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HomeMy WebLinkAboutPermit EL12-0165 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL WYS EL12 -0165 Parcel No.: Address: City c#Tukwila 1 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 Permit Number: EL12 -0165 Issue Date: 02/21/2012 Permit Expires On: 08/19/2012 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 - 861 -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: (3) NEW 20 AMP VAV UNIT BRANCH SIRCUITS Value of Electrical: NRES: $4,310.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $178.50 National Electrical Code Edition: 2008 Date: ) ) 1 12— 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 - uthority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of wo . I am a . •sized to sign and obtain this electrical permit. Signature: �i�� � /. Date: Name: 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 EL12 -0165 Printed: 02 -21 -2012 • PERMIT CONDITIONS • Permit No. EL 1 2-0 165 * *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 EL12 -0165 Printed: 02 -21 -2012 A CITY OF TUKWI A Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ) - C 1 (p Project No. Date Application Accepted: 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: 12400 East Marginal Way South Group Health King Co Assessor's Tax No.: Suite Number: V 200 Floor: 2nd PROPERTY OWNER Name: Joe Schuler Name: Group Health City: Bellevue State: WA Zip: 98005 Address: 12400 East marginal Way South Email: _jschuler @primeelectric.com City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Joe Schuler Address: 13301 S. E. 26th Street City: Bellevue State: WA Zip: 98005 Phone: (425) 864 -5771 Fax: (425) 747 -5552 Email: _jschuler @primeelectric.com New Tenant: ❑ Yes 1..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Prime Electric Inc. Address: 13301 S. E. 26th Street City: Bellevue State: WA Zip: 98005 Phone: (425) 747 -5200 Fax: (425) 747 -5552 Contr Reg No.: PRIMEEI134BT Exp Date: 01/30/2013 Tukwila Business License No.: BUS- 0992997 Valuation of Project (contractor's bid price): $ 4,310 Scope of Work (please provide detailed information): (3) NEW 20AMP VAV UNIT BRANCH CIRCUITS Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes Q No Type of Use: Office Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy El Seattle City Light H: \Applications\FornwApplications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 l.docx Revised: August 2011 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: 69rX., Print Name. oe Schuler Date: 02/21/2012 Day Telephone: (425) 864 -5771 Mailing Address: 13301 S. E. 26th Street Bellevue WA 98005 City H: \Applications\Fortns- 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.gov RECEIPT Parcel No.: 7340600480 Permit Number: EL12 -0165 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 02/21/2012 Applicant: GROUP HEALTH Issue Date: Receipt No.: R12 -00720 Initials: WER User ID: 1655 Payment Amount: $178.50 Payment Date: 02/21/2012 11:23 AM Balance: $0.00 Payee: PRIME ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18595 178.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 doc: Receiot -06 Printed: 02 -21 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,12-Orb� PERMIT NO. CITY OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 62647 f{ � Type of Inspection: `e)( I Address: /POO 6 /-144-(4 • Date Called: Special Instructions: t 1+4. _ a - P t6� tit 1,j� Date Wanted:. 2Iz7 Cap..mm. Requester: , Phone No: Approved per applicable codes. D Corrections required prior to approval. 'COMMENTS: 1 • Inspector: Date: 71 ( ri 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 • 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 PRIME ELECTRIC INC UBI No. 601004783 Phone 4257475200 Status Active Address 13301 Se 26Th St License No. PRIMEEI134BT Suite /Apt. License Type Electrical Contractor City Bellevue Effective Date 1/30/1987 State WA Expiration Date 1/30/2013 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Master Electrician INFORMATION License WOODEDT970K8 Name WOODEY, DAVE T Status Active Business Owner Information Name Role Effective Date Expiration Date REICHANADTER, ERIC President 05/26/2011 Bond Amount BROBERG, MICHAEL S Secretary 05/26/2011 0128653 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 Ceorkley Regional Ins 0128653 01/30/2011 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.00 01/30/2011 3 INS CO OF THE WEST 1200697 01/30/1992 Until Cancelled 01/30/2011 EHAGR00280 $4,000.00 WAC 296 -46B- 901(15) 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 EHOUD00390 1/6/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000492 9/2/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EMOMJ00411 11/29/2011 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 5250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/21/2012