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HomeMy WebLinkAboutPermit EL13-0172 - PROVIDENCE - LOW VOLTAGEPROVIDENCE 3333 S 120 PL EL13-0172 City dftukwila 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.: 1023049079 Address: 3333 S 120 PL TUKW Project Name: PROVIDENCE ELECTRICAL PERMIT Permit Number: EL13-0172 Issue Date: 02/22/2013 Permit Expires On: 08/21/2013 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD , 4TH FLOOR 98168 Contact Person: Name: TODD KAHL Address: 15241 NE 90 ST , REDMOND WA , 98052 Contractor: Name: WPCS INTL INC SEA OP Address: 15241 NE 90TH ST , REDMOND WA 98052 Contractor License No: WPCSIII912M1 Phone: 425-483-2677 Phone: 425 483-2677 Expiration Date: 07/17/2013 DESCRIPTION OF WORK: LOW VOLTAGE CONTROLS FOR INFUSION AND PHARMACY Value of Electrical: NRES: $14,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY GHT Permit Center Authorized Signatur Fees Collected: National Electrical Code Edition: Dat $333.30 2008 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 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: Print Name: � (q4,2- 14Act Date: 2 2- /3 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 EL13-0172 Printed: 02-22-2013 410 PERMIT CONDITIONS • Permit No. EL13-0172 **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 TO - 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 art 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 EL13-0172 Printed: 02-22-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, W4 98188 http://www.TukwilaWA.gov Electrical Permit No. —L)( 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.: Site Address: 3333 S 120th Place Suite Number: Bldg 3 Floor: 1 Tenant Name: Providence PROPERTY OWNER Name: Todd Kahl Address: 15241 NE 90th Street Name: Phone: (425) 483-2677 Fax: (425) 419-2121 Email: todd.kahl@wpcs.com Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Todd Kahl Address: 15241 NE 90th Street City: Redmond State: WA Zip: 98052 Phone: (425) 483-2677 Fax: (425) 419-2121 Email: todd.kahl@wpcs.com New Tenant: m Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: WPCS International, Inc Address: 15241 NE 90th Street City: Redmond State: WA Zip: 98052 Phone: (425) 483-2677 Fax: (425) 419-2121 Contr Reg No.: WpCSIII912M1 Exp Date: 07/17/2013 Tukwila Business License No.: BUS -0993114 Valuation of Project (contractor's bid price): $ 14,000 Scope of Work (please provide detailed information): Low Voltage Controls for Infusion & Pharmacy Will service be altered? ❑ Yes 21 No Type of Use: Healthcare Adding more than 50 amps? ❑ Yes © No Type of work: ❑ New 0 Addition ❑ Service Change ▪ Low Voltage 0 Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applicanons\Forms-Applications On Line \2011 Applications\Electrical Pernut Application Revised 8-9-11.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ 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 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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: Date: 02/05/2013 Print Name: odd KahlDay Telephone: (425) 483-2677 Redmond WA 98052 Mailing Address: 15241 NE 90th Street City H:Wpplications\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.gov Parcel No.: 1023049079 Address: 3333 S 120 PL TUKW Suite No: Applicant: PROVIDENCE RECEIPT Permit Number: EL13-0172 Status: APPROVED Applied Date: 02/22/2013 Issue Date: Receipt No.: R13-00882 Payment Amount: $333.30 Initials: TLS Payment Date: 02/22/2013 12:49 PM User ID: 1670 Balance: $0.00 Payee: WPCS INTERNATIONAL INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8013 333.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 333.30 Total: $333.30 ,1nr• Duncin}_AR Printed• 02-22-2013 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: AO kil ,. % Type of Inspection:00 ` Address: 3'3 3 64 42-40, - i`- Date Called: Special Instructions: Date Wanted:. Oc a�mf Pte;. Requester: Phone No: pApproved per applicable codes. El Corrections required prior to approval. // COMMENTS: • tdr AT, Inspector: -/" Prviv Date: „J os i I I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must,be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prr Friendly Page • Electrical Contractor A business licensed by LEI 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 WPCS INTL INC SEA OP 4254832677 15241 Ne 90Th St Redmond WA 98052 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601555363 Active WPCSIII912M1 Electrical Contractor 7/17/2009 7/17/2013 General Unused License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status MAJORE1066MN MAJOR ELECTRIC INC Electrical Contractor General Unused 7/15/1994 7/15/2010 Expired Master Electrician INFORMATION License LACHACJ976PG Name LACHANCE, CURTIS J Status Active Business Owner Information Name Role Effective Date Expiration Date MAUGER, FRANK Agent 07/17/2009 12/14/2010 JORDAN, JAMES W President 07/17/2009 $2,000.00 MADDENFORD, CHUCK H Treasurer 07/17/2009 ELECTRICAL CITATION HEATER, JOSEPH A Vice President 07/17/2009 5/10/2012 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 1 FIDELITY Et DEPOSIT CO OF MD 08961320 07/14/2009 Until Cancelled $4,000.00 07/17/2009 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 EBOES00509 12/14/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EHOUD00526 3/19/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 ESHA000687 5/10/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $125.00 ECHIR00784 5/29/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.eov/lni/bbip/Print.aspx 02/22/2013