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Home My WebLink AboutPermit EL13-0306 - PROVIDENCE INFUSION & PHARMACY - REMODELPROVIDENCE INFUSION & PHARMACY 3333 S 120 PL EL1 3-0306 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 ELECTRICAL PERMIT Parcel No.: 1023049079 Address: 3333 S 120 PL TUKW Project Name: PROVIDENCE INFUSION & PHARMACY Permit Number: EL13-0306 Issue Date: 03/28/2013 Permit Expires On: 09/24/2013 Owner: Name: SABEY CORPORATION Address: 12201 TUKVVILA INTL BLVD , 4TH FLOOR 98168 Contact Person: Name: TERRY MACABE Address: 600 WASHINGTON AV S , KENT WA, 98032 Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 338 , RENTON WA 98035 Contractor License No: HOLMEEC549BH Phone: 253-234-2867 Phone: (253)479-4000 Expiration Date: 10/31/2014 DESCRIPTION OF WORK: ADD (5) CIRCUITS FOR VENDING MACHINES, COFFEE MAKER AND GENERAL PURPOSE RECEPTACLES IN WAREHOUSE. CONNECT (26) 1 1/4" EXISTING CONDUITS TO A VAULT AND RUN (4) 4" CONDUITS FROM VAULT TO BUILDING #3 FIBER CAN. Value of Electrical: NRES: $6,800.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $212.90 2008 --)_e---(5 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 is pertmdoes not presumo give authority to violate or cancel the provisions of any other state or local laws regulating e pe -s i Signature: / ' `�� Date: Print Name: construction or t ance of work. I authorized to sign and obtain this electrical permit. 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 EL13-0306 Printed: 03-28-2013 • PERMIT CONDITIONS • Permit No. EL13-0306 **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 EL13-0306 Printed: 03-28-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 030 Project No. r 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.: Suite Number: Bldg # 3 Floor: 1 s t Site Address: 3333 South 120th Place Tenant Name: Providence Infusion and Pharmacy New Tenant: ] Yes ❑..No PROPERTY OWNER Name: Sabey Corporation Address: 12201 Tukwila International Blvd. City: Seattle State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Terry McCabe Address: 600 Washington Ave. South City: Kent State: WA Zip: 98032 Phone: 253-234-2867 Fax: 253-234-2912 Email: terry.mccabe@holmes.com . ELECTRICAL CONTRACTOR INFORMATION Company Name: Holmes Electric Co. Address: 600 Washington Ave South City: Kent State: WA Zip: 98032 Phone: (253) 234-2867 Fax: (253) 234-2912 Contr Reg No.: HOLMEEC549BH Exp Date: 10/31/2014 Tukwila Business License No.: 0101476 Valuation of Project (contractor's bid price): $ 4,000 Scope of Work (please provide detailed information): Connect (26)1-1/4 " existing conduits to a vaul t and run (4) 4" conduits from vault to building #3 fiber can. Ahi,(S> �IrCJ lrs Rfj-- Ot,.� NA4efiltiuc et_Aci , 4.J0 6ev 'Qq -t pug, e Reeoeldes to) 74-4E-cd4ee.14 Will service be altered? ❑ Yes E1 No Adding more than 50 amps? ❑ Yes IZ No Type of Use: Type of work: • New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm ® Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy ▪ Seattle City Light H:\ApplicationslForms-Applications On Line \20I ApplicationslElectrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page l 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 T LAW: F THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWR OR EL RIC IONTRACTOR: Signature: Print Name: Terry McCabe Mailing Address: 600 Washington Ave. South Kent H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Day Telephone: Date: 03/28/2013 (253) 234-2867 City WA State 98032 Zip Page 2 of 2 • CCity of Tukwila Department of CommunityDevelopment 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.: 1023049079 Permit Number: EL13-0306 Address: 3333 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 03/28/2013 Applicant: PROVIDENCE INFUSION & PHARMACY Issue Date: Receipt No.: R13-01156 Payment Amount: $212.90 Initials: WER Payment Date: 03/28/2013 11:01 AM User ID: 1655 Balance: $0.00 Payee: TERRY MCCABE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 005029 ACCOUNT ITEM LIST: Description 212.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 Drinfcrl• 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: 4 Asi16�66 Type of Inspection: ry '00 \ Address: y � swept,. Date Called: r` Special Instructions: Date Wanted: 607/Y (in: Requester: Phone No: Approved per applicable codes. u Corrections required prior to approval. ix COMMENTS: '*,°. r rf 1 ...- t — rvki Inspector: + Date J/fq//3 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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: jVI� Type of Inspection: 7 , po, Address: 3333 .12.4k. Date Called:___.. Special Instructions: Date Wanted:. l/ 7 �Z C.do. p.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: IA •I I' tint rid-f(�GlQiun p ( Inspector: f tr r (V jVI� !1 !t Date: f»/(2—( (3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 Inspection No. INSPECTION RECORD *Retain A Copy With Permit* • Permit No.. City of-SaiFitc Building Division ' 4800 S 188th St, SeaTac, WA 98188 (206) 973 — 4750 Project: ) E' OV;:bisr.t•-f" ti t •/A Inspection Type: -1.m 1; al., 4..v)1 / vc Address: ir, Date Called: Special Instructions: • Date Wanted: 41' --3 1. AM ..PM • Requestor: '''"... Phone No: 1 ' ,,Approved Per Applicable Codes ElCorrections Required Prior To A al Comments: U ____41 (. C 'I) 47 / vc ' / r. ' c,, -,,. ir, . /"---------",. Inspector: �,.. .fir -`?2d i',o,ti. r,..,, Date:// .., 3-,., z. • $ 'REINSPECTION FEE REQUIRED Prior To Inspection. Fee Must Be Paid At 4800 S 188th St. CaII to Schedule Reinspection. Inspection Request Line (206) 973-4764 i INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6u3 -64 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: ellDate: Type of Inspection: Type po, Address. 3333 6 /1 Date Called: Special Instructions: Date Wanted:. 3/24, 6.:rr ; p.m. Requester: Phone No: rig Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. 11) rc.,`-i"itf-4. LuAinir koorl Inspector ellDate: 03/f3 • n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr er 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 HOLMES ELECTRIC CO 2534794000 Po Box 338 Kent WA 98035 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 177003752 Active HOLMEEC549BH Electrical Contractor 1/8/1946 10/31/2014 General Unused Master Electrician INFORMATION License HILLME'973KR Name HILLMAN, ED Status Active Business Owner Information Name Role Effective Date Expiration Date HOLMES, JERAY A Agent 01/01/1980 Bond Amount HOLMES, MICHAEL J President 01/01/1980 929558590 RICHARDS, MICHAEL W Secretary 01/01/1980 ELECTRICAL CITATION RICHARDS, EUGENE M 11 /08/2012 01/01/1980 10/15/2010 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 4 Western Surety Co 929558590 12/08/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 11 /08/2012 3 HARTFORD FIRE INS 52BSBFB9243 12/08/2008 Until Cancelled 12/08/2012 $4,000.0012/09/2008 2 AMCASUALTY 9239830 12/08/1984 Until Cancelled 02/09/2009 $4,000.0009/14/2008 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 ESHA000715 7/25/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EREEB00495 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns .//fnrtress_wa _ env/1ni/hhin/Printasnx 03/28/2013