HomeMy WebLinkAboutPermit EL15-0545 - GROUP HEALTH AMB #2 - 2 HR LOAD BANK TEST OF EMERGENCY STANDBY GENERATORGROUP HEALTH AMB #2
12400 E MARGINAL WAY S
EXPIRED
12112115
EL15-0545
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 I
Parcel No: 7340600480 Permit Number: EL15-0545
Address: 12400 E MARGINAL WAY S Issue Date: 6/15/2015
Permit Expires On: 12/12/2015
Project Name: GROUP HEALTH AMB #2
Owner:
Name:
ANNE ARUNDEL APARTMENTS LLC
Address:
PO BOX 6493 C/O EQUITY PROPERTY
TAX GRP, CHICAGO, WA, 60606
Contact Person:
Name:
AMANDA NOKES
Address:
5808 S 196 ST , KENT, WA, 98032
Contractor:
Name:
PACIFIC POWER GROUP LLC
Address:
600 S 56 PL, RIDGEFIELD, WA, 98642
License No:
PACIFPG867D7
Lender:
Name:
Phone: (253) 395-9077
Phone: (360) 887-7400
Expiration Date: 3/27/2016
Address: "I
,
DESCRIPTION OF WORK:
2 HOUR LOAD BANK TEST OF EMERGENCY STANDBY GENERATOR
Valuation of single family: $0.00 Fees Collected: $68.25
Valuation of mf/comm: $250.00
Type of Work: GENERATOR Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: TUKWILA SEWER SERVICE,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: (, k/lJ .- J " � Date: �` - (5—
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. Date:;—(
�S
Print Name: Iv-, A-
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.aov
Electrical Permit No.
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"
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 12400 E. Marginal Way Suite Number: Floor:
Tenant Name: Group Health AMB #2 New Tenant: ❑ .....Yes ®..No
PROPERTY OWNER
Name: Group Health AMB
Address: 12400 E. Marginal Way
City: Tukwila State: WA Zip: 98168
CONTACT PERSON —person receiving all project
communication
Name: Amanda Nokes
Address: 5808 S. 196th St
City: Kent State: WA Zip: 98032
Phone: (253) 395-9077 Fax: (253) 395-2408
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: pacific Power Group
Address: 600 S. 56th Pl.
City: Ridgefield State: WA Zip: 986,j@
Phone: (253) 395-9077 Fax:
Contr Reg No.: PACIFPG867D7 Exp Date: 03/27/2016
Tukwila Business License No.; BUS-0995185
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information): 2 hour load bank test of emergency standby generator
Will service be altered? ❑ Yes
m No
Adding more than 50 amps?
❑
Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
❑
Tenant Improvement
❑ Low Voltage JZ Generator
❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
m Puget Sound Energy ❑
Seattle City Light
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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/tnobile 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: 6 - l S - I
te: (253) 395-9077
Mailing Address: 5808 S. 196th St. Kent WA 98032
City State Zip
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Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY PAID
PermitTRAK $409.50
EL15-0544 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $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
R000.322.900.04.00
0.00
$3.25
EL15-0545 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $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
R000.322.900.04.00
0.00
$3.25
EL15-0546 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $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
R000.322.900.04.00
0.00
$3.25
EL15-0547 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $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
R000.322.900.04.00
0.00
$3.25
EL15-0548 Address: 12400 E MARGINAL WAY S Apn: 7340600480 $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
R000.322.900.04.00
0.00
$3.25
EL15-0549 Address: 6815 S 180TH ST Apn: 3623049095 $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 R000.322.900.04.00 0.00 $3.25
TOTAL FEES PAID BY RECEIPT:40. .50
Date Paid: Monday, June 15, 2015
Paid By: JIM NYBERG PACIFIC POWER PRODU
Pay Method: CREDIT CARD 033551
Printed: Monday, June 15, 2015 2:25 PM 1 of 1 r??"f SY57EM5
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
11/2/2015
AMANDA NOKES
5808 S 196 ST
KENT, WA 98032
RE: Permit No. EL15-0545
GROUP HEALTH AMB #2
12400 E MARGINAL WAY S
Dear Permit Holder:
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 12/12/2015.
Based on the above, you are hereby advised to:
1) Call 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 12/12/2015, 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,
Bill Rambo
Permit Technician
File No: ELI5-0545
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PACIFIC POWER GROUP LLC
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PACIFIC POWER GROUP LLC
Owner or tradesperson
Principals
Dawkins, Mark, PARTNER/MEMBER
Bunday, Dennis, PARTNER/MEMBER
SW&W Legal Services, AGENT
Doing business as
PACIFIC POWER GROUP LLC
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600 S 56TH PL
RIDGEFIELD, WA 98642-3405
360-887-7400
CLARK County
WA UBI No. Business type
602 886 195 Limited Liability Company
Governing persons
DAN
NORDSTROM
DIESEL ALLISON INC PACIFIC DETROIT;
ENT LLC PACIFIC POWER PRODUC;
ENT, LLC PACIFIC POWER PRODUC;
JAMIE NORDSTROM;
JERRY R TYRRELL;
KERRY BUNDY;
MARK A DAWKINS;
S, INC. PACIFIC POWER PRODUC;
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.
PACIFPG867D7
Effective — expiration
03/27/2014— 03/27/2016
Designated administrator
.................................. .
Active.
Adsero, Jody R
Meets current requirements.
License type
License no.
Electrical Administrator
ADSERJR871J2
Bond
................
Travelers Cas and Surety Co of America
$4,000.00
Bond account no.
104893446
Received by L&I
Effective date
03/27/2014
04/10/2009
Expiration date
Until Canceled
Savings
..........._............
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602886195&LIC=PACIFPG867D7&SAW= 06/15/2015