HomeMy WebLinkAboutPermit EL14-1122 - AMERICAN MEDICAL RESPONSE - RECEPTACLES REPLACEMENTAMERICAN MEDICAL
RESPONSE
13075 GATEWAY DR
EXPIRED
05/19/15
EL14-1 122
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
0004800010
13075 GATEWAY DR 100
Project Name: AMERICAN MEDICAL RESPONSE
Permit Number: EL14-1122
Issue Date: 11/17/2014
Permit Expires On: 5/16/2015
Owner:
Name:
Address:
Contact Person:
Name:
GATEWAY BLDG 10 LLC
2829 RUCKER AVE STE 100 C/0 COAST
REAL ESTATE SVCS, EVERETT, WA,
98201
MARK MAUER
Address: 13075 GATEWAY DR , TUKWILA, WA,
98168
Contractor:
Name: SEATAC ELECTRIC INC
Address: 7056 S 220TH ST , KENT, WA, 98032-
1910
Phone: (206) 444-4568
Phone: (253) 872-5553
License No: SEATAEI077RW Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
DEMO AND REPLACE (10) EXISTING 30 AMP SINGLE PHASE 0/5 RECEPTACLES
Valuation of single family: $0.00
Valuation of mf/comm: $1,500.00
Type of Work: REMODEL
Fees Collected: $124.53
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA 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:
Permit Center Authorized Signature: //
2012
2012
2012
2012
UU\
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Date:
2012
2014
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:
Date:
/ Aiy
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. l 22,
Project No.
Date Application Accepted: �, Ili �, C I
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
n King Co Assessor's Tax No.: ODC V ti 0010
I
Site Address: d 30.75 �a t°1.�%Ql f %/ 9� 9 Suite Number: Floor:
Tenant Name: /t7 ) C 4�-�ru/ri d IZG ! ge572 ice..) New Tenant: ❑ Yes I No
PROPERTY OWNER
Name: 1R.
Address: `1 )075
(� /a
wt, y Dr
Cityl
tJI. t JI` f/,
State:/ (A/6
Zip: f5/ //i
/X
CONTACT PERSON — person receiving all project
communication
Name: /j r�1/ (.Aaa,"_
Address: c 1 3v 7 S / ye a ` pr
(
State: Zip: Gl/iw
City: y(f Ylb7
fi Phone: n/ _1i _ 1s-�fFax:
Email: 14L _',m4`J/.. /PET
/ �r/"l
ELECTRICAL CONTRACTOR INFORMATION
Company Name: / '% �l,G74 fit
Address:5`. [) 2- r J C�p if
i
City: Zip: q3v 3 C
ei,14VI STttante: ,fv�'"Z
Phone: (
lam�1
:�p.r Contr Reg No.D oxp Date: j 7_0_
15
Tukwila Business License No.; n / e< q /j 3
Valuation of Project (contractor's bid price): $ LS V
Scope of Work (please provide detailed information): ID-toj/r'1.{) ��(1 �,,r 1-j (� 3�A
lP L ti� O/ Ze6e 1-G o/(10 1
Will service be altered? ❑99 Yes [T No Ad ing afore than 50 amps? ❑ Yes 2/No
Type of Use: (i�e�` 'Vt 5J--4j-to, A/1it llt/?Z e rj
Type of work:
❑ New ❑ Addition ❑ Service Change [Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
g( 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
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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)
O Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
O 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
❑ Temporary service (generator) $80.90
O 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 EACIE
PERMIT WILL BE ASSESSED A 5°/0
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:
Print Name:
Mailing Address: ' l ` Z g ��—
Day Telephone:
City
Date:
2�' 3 5K-
S to Zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14. docx
Revised: January 2014
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
EL14-1122
Address: 13075,GATEWAYDR 100 _
n 0004800010'
$124
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3576
R000.322.900.04.00
0.00
$5.93
$124.53
Date Paid: Monday, November 17, 2014
Paid By: SEATAC ELECTRIC INC
Pay Method: CREDIT CARD 017888
Printed: Monday, November 17, 2014 11:41 AM 1 of 1
?SYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
Project: ' I'
t R,
Type of Inspection:
t
Address: �����1Am t /I
Date Called:
Special Instructions:
Date Wanted:
Ca.m.
Requester:
Phone No:
Approved per applicable codes. F.J Corrections required prior to approval.
COMMENTS:
6)Ab CAN To V ,5 i rrA-6 ✓E
tikr Lo(Pfln4
Inspector:rt _ (ek
Date: (i lab/
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
4/1/2015
MARK MAUER
13075 GATEWAY DR
TUKWILA, WA 98168
RE: Permit No. EL14-1122
AMERICAN MEDICAL RESPONSE
13075 GATEWAY DR, STE 100
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 5/19/2015.
Based on the above, you are hereby advised to:
1) Ca11 the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 5/19/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
--%zd 'T_„L
Bill Rambo
Permit Technician
File No: EL14-1122
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
SEA TAC ELECTRIC INC
Page 1 of 10
Washington State Department of
'Labor & Industries
SEA TAC ELECTRIC INC
Owner or tradesperson
HARGREAVES, TOM
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
BURKS, ROY, VICE PRESIDENT
(End: 12/15/1995)
Doing business as
SEA TAC ELECTRIC INC
WA UBI No.
601 510 212
7056 S 220TH ST
KENT, WA98032
253-872-5553
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993-12/17/2015
Designated administrator
HARGREAVES, TOM
License type
Master Electrician
Bond
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
HARGRT*974CD
DEVELOPERS SURETY & INDEM CO $4,000.00
Bond account no.
798649C
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 11/17/2014