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Home My WebLink AboutPermit EL12-0259 - HILINE WOMENS CLINICHILINE WOMENS CLINIC 13030 MILITARY RD S EL1 2-0259 City otbrukwila • 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 Parcel No.: 1623049171 Address: 13030 MILITARY RD S TUKW Project Name: HILINE WOMENS CLINIC ELECTRICAL PERMIT Permit Number: EL12 -0259 Issue Date: 03/16/2012 Permit Expires On: 09/12/2012 Owner: Name: AGM INC Address: PO BOX 2039 , KIRKLAND WA Contact Person: Name: GORDON STEWART Address: 5320 SOUND AVE , EVERETT WA Contractor: Name: CASTLE CABLE INC Address: PO BOX 71 , MUKILTEO WA Contractor License No: CASTLCI000LT Phone: (206)255 -2174 Phone: (425)334 -2750 Expiration Date: 07/01/2012 DESCRIPTION OF WORK: REROUTE EXISTING DATA CABLES. Value of Electrical: NRES: $7,500.00 RES: $0.00 Fees Collected: $230.10 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: 03//G %� 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 au on to violate or cancel the provisions of any other state or local laws regulating construction or the p-rformance of work. I am author's - • - and obtain this electrical permit. Signature: i , `J. Date: Print 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. 3/)41,// doc: EL -4/10 EL12 -0259 Printed: 03 -16 -2012 PERMIT CONDITIONS • Permit No. EL 12 -0259 * *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 -0259 Printed: 03 -16 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. k k I a "O 5' f Project No. Date Application Accepted: Date Application Expires: 0q //,//2- (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: 13030 Military Road S Tenant Name: Hiline Womens Clinic PROPERTY OWNER Name: Gordon Stewart Address: PO BOX 71 Name: City: Everett State: WA Address: Phone: (206) 255 -2174 Fax: Phone: (425) 334 -2750 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Gordon Stewart Address: PO BOX 71 Address: 5320 Sound ave City: Everett State: WA Zip: 98203 Phone: (206) 255 -2174 Fax: Phone: (425) 334 -2750 Email: gordy @castlecable.net 348 -0723 Suite Number: Floor: New Tenant: ❑ Yes 1st .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Castle Cable Inc Address: PO BOX 71 City: Mukilteo State: WA Zip: 98275 Phone: (425) 334 -2750 Fax: (425) 348 -0723 Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 7,500 Scope of Work (please provide detailed information): Reroute existing Data cables Will service be altered? ❑ Yes EJ No Adding more than 50 amps? ❑ Yes VI No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.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, 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 1 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 CO TRACTOR: Signature: Date: //b//-2.. Print Name: Gordon Stewart Day Telephone: (206) 255 -2174 Mailing Address: PO BOX 71 Mukilteo WA 98203 H:Wpplications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh City 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 Parcel No.: 1623049171 Address: 13030 MILITARY RD S TUKW Suite No: Applicant: HILINE WOMENS CLINIC RECEIPT Permit Number: EL12 -0259 Status: PENDING Applied Date: 03/16/2012 Issue Date: Receipt No.: R12 -01077 Initials: User ID: Payee: LAW 1632 Payment Amount: $230.10 Payment Date: 03/16/2012 02:23 PM Balance: $0.00 CASTLE CABLE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 06214Z ACCOUNT ITEM LIST: Description 230.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 230.10 Total: $230.10 doc: Receiot -06 Printed: 03 -16 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 647-02,57 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 Fe, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: dn_rd6 oorici jis Type of Inspection: 2rov Address: /030 4ft4raJ1,- Date Called: \ Special Instr ctions: e/ „tic Date Wanted:. Lj a.m. Requester: Phone No: I.Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 1 _ ` , JDate: REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P1ter Friendly Page 1 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 CASTLE CABLE INC 4253342750 Po Box 71 Mukilteo WA 98275 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601464825 Active CASTLCI000LT Electrical Contractor 6/30/2000 7/1/2012 Telecommunications Electrical Administrator INFORMATION License STEWAGG001 LT Name STEWART, GORDON G Status Active Business Owner Information Name Role Effective Date Expiration Date STEWART, GORDON G Cancel Date 01/01/1980 Amount POWERS, SANDY Vice President 04/25/2001 01CG55679980 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 2 AMERICAN STATES INS CO 6345701 06/20/2005 Until Cancelled $4,000.00 05/05/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 American States Insurance Co 01CG55679980 05/03/2011 05/03/2012 $1,000,000.00 04/18/2011 6 AMERICAN STATES INS CO 01CG55679970 05/03/2010 05/03/2011 $1,000,000.00 04/06/2010 5 AMERICAN STATES INS CO 01cg5567995 05/03/2009 05/03/2010 $1,000,000.00 04/09/2009 4 AMERICAN STATES INS CO 01CG5567995 05/03/2008 05/03/2009 $1,000,000.00 05/12/2008 3 AMERICAN STATES INS CO 01CG5567994 05/03/2007 05/03/2008 $1,000,000.00 05/16/2007 2 OOHIO CAS INS BHO 50644113 05/03/2001 Until Cancelled 05/03/2007 05/08/2001 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 https://fortress.wa.gov/lni/bbip/Print.aspx 03/16/2012