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Home My WebLink AboutPermit EL13-1187 - GROUP HEALTH - REMODELGROUP HEALTH 12400 EAST MARGINAL WY S EL13-1 187 Parcel No: Address: • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 7340600480 Permit Number: 12400 E MARGINAL WAY S Issue Date: Permit Expires On: Project Name: GROUP HEALTH EL13-1187 11/21/2013 5/20/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: ANNE ARUNDEL APARTMENTS LLC PO BOX 6493 , CHICAGO, WA, 60606 TIM WARD 13301 SE 26 ST , BELLEVUE, WA, 98005 PRIME ELECTRIC INC 13301 SE 26 ST, BELLEVUE, WA, 98005 PRIMEEI134BT Phone: (206) 901-6688 Phone: (425) 747-5200 Expiration Date: 1/30/2015 DESCRIPTION OF WORK: INSTALL (3) NEW FOURPLEX RECEPTACLES AND CONNECT THEM TO EXISTING GENERAL PURPOSE RECEPTACLE CIRCUITS. ALSO INSTALL (3) ROUGH -IN ONLY OPENINGS FOR FUTURE DATA CABLING INSTALLATION (BY OTHERS) Valuation of single family: $0.00 Valuation of mf/comm: $875.00 Type of Work: REMODEL Fees Collected: $95.10 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer Distric: TUKWILA SEWER SERVICE,VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: kQkC 9—'K. Date: [ k-2-1-( • • I hearby 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 the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 1 I — a i - 1.3 iN,L\ 2 n vsi rJ This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. 0--13--- 11, Q 7 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: 12400 East Marginal Way South Tenant Name: Group Health King Co Assessor's Tax No.: Suite Number: C123 Floor: 1St New Tenant: ❑ Yes ❑✓ ..No PROPERTY OWNER Name: Tim Ward Name: Group Health City: BELLEVUE State: WA Zip: 98005 Address: 320 Westlake Ave N Suite 100 Contr Reg No.: PRIMEEI134BT Exp Date: 01/30/2015 City: Seattle State: WA Zip: 98109 CONTACT PERSON — person receiving all project communication Name: Tim Ward Address: 13301 SE 26TH ST City: BELLEVUE State: WA Zip: 98005 Address: On -Site Contr Reg No.: PRIMEEI134BT Exp Date: 01/30/2015 Tukwila Business License No.; BUS -0992997 City: State: Zip: Phone: (206) 901-6688 Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: PRIME ELECTRIC Address: 13301 SE 26TH ST City: BELLEVUE State: WA Zip: 98005 Phone: (425) 747-5200 Fax: Contr Reg No.: PRIMEEI134BT Exp Date: 01/30/2015 Tukwila Business License No.; BUS -0992997 Valuation of Project (contractor's bid price): $ 875 Scope of Work (please provide detailed information): Install (3) new fourplex receptacles and connect them to existing general purpose receptacle circuits. Also install (3) rough -in only openings for future data cabling installation (by others) Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes ❑✓ No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change Z Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy ❑✓ Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electncal Permit Application Revised 7-I-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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, fumace 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:"0e Schuler Date: 11/19/2013 Day Telephone: (425) 460-4651 Mailing Address: 13301 SE 26th Street Bellevue, WA 98005 City H:\Applications\Forms-Applications On Line12013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $95.10 EL13-1187 Address: 12400 E MARGINAL WAY 5 Apn: 7340600480 $95.10 ELECTRICAL $95.10 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R157 R000.322.101.00.00 $95.10 $95.10 Date Paid: Thursday, November 21, 2013 Paid By: PRIME ELECTRIC INC Pay Method: CHECK 19310 Printed: Thursday, November 21, 2013 8:55 AM 1 of 1 - CRWSYSTEMS INSPECTION NO. INSPECTION RECORD: Retain a copy with permit 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: ciwpType of Inspection: Address: 6Date IMO° 4.41A Called: Special Instructions: 112,c3‘4 t / 110 Date Wanted: iiieiri a.r Requester: irl Phone No: 2-4°4 QD 1 640 a Approved per applicable codes. Corrections required prior to approval. COMMENTS: At Inspector: Date: (� 1,5 3 n REINSPECTION FEE REQUIRED. Prior :to -next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by Lid 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 PRIME ELECTRIC INC 4257475200 13301 Se 26Th St Bellevue WA 98005 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601004783 Active PRIMEEI134BT Electrical Contractor 1/30/1987 1/30/2015 General Unused Master Electrician INFORMATION License WOODEDT970K8 Name WOODEY, DAVE T Status Active Business Owner Information Name Role Effective Date Expiration Date REICHANADTER, ERIC President 05/26/2011 Bond Amount BROBERG, MICHAEL S Secretary 05/26/2011 0128653 TYRELL, WAYNE Agent 01/01/1980 05/26/2011 TYRRELL, WAYNE F Member 01/01/1980 05/26/2011 TYRELL, NANCY Member 01/01/1980 05/26/2011 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 4 Berkley Regional Ins 0128653 01/30/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 01/30/2011 3 INS CO OF THE WEST 1200697 01/30/1992 Until Cancelled 01/30/2011 ESHA000492 $4,000.00 19.28.271 RCW 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 EHOUD00390 1/6/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMOMJ00411 11/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EROMA00845 5/17/2013 19.28.101 RCW ELECTRICAL CITATION Satisfied $100.00 ESHA000492 9/2/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EHAGR00280 1/14/2009 WAC 296-46B-901(15) ELECTRICAL CITATION Satisfied $250.00 EHAGR00281 1/14/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 11/21/2013