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Home My WebLink AboutPermit EL15-0124 - PROVIDENCE HEALTH AND SERVICES - THERMOSTATS RELOCATIONPROVIDENCE HEALTH AND SERVICES 281IS102 ND STe #200 EL15-0124 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.Rov ELECTRICAL OTC PERMIT Parcel No: 0423049190 Permit Number: EL15-0124 Address: 2811 S 102ND ST 200 Issue Date: 2/9/2015 Permit Expires On: 8/8/2015 Project Name: PROVIDENCE HEALTH AND SERVICES Owner: Name: SABEY CORPORATION Address: FOURTH FLOOR 12201 TUKWILA INTERNT BLVD, SEATTLE, WA, 98168 Contact Person: Name: RICK WORLEY Phone: (206) 255-4742 Address: 5300 DENVER AVE S , SEATTLE, WA, 98108 Contractor: Name: LONG BUILDING TECHNOLOGIES INC Phone: (303) 975-2100 Address: 5001 ZUNI ST, LITTLETON, CO, 80120 License No: LONGBBT869QL Expiration Date: 12/15/2016 Lender: Name: Address: DESCRIPTION OF WORK: MOVE 25 THERMOSTATS Valuation of single family: $0.00 Fees Collected: $322.56 Valuation of mf/comm: $11,287.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 c Permit Center Authorized Signature: Date: 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. Sign Date: 'D' `` 57 1-- Print Name: a � C' OC— 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 TUKW. Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Rov SITE LOCATION Electrical Permit No. E L 4 " a f-.11 Project No. Date Application Accepted: Date Application Expires: use 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.: Site Address: a S-! 1 sC'y+-I-A 1 02 1 Suite Number: Floor:_ a S Tenant Name: R vE r `iro4 4- "fie-,- k :1, L,-( New Tenant: ❑ ..... Yes 1>3�. No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: / w o r` Address: S 3 0 0 � -1 V er V 5 City.. State: Zip: $JOa Phone: 2O G- 2 C S �{7 Fax: �4 �, �z8, 4 $2 Email: W ar- (0— I Gc1 LOYrI ELECTRICAL CONTRACTOR INFORMATION Company Name: L o w Address: S 3 U 0 -6t-_ (i C-2 V- S City: S Cy -�f /e- State: Zip. �1 Phone: 20 �- 3 a8--1 73a Fax: 2 0 6--3.28---o &27 Contr Reg No.: �Oc� �t Exp Date: G8 Ia-3f-rS [Tukwila Business License No.; 13c) S os qC/ a S3 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 0 1Oye- 2 Will service be altered? ❑ Yes � No Type of Use: Tvne of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy p Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApphcationsElectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes 5�[ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) PERMIT APPLICATION NOTES - 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*** 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. Date: Print Name: 4 \ ` C) r Day Telephone: 206 - :2 6-5- '-/ 7 ya Mailing Address: D3 CJ ::DeylV c-tJ = 5 se4-ifle. City State Zip H:\Applications\Forms-Applications On Line\2014 Apphcations0ccuical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $322.56 EL15-0124 Address: 2811 S 102ND ST 200 Apn: 0423049190 $322.56 ELECTRICAL $307.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $307.20 TECHNOLOGY FEE $15.36 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4498 R000.322.900.04.00 0.00 $15.36 $322.56 Date Paid: Monday, February 09, 2015 Paid By: RICK WORLEYLONG BUILDING TECHN Pay Method: CREDIT CARD 009551 Printed: Monday, February 09, 2015 2:55 PM 1 of 1 SYSTEMS INSPECTION RECORD &,,r Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., d100, Tukwila, WA 98188 (206) 431 Permit Inspection Request Line (206) 438-9350 Project: # Type of nspect n: Tess:f Date ZMIe ; Instructims. 'IPhone Date Wanted: a P.M. equester: o: RIAPProved per applicable codes. 0 Corrections required prior to approval. 3 I nspector Date: REINSPEOnOlk FEE REQUIRED. Prior to next inspection: fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. LONG BUILDING TEC1 NOLOG' TNC Page 1 of 2 Herne Lzit;io en I;spaiiol Contact. Search L&I A-ZIndex Help My secureL&I Safety Claims & Insurance Workplace Rights Trades & Licensing LONG BUILDING TECHNOLOGIES INC Owner or tradesperson balent, mark a Principals balent, mark a, PRESIDENT WILKINSON, GEORGE DOUGLAS, VICE PRESIDENT HANSEN, STEVEN MATTHEW, VICE PRESIDENT JOHNSON, WAYNE A, VICE PRESIDENT LONG, JEFFERY C, VICE PRESIDENT Doing business as LONG BUILDING TECHNOLOGIES INC 5001 S ZUNI ST LITTLETON, C080120 303-976-2100 WA UBI No, Business type 603 434 121 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ........................ Meets current requirements. License specialties GENERAL License no. LONGBBT869QL Effective — expiration 12/15/2014-12/15/2016 Bond Hartford Fire Ins Co $12,000.00 Bond account no. 34BSBGW3550 Received by L&I Effective date 11 /10/2014 10/29/2014 Expiration date Until Canceled Insurance ....................... National Fire Ins of Hartford $1,000,000.00 Policy no. 4021089199 Received by L&I Effective date 11/10/2014 05/01/2014 Expiration date 05/0112015 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ii___--- 1..: -- _./., ./Tl a a ..,......7TTDT-4i-V)AlA171 P.T TO—T P.QA %IT— Al) ma/7nic