HomeMy WebLinkAboutPermit EL17-0345 - SABEY RTP PROVIDENCE - THERMOSTATSSABEY RTP
PROVIDENCE
2811 S 102 ST
SUITE 250
ELI 7-0345
Parcel No:
Address:
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
0423049190
2811 S 102ND ST 220
Project Name: SABEY RTP PROVIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL17-0345
Issue Date: 5/9/2017
Permit Expires On: 11/5/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SABEY CORPORATION
12201 TUKWILA INTERN'L BLVD FO ,
SEATTLE, WA, 98168
KIM LANGE
1221 2ND AVE N , KENT, WA, 98032
HERMANSON COMPANY LLP
1221 2ND AVE N , KENT, WA, 98032-
2945
HERMACL005BJ
Phone: (206) 573-2023
Phone: (206) 575-9700
Expiration Date: 8/25/2018
DESCRIPTION OF WORK:
18 THERMOSTATS.
Valuation of single family: $0.00
Valuation of mf/comm: $1,500.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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 permit.
Signature: /61,4/
Print Name: Ki VIA L-6 V4`
Date: J/ Vi
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the workis 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 TUKW 1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
✓L -l)- D3'
441
(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**
SITE LOCATION
Site Address: 2811 S 102nd St. Seattle, WA 98168
Tenant Name: Sabe;1RTP Providence
King Co Assessor's Tax No.: 0423049190
Suite Number: 220 Floor:
PROPERTY OWNER
Name: Kim Lange
Name: Providence Health Services
Address: 1221 2nd Ave N
Address: 1801 Lind Ave SW
City: Kent State: WA
City: RentonState: WA
Zip: 98057
CONTACT PERSON — person receiving all project
communication
Name: Kim Lange
Address: 1221 2nd Ave N
Address: 1221 2nd Ave N
Phone: (206) 575-9700 Fax:
City: Kent State: WA
Zip: 98032
Phone: (206) 573-2023 Fax:
Email: klange.@hermanson.com
New Tenant: ❑ Yes 'I ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Hermanson Company
Address: 1221 2nd Ave N
City: Kent State: WA Zip: 98032
Phone: (206) 575-9700 Fax:
Contr Reg No.: 602-004-844 Exp Date: 03/12/2019
Tukwila Business License No.; 0994464
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information): 18 Thermostats
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
• Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
® Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications\PRFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
• Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
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:
Digitally signed by Kim Lange
ro N': CN=Kim Lange
Date: 2017.05.09 11:32:51-07'00'
Signature:
Kim Lange
Date: 05/09/2017
Print Name: Kim Lange Day Telephone: (206) 573-2023
Mailing Address: 1221 2nd Ave N Kent, WA 98032
City
W:\Permit Center\Applications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt.' Number
R1X447
DESCRIPTIONS
-
PermitTRAK
1 ACCOUNT
1 QUANTITY LS PAID
:„.
$130.83
EL17-0345 Address: 2811 5 102ND ST 220
Apn: 0423049190
$130.83
Credit Card Fee
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
_ TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11447
R000.322.900.04.00
0.00
$6.05
- .,.
$130.83
Date Paid: Tuesday, May 09, 2017
Paid By: HERMANSON COMPANY LLP
Pay Method: CREDIT CARD 856681
Printed: Tuesday, May 09, 2017 1:10 PM 1 of 1
CREVSYSTEMS
INSPECTION RECORD
Retain a copy with permit
t141 3iI5
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
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Address:Date
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Date Wanted:6/07
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Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
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Date:
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17
REINSPECTI t N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
HERMANSON COMPANY LLP
Horne Espanol Contact
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