HomeMy WebLinkAboutPermit EL15-0128 - PROVIDENCE HEALTH & SERVICES - LIGHTING AND POWER FOR OFFICESPROVIDENCE HEALTH &
SERVICES
2811S102NDST #200
EL15-0128
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 PERMIT
Parcel No: 0423049190 Permit Number: EL15-0128
Address: 2811 S 102ND ST 200 Issue Date: 3/16/2015
Permit Expires On: 9/12/2015
Project Name: PROVIDENCE HEALTH & SERVICES
Owner:
Name: SABEY CORPORATION
Address:
FOURTH FLOOR 12201 TUKWILA
INTERNT BLVD, SEATTLE, WA, 98168
Contact Person:
Name:
JUSTIN BRANSON
Address:
18133 NE 68 ST STE D-120 ,
REDMOND, WA, 98052
Contractor:
Name:
PRIDE ELECTRIC INC
Address:
3984 150 AV NE, REDMOND, WA,
98052
License No:
PRIDEEI077DR
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Valuation of single family: $0.00
Valuation of mf/comm: $125,500.00
Type of Work: TENANT IMP
Phone: (425) 736-2407
Phone: (425) 454-3665
Expiration Date: 3/19/2015
Fees Collected: $2,547.42
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
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 a Pree to the conditions attached to this permit. ?
oe
Signature: Date:
Print Name: I e!
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://w1kw.TukwilaWA.eov
Electrical Permit No. L —,Q V
Project No.
Date Application Accepted: —L.--
Date Application Expires: i
(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
King Co Assessor's Tax No.:
Site Address: 2811 SOUTH 102ND STREET Suite Number: Floor: 2
Tenant Name: PROVIDENCE New Tenant: X....Yes ❑..No
PROPERTY OWNER
Name: SABEY CORPORATION
Address: 12201 TUKWILA INTL BLVD
City: SEATTLE State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: JUSTIN BRANSON
Address: 18133 NE 68TH ST D-120
City: REDMOND State: WA Zip: 98052
Phone: (425) 736-2407 Fax:
Email:
or Y'►,o�2 ��rL� . w
V
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PRIDE ELECTRIC
Address: 18133 NE 68TH ST D-120
City: REDMOND State: WA Zip: 98052
Phone: (425) 736-2407 Fax:
Contr Reg No.: PRIDEEI077DR Exp Date: 03/09/2015
Tukwila Business License No.; Bv, S - I j i ? 3
Valuation of Project (contractor's bid price): $ 125,500
Scope of work pleaseprovide detailed information): NEW LIGHTING, OFFICES, AND WORKSTATION POWEF
Will service be altered? ❑ Yes m No
Type of Use:
Tempe of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ® Seattle City Light
HAApplicationsWorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.doc-
Revised: January 2014
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Adding more than 50 amps? ❑ Yes W1 No
❑ Remodel m 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)
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
***1:1::FECC'I'JVE J NU RY I , 2014 EACH
PERMU WILL ICE ASSESSED A 5%
TEC; ...INOLC)(W 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
�
Signature: t6 ra--n Date: — U
2 /
Print Name: o) �-S t h ,n✓fir `s �' Day Telephone: 4a � ?3 b c) y U
Mailing Address: r (� (� 1"�'✓7/ W/"' 0V ra
City State Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
INSPECTION RECORD
Retain a copy with permit
INSPI�tTION NO. 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. --Pr46X1w)0\kt
Typi� of inspection:
Address'. 5 . IC)2 Sl
Date Called:
Special Instructions:
Date wantid&--G— 'M
p.m.
Requester:
Pfione No:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection,
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) 438-9350
Project: V0Jj1)614t '
Type of Tn_s_p_eet1Vn,
Address. e/02
Date Called:
L
Special Instructions:
Date Wanted: 9 7 a
Requester.
PTone No- 6241
11 Approved per applicable codes. 4 Corrections required prior to approval.
COMMENTS:
4
- ----------
V-)
V
LQ
gjg,.v(r\/(4"C-
60AW-YN
I
.4--
,Inspector__�/,,J,
REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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) 438-9350
Project'.
Ka V41 r
"�64
Type of Inspection:
Address: �5
Date Called:
Tp-ecial Instructions: ZJ
Date Wanted: A4
Requestir'
02,6
[:] Approved per applicable codes. 1:1 Corrections required prior to approval.
L_J paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection..
INSPECTION RECORD
Lei
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98189 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type o inspection:
Address.
Date Called:
Special Instructions.
Date Wante<
RicIuester:
Ph —one No:.
0 Approved per applicable codes. 11 Corrections required prior to approval.
COMMIDWIl's.
L/ buT
bPL(0XA FbAk WSPILI-'r-rllov
r PWOV5
Inspector'. Date: o3
7
Liium rr-r- RE-isuivirw. ri ivi tv tiwAi VW ilsw' arc
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$2,615.67
EL15-0128 Address: 2811 S 102ND ST 200
Apn: 0423049190
$2,547.42
ELECTRICAL
$2,449.44
PLAN CHECK FEE
R000.345.832.00.00
0.00
$489.89
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$1,959.55
TECHNOLOGY FEE
$97.98
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$97.98
EL15-0129 Address: 2811 S 102ND ST 200
Apn: 0423049190
$68.25
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTALr •, 00
R000.322.900.04.00
0.00
$3.25
Date Paid: Tuesday, February 10, 2015
Paid By: PRIDE ELECTRIC INC
Pay Method: CHECK 6820
Printed: Tuesday, February 10, 2015 8:44 AM 1 of 1
PLAN WVIfW/ROUTING SLIP
PERMIT NUMBER: EL15-0128
DATE: 02/10/15
PROJECT NAME: PROVIDENCE HEALTH & SERVICES
SITE ADDRESS: 2811 S 102 ST
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
Building Division Fire Prevention ❑ Planning Division ❑
Public Works ❑ Structural ❑ Permit Coordinator
PRELIMINARY REVIEW: DATE: 02/12/15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 03/12/15
Approved ❑ Approved with Conditions Yr
Corrections Required ❑
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/182013
PRIDE ELECTRIC INC
Page 1 of 3
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PRIDE ELECTRIC INC
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Owner or tradesperson 18133 NE 68TH ST D120
GOAD, CHRISTOPHER J REDMOND, WA98052
425-454-3665
Principals KING County
GOAD, CHRISTOPHER J, PRESIDENT
GOAD, ROBERT L, VICE PRESIDENT
GOAD, KIRK A, SECRETARY
GOAD, CHRISTOPHER J, AGENT
SEELEY, ROBERT M, PRESIDENT
(End: 03/15/2005)
SEELEY, KAROLYN J, SECRETARY
(End: 03/15/2005)
SEELEY, ROBERT M, AGENT
(End: 03/15/2005)
Doing business as
PRIDE ELECTRIC INC
WA UBI No. Business type
601 451 700 Corporation
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.
PRIDEE1077DR
Effective — expiration
03/19/1993— 03/19/2017
Designated administrator
GOAD, CHRISTOPHER J
License type
Master Electrician
Bond
.................
TRAVELERS CAS & SURETY CO
Bond account no.
103366931
Received by L&I
04/01/2005
Active.
Meets current requirements.
License no.
GOAD*CJ955DG
$4,000.00
Effective date
03/17/2005
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601451700&LIC=PRIDEEI077DR&SAW= 3/16/2015