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Home My WebLink AboutPermit EL12-0190 - GROUP HEALTHGROUP HEALTH 12400 EAST MARGINAL wys EL12-0190 Parcel No.: Address: City &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 ELECTRICAL PERMIT 7340600480 12400 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH Permit Number: EL12 -0190 Issue Date: 02/27/2012 Permit Expires On: 08/25/2012 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: Address: 61tNNRt- Pull-cup o� Q ?o �{W G -C( 0 Contractor: Name: INNOVATIVE ELECTRIC INC Address: PO BOX 6783 , LYNNWOOD WA Contractor License No: INNOVEI055KE Phone: Li $ 2_61D -'l103 Phone: 425 290 -7803 Expiration Date: 05/05/2013 DESCRIPTION OF WORK: LOW VOLTAGE: REINSTALL CONDUITS, JUNCTION BOXES, AND WIRES TO A LEVEL PROBE AND SUMP SENSOR FOR A DIESEL GENERATOR FUEL TANK. NO CIRCUIT CHANGES AND EXISTING EQUIPMENT. INTRINSICALLY SAFE WIRING. Value of Electrical: NRES: $1,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit does not pr construction or j; performance of wor Signature: Print Name: Fees Collected: National Electrical Code Edition: $115.50 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating m�uthorized to sign and obtain this electrical permit. &g,v,v1 weltz(6 Date: 7°7 / 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 -0190 Printed: 02 -27 -2012 • 011 PERMIT CONDITIONS Permit No. EL12 -0190 * *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 -0190 Printed: 02 -27 -2012 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov • Electrical Permit No. LI Z ��110 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 King Co Assessor's Tax No.: 73 itobOO S iO Site Address: 12400 East Marginal Way South Suite Number: Floor: exterior Tenant Name: Group Health PROPERTY OWNER Name: Gunnar Petzold Name: Anne Arundel Apartments LLC City: Everett State: WA Zip: 98204 Address: 1.,0 W I V ,� n pr nN- yState: Email: gunnar @innovative - electric.com City: �� O e A-v o uc 11\\ Zip:' I,7 ,✓ . CONTACT PERSON — person receiving all project communication Name: Gunnar Petzold Address: P.O. Box 4399 City: Everett State: WA Zip: 98204 Phone: (425) 290 -7803 Fax: (425) 355 -1965 Email: gunnar @innovative - electric.com New Tenant: ❑ Yes z..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Innovative Electric, Inc. Address: P.O. Box 4399 City: Everett State: WA Zip: 98204 Phone: (425) 290 -7803 Fax: (425) 355 -1965 Contr Reg No.: INNOVEIE055KE Exp Date: 05/05/2013 Tukwila Business License No.: /> C-0(23 O) „Ir Valuation of Project (contractor's bid price): $ 1,200 Scope of Work (please provide detailed information): Reinstall conduits, junction boxes & wires to a level probe and sump sensor for a diesel generator fuel tank. No circuit changes, existing equipment. Intrinsically safe wiring. Will service be altered? ❑ Yes Z No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H: Applications\Forms- Applications On Line \201 I Applications'Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 201 I 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, 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 ELECTRI L CONTRACTOR: Signature: _ l Print Name: Gunnar Petzold Day Telephone: (425) 290 -7803 Everett WA 98204 Date: 02/27/2012 Mailing Address: P.O. 4399 City H:\Applications \Forms- Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9-1 I.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 -0190 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 02/27/2012 Applicant: GROUP HEALTH Issue Date: Receipt No.: R12 -00817 Payment Amount: $115.50 Initials: JEM Payment Date: 02/27/2012 12:51 PM User ID: 1165 Balance: $0.00 Payee: INNOVATIVE ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13922 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 02 -27 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 iZ- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 6QJ¼/P t -�� Type of Inspection: .4100 Address: Date Called: Special Instructions: Date Wanted:. �`,� P? l( .m p.m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. OMMENTS: o Inspector: 4,1140\ Date: 04,0 (IL._ 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 Prylter 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 INNOVATIVE ELECTRIC INC 4252907803 Po Box 4399 Everett WA 98204 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601581090 Active INNOVEI055KE Electrical Contractor 5/5/1995 5/5/2013 General Unused Master Electrician INFORMATION License PETZOG'974K7 Name PETZOLD, GUNNAR Status Active Business Owner Information Name Role Effective Date Expiration Date PETZOLD, GUNNAR HORST Cancel Date 01/01/1980 Bond Amount PETZOLD, DONNA L Agent 01/01/1980 747922C PETZOLD, DONNA L Vice President 01/01/1980 ELECTRICAL CITATION 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 3 DEVELOPERS SURETY & INDEM CO 747922C 10/24/2007 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0008/07/2007 $250.00 2 COLONIAL AM CAS Er SURETY OF MARYLAND LPM4064787 10/24/2003 Until Cancelled 12/09/2007 $4,000.0010/13/2003 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 EFONC00221 2/18/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ELEEK00242 6/16/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00666 2/6/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/27/2012