSTEMS INC 2066226545 1743 1St Ave S Seattle WA 98134 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600189667 Active GUARDSS233K5 Electrical Contractor 5/25/1977 9/30/2012 Limited Energy Hvac /Rfrg Ltd Energy Master Electrician INFORMATION License CLOSEF'9730H Name CLOSE, FRANK A Status Active Business Owner Information Name Role Effective Date Expiration Date CLOSE, FRANK A Cancel Date 01/01/1980 Bond Amount DUNHAM, JOHN R 8 01/01/1980 72BSBFT5007 DWTR &J CORP Agent 11/05/2007 ELECTRICAL CITATION 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 8 HARTFORD FIRE INS CO 72BSBFT5007 06/11/2010 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0006/18/2010 $500.00 7 OHIO CAS INS CO 3 610 465 06/11/2003 Until Cancelled 09/02/2010 EVANS00410 $4,000.0006/16/2003 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 ESHA000351 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EMEHU03697 2/11/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 ENASE00306 1/26/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00410 12/16/2009 WAC 296-46B-990 ELECTRICAL CITATION Satisfied $500.00 EVANS00403 12/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $4,000.00 EVANS00404 12/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01293 6/26/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EHRAL00418 12/5/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 11/09/2011