HomeMy WebLinkAboutPermit EL13-0258 - OMNICARE - TENANT IMPROVEMENTOMNICARE
12674 GATEWAY DR
EL1 3-0258
Ci (*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.: 2716000020
Address: 12674 GATEWAY DR TUKW
Project Name: OMNICARE
ELECTRICAL PERMIT
Permit Number: EL13-0258
Issue Date: 03/15/2013
Permit Expires On: 09/11/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: SCOTT ANDERSON Phone: 425 822-2012
Address: PO BOX 484 , KIRIC,AND WA, 98083
Contractor:
Name: MODULAR ELECTRIC INC
Address: PO BOX 484 , K1RIQ,AN'D WA 98083
Contractor License No: MODULEI308L9
Phone: 425-822-2012
Expiration Date: 03/05/2015
DESCRIPTION OF WORK:
CONDUIT ONLY (FULL WORK UNDER EL13-0259)
Value of Electrical: NRES: $50.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date:
$63.00
2008
I hereby certify that I have read and @xamizi ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, whether specified herein or not.
The granting of this •
construction or th/
Signature:
ermit does not pr's a to give authority to violate or cancel the provisions of any other state or local laws regulating
erfo ance of work. I am// aut . orized to sign and obtain this electrical permit.
Date: `3
Print Name: ..;07,1 /2' i /J2de 7Lr
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
EL13-0258 Printed: 03-15-2013
•
PERMIT CONDITIONS
Permit No. EL13-0258
**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 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
EL13-0258 Printed: 03-15-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical -Permit
Project•No.
Date'Application Accepted:
Date Application Expires:
, . (For offrce iise;onl�
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 Address: 12674 Gateway Drive
Omnicare
Tenant Name:
PROPERTY OWNER
Name: Scott Anderson
•
Name: Eproperty Tax
Phone: (425) 822-2021 Fax: (425) 872-9051
Cin': Kirkland State: WA
Address: PO Box 4900
Phone: (425) 822-2021 Fax: (425)
827-9051
City: Scottsdale
State: AZ
Zip: 85261
CONTACT PERSON — person receiving all project
communication , .• - _ '
Name: Scott Anderson
Address: PO Box 484
Address: PO Box 484
Phone: (425) 822-2021 Fax: (425) 872-9051
Cin': Kirkland State: WA
Zip: 98083
Phone: (425) 822-2021 Fax: (425)
827-9051
Email: modular@nwlink.com
King Co Assessor's Tax No.:
Suite Number: Bldg 2 Floor: 2
New Tenant: m Yes ..No
2716000020
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Modular Electric
Address: PO Box 484
City: Kirkland State: WA Zip: 98083
Phone: (425) 822-2021 Fax: (425) 872-9051
Contr Reg No.: MODULEI308L9 Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 50
Scope of Work (please provide detailed information):
conduit only - separate permit for tenant improvement work
Will service be altered? ❑ Yes 21 No
Type of Use: office
Type of work:
❑ New
❑ Low Voltage
Property Served by:
m Puget Sound Energy
Adding more than 50 amps? ❑ Yes V] No
❑ Addition
❑ Generator
O Service Change
❑ Fire Alarm
❑ Seattle City Light
H:\Applications\Forrns-Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bh
❑ Remodel
❑ Telecommunication
m Tenant Improvement
0 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)
❑ 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 OWNE OR ELECTRICAL CONTRACTOR: ? `
Signature: Date: " / 2
Print Name: eeP 7 ✓ 1. /l%Jh r r- Day Telephone: 4/2 f e L -
Mailing Address: AIvd4/i7- ,C-/ i/f/'t io, go Age / iv/et/den) /.P063
City State Zip
H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
bh
Page 2 of 2
City (*Tukwila.
Department of Community Development
6300 Southcerter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: hto://www.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R13-01057
Initials: JEM
Payment Date: 03/15/2013
User ID: 1165 Total Payment: 2,688.00
Payee: MODULAR ELECTRIC
SET ID: 0315 SET NAME: MODULAR ELECTRIC
SET TRANSACTIONS:
Set Member Amount
EL13-0258 63.00
EL13-0259 2,625.00
TOTAL:
TRANSACTION LIST:
Type Method Description Amount
Payment Check 033150 2,688.00
TOTAL: 2,688.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
ELECTRICAL PLAN - NONRES 000.345.832.00.0
2,150.40
537.60
TOTAL: ,688.00
gAri-07
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. •PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 �:. (206): 431-3670
Permit Inspection Request Line (206) 431-2451
Project: rd .V I „ e ,� >
Type of Inspection*
1
Address:I 749 1 � PCV649/
Date Called: .
- •.
Special Instructions
Date Wanted:.
10
.m.
Requester:
Phone No:
`
I;I Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.:_ IQ
/
tl NAV'
A
114I&S
I (I;
REINSPECTION FEE REQUIRED. Prior to next inspection;,fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date y
Y:
1
INSPECTION NO.
6u5 0s
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ,/'���ff[``�`�� - w
(in
Type of Inspection:
02
Address:
1 2t7 Li 6.76
ji
Date Called:
Special Instructions:'
Date Wanted:.
a
ark.
Requester:
1
Phone No:
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
cl)A
t
• West#)(/ 'J�, ,—lAM)
�1
Inspector:
Date: 03703 ,3
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
• •
0 Washington State Department of
Labor & Industries
Contractors or Tradespeople Detail
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About Electrical Contractor
Page 1 of 2
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 MODULAR ELECTRIC INC
Phone No. (425) 822-2012
Address Po Box 484
Sulte/Apt.
City Kirkland
State WA
Zip 98083
County King
Business Type Corporation
Parent Company
UBI No. 4) 600017258
Status 1' Active
License No. MODULEI308L9
License Type 17 Electrical Contractor
Effective Date 6/29/1970
Expiration Date 3/5/2015
Suspend Date Ir
Specialty 1 ij General
Specialty 2 . Unused
Electrical Administrator INFORMATION
License GUERTT*942D8
Name GUERTIN, TOMAS
Status Active
Business Owner Information 9 Hide All
Name Role Effective Date Expiration Date
LEVERETT,STEVEN A
01/01/1980
LEVERETT, WILLIAM R
01/01/1980
LEVERETT, BARBARA
01/01/1980
LEVERETT, STEVEN
Agent
06/29/1970
0 Bond Information`:%
httns://fortress.wa.gov/lni/bbin/Result.asnx
03/15/2013