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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 Return to List > Start a New Search > ra Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account 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