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HomeMy WebLinkAboutPermit EL14-0156 - MEDICAL CENTERS - UNDERGROUND PIPING AND WIRINGMEDICAL CENTERS LLC 411 STRANDER BLVD EL14-0156 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.gov ELECTRICAL OTC PERMIT 0223200052 411 STRANDER BLVD 1 Project Name: MEDICAL CENTERS LLC Permit Number: EL14-0156 Issue Date: 2/24/2014 Permit Expires On: 8/23/2014 Owner: Name: Address: MEDICAL CENTERS CO LLC 411 STRANDER BLVD STE 108 , TUKWILA, WA, 98188 Contact Person: Name: ROB KINGSLEY Address: 1905 S JACKSON ST, SEATTLE, WA, 98144 Contractor: Name: Address: License No: Lender: Name: Address: NORTH STAR ELECTRIC INC 1905 S JACKSON ST , SEATTLE, WA, 98144 NORTHSE13608 /1/ Phone: (206) 571-2450 Phone: (206) 329-1596 Expiration Date: 9/28/2015 DESCRIPTION OF WORK: INSTALL UNDERGROUND PIPE AND WIRE TO A NEWLY INSTALLED SIGN ON SOUTHEAST CORENR OF THE PARKING LOT. MAKE SIGN CONNECTIONS TO EXISTING LOT LIGHT POWER. Valuation of single family: $0.00 Valuation of mf/comm: $3,000.00 Type of Work: ADDITION Fees Collected: $147.21 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA 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 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: 69/ 0 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 per n}rgand ree to the conditions attached to this permit. Signature: Print Name: Date: —ad1 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 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. EL. / Y 0/56. Project No. Date Application Accepted: d�-oZ. t///5' Date Application Expires: Ci t/off Y//, (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 Blvd Tenant Name: Medical Centers LLC PROPERTY OWNER Name: DR Jerry Baruffi Address: 411 Strander Blvd. City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Rob Kingsley - North Star Electric Address: 1905 S Jackson Street City: Seattle State: WA Zip: 98144 Phone: (206) 571-2450 Fax: (206) 329-9437 Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: North Star Electric Address: 1905 S Jackson St City: Seattle State: WA Zip: 98144 Phone: (206) 329-1596 Fax: (206) 329-9437 Contr Reg No.: NORTHSE136Of Exp Date: 09/28/2015 Tukwila Business License No.; BUS-0994745 Valuation of Project (contractor's bid price): $ 3,000 Scope of Work (please provide detailed information): Install underground pipe and wire to a newly installed sign on South - East corner of the parking lot. Also installing a future water pipe for use by others. Make sign connections to existing lot light power. Will service be altered? ❑ Yes m No Adding more than 50 amps? 0 Yes JJ No Type of use: Medical - office building Type of work: ❑ New 1 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: • Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 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.$5 (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 * * *EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: i1,itiLeb Print Name: ..v/d Mailing Address: / H:Wpplications\Forms-Applications On Line12014 Applications\Electrical Pem» t Application Revised 1-I-14.docx Revised: January 2014 bh . Date: 2— 9 `7' Day Telephone:,D— 32 -j�%Sv City State'WI Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $147.21 EL14-0156 Address: 411 STRANDER BLVD 1 Apn: 0223200052 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1308 R000.322.900.04.00 $7.01 $147.21 Date Paid: Monday, February 24, 2014 Paid By: NORTH STAR ELECTRIC INC Pay Method: CREDIT CARD 024861 Printed: Monday, February 24, 2014 10:12 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO., PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter 8lvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 (1,icf—o4 Project: r�+ r HY 4,04....5 Type of Inspection: A/ Address: ii / i � c/) LI N Date Called: Special Instructions: VGAl Date Wanted: 0 a.m. Requester: :ILA,. �h k©� AtiPhone No: t067Jti Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: o%t/ 1 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 6LtLi, 5-6 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: e NTAS Type of Inspection:41 j' �F"`�"`� Address-. •[ • r I c5T fR � "rjA(c.3 Date Called: :• Special Instructions: Date Wanted: 2 t1�^-a.m . Requester: Phone No: vgApproved per applicable codes. Corrections required prior to approval. COMMENTS: • t Date: oz. 2� ll REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NORTH STAR ELECTRIC INC Page 1 of 3 Washington State Deparhiient of Labor & Industries NORTH STAR ELECTRIC INC Owner or tradesperson FREDERICKS, DOLORES Principals FREDERICKS, DOLORES OSTERGAARD, DOUGLAS Doing business as NORTH STAR ELECTRIC INC WA UBI No. 601 034 594 1905 S JACKSON ST SEATTLE, WA98144 206-329-1596 KING County Business type Corporation Governing persons DOLORESBERGEREFREDERICKS License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. NORTHSE136O8 Effective — expiration 09/28/1987 — 09/28/2015 Designated administrator OSTERGAARD, DOUGLAS S Active. Meets current requirements. ACTIVE License type License no. Electrical Administrator OSTERDS193JP Bond TRAVELERS CAS/SURETY CO OF AME Bond account no. 206085610 $4,000.00 Received by L&I Effective date 04/02/2001 05/20/2001 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601034594&LIC=NORTHSE13608&SAW= 02/24/2014