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Home My WebLink AboutPermit EL13-0595 - OMNICARE - REMODELOMNICARE 12674 GATEWAY DR ELi 3-0595 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 Parcel No.: 2716000020 Address: 12674 GATEWAY DR TUKW Project Name: OMNICARE ELECTRICAL PERMIT Permit Number: EL13-0595 Issue Date: 06/20/2013 Permit Expires On: 12/17/2013 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: SCOTT ANDERSON Address: PO BOX , KIRKLAND WA, 98083 Contractor: Name: MODULAR ELECTRIC INC Address: PO BOX 484 , KIRKLAND WA 98083 Contractor License No: MODULEI308L9 Phone: 425 443-9281 Phone: 425-822-2012 Expiration Date: 03/05/2015 DESCRIPTION OF WORK: HOOK UP POWER FURNITURE Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied amin 'th, Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 to al laws re ating construction or t A performance of work. I am autho ' d to sign and obtain this electrical permit. Signature: , .! Date: / Print Name: 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 EL13-0595 Printed: 06-20-2013 PERMIT CONDITIONS • Permit No. EL13-0595 **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 EL13-0595 Printed: 06-20-2013 CITY OF TUKW Community DevelopmfflirDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pelt No: U 9 : ��" 9 c. Project No. Date Application Accepted _ Oi kV 13 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 Address: / 2 6 7` C �7`c�� tJ ��i % Tenant Name: 7121 Ii) GSI Pe - King Co Assessor's Tax No.: Suite Number: Floor: PROPERTY OWNER Name: :G�- 4/'. %/.e Name: .7 r a "0 c il'ii �,k'zbC car Address:"```` 6!), Ay ✓✓✓✓✓✓ 6 Cit State: ys;d S 44,pgJ Zi '� Le/ CONTACT PERSON — person receiving all project _communication Name: :G�- 4/'. %/.e Address: �%, p] ��U e," tyCij/� / )�,� CNS State:l, // Zip " ic.7ta Phonal/.4J—....,,3 -,..2.e i Fax: . g' Z 7 _,x.7 Email ' (///Ce&hI.%ea/t21., 14jn/�. ee n-, New Tenant: Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION, Company NameA.,a/42,4,_ ICL7zr3 G Address: J City:A/4,, l>4 h State: M Zip: / Phone* .r FjZ_ Fax Mtr4W(%..3 0a, 4 `l' Exp Date:.?/..,3 Tukwila Business License No.; p„r.S Cylel 4.1 1.„5D Valuation of Project (contractor's bid price): $ a' '4'0 e5 C.:. Sco of Work (please provide detailed information): ,f-7f`✓i�/e- 7/- ,/ /ti c C. 7 Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes. LI No Type of Use:' Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel • ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy J, Seattle City, Light H:\Applications\Forms-Applications On Line\201 I Applications\Electncal Permit Application Revised 8-9-I I.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) ❑ 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 ELECTRICAL CONTRACTOR: Signature: Date: `2-e, ( 3 Print Name: c.--";-7,0',7,24 . /2 e/C ri/C).0-1 Day Telephone 7' .� '� w- �� '`g - 8 / Mailing Address: / - jay jy 1? /C//e4 Afie,I' 4-7Z 9eC, 6 City State Zip H:\Applications\Forms-Applications On Line\20I I Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh 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.Tukwila WA.gov Parcel No.: 2716000020 Address: 12674 GATEWAY DR TUKW Suite No: Applicant: OMNICARE RECEIPT Permit Number: EL13-0595 Status: PENDING Applied Date: 06/20/2013 Issue Date: Receipt No.: R13-01927 Initials: JEM User ID: 1165 Payment Amount: $136.50 Payment Date: 06/20/2013 12:20 PM Balance: $0.00 Payee: MODULAR ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 033159 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 D inf .d• na_.,1-1_7n12 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 yz, (206) 431-3 Permit Inspection Request Line (206) 431-2451 643 occiC Project: raw emsi Type of Inspection: Address: 1 , I �� th Date Called: Date Wanted: , /77 &Ill a.m. p.m. Special Instructions:) Requester: Phone No: UC 1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: -,4A/41,7 Inspector: 1 ,- Date: c z4r3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople PPter Friendly Page I Electrical Contractor A business licensed by LW 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 MODULAR ELECTRIC INC UBI No. 600017258 Phone 4258222012 Status Active Address Po Box 484 License No. MODULEI308L9 Suite/Apt. License Type Electrical Contractor City Kirkland Effective Date 6/29/1970 State WA Zip 98083 County King Business Type Corporation Parent Company Expiration Date 3/5/2015 Suspend Date Specialty 1 General Specialty 2 Unused Electrical Administrator INFORMATION License GUERTT'942D8 Name GUERTIN, TOMAS Status Active Business Owner Information Name Role Effective Date Expiration Date LEVERETT, STEVEN A Violation Amount 01/01/1980 8/27/2012 LEVERETT, WILLIAM R ELECTRICAL CITATION 01/01/1980 $250.00 LEVERETT, BARBARA 8/27/2012 01/01/1980 ELECTRICAL CITATION LEVERETT, STEVEN Agent 06/29/1970 8/27/2012 Bond Information Page 1 of 1 Bond 1 Bond Company Name AMERICAN STATES INS CO Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date EX249268 05/15/1970 Until Cancelled $4,000.00 05/15/1970 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 ECHAE00892 8/27/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00890 8/27/2012 19.28.101 RCW , ELECTRICAL CITATION Satisfied $250.00 ECHAE00891 8/27/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHAGR00259 10/24/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHAGR00260 10/24/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHAGR00258 10/24/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbin/Print.asnx 06/20/2013