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HomeMy WebLinkAboutPermit EL13-0752 - GROUP HEALTH - REMODELGROUP HEALTH 12400 EAST MARGINAL wys ELi 3-0752 City oiitukwila 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.: 7340600480 Permit Number: EL13-0752 Address: 12400 EAST MARGINAL WY S TUKW Issue Date: 08/08/2013 Permit Expires On: 02/04/2014 Project Name: GROUP HEALTH Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: C/O EQUITY PROPERTY TAX GRP , PO BOX 6493 60606 Contact Person: Name: PER SAGRELIUS Address: 900 N 34 ST , SEATTLE WA, 98103 Contractor: Name: TITAN ELECTRIC INC Address: 900 N 34 ST, SUITE 108 , SEATTLE WA 98103 Contractor License No: TITANEI963OB Phone: 206 743-6639 Phone: 206-633-2811 Expiration Date: 09/02/2014 DESCRIPTION OF WORK: TIE IN 120V TO LOW VOLT PANEL Value of Electrical: NRES: $400.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $73.60 Washington Cities Electrical Code: 2011 Date: U 0 I hereby certify that I have read and xam ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wit whether specified herein or not. The granting of this permit do not p e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfomance o)sr I am authorized to sign and obtain this electrical permit. Signature: Date: 00 I 3 Print Name: �e r- gc re Lt 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 -7/13 EL13-0752 Printed: 08-08-2013 10 0 PERMIT CONDITIONS Permit No. EL13-0752 **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. ioc: EL -7/13 ELI 3-0752 Printed: 08-08-2013 CITY OF TUK Community Developm t Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PSit No. t U2 r V 1 �2 Project No. Date Application Accepted: of) t) 0\ 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 Site Address: a i do E //4 ar21,1� 4 / Tenant Name:grtur tY PIt 6 iLt King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes .. No PROPERTY OWNER Name: pe f lets `e.)ttlii, S ,E/ieeiri Address: *10 N 3'Iyj1, Jpt" 7 Name: Phonedtt 411." S ti Fax yGiccVJ'7y 4,! City: State: Address: Phone:el 0 6 7113 b 6 3OI Fax: Tukwila Business License No.; {l lAc.) w � it lit o 3 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: pe f lets `e.)ttlii, S ,E/ieeiri Address: *10 N 3'Iyj1, Jpt" 7 Address: Phonedtt 411." S ti Fax yGiccVJ'7y 4,! City: State: Zip: Phone:el 0 6 7113 b 6 3OI Fax: Tukwila Business License No.; {l lAc.) w � it lit o 3 Email: 12f (pU 0 -DLO ELECTRICAL CONTRACTOR INFORMATION Company Name: "� TLt h e ,E/ieeiri Address: *10 N 3'Iyj1, Jpt" 7 City: .S ea. 4/ j State: 1. - f Zip:GT4g `03 Phonedtt 411." S ti Fax yGiccVJ'7y 4,! s Contr Reg No.:71.Fa LI r / A‘3'eGQExp Date: O° C 7 till iti Tukwila Business License No.; {l lAc.) w � it lit o 3 Valuation of Project (contractor's bid price): $ Mr) _ Scope of Work (please provide detailed information): r• 1• t�. 1.2v v T e 1 Ow u8tt- t p,1, Will service be altered? ❑ Yes g No Adding more than 50 amps? ❑ Yes 1I No Type of Use: Type of work: ❑ New ® Addition 0 Service Change 0 Remodel 0 Tenant Improvement O Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy X Seattle City Light H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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 OWNE' S ' - RICAL CONTRACTOR: Signature: Datel8 / Print Name: (a r ga,yYjLk,Day Telephone: 2 CC 7V3 6639 Mailing Address: q00 0 . S` I- •S1 H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh ``CO''6141-le, I o_3 City 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 RECEIPT Parcel No.: 7340600480 Permit Number: EL13-0752 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 08/08/2013 Applicant: GROUP HEALTH Issue Date: Receipt No.: R13-02315 Initials: JEM User ID: 1165 Payment Amount: $73.60 Payment Date: 08/08/2013 07:54 AM Balance: $0.00 Payee: PER SAGRELIUS, TITAN ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 324346 ACCOUNT ITEM LIST: Description 73.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322,101.00.00 73.60 Total: $73.60 .Inn. oenefn4_na Printed. 08-08-2013 64S-0757, 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: axiip I,/ L.! Type of Inspection: 4/00 ° Address:�� Date Called: Special Instructions: L,_::_._.,. Date Wanted: 7-I coi.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: � T Date: ®S(2-1 r3 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: 11 SPECTION NO. ' k INSPECTION RECORD Retain a copy with permit PERMIT NO: CITY OF TUKWILA BUILDING DIVISION 6300 Soiuthcenter Blvd., #100, Tukwila:: WA 98188 (206) 431-3670 Permit Inspection' Request Line (206) 431-2451 Project: ' f C Maur° ,1� +�s l'N Type of Inspection: v?/ D 0 Addre , Dov tea ,1/11141NAt 1)y Date Called: Special Instructions: v - • DateW ted: /,2.- /J a.m. p.m. Requester: Phone No: El Approved per applicable codes.' Corrections required prior to approval. .;21 COMMENTS: ()ALL ()IY,,,4cro . ©� Ti Jib* —61,2Arfew 7; / Nous s G .15r- Oar Inspector: &IVAW Date: - /2 _ REINSPE ON FEE REQUIRED. Prior to next inspection, fee must be paid at 6 00 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD C,3 _�1S Retain a copy with permit ) INSPECTION NO. -PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Z=•¢ (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: lkoup *tali Type of Inspection:iv° Address:/2` ,t• Date Called: Special Instructions: Date Wanted: (Cm. PC,,, Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: R(5606)1) te or(1 Inspector: 'r %444 r V Date: x.7107//2 REINSPECTION'FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by LEN 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 TITAN ELECTRIC INC 2066332811 900 N 34Th Ste 108 Seattle WA 98103 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602250925 Active TITANEI9630B Electrical Contractor 9/2/2004 9/2/2014 General Unused ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TITANE*986Q5 TITAN ELECTRIC Electrical Contractor General Unused 11/25/2002 11/25/2004 Archived Electrical Administrator INFORMATION License CROOKT'011 PB Name CROOK, TRAVIS Status Active Business Owner Information Name Role Effective Date Expiration Date FUNG, LAWRENCE H Agent 09/02/2004 Bond Amount BURKE, PATRICK D President 09/02/2004 9808431 FUNG, LAWRENCE H Secretary 09/02/2004 ELECTRICAL CITATION CROOK, TRAVIS J Vice President 09/02/2004 COLONIAL AM CAS & SURETY OF MD Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 Lexon Ins Co 9808431 08/03/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0008/08/2011 $250.00 1 COLONIAL AM CAS & SURETY OF MD LPM4066933 08/03/2004 Until Cancelled 08/03/2011 $4,000.0008/10/2004 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 EREEB00416 8/10/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECHAE00321 8/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00469 7/29/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 https://fortress.wa.gov/lni/bbip/Print.aspx 08/08/2013