HomeMy WebLinkAboutPermit EL14-0603 - GROUP HEALTH COOPERATIVE - EMERGENCY STANDY GENERATORSGROUP HEALTH
COOPERATIVE
12400 E MARGINAL WAY S
EL1 4- 0603
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
7340600480
12400 E MARGINAL WAY S
Project Name: GROUP HEALTH COOPERATIVE
Permit Number: EL14-0603
Issue Date: 6/24/2014
Permit Expires On: 12/21/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ANNE ARUNDEL APARTMENTS LLC
PO BOX 6493 C/O EQUITY PROPERTY
TAX GRP, CHICAGO, WA, 60606
JIM LEWIS
5808 S 196 ST , KENT, WA, 98132
PACIFIC POWER GROUP LLC
600 S 56 PL, RIDGEFIELD, WA, 98642
PACIFPG867D7
Phone: (253) 740-0945
Phone: (360) 887-7400
Expiration Date: 3/27/2016
DESCRIPTION OF WORK:
4 HOUR LOAD BANK TEST ON (5) EMERGENCY STANDBY GENERATORS
Valuation of single family: $0.00
Valuation of mf/comm: $6,031.06
Type of Work: GENERATOR
Fees Collected: $229.64
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: TUKWILA SEWER SERVICE,VALLEY VIEW
SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International 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
v�LJV Permit Center Authorized Signature:
Date: Li 1 j+_ 1 U
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
developm t permit and agree to the conditions attached to this permit.
Signatur Date: Jz /iq
Print Name: l Ac N
v
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.
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**
nn n , nr King Co Assessor's Tax No.:
Site Address: I d 4CD E MaV9 Lna O v I S . Suite Number: Floor:
Tenant Name: Cl MEW l 1ert(1.41 C15t i'hV New Tenant: ❑ Yes Er..No
PROPERTY OWNER
1 �`►
Name: C tYOU.• kooA-k `� 1 Cop
Address: �o c2)0v n
City: „ State: I t \ ZipG `/1 4
fli`\t,
CONTACT PERSON — person receiving all project
communication
Name: .\\ v\
1w �\�,�
Address: 6'l
s \("`I „,01
s\
City: \ ni.
State: V3r'
Zip: -I '
Phone:
69, —'
D. ost4
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 1 C.. P v Cly,
�
Address: 1 „oo s . ?1 .
City: � T te\d, State: kii1/4.)A Zip: noi A ,
Phone:c t6. -1 c$ ax: 3 'ICJ c�q bIc
Contr Reg No.: P0.C4 ry,AL,,Exip Date: 3I ), 11 co
1_osct
Tukwila Business License ; f2, BLS 6i76
Valuation of Project (contractor's bid price): $ lP, . � — l Pb
r
Scope of Work (please provide detailed information): �4 ���Y \ YJO.C�
� > Q C� s-�a.% av
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 0 Remodel 0 Tenant Improvement
O Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised: January 2014
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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
❑ 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
***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:
Signatur
Print Name:
Mailing Address:
Ack(Il 3 (*AS
S lqU+-v\�+.
H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.docx
Revised: January 2014
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Day Telephone:
LIJ (-
City
11-1
Ca) 7 s.`?(-7�
Date:
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
ermitTRAI
i4=061
ress:` 12400.
MARGINAL -WA!
406004
292:5i
ELECTRICAL
$292.50
PERMIT FEE MISCELLANEOUS
TOTAL FEES PAID BY RECEIPT: R2754
R000.322.101.00.00
0.00
$292.50
$292.50
Date Paid: Thursday, July 31, 2014
Paid By: AMANDA NOKES
Pay Method: CREDIT CARD 071905
Printed: Thursday, July 31, 2014 2:40 PM 1 of 1
CRWSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$229.64
EL14-0603 Address: 12400 E MARGINAL WAY S Apn: 7340600480
$229.64
ELECTRICAL
$218.70
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$218.70
TECHNOLOGY FEE
$10.94
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2454
R000.322.900.04.00
0.00
$10.94
$229.64
Date Paid: Tuesday, June 24, 2014
Paid By: AMANDA NOKES
Pay Method: CREDIT CARD 026125
Printed: Tuesday, June 24, 2014 10:28 AM 1 of 1
SYSTEMS
z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6411-6603
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: 6 V J n 1 (� 114
�/ i
Type of Inspection: iA
Address:
Date Called:
Special Instructions:
Date Wanted:
VOL_
a.m.
ep'm�
Requester:
Phone No:
LC�J
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
(7441,--
A
Inspector:
REINSPECTION FEE REQUIRED. Prior to
paid at 6300 Southcenter Blvd., Suite 100.
Date: 0Y02,r y
1
next inspection, fee must be
Call to schedule reinspection
•
i
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
64q-01,03
CProject: /n I` `) ( �+
�c�+ t: 'Y' `
Type of Inspection:
Address:
/Poo 64444-
Date Called:
Special Instructions: l
Date Wanted:
4 Z�m.
a.m.
Requester:
Phone No:
26_3
7110 67„fS
Approved per applicable codes. !_ J Corrections required prior to approval.
COMMENTS:
4l
rpt,417
LA-er '6).4)6i
Inspector:
Date: dt /24.-/r, `
t r
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
�0�
--.7(46fvvivei
Date: 11.-)1
Requested By:
Firm/Company:
OFF HOURS INSPECTION
Reimbursement authorization/approval to conduct inspection activities during off hours.
`t Permit Number:
Inspection Information
Project Name:
J.6( NokC
rnkf,r- Gprc)-up
C-fv-cyuLk' FkeoQIAn Crenama,-h1ie
RECEIVED
CITY OP TUicwttA
!JUL 31 201k
1M/
,� 1,�
Contact Name: c aik Q —Q- Phone Number: ?j -14b ()3
PERMIT CENTep
Project Address/Location: ,-(m G. likaACy Lk) C .
Requested Date for Inspection: 71a1Requested Time: l
Special Conditions for Consideration: Y ►()-11n I bad /( UllYtunr qQ '2 - //r(
** Contractor will be charged a minimum for three (3) hour inspection time for
any off -hours inspection work at $97.50 per hour (minimum total of $292.50).
This is to be paid at the time of request. **
The undersigned, as an authorized representative of the above firm, hereby agrees to reimburse the City for its
overtime inspections on the above referenced project. A separate invoice will be issued for all inspection time in
excess of (3) hours.
Signature:
Printed Name:
PnarCta
bYQS
Date: I `J\ L
City Use Only:
Approved: Disapproved: Paid: Receipt No:
Date of Approval/Disapproval: Remarks:
Authorized Reviewer:
H:\Permit Center Forms\Off Hours Inspection.docx
PACIFIC POWER GROUP LLC
Page 1 of 2
C) Washington State Departn►ent of
Labor & Industries
PACIFIC POWER GROUP LLC
Owner or tradesperson
Dawkins, Mark
Principals
Dawkins, Mark, PARTNER/MEMBER
Bunday, Dennis, PARTNER/MEMBER
SW&W Legal Services, AGENT
Doing business as
PACIFIC POWER GROUP LLC
WA UBI No.
602 886 195
600 S 56TH PLACE
RIDGEFIELD, WA 98642
360-887-7400
CLARK County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
PACIFPG867D7
Effective — expiration
03/27/2014— 03/27/2016
Designated administrator
Adsero, Jody R
License type
Electrical Administrator
Bond
Travelers Cas and Surety Co of America
Bond account no.
104893446
Received by L&I
03/27/2014
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
License no.
ADSERJR871 J2
$4,000.00
Effective date
04/10/2009
Expiration date
Until Canceled
https://secure.lni.wa.gov/verify/Detail.aspx?UBI =602886195&LIC=PACIFPG867D7&SAW= 06/24/2014