HomeMy WebLinkAboutPermit EL13-0815 - DENTAL CONFERENCE AREA - REMODELDENTAL
CONFERENCE AREA
411 STRANDER BL
EL13-0815
City oPfukwila
•
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.: 0223200052
Address: 411 STRANDER BL TUKW
Project Name: DENTAL CONFERENCE AREA
ELECTRICAL PERMIT
Permit Number: EL13-0815
Issue Date: 08/27/2013
Permit Expires On: 02/23/2014
Owner:
Name: MEDICAL CENTERS CO LLC
Address: 411 STRANDER BLVD STE 108 , TUKWILA WA 98188
Contact Person:
Name: ROB KINGSLEY
Address: 1905 S JACKSON ST , SEATTLE WA, 98144
Contractor:
Name: NORTH STAR ELECTRIC INC
Address: 1905 S JACKSON ST , SEATTLE WA 98144
Contractor License No: NORTHSE 13608
Phone: 206-571-2450
Phone: 206-329-1596
Expiration Date: 09/28/2015
DESCRIPTION OF WORK:
INSTALL NEW POWER AND LIGHTING FOR A NEW OFFICE SPACE IN AN EXISTING BUILDING
(TENANT IMPROVEMENT). REMOVE T12 TROFFERS, INSTALL NEW T8 OFFICE LIGHTS,
OCCUPANCY SENSORS, EMERGENCY AND EXIT SIGNS, POWER OUTLETS AND POWER TO EXHAUST
FANS.
Value of Electrical: NRES: $20,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$448.80
Washington Cities Electrical Code: 2011
Date: 9-;-7-1.3
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
construction or tl erformance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
O/J /41:/65b6
Date:
g/01---7
3
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
EL13-0815 Printed: 08-27-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0815
**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
EL13-0815 Printed: 08-27-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No.
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
Site Address: 411 Strander
King Co Assessor's Tax No.:
Suite Number: 303 Floor: 3rd
Tenant Name: GMAC
PROPERTY OWNER
Company Name: North Star Electric Inc
Name: DR Jerry Baruffi
City: Seattle State: WA zip: 98144
Address: 411 Strander #108
Contr Reg No.: NORTHSE 13608 Exp Date: 09/28/2013
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Company Name: North Star Electric Inc
Name: Rob Kingsley - North Star Electric Inc.
City: Seattle State: WA zip: 98144
Address: 1905 S Jackson Street
Contr Reg No.: NORTHSE 13608 Exp Date: 09/28/2013
City: Seattle State: WA Zip: 98
144
Phone: (206) 571-2450 Fax: (206) 329-9437
Email:
New Tenant: ® Yes
❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: North Star Electric Inc
Address: 1905 S Jackson Street
City: Seattle State: WA zip: 98144
Phone: (206) 329-1596 Fax:
Contr Reg No.: NORTHSE 13608 Exp Date: 09/28/2013
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 20,000
Scope of Work (please provide detailed information): Install new power and lighting for a new office space in an
existing building (tenant improvement). Remove T12 troffers, install new T8 office lights, occupancy sensors,
emergency and exit signs, power outlets and power to exhaust fans.
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes ® No
Type of Use: General office space
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served bv:
go Puget Sound Energy 0 Seattle City Light
H:\ApplicationsWortns-Applicattons On Line \2013 Appltcations\Electncal Permit Application Revised 7-I-13.docx
Revised: July 2013
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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
O Service change or alteration $81.90
(no added/altered circuits)
O 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date:
6/A1//
Day Telephone: c9-06) 5-7 / '` .1 50
law 5. Ta,e-A-5 a,-.) S- &-rr-.6 wti gel 1./y
H:Vtpplications\Forms-Applications On Line\2013 ApplicationslElectrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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City State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-43 1-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
Parcel No.: 0223200052
Address: 411 STRANDER BL TUKW
Suite No:
Applicant: DENTAL CONFERENCE AREA
RECEIPT
Permit Number: EL13-0815
Status: APPROVED
Applied Date: 08/27/2013
Issue Date:
Receipt No.: R13-02486
Initials:
User ID:
WER
1655
Payment Amount: $448.80
Payment Date: 08/27/2013 03:02 PM
Balance: $0.00
Payee: ROB KINGSLEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 027372
ACCOUNT ITEM LIST:
Description
448.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 448.80
Total: $448.80
,Inr• Rorcint_nR
Printed: 08-27-2013
•
INSPECTION RECORD
Retain a copy with permit tAlf
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
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Date Wanted:
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Phone No:
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COMMENTS:
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[.REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:
Date:
INSP• TION NO.
INSPECTION RECORDQ, �,Ql
Retain a copy with permitIVI
t/�
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
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Type of Inspection: 6 i
Date: 1 (,g (i3
Address:
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Date Called:
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Requester:
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Phone No:
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Approved per applicable codes. IJCorrections required prior to approval.
COMMENTS:
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Date: 1 (,g (i3
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Date: 1 (,g (i3
REINSPECTION FEE REQUIRED. Prior to nex inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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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: ALL, jk. j
Vpe of Inspection: NOV(411
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Date Called:
Special Instructions:
Date Wanted: I
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Requester:.
Phone No:
pproved per applicable codes. EjCorrections required prior to approval.
COMMENTS:
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Inspector:
Date: ({ l z l
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
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Type of Inspection
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Date Called:
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Special Instructions:
Date Wanted:
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Requester:
Phone No:
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Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter. Blvd., Suite 100. Call to schedule. reinspection.
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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
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Date Called:
Special Instructions:
Date Wanted:
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Phone No:
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COMMENTS:
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Date: D7 i
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople ter Friendly Page
•
Electrical Contractor
A business licensed by L&I 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
NORTH STAR ELECTRIC INC
2063291596
1905 S Jackson St
Seattle
WA
98144
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601034594
Active
NORTHSE13608
Electrical Contractor
9/28/1987
9/28/2015
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
NORTHSE193LS
NORTH STAR
ELECTRIC
Electrical
Contractor
General
Unused
6/10/1981
3/31/1989
Archived
Electrical Administrator INFORMATION
License OSTERDS193JP
Name OSTERGAARD, DOUGLAS S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
FREDERICKS, DOLORES
Violation Amount
01/01/1980
1/16/2009
OSTERGAARD, DOUGLAS
Member
01/01/1980
$250.00
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
5
TRAVELERS
CAS/SURETY CO OF
AME
206085610
05/20/2001
Until Cancelled
$4,000.00
04/02/2001
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
ESLOD00275
1/16/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESLOD00276
1/16/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBRIC01866
12/3/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECERM00570
11/1/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx 08/27/2013