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Home My WebLink AboutPermit EL13-0272 - GROUP HEALTH - REMODELGROUP HEALTH 12400 EAST MARGINAL WY S EXPIRED 09-14-13 EL1 3-0272 City oftukwila 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 Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH Permit Number: EL13-0272 Issue Date: 03/18/2013 Permit Expires On: 09/14/2013 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: C/O EQUITY PROPERTY TAX GRP , PO BOX 6493 60606 Contact Person: Name: JOE SCHULER Phone: Address: 13301 SE 26 ST , BELLEVUE WA, 98005 Contractor: Name: PRIME ELECTRIC INC Address: 13301 SE 26 ST , BELLEVUE WA 98005 Contractor License No: PRIMEEI134BT Phone: 425 747-5200 Expiration Date: 01/30/2015 DESCRIPTION OF WORK: INSTALL (3) NEW 20 AMP RECEPTACLE CIRCUITS ON THE STANDBY POWER SYSTEM TO POWER SYSTEM FURNITURE RECEPTACLES IN THE DRUG HELP DESK AREA ON THE SECOND FLOOR. Value of Electrical: NRES: $3,272.00 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: $157.50 2008 Date: � 10`" f 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 d construction or t�erfo • `- of work. I am authorized to sign and obtain this electrical permit. not presume to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: moi/ ('�Fz7i Date: -/g• /? 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 EL13-0272 Printed: 03-18-2013 • PERMIT CONDITIONS • Permit No. EL13-0272 **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 EL13-0272 Printed: 03-18-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No: 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: 12400 E. Marginal Way South Suite Number: Floor: 2nd floor New Tenant: ❑ Yes ®..No Tenant Name: Group Health AMB PROPERTY OWNER Name: Joe Schuler c/o Prime Electric Name: Group Health Cooperative City: State: Zip: Address: Email: jschuler@primeelectric.com City: State: Zip: CONTACT PERSON - person receiving all project communication Name: Joe Schuler c/o Prime Electric Address: City: State: Zip: Phone: Fax: Email: jschuler@primeelectric.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Prime Electric Address: 13301 SE 26th Street City: Bellevue State: WA Zip: 98005 Phone: (425) 747-5200 Fax: (425) 747-5552 Contr Reg No.: PRIMEEI 137 BT Exp Date: 01/14/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Install (3) new twenty amp receptacle circuits on the standby power system to power system furniture receptacles in the Drug Benefit Help Desk area on the second floor 3,272 Will service be altered? ❑ Yes ❑✓ No Type of Use: Commercial Office Space Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy • Seattle City Light H Wpplications\Forms-Applications On Line \201 I Applications\Electrical Permit Application Revised 8-9-I I.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication Tenant Improvement 0 Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $81.90 (no added/altered circuits) O 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 ry❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O 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 ELECTRIC AL CONTRACTOR: Signature: eph Schuler Print Name: Date: Day Telephone: (425) 864-5771 Mailing Address: 13301 SE 26th Street Bellevue WA 98005 City H:\ Applications\Forms-Applications On Line12011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh State Zip Page 2 of 2 411 4111 \"'qs City of Tukwila 1y2 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: EL13-0272 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 03/18/2013 Applicant: GROUP HEALTH Issue Date: Receipt No.: R13-01072 Payment Amount: $157.50 Initials: WER Payment Date: 03/18/2013 01:13 PM User ID: 1655 Balance: $0.00 Payee: PRIME ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 19081 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 a,.... n....,.:..4 nc Prinfarl• R_7n1 08-01-2013 • City of Tukwila Jiro Haggerion. Mayor Department of Community .Development Jack Pace. Director JOE SCHULER 13301 SE 26 ST BELLEVUE WA 98005 RE: Permit No. EL13-0272 GROUP HEALTH 12400 EAST MARGINAL WY S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/14/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 09/14/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL13-0272 S 6300 Southcenter Boulevard. Suite/1100. Tukwila. Washington 98188 • Phone 206-431-3670 • Fav 206-431-3665 Contractors or Tradespeople Iter 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 PRIME ELECTRIC INC 4257475200 13301 Se 26Th St Bellevue WA 98005 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601004783 Active PRIMEEI134BT Electrical Contractor 1/30/1987 1/30/2015 General Unused Master Electrician INFORMATION License WOODEDT970K8 Name WOODEY, DAVE T Status Active Business Owner Information Name Role Effective Date Expiration Date REICHANADTER, ERIC President 05/26/2011 Bond Amount BROBERG, MICHAEL S Secretary 05/26/2011 0128653 TYRELL, WAYNE Agent 01/01/1980 05/26/2011 TYRRELL, WAYNE F Member 01/01/1980 05/26/2011 TYRELL, NANCY Member 01/01/1980 05/26/2011 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 4 Beorkley Regional Ins 0128653 01/30/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 01/30/2011 3 INS CO OF THE WEST 1200697 01/30/1992 Until Cancelled 01/30/2011 EHAGR00280 $4,000.00 WAC 296-46B-901(15) 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 EHOUD00390 1/6/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMOMJ00411 11/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000492 9/2/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EHAGR00280 1/14/2009 WAC 296-46B-901(15) ELECTRICAL CITATION Satisfied $250.00 EHAGR00281 1/14/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJURT00483 5/14/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbin/Print. asnx 03/18/2013