HomeMy WebLinkAboutPermit EL15-0129 - PROVIDENCE HEALTH & SERVICES - CONDUITPROVIDENCE
HEALTH & SERVICES
2811 S 102 ST
SUITE 200
EL15-0129
ON 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: EL15-0129
Address:
2811 S 102ND ST 200
Issue Date: 2/10/2015
Permit Expires On: 8/9/2015
Project Name:
PROVIDENCE HEALTH & SERVICES
Owner:
Name:
SABEY CORPORATION
Address:
FOURTH FLOOR 12201 TUKWILA
INTERN'L BLVD, SEATTLE, WA, 98168
Contact Person:
Name:
JUSTIN BRANSON
Phone: (425) 736-2407
Address:
18133 NE 68 ST STE D-120 ,
REDMOND, WA, 98052
Contractor:
Name:
PRIDE ELECTRIC INC
Phone: (425) 454-3665
Address:
3984 150 AV NE, REDMOND, WA,
98052
License No:
PRIDEE1077DR
Expiration Date: 3/19/2015
Lender:
Name:
Address:
DESCRIPTION OF WORK:
CONDUIT ONLY.
PERMIT EL15-0128 APPLIED FOR AND UNDER REVIEW.
Valuation of single family: $0.00
Fees Collected: $68.25
Valuation of mf/comm: $100.00
Type of Work: TENANT IMP
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 296-46B: 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 agree to the conditions attached to this permit.
Signatur% Date: S
Print Na e: C7--0Pna fit. "&A.4
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 TUKF, A
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htti)://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
]rse
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.:
Q g,- -d
Site Address: A ( l 5, L V Z si D -25rr Suite Number: Floor: 2
Tenant Name: fWy 1 lita-,.l C.JF_ Lie:r_1_ ill New Tenant: [4..... Yes ❑. No
PROPERTY OWNER
Name:
Address:124 -cU 1 l ` 3 v
CityS1-ATTLr State: Zip: 98168
CONTACT PERSON - person receiving all project
communication
Name:
JLtSTIN S Rt
Address: S
City: AA State: �� Zip: EQ
Phone: Fax:
Email�gP Sdt4C3 Piz o ec-_'C,'`IZ.iG, Cw/N
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address: L2.1,33 &t c �£3 1-5-t-
City:. State: Zip:
I�Ntc;3.t> 1rv/J_ ysaSZ
Phone: Fax:
, Z ,�
Contr Reg No. F21 Y6C-,-a77 Exp Date:? 1�
Tukwila Business License No. .
69�4�3s
Valuation of Project (contractor's bid price): $ a! J-06Q
Scope of Work (please provide detailed information): QQN 0a t'1— 6MLy
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy F'za" Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicatioosTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes �3 No
❑ Remodel 0 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Date: %/lU l 5-
Print Name: QU pud_y t=(A [GU M'- Day Telephone:
Mailing Address: «1.3J' IV C to Li 7-�-( S-r D R Its %.V y✓/J 9,9(j 5 2—
City State Zip
H:\Applications\Forms-Applications On Line\2014 Apphcations0ectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
QUANTITY
• 1
$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
TOTAL11
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
''�y r- -�_WsysreMs
2- ----1 INSPECTION RECORD 64 �� (7,7
Retain a copy with permit I C, - ) ------ -
INSPECTION NO. PERMIT NO. T
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 436-9350 1
Project:
Type of In5e
7kddress-. 2�4 I J - �07-5-r
Date Called:
Special Instructions'.
Date Wanted,
Requester:
PR-neNo:
E] Approved per applicable codes. 1-1 Corrections required prior to approval.
M
COMMENTS.
do
Inspector : Date:
03/(Y�
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 permitl e7 0 1
INSPECTION NO. TZKOT No•7-
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
1:1 Approved per applicable codes. 1:1 Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Galt to schedule reinspection.
PRIDE ELECTRIC INC Page 1 of 3
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PRIDE ELECTRIC INC
Owner or tradesperson
GOAD, CHRISTOPHER J
Principals
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
18133 NE 68TH ST D120
REDMOND, WA98052
425-454-3665
KING County
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— 03/19/2015
Designated administrator
Active.
GOAD, CHRISTOPHER J
Meets current requirements.
License type
License no.
Master Electrician
GOAD*CJ955DG
Bond
...............
TRAVELERS CAS & SURETY CO
$4,000.00
Bond account no.
103366931
Received by L&I
Effective date
04/01/2005
03/17/2005
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
.............................I-- ..................
Infraction no.
ELYOD00260 Satisfied
........._......
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601451700&LIC=PRIDEE1077DR&SAW= 02/10/2015