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Permit EL13-1287 - GROUP HEALTH - REMODEL
GROUP HEALTH 12400 EAST MARGINAL wys EL1 3-1287 • 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.gov Parcel No: 7340600480 Address: ELECTRICAL OTC PERMIT Permit Number: EL13-1287 12400 EAST MARGINAL WAY S Issue Date: 12/16/2013 Permit Expires On: 6/14/2014 Project Name: GROUP HEALTH Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: PO BOX 6493 C/O EQUITY PROPERTY TAX GRP, CHICAGO, WA, 60606 Contact Person: Name: JOHN WILKINSON Address: 13301 SE 26 ST, BELLEVUE, WA, 98005 Phone: (425) 864-2721 Contractor: Name: PRIME ELECTRIC INC Phone: (425) 747-5200 Address: 13301 SE 26 ST, BELLEVUE, WA, 98005 License No: PRIMEEI134BT Expiration Date: 1/30/2015 Lender: Name: Address: //1 DESCRIPTION OF WORK: INSTALL (2) NEW 30A RECEPTACLES Valuation of single family: $0.00 Valuation of mf/comm: $1,256.00 Type of Work: REMODEL Fees Collected: $118.60 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: Permit Center Authorized Signature: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 Date: 2012 2012 2012 • • 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. . (t 7/L ¥- 11,1-50)t/ Date: Q. —J (0-13 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 TUKWILA Community Development Department Permit Center 6300 Sout/Jrentcr Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.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: 12400 EAST MARGINAL WAY S. King Co Assessor's Tax No.: Suite Number: Tenant Name: GROUP HEALTH PROPERTY OWNER Name: GROUP HEALTH Address: 12400 EAST MARGINAL WAY S. City: TUKWILA State: WA Zip: 98168 CONTACT PERSON — person receiving all project , 'communication Name: JOHN WILKINSON Address: City: State: Zip: Phone: (425) 864-2721 Fax: Email: 1 lLD""vV 1 (Jv Floor: New Tenant: 0 Yes ..No ' ELECTRICAL', CONTRACTOR INFORMATION Company Name: PRIME ELECTRIC, INC. 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): $ 1,256 Scope of Work (please provide detailed information): INSTALL (2) NEW 30A RECEPTALES Will service be altered? ❑ Yes 121 No Adding more than 50 amps? ❑ Yes [r No Type of Use: DATA CENTER Type of work: ❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: O Puget Sound Energy � Seattle City Light II:\Applkalions\Ferns-Apphwtwn., On L1ne\2013 Appli,.d ions\Appl o on 14,1.4) 7-I-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 o 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 o 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: 1330 / Sc 2ic70 S�- Date: i2l/2/5 Day Telephone: 174Z $'86 `? S 7 7/ 13eleye c.,Ja 9So©S' 11.\Apphcatiuns\Forms-Appheahuns On Um: \_2013 Apphcut It/MTh-011,d Po nut Apph,t ion R,is.J 7-I-13.Jocx Revised: July 2013 hh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R392 DESCRIPTIONS PermitTRAK PAID $118.60 $118.60 $118.60 $118.60 $118.60 EL13-1287 Address: 12400 EAST MARGINAL WAY 5 Apn; 7340600480 ELECTRICAL PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R392 R000.322.101.00.00 Date Paid: Monday, December 16, 2013 Paid By: PRIME ELECTRIC, INC. Pay Method: CHECK 19319 Printed: Monday, December 16, 2013 7:43 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain 'a copy with permit INSPECTION NO: . 66- 217. .'PERMIT NO.' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 431-2451. Project: 64'P 44,04Alt; Type of,lnspection: Address: 2 Date Called: . Special Instructions: Date Wanted: a.m. Requester: ��� Phone No: Ifx. 21,if VIZI Approved per applicable codes. COMMENTS: Corrections required prior to approval. _ Inspector: f Date: ZI'i 13 n REINSPECTION FEE REQU1RED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite .100. Call to schedule reinspection. PRIME ELECTRIC INC • 0 Washington State Department of Labor & Industries 1 Page 1 of 6 PRIME ELECTRIC INC Owner or tradesperson Reichanadter, Eric Principals Reichanadter, Eric Doing business as PRIME ELECTRIC INC WA UBI No. 601 004 783 13301 SE 26TH ST BELLEVUE, WA98005 425-747-5200 KING, County Business type Corporation Governing persons WAYNETYRELL License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. PRIMEE1134BT Effective — expiration 01/30/1987 — 01/30/2015 Designated administrator WOODEY, DAVE T License type Master Electrician Bond Berkley Regional Ins Co Bond account no. 0128653 Received by L&I 01/30/2011 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. ACTIVE License no. WOODEDT970K8 $4,000.00 Effective date 01/30/2011 httnsi//secure.lni.wa. gov/verify/Detail.asnx?UBI=601004783&LIC=PRIMEEI134BT&SA... 12/16/2013