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Home My WebLink AboutPermit EL13-1194 - GROUP HEALTH - REMODELGROUP HEALTH 12400 EAST MARGINAL WY S EL13-1 194 Parcel No: Address: y City of Tukwila Department of Community Development =O 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 7340600480 Permit Number: 12400 E MARGINAL WAY 5 Issue Date: Permit Expires On: Project Name: GROUP HEALTH EL13-1194 11/22/2013 5/21/2014 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 JOE SCHULER 13301 SE 26 ST, BELLEVUE, WA, 98005 PRIME ELECTRIC INC 13301 SE 26 ST, BELLEVUE, WA, 98005 PRIMEEI134BT Phone: (425) 864-5771 Phone: (425) 747-5200 Expiration Date: 1/30/2015 DESCRIPTION OF WORK: RELOCATE FURNITURE POWER, RELOCATE POWER POLES, AND MOVE LIGHT SWITCHES. Valuation of single family: $0.00 Valuation of mf/comm: $2,749.00 Type of Work: REMODEL Fees Collected: $140.20 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: Date: 1 d 21113 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 regulat'ng construction or t ,•J.erformance of work. I am authorized to sign and obtain this development permit . d • •ree • t e cons Ans attached to this permit. i Signature: _ ox Date: //- Z - -/3 Print Name: (.H/r-(S S7Qb7 1 72 S 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 TUKWI1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. Tukwi la W A. gov Electrical Permit No. Project No. Date Application Accepted:•-. Date Application Expires: (Far 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.: i j-1 C(l) 0 V Iett% Site Address: 12400 East Marginal Way South Tenant Name: Group Health Suite Number: C123 Floor: 2st PROPERTY OWNER Name: Joe Schuler Name: Group Health Address: 13301 SE 26th St Address: 320 Westlake Ave N Suite 100 City: Bellevue State: WA City: Seattle State: WA Zip: 98109 CONTACT PERSON -- person receiving all project communication Name: Joe Schuler Address: 13301 SE 26TH ST Address: 13301 SE 26th St Phone: (425) 747-5200 Fax: City: Bellevue State: WA Zip: 98005 Phone:(425) 864-5771 Fax: Email: New Tenant: ❑ Yes ❑✓ .. No 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): $ 2,749 Scope of Work (please provide detailed information): See attached scope .+ZC.LJC9i►nt 6 �UPGAM ? -g ?el- OL 5 MrntC cigt-f- st._.i-xtt -s Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes ❑✓ No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change Z Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy El Seattle City Light H \Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-1 3.docx Revised: July 2013 bh ❑ Tenant Improvement 0 Temporary Service 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 OWNER OR ECT', CAL CONTRACTOR: Signature: Date: 11/22/2013 Print Name: Joe Schuler his 5-rgo- Lig Day Telephone: (425) 460-4651 Mailing Address: 13301 SE 26th Street Bellevue, WA 98005 City H:\Appltcations\Forms-Applications On Lme\2013 Applications\Elecmcal Permit Application Revised 7-I-13.docx Revised: July 2013 bh State Zip Page 2 of 2 Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK IACCOUNT I QUANTITY I PAID $140.20 EL13-1194 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $140.20 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R176 R000.322.101.00.00 $140.20 $140.20 Date Paid: Friday, November 22, 2013 Paid By: PRIME ELECTRIC, INC. Pay Method: CHECK 19315 Printed: Friday, November 22, 2013 12:58 PM 1 of 1 clw5YSTEMS INSPECTION NO. INSPECTION RECORD Retain .a copy with permit 63 (i 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: 6g.tiuP tkikvti- Type of Inspection: ,-A V Address: e 104A- Date Called: Special Instructions:. . • 1z LI 5 tOV. Date Wanted: a 11 Requester: t04) Phone No: NS -3 477 71V/ t Approved per applicable codes. • LJ Corrections required prior to approval. COMMENTS:. s Inspector: Date: ( (Ii 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 Pr r Friendly Page 1 Electrical Contractor A business licensed by LEI 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 5 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 $4,000.0001/30/2011 $100.00 3 INS CO OF THE WEST 1200697 01/30/1992 Until Cancelled 01/30/2011 EHAGR00280 $4,000.00 WAC 296-46B-901(15) 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 5250.00 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 EMOMJ00411 11/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbin/Print.asnx 11/22/2013