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Permit EL16-0824 - SEATTLE CHILDREN'S HOSPITAL - CABLING SYSTEM BETWEEN CABINETS
SEATTLE CHILDREN'S HOSPITAL 3355 S 120 PL EL16-0824 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.Rov ELECTRICAL PERMIT Parcel No: 1023049082 Permit Number: EL16-0824 Address: 3355 S 120TH PL BLDG 5 Issue Date: 9/12/2016 International Residential Code Edition: Permit Expires On: 3/11/2017 Project Name: SEATTLE CHILDREN'S HOSPITAL 2014 Owner: 2015 Name: SABEY CORPORATION 2014 Address: 12201 TUKWILA INTL BLVD 4TH FL, 2015 SEATTLE, WA, 98168 2015 Contact Person: 2015 Name: BOBBY TEODORO Phone: (206) 316-0297 Address: 600 WASHINGTON AVE S, KENT, WA, 98032 Contractor: Name: HOLMES ELECTRIC CO Phone: (253) 479-4000 Address: PO BOX 338, KENT, WA, 98035 License No: HOLMEEC549BH Expiration Date: 10/31/2016 Lender: Name: Address: DESCRIPTION OF WORK: INSTALLATION OF STRUCTURED CABLING SYSTEM BETWEEN CABINETS. (72) CAT6A CABLES, (18) 48 -STRAND TRUNKS, (7) 24 -STRAND TRUNKS, AND ALLASSOCIATED PATCH PANELS AND MODULES. Valuation of single family: $0.00 Fees Collected: $3,620.70 Valuation of mf/comm: $189,134.00 Type of Work: TELECOM Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 t Permit Center Authorized Signature: Date: t 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: J Date: la Print Name: ��t7BtD Nr ��f�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: <NONE> 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.gov Electrical Permit No. Project No. rr -- Date Application Accepted: V 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.: ID93d4 Site Address: 3355 S. 120th PL. Tukwila, WA 98168 Suite Number: 42-01 Floor: 2 Tenant Name: Seattle Children's Hospital New Tenant: ❑✓ .....Yes ❑..No PROPERTY OWNER Name: Sabey Corporation Address: 12201 Tukwila Int'1 Blvd. City: Seattle State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Bobby Teodoro Address: 600 Washington Ave. S. City: Kent State: WA Zip: 98032 Phone: (206) 316-0297 Fax: Email: roberto.teodoro@holmes.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Holmes Electric Address: 600 Washington Ave. S. City: Kent State: WA Zip: 98032 Phone: (253) 479-4000 Fax: (253) 234-2904 Contr Reg No.: Exp Date: Tukwila Business License No.;_ qQ3 Valuation of Project (contractor's bid price): $ __189,134 Scope of Work (please provide detailed information): Installation of structured cabling system between cabinets. (72) Cat6A cables, (18) 48 -strand trunks, (7) 24 -strand trunks, and all associated patch panels and modules. Will service be altered? ❑ Yes Type of Use: ❑✓ No Tvoe of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsMectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Yes ❑✓ No ❑ Remodel ❑ 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) $80.90 ❑ 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) $10.80 ea ❑ 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: [11 R"'y signed try Randy Tate Randy Tate .�.ppN:Cc1c .RandyTate@homes.com, Holmes 09/07/2016 Elec�rlF CH -Randy Tate Slgnature: ale: zota.as.c� 14:16 30.07.00. Date: Print Name: Randy Tate Day Telephone: (425) 750-2664 Mailing Address: 600 Washington Ave S. Kent WA 98032 city state zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $2,924.41 EL16-0824 Address: 3355 S 120TH PL BLDG 5 Apn: 1023049082 $2,924.41 ELECTRICAL $2,785.15 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $2,785.15 TECHNOLOGY FEE $139.26 TECHNOLOGY FEE TOTAL FEES PAID R9390 R000.322.900.04.00 0.00 $139.26 $2,924.41 Date Paid: Monday, September 12, 2016 Paid By: HOLMES ELECTRIC Pay Method: CHECK 71411 Printed: Monday, September 12, 2016 11:25 AM 1 of 1 (r?Tr SYSTEMS Date Paid: Thursday, September 08, 2016 Paid By: HOLMES ELECTRIC Pay Method: CHECK 71396 Printed: Thursday, September 08, 2016 1:47 PM 1 of 1 r2r" srsrEMs MEMORANDUM TO: Laurie Anderson FROM: Brenda Holt Wpk� DATE: September 12, 2016 SUBJECT: Refund for Electrical Permit EL16-0824 Please draw a check in the amount of $696.29 (six hundred ninety-six dollars and twenty- nine cents) to be payable to Holmes Electric Co. at PO Box 338 in Kent, WA 98035. The refund is for plan check fees for this permit application. Based on the scope of work it has been determined that plan review is not required and that the permit can be issued over the counter. No plan review was performed. Please provide the refund as follows: coup moun 000.345.832.00.00 $696.29 Total $696.29 Thank you! INSPECTION RECORD(U�-Oyml Retain a copy with permit INSPECTION NO. PE MIT N0. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 Project: n r �hJ Type of Inspectio /��� Address: l Date Called: Special Instructions: Date Wanted: a.m. % p.m. Requester: Phone No: n. MApproved per applicable codes. 11 Corrections required prior to approval. I 1/ k '/I ,'■ 1 ./I/�'v I nspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. HOLMES ELECTRIC CO 11011: Espailol Contact. Safety & Health Claims & Insurance (5 Washington State Department of Lab©r & Industries HOLMES ELECTRIC CO Owner or tradesperson PO BOX 338 KENT, WA 98035 Principals 253-479-4000 HOLMES, MICHAEL J, PRESIDENT KING County RICHARDS, MICHAEL W, SECRETARY HOLMES, JERAY A, AGENT RICHARDS, EUGENE M (End: 10/15/2010) Doing business as HOLMES ELECTRIC CO Page 1 of 2 Search L&1 =ti ,i -'L Index 1461P MY LFII Workplace Rights Trades & Licensing WA UBI No. Business type 177 003 752 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. HOLMEEC549BH Effective — expiration 01/0811946-10/31/2016 Designated administrator Active. HILLMAN, ED Meets current requirements. License type License no. Master Electrician HILLME*973KR Bond North American Spec Ins Co $4,000.00 Bond account no. 2192663 Received by L&I Effective date 11121/2014 12/08/2014 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations ......... -.1 .............................. Infraction no. ESHA000715Satisfied .................... Issue date RCW/WAC 19.28.101 RCW Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=177003752&LIC=HOLMEEC549BH&SAW= 9/12/2016