HomeMy WebLinkAboutPermit EL13-0342 - OMNICARE - LOW VOLTAGEOMNICARE
12674 GATEWAY DR
EL1 3-0342
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.: 2716000020
Address: 12674 GATEWAY DR TIIKW
Project Name: OMNICARE
ELECTRICAL PERMIT
Permit Number: EL13-0342
Issue Date: 04/11/2013
Permit Expires On: 10/08/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: ASHLEE BARLISH
Address: PO BOX 24567 , SEATTLE WA, 98124
Contractor:
Name: MCKINSTRY CO LLC
Address: PO BOX 24567 , SEATTLE WA 98124
Contractor License No: MCKINCL942DW
Phone: 206-762-3311
Phone: 206 762-3311
Expiration Date: 03/16/2014
DESCRIPTION OF WORK:
INSTALL 9 THERMOSTATS
Value of Electrical: NRES: $2,300.00
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:
$136.50
2008
Date: 4 H H ( 3
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 • 've authority to violate or cancel the provisions of any other state or local laws regulating
e to sign and obtain this electrical permit.
construction or the perfo ance of work.
Signature:
Print Name:
Date:
tit /,i /I
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
EL13-0342
Printed: 04-11-2013
• •
PERMIT CONDITIONS
Permit No. EL 13-0342
**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
EL13-0342 Printed: 04-11-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.- LLk 3"'0 3 L(,2,
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.: 271600-0020
Site Address: 12674 Gateway Dr. Suite Number: Floor: 1 & 2
New Tenant: ® Yes ❑ ..No
Tenant Name:
OmniCare
PROPERTY OWNER
Name: Ashlee Barlish
Name: CBRE
City: Seattle State: WA Zip: 98124
Address: 20415 75th Ave. S
Email: ashleeb@mckinstry.com
City: Kent State: WA
Zip: 98032
CONTACT PERSON — person receiving all project
communication
Name: Ashlee Barlish
Address: PO Box 24567
City: Seattle State: WA Zip: 98124
Phone: (206) 762-3311 Fax:
Email: ashleeb@mckinstry.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: McKinstry Co.
Address: PO Box 24567
City: Seattle State: WA Zip: 98124
Phone: (206) 762-3311 Fax:
Contr Reg No.: MCKINCL942DW Exp Date: 03/16/2014
Tukwila Business License No.: 101413
Valuation of Project (contractor's bid price): $ 2,300
Scope of Work (please provide detailed information):
Install 9 t'stats
Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
• Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:Wpplications\Forms-Applications On Line \2011 Applications'Electrical Permit Application Revised 8-9-I l.docx
Revised: August 2011
bh
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
O Temporary service (residential) $63.00
O 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 ELECT .w..._ ONTRACTOR:
Signature:
Date:
04/11/2013
Print Name: Ashlee Barlis` Day Telephone: (206) 832-8173
Mailing Address: PO Box 24567 Seattle WA 98124
City
H.Wpplications\Forms-Applications On Lme\2011 Applicattons\Electncal Permit Application Revised 8-9-11.docx
Revised. August 2011
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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.: 2716000020
Address: 12674 GATEWAY DR TUKW
Suite No:
Applicant: OMNICARE
RECEIPT
Permit Number: EL13-0342
Status: PENDING
Applied Date: 04/11/2013
Issue Date:
Receipt No.: R13-01287 Payment Amount: $136.50
Initials: WER Payment Date: 04/11/2013 11:07 AM
User ID: 1655 Balance: $0.00
Payee: MCKINSTRY CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12467 136.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 136.50
Total: $136.50
SIC
Print r4 nd_11_7n1l
3
INSPECTION. RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43.1-3670
Permit Inspection Request Line (206) 431-2451
Ct43-0317,
Project: R
M
0 D1 '0.
Type of Inspection:
I
1)
Address: `., / 7/Date
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Called:
.,
t e
Special Instructions: L
154.015
Date Wanted: .10?A'm.
p:m!
Requester:
' i
Phone No:
pApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
vir44.
,1
Inspector:
r
Date:
OS' 0///3
t r
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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 • t -
Project: !
�!
Type of Inspection:
7003
Address:twitv
Date Called: • '.
Special Instructions:
Date Wanted:.
L
6311/:
Requester:
I
Phone No:
® Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
n
1 • 2-ftA
ktImA. /Li "45.
-- 14044 14' CoPC. . -..
Inspector: "r
\
Date: di,
id/3
n REINSPECTION FEE REQUIRED. Prior to nextinspection, fee must be:
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
r
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: j) 1
cAk
1hic_
Type of Inspection: 7
1
Address: 1�7. l t
�-j
Date Called:
Special Instructions:'
Date Wanted:.
f E
a rr r
.;...
p.m.
Requester:
Phone No:
0 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
/9- 6.0agsli 4-1•0
vim(aous(u. 5
A-hb ("AAA)
Date: O0I i3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector: -/
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Contractors or Tradespeople liter Friendly Page
• Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name MCKINSTRY CO LLC UBI No. 602569922
Phone 2067623311 Status Active
Address Po Box 24567 License No. MCKINCL942DW
Suite/Apt. License Type Construction Contractor
City Seattle Effective Date 3/16/2006
State WA Expiration Date 3/16/2014
Zip 98134 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
LYDIGML901JL
LYDIG +
MCKINSTRY LLC
Construction
Contractor
General
Unused
4/13/2010
4/13/2014
Active
WESTVI'121RF
WESTVENT INC
Construction
Contractor
General
Unused
12/6/1988
9/1/1994
Archived
MCKIN**372N0
MCKINSTRY CO
Construction
Contractor
General
Unused
8/20/1963
1/2/2008
Re
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
PEDERSEN, JAMIE D
Agent
03/16/2006
Bond Amount
ALLEN, DEAN CHARLES
Partner/Member
03/16/2006
929519469
MOORE, DOUGLAS JAMES
Partner/Member
03/16/2006
ALLEN, DAVID EDWARD
Partner/Member
03/16/2006
WESTERN SURETY CO
TEPLICKY, JOSEPH WILLIAM
Partner/Member
03/16/2006
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
Western Surety Co
929519469
03/01/2011
Until Cancelled
01/23/2012
$12,000.00
02/24/2011
2
WESTERN SURETY CO
929511574
09/09/2010
Until Cancelled
$12,000.00
09/02/2010
1
TRAVELERS CAS &
SURETY CO
104702039
01/03/2006
Until Cancelled
03/01/2011
$12,000.00
03/16/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
6
Zurich
American Ins Co
GLA 3999903
01/31/2013
01/31/2014
$2,000,000.00
01/02/2013
5
Zurich
American Ins Co
GLA -3999903
01/31/2012
01/31/2013
$2,000,000.00
12/16/2011
4
ZURICH
AMERICAN INS
CO
GLA3999903
01/31/2011
01/31/2012
$2,000,000.0012/20/2010
3
ZURICH
AMERICAN INS
CO
CP0399990301
01/31/2009
01/31/2011
$2,000,000.00
12/07/2009
2
CP03999903
01/31/2008
01/31/2009
$2,000,000.00
01/31/2008
httns://fortress.wa. aov/lni/bbin/Print.asox
04/11/2013