HomeMy WebLinkAboutPermit EL15-0851 - HEALING PLACE INTERNATIONAL - CIRCUITS, LIGHT FIXTURES, SUBPANEL AND ELECTRICAL SYSTEMS RELOCATIONHEALING PLACE
INTERNATIONAL
768 INDUSTRY DR
EL15-0851
City of Tukwila
• Department of Community Development
k' • 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.Pov
ELECTRICAL OTC PERMIT
Parcel No: 2523049008 Permit Number: EL15-0851
Address: 768 INDUSTRY DR Issue Date: 10/2/2015
Permit Expires On: 3/30/2016
Project Name: HEALING PLACE INTERNATIONAL
Owner:
Name: NCWP ANDOVER EXECUTIVE PARK
Address: 810 NW MARSHALLS ST #300 ,
PORTLAND, WA, 97209
Contact Person:
Name: JENI SEVERSON Phone: (253) 872-5553
Address: 7056 S 220 ST, KENT, WA, 98032
Contractor:
Name: SEA TAC ELECTRIC INC Phone: (253) 872-5553
Address: 7056 S 220TH ST, KENT, WA, 98032-
1910
License No: SEATAE1077RW Expiration Date: 12/17/2015
Lender:
Name:
Address: ,
DESCRIPTION OF WORK:
INSTALL (1) 208 VOLT 30 AMP SINGLE PHASE CIRCUIT, ADD (8) 208 VOLT 30 AMP 3 PHASE CIRCUITS, ADD (4) 208
VOLT 20 AMP 3 PHASE CIRCUITS, ADD (6) 120 VOLT 20 AMP CIRCUITS, ADD (2) LIGHT FIXTURES AND (1) 100 AMP
SUBPANEL. INCLUDING THE REMOVAL, RELOCATION & INSTALLATION OF MISCELLANEOUS ELECTRICAL SYSTEMS
PERTAINING TO THE AFOREMENTIONED SCOPE OF WORK.
Valuation of single family: $0.00 Fees Collected: $229.64
Valuation of mf/comm: $7,000.00
Type of Work: TENANT IMP Electrical Service Provided by: PUGET SOUND ENERGY
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: I A Date: rr�
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 conditi s attached to this permit. //'
Signature: Date:
v/ C s
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 TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. �S 0 8J l
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 768 INDUSTRY DRIVE
Site Address: 768 INDUSTRY DRIVE
Tenant Name: HEALING PLACE
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: JENI SEVERSON
Address: 7056 S. 220TH STREET
City: KENT State: WA Zip: 98032
Phone: (253) 872-5553 Fax: (253) 872-4112
Email: jeni.severson@seatacelectric.com
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ .....Yes ❑✓ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SEA-TAC ELECTRIC, INC.
Address: 7056 S. 220TH STREET
City: KENT State: WA Zip: 98032
Phone: (253) 867-2354 Fax: (253) 872-4112
Contr Reg No.: SEATAE1077RW Exp Date: 12/01 /2015
Tukwila Business License No.: 01-212
Valuation of Project (contractor's bid price): $ 3 r QQQ
Scope of Work (please provide detailed information):
INSTALL (1) 208V 30 AMP SINGLE PHASE CIRCUIT, ADD (8) 208V 30 3 PHASE CIRCUITS, ADD (4) 208V 20 AMP 3 PHASE
CIRCUITS, ADD (6) 120V 20 CIRCUITS, ADD (2) LIGHT FIXTUES AND (1) 100 AMP SUB PANEL. INCLUDING THE REMOVAL,
RELOCATION & INSTALLATION OF MISCELLANEOUS ELECTRICAL SYSTEMS PERTAINING TO THE AFOREMENTIONED
SCOPE OF WORK.
Will service be altered? ❑ Yes
Type of Use: COMMERCIAL
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
® Puget Sound Energy ❑
No
❑ Service Change
❑ Fire Alarm
Seattle City Light
HAApplicationsTorms-Applications On Line\2011 ApplicatiomAEleclrical Permit Application Revised 8-9.1 l.docx
Revised: August 2011
bh
Adding more than 50 amps? Of Yes 9 No
❑ Remodel
❑ Telecommunication
® Tenant Improvement
❑ 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) .................................
$63.00
❑
Temporary service (generator) ...................................
$78.75
❑
Manufactured/mobile home service ...........................
$84.00
(excluding garage or outbuilding)
❑
Carnivals....................................................................$78.75
Number of concessions .........................
$10.50 ea
Value of Construction — In all cases, a value of constriction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Pennit 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:
Print Name: JE"I EVERSON
Mailing Address: 7056 S. 220TH STREET
H:\Applicatiom%Forttts-Applications On Line\2011 ApplicationsTlectrical Permit Application Revised 8-9-1 Ldocx
Revised: August 2011
bh
Date: 10/2/2015
Day Telephone: (253) 872-5553
KENT WA 98032
City State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$229.64
EL15-0851 Address: 768 INDUSTRY DR Apn: 2523049008
$229.64
ELECTRICAL
$218.70
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$218.70
TECHNOLOGY FEE
$10.94
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6325
R000.322.900.04.00 0.00
$10.94
$229.64
Date Paid: Friday, October 02, 2015
Paid By: JOHN ALBERT
Pay Method: CREDIT CARD 071976
Printed: Friday, October 02, 2015 11:20 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-367 x
Permit Inspection Request Line (206) 438-9350
Project: A�P ` � G
,�i
Type of Inspection:
Address: q
hate Called:
Special Instructions:
Date Wanted: a.m
Requester:
Phone No:
3� 56vc)
ro
Approved per applicable codes. El Corrections required prior to approval.
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPE TION 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:
H(-�-
Type of Inspection:A�% '
-4-6
Address:
Date Called:
Special Instructions:
Date Wanted: a.m
p.m.
Requester:
Phone No:
u Approved per applicable codes. EQ Corrections required prior to approval.
COMMENTS:
LA6eL- VAJ
W 1774 Ae - 1)CSr Alto
b .50y C-C
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Q btSCa'/V'C�l
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(Inspector: 4--714dW /461-C (Date: / o 7 h 5"' I
El REINSPECTIM FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
-3 Retain a copy with permit�'�
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
N/
Type of Inspection:
Address:
Date Called:
26YLAIM,
Special Instructions:
Date Wanted: a.m
l I Loq .m.
Requester:
Phone No:
2 3
[/ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
nspector:
r
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 o8S
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
� vtx pt��
Type of inspection:
Z/4"W
Address: 74 0 JAWS
rS i
/VW
Date Called:
Special Instructions:
Date Wanted:
O 3v p.m.
L
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
U paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection.
INSPECTION RECORD I g Og�
Retain a copy with permit
INSPE TION 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:
Type of Inspectio .
Address:' 74r llywq
Date Called:
Special Instructions:
Date Wanted: a.m
/0 a p.m.
Requester:
Phone No:
Approved per applicable codes. W Corrections required prior to approval.
l'o /zwfl �-
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
SEA TAC ELECTRIC 1NC
Page 1 of 6
Home lnicio en Ispanol Contact.
Safety
Washington State Department of
Labor & Industries
SEA TAC ELECTRIC INC
Owner or tradesperson
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
BURKS, ROY, VICE PRESIDENT
(End: 12/15/1995)
Doing business as
SEA TAC ELECTRIC INC
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Claims & Insurance Workplace Rights Trades & Licensing
7056 S 220TH ST
KENT, WA98032
253-872-5553
KING County
WA UBI No. Business type
601 510 212 Corporation
Governing persons
KATHERINE
M
HARGREAVES
THOMAS R HARGREAVES;
TOM JORDAN;
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.
SEATAE1077RW
Effective — expiration
12/1611993-12117/2016
Designated administrator
...................
Jordan, Thomas
License type
Master Electrician
Bond
.................
DEVELOPERS SURETY & INDEM CO
Bond account no.
798649C
Received by L&I
12/03/2008
Active.
Meets current requirements.
License no.
JORDAT'914LR
$4,000.00
Effective date
1211612008
Expiration date
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 10/2/2015