HomeMy WebLinkAboutPermit EL15-0192 - WALGREENS INFUSION & RESPIRATORY - RECEPTACLEWALGREENS INFUSION
& RESPIRATORY
13035 GATEWAY DR
SUITE 131
EL15-0192
Parcel No:
Address
Citv 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
0004800015 Permit Number: EL15-0192
13035 GATEWAY DR 131 Issue Date: 2/26/2015
Permit Expires On: 8/25/2015
Project Name: WALGREENS INFUSION & RESPIRATO
Owner:
Name:
EPROPERTY TAX INC DEPT #207
Address:
PO BOX 4900, SCOTTSDALE, IL, 85261
Contact Person:
Name:
JEFF GRIFFIN
Address:
22 GATEWAY COMMERCE DR W #110,
EDWARDSVILLE, IL, 62025
Contractor:
Name:
SME INC OF SEATTLE
Address:
828 POPLAR PL S , SEATTLE, WA,
98144-2828
License No:
SMEINS*066DB
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL (1) RECEPTACLE IN ATS121
Phone: (618) 979-4168
Phone: (206) 329-2040
Expiration Date:
Valuation of single family: $0.00 Fees Collected: $72.77
Valuation of mf/comm: $338.00
Type of Work: TENANT IMP 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:
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
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 ermit.
Signature: Date: 6
Print Name:
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 TUMILS
J�N�V1; k
o ' '"I.
Community Development Department
E
Permit Center
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`
6300 Southcenter Blvd., Suite 100
19`08
Tukwila, WA 98188
http://www. ci. tkwila. wa. us
SITE LOCATION
Electrical Permit No. '1,---L /-!�— 6 /%,-2"
Project No.
(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.. 0004800015
Site Address: 13035 GATEWAY DR Suite Number: 131 Floor:
Tenant Name: WALGREENS INFUSION & RESPIRATOR New Tenant: ❑ .....Yes a.No
Property Owners Name: EPROPERTY TAX INC DEPT #207
Mailing Address: PO BOX 4900 SCOTTSDALE, IL 85261
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: JEFF GRIFFIN Day Telephone: 618-979-4168
Mailing Address: 22 GATEWAY COMMERCE DR W #110 EDWARDSVILLE, IL 62025
City State Zip
E-Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SME INC OF SEATTLE
Mailing Address: 828 POPLAR PLACE S SEATTLE, WA 98144
City State Zip
Contact Person: BILL TRULOCK Day Telephone: 206-391-6835
E-Mail Address: LYNETTES@SMEINCOFSEATTLE.COM Fax Number: 206-726-8160
Contractor Registration Number: SMEINS*066DB Expiration Date: 03/2016
Valuation of Project (contractor's bid price): $ 338
Scope of Work (please provide detailed information): INSTALL (1) RECEPTACLE IN ATS121
Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy
❑ Seattle City Light
❑ Service Change ❑ Remodel
❑ Fire Alarm ❑ Telecommunication
IN Tenant Improvement
❑ Temporary Service
H:\Applications\Forms-Applications On Line\I-2009 -Electrical Permit Application.doc Page t of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ................................... $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings ........................$78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) ................................ $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑
Service change or alteration ......................................
$78.00
(no added/altered circuits)
❑
Service change with added/altered circuits .................
$78.00
number of added circuits .......................
$11.00 ea
❑
Circuits added/altered without service change ...........
$52.00
(up to 5 circuits)
❑
Circuits added/altered without service change ...........
$52.00
(6 or more circuits) ...............................................
$7.30 ea
❑
Meter/mast repair .......................................................
$65.00
❑
Low voltage systems .................................................
$57.00
(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) ................................. $60.00
❑ Temporary service (generator) ................................... $75.00
❑ Manufactured/mobile home service ........................... $80.00
(excluding garage or outbuilding)
❑ Carnivals.................................................................... $75.00
Number of concessions ......................... $10.00 ea
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:e;-�'�
Mailing Address: 42gL / Off/ /�' j��"'z 0z' U ' may/ � X- %/_ % 2zs/f�/
City State Zip
I Date Application Accepted: Date Application Expires: Staff Initials:
H:\Applications\Fortes-Applications On Line\1-2009 - Electrical Permit Application.doc Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$72.77
EL15-0192 Address: 13035 GATEWAY DR 131
Apn: 0004800015
$72.77
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$69.30
TECHNOLOGY FEE
$3.47
TECHNOLOGY FEE
TOTALPAID . • 1
R000.322.900.04.00 0.00
$3.47
Date Paid: Thursday, February 26, 2015
Paid By: SME INC OF SEATTLE
Pay Method: CHECK 23717
Printed: Thursday, February 26, 2015 12:45 PM 1 of 1
CRWSYS7EMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 431-3670
Permit InspeVon Request Line (206) 438-9350
Project- Type of Inspecti
Address.-
Date Called:
Special Instructions.
Date Wanteif.
p.m.
Requester,
Pg;ne No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
S M E INC OF SEATTLE
Page I of 4
Home Iriicio on 133paflol Contact.
Safety
4104 Washington State Department of
ki Labor & Industries
S M E INC OF SEATTLE
Owner or tradesperson
MARVICH, STEPHEN E
Principals
MARVICH, STEPHEN E
PINSKY, ADAM A
BAKER, JON T, AGENT
Doing business as
S M E INC OF SEATTLE
A-6Index Help My Sector. L&t
Claims & Insurance Workplace Rights Trades & Licensing
828 POPLAR PL S
SEATTLE, WA98144
206-329-2040
KING County
WA UBI No. Business type
601 524 252 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.
SMEINS*066DB
Effective — expiration
03/02/1994— 03/02/2016
Des ignated, administrator
Active.
MARVICH, STEPHEN E
Meets current requirements.
License type
License no.
Master Electrician
MARVISE962JG
Bond
................
CBIC
$4,000.00
Bond account no.
636702
Effective date
03/02/1994
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
.........................................................
Infraction no.
ECOXE00840
Satisfied
.....................
Issue date
RCW/WAC
06/21/2013
19.28.271 RCW
Violation city
Violation amount
Seattle
$250.00
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601524252&LIC=SMEINS*066DB&SAW= 02/26/2015