HomeMy WebLinkAboutPermit EL14-1097 - PROVIDENCE HEALTH SERVICES - CIRCUITS DATA RACKSPROVIDENCE
HEALTH SERVICES
3355 S 120 PL
EL14-1097
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: 1023049082
ELECTRICAL OTC PERMIT
Permit Number: EL14-1097
Address: 3355 S 120TH PL BLDG 5 Issue Date: 11/12/2014
Permit Expires On: 5/11/2015
Project Name: PROVIDENCE HEALTH SERVICES
Owner:
Name: SABEY CORPORATION
Address: 4TH FLOOR 12201 TUKWILA INTL
BLVD, SEATTLE, WA, 98168
Contact Person:
Name: KURT PREISSLER Phone: (206) 436-5200
Address: 5614 7 AVE S , SEATTLE, WA, 98108
Contractor:
Name: VECA ELECTRIC COMPANY INC Phone: (206) 436-5200
Address: PO BOX 80467 , SEATTLE, WA, 98108
License No: VECAECI005KD Expiration Date: 11/16/2015
Lender:
Name:
Address:
III
DESCRIPTION OF WORK:
INSTALL (10) NEW CIRCUITS DATA RACKS
Valuation of single family: $0.00
Valuation of mf/comm: $3,500.00
Type of Work: REMODEL
Fees Collected: $169.89
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: 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 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
2012
Permit Center Authorized Signature:
Date: l'll ZI H
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 permi nd agree to the conditionssiattached to this permit.
Signature: 74 C/C
Print Nam $: Ltv[ t! / 1�1` .i9a
Datea(/ 2//y
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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
4: 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.
5: 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.
6: 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 TUKR 4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. t L4
i-\ —
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**
King Co Assessor's Tax No.: 1023049082
Site Address: 3355 S 120TH ST Suite Number: Floor: 1
Tenant Name: PROVIDENCE HEALTH SERVICES New Tenant: ❑ Yes ® ..No
PROPERTY OWNER
Name: SABEY CORP-INTERGATE EAST-BLD
Address: 12201 TUKWILA INTL BLVD - 4TH FL
City: SEATTLE State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: KURT PREISSLER
Address: 5614 7TH AVE S
City: SEATTLE State: WA Zip: 98108
Phone: (206) 436-5200 Fax: (206) 763-0505
Email:
ELECTRICAL[ CONTRACTOR INFORMATION
Company Name: VECA ELECTRIC CO. INC.
Address: 5614 7TH AVE S
City: SEATTLE State: WA Zip: 98108
Phone: (206) 436-5200 Fax: (206) 763-0505
Contr Reg No.: VECAECI005 Exp Date: 11/16/2013
Tukwila Business License No.; BUS-0992751
Valuation of Project (contractor's bid price): $ 3,500
Scope of Work (please provide detailed information): VECA JOB #815421
INSTALL (10) NEW CIRCUITS TO DATA RACKS
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes m No
Type of Use: COMMERCIAL
Type of work:
❑ New ❑ Addition ❑ Service Change ® Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service
Property Served by:
2 Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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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
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 0 ER 01 ECTRI AL CO RACTO :
Signature: A, Cc / //_ /t`-� Date: 10/14/2014
Print Nam: ��' Li 0 Ci/ , bga—tay Telephone: (206) 696-7454
Mailing Address: 5614 7TH AVE S SEATTLE WA 98108
City
State Zip
H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
169.89"
EL14-1097 Address: 3355 S 120TH PL.BLDG 5 Apn: 1023049082
$169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3534
R000.322.101.00.00
R000.322.900.04.00
0.00
0.00
$161.80
$8.09
$8.09
$169.89
Date Paid: Wednesday, November 12, 2014
Paid By: VECA ELECTRIC COMPANY INC
Pay Method: CHECK 2240
Printed: Wednesday, November 12, 2014 12:02 1 of 1
PM
CTIWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION Na PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ' . -, '
rt‘PAD6Nia
Type ollospection:
11/41../
Address: 1.K.5- ac.) a .
Date Called:
Special Instructions:
Date Wanted:
a..ro..
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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f-..... Inspector: -0" -
E
Date: 4a, 4/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
VECA ELECTRIC COMPANY ITT
Page 1 of 5
Washington State Department of
Labor & industries
VECA ELECTRIC COMPANY INC
Owner or tradesperson
FAIRBANKS, THOMAS M
Principals
FAIRBANKS, THOMAS M
JUTTA HOOD
JUTTA HOOD
Doing business as
VECA ELECTRIC COMPANY INC
WA UBi No.
601 190 731
5614 7TH AVE SOUTH
SEATTLE, WA98108-0467
206-436-5200
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
VECAECI005KD
Effective — expiration
05/04/2000— 11/16/2015
Bond
WESTERN SURETY CO
Bond account no.
929421600
Received by L&I
05/07/2007
Insurance
Zurich American Ins Co
Policy no.
GLA373915403
Received by L&I
11/25/2013
Active.
Meets current requirements.
$12,000.00
Effective date
05/01/2007
Expiration date
Until Canceled
$1,000,000.00
Effective date
12/01/2013
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601190731&LIC=VECAECI005KD&SAW= 11/12/2014