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
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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
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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
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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