HomeMy WebLinkAboutPermit EL15-1010 - PROVIDENCE HEALTH SYSTEMS - CARD READER TO STORAGE CAGEPROVIDENCE HEALTH
SYSTEMS
3355S120THPL, BLDG 5
EL15-1010
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
Parcel No: 1023049082
Permit Number: EL15-1010
Address: 3355 S 120TH PL BLDG 5
Issue Date: 11/19/2015
Permit Expires On: 5/17/2016
Project Name: PROVIDENCE HEALTH SYSTEMS
Owner:
Name: SABEY CORPORATION
Address: 12201 TUKWILA INTL BLVD 4TH FL,
SEATTLE, WA, 98168
Contact Person:
Name: ROB MAEZ
Phone: (206) 383-1427
Address: PO BOX 24567, SEATTLE, WA, 98124
Contractor:
Name: MCKINSTRY CO LLC
Phone: (206) 762-3311
Address: PO BOX 24567, SEATTLE, WA, 98124
License No: MCKINCL942DN
Expiration Date: 3/15/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD (1) LOW VOLTAGE CARD READER TO STORAGE CAGE,
(1) CONTROLLER AND EXTEND EXISTING 120 VOLT
POWER TO NEW LOW VOLTAGE POWER SUPPLY
Valuation of single family: $0.00
Fees Collected: $169.89
Valuation of mf/comm: $3,800.00
Type of Work: LOW VOLTAGE
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
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
Q
f
Permit Center Authorized Signature:
Date: t (- '-(7-
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 me to give authority to violate or cancel the provisions of any other
state or local laws regulati 6cti n or tl}e performance of work. I am authorized to sign and obtain this
development permit and agree o th condo ns Wched totlyis permit.
Signature: Date��/
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,
Chapter296-46B WAC.
S: 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 TUKW.
Community Development Department
Permit Center
• 6300 Southcenter• Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.p-ov
Electrical Permit No. � Lis-
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: 3355 S 120th Place Tukwila Suite Number: N/A Floor: 1
Tenant Name: Providence Health Systems New Tenant: ❑ .....Yes ®..No
PROPERTY OWNER
Name: Sabey
Address: 3355 S 120th Place
City: Tukwila State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: David Powell (site foreman)
Address: 3355 S 120th Place
City: Tukwila State: WA Zip: 98168
Phone: (206) 396-5208 Fax:
Email: davidpow@mckinstry.com
Valuation of Project (contractor's bid price): $ 3,800
ELECTRICAL CONTRACTOR INFORMATION
Company Name: McKinstry Co LLC
Address: 5005 3rd Ave S
City: Seattle State: WA Zip: 98134
Phone: (206) 762-3311 Fax:
Contr Reg No.: CCMCKINCL94 Exp Date: 03/16/2016
Tukwila Business License No.: BUS-0994320
Scope of Work (please provide detailed information):
Add (1) low voltage card reader to storage cage, (I) controller, extend existing 120v power to new low voltage power supply
Will service be altered? ❑ Yes ❑✓ No
Adding more than 50 amps?
❑
Yes ✓❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Remodel
❑
Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\Applications\Forms-Applications On Line\2011 Applications0ectrical Permit Application Revised 5.9.1 I.docz
Revised: August 2011
bh
Pagel 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)
0
Circuits added/altered without service change ...........$54.60
(6 or more circuits) ...............................................
$7.65 ea
❑
Meter/mast repair .......................................................
$68.25
V1
Low voltage systems .................................................
$59.85
(alarm, furnace thermostat)
EERMI;,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 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.
Signature:
Print Name: Rob Maez
Mailing Address:. 5005 3rd Ave S
Date: 11/19/2015
Day Telephone: (206) 383-1427
Seattle WA 98134
City State Zip
H:\Applications\Forms-Applications On Line\2011 ApplicationsTlectrical Permit Application Revised 8-9-1 I.docx
Revised! August 2011
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$169.89
EL15-1010 Address: 3355 S 120TH PL BLDG 5 Apn: 1023049082
$169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$161.80
TECHNOLOGY FEE
$8.09
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6685
R000.322.900.04.00 0.00
$8.09
..
Date Paid: Thursday, November 19, 2015
Paid By: ROBERT MAEZ
Pay Method: CREDIT CARD 04151C
Printed: Thursday, November 19, 2015 8:03 AM 1 of 1 r7. rJIM11 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) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address:
Date Called:
Special instructions:
AU�A
Date Wanted: a.
Requester: Div, "
Phone No:
(Approved per applicable codes. Corrections required prior to approval.
K/0
El REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Clay of Tu wild Allan Ek
12D
berg, Mayor
Department of Community Development Jack Pace, Director
4/ 1 /2016
ROB MAEZ
PO BOX 24567
SEATTLE, WA 98124
RE: Permit No. EL15-1010
PROVIDENCE HEALTH SYSTEMS
3355 S 1210 PL
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 5/17/2016.
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 5/17/2016, 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: EL15-1010
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
MCKINSTRY CO LLC
Page 1 of 4
Home Inicio en Espafiol Contact.
Safety
qrWashington State Department of
,h Labor & Industries
MCKINSTRY CO LLC
Search L&1 iLt�lt!
A-7.Index Help Nty Secure L&:I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson
PO BOX 24567
SEATTLE, WA98124
Principals
206-762-3311
ALLEN, DEAN CHARLES, PARTNER/MEMBER
KING County
MOORE, DOUGLAS J, PARTNER/MEMBER
ALLEN, DAVID, PARTNER/MEMBER
TEPLICKY, JOSEPH W
(BILL), PARTNER/MEMBER
BLACK, STEPHEN, AGENT
Doing business as
MCKINSTRY CO LLC
WA UBI No. Business type
602 569 922 Limited Liability Company
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.
MCKINCL942DN
Effective — expiration
03115/2006— 03/15/2016
Designated administrator
Active.
KELLY, PETER
Meets current requirements.
License type
License no.
Master Electrician
KELLYP*962NQ
Bond
.._.__...._
Western Surety Co
$4,000.00
Bond account no.
929523050
Received by L&I
Effective date
02/26/2011
03/06/2011
Expiration date
Until Canceled
Bond history
Savings
....... ........
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EBOES00854 Satisfied1.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602569922&LIC=MCKINCL942DN&SAW= 11/19/2015