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HomeMy WebLinkAboutPermit EL13-0523 - PROVIDENCE INFUSION & PHARMACY - REMODELPROVIDENCE INFUSION & PHARMACY 3355 S 120 PL EL1 3-0523 City 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.: 1023049082 Address: 3355 S 120 PL TUKW Project Name: PROVIDENCE INFUSION & PHARMACY Permit Number: EL13-0523 Issue Date: 05/30/2013 Permit Expires On: 11/26/2013 Owner: Name: SABEY CORPORATION Address: 12201 TUKVVILA INTL BLVD , 4TH FLOOR 98168 Contact Person: Name: PAUL MASTERJOHN Phone: 206-679-5733 Address: 5614 SEVENTH AV S , SEATTLE WA, 98011 Contractor: Name: VECA ELECTRIC CO INC Address: 5617 7TH AVE S , SEATTLE WA 98108 Contractor License No: VECAECI542MU Phone: 206 860-0231 Expiration Date: 10/31/2013 DESCRIPTION OF WORK: REVISE PDU (14) BRANCH CIRCUITRY IN ROW 12B Value of Electrical: NRES: $6,000.00 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: $195.70 2008 Date: 3o— ( 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 give authority to violate or cancel the provisions of any other state or local laws regulating constructio • r the • erformanoe of w rk. I authorized to sign and obtain this electrical permit. Signature: ?[ cDate: s Print Name: Li dOk-- �� f� 0, 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 EL13-0523 Printed: 05-30-2013 PERMIT CONDITIONS Permit No. EL13-0523 **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 EL13-0523 Printed: 05-30-2013 CITY OF TUK SA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. tL–V — S). 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: 3355 South 120th Street Tukwila, WA Suite Number: 5203B Floor: 2 Tenant Name: Providence PROPERTY OWNER Name: Paul MasterJohn Name: Sabey Data Centers City: Seattle State: WA Zip: Address: 3355 South 120th st Email: paul.masterjohn@veca.com City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Paul MasterJohn Address: 5614 7th ave S City: Seattle State: WA Zip: Phone: (206) 679-5733 Fax: Email: paul.masterjohn@veca.com New Tenant: ❑ Yes ❑✓ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: VECA Electric Company, Inc Address: 5614 7th Ave S City: Seattle State: WA Zip: 98011 Phone: (206) 436-5200 Fax: Contr Reg No.: VECAECI005KD Exp Date: 11/16/2013 Tukwila Business License No.: BUS -0992751 Valuation of Project (contractor's bid price): $ 6,000 Scope of Work (please provide detailed information): Revise PDU (14) branch circuity in row 12B. Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes ✓❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel ❑✓ Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.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 ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ 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 0 OR ELECTRICAL CONTRACTOR: Signature: Print N Mailing Address: Anderson au° PO Box 80467 Date: 05/30/2013 Day Telephone: (206) 436-5200 Seattle WA 98108 City H:Vtpplications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revved: August 2011 bh State Zip Page 2 of 2 a • 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 RECEIPT Parcel No.: 1023049082 Permit Number: EL13-0523 Address: 3355 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 05/30/2013 Applicant: PROVIDENCE INFUSION & PHARMACY Issue Date: Receipt No.: R13-01760 Payment Amount: $195.70 Initials: WER Payment Date: 05/30/2013 10:57 AM User ID: 1655 Balance: $0.00 Payee: VECA ELECTRIC CO INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2176 195.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 195.70 Total: $195.70 �..,.. o...,,.:..� nc Printed 05-30-2013 INSPECTION RECORD6I3-v2) Retain a copy with permit INSPECTION NO. PERMIT NO( CITY OF TUKWILA BUILDING DIVISION'cT 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • ° (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: A.Type DO bt4C,6 of Inspection: Address: 33>C i , /„ _ . Date Called: , u Special Instructions: NA, `„, k(0( ( Date Wanted: e. I ( p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. / COMMENTS: 0 < 116 Inspector: Date: 413 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeopleinter Friendly Page Electrical Contractor A business licensed by Lai 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 VECA ELECTRIC CO INC 2064365200 5614 7Th Ave S PO BOX 80467 Seattle WA 98108 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601190731 Active VECAECI542MU Electrical Contractor 7/31/1946 10/31/2013 General Unused Master Electrician INFORMATION License CONTIK'965D6 Name CONTI, KEITH Status Active Business Owner Information Name Role Effective Date Expiration Date ALLEN, RON Agent 01/01/1980 3/9/2010 WESTERLAND, BRIAN L President 10/17/2011 $250.00 HOOD, JUTTA C Secretary 10/17/2011 ELECTRICAL CITATION FAIRBANKS, THOMAS Vice President 01/01/1980 6/28/2012 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 7 WESTERN SURETY CO 929407110 01/06/2007 Until Cancelled $4,000.00 01/06/2007 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 EBOES00447 3/9/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EUPTG00497 2/17/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EMOMJ00496 6/28/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 httns://fortress.wa.i;ov/lni/bbip/Print.aspx 05/30/2013