Loading...
HomeMy WebLinkAboutPermit EL17-0405 - PROVIDENCE HEALTH & SERVICES - CONTROLLERS, SENSOR AND THERMOSTATSPROVIDENCE HEALTH & SERVICES 2811 S 102 ST SUITE 250 ELI 7-0405 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 250 ELECTRICAL OTC PERMIT Project Name: PROVIDENCE HEALTH & SERVICES Permit Number: Issue Date: Permit Expires On: EL17-0405 5/30/2017 11/26/2017 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 CRAIG GIBSON 5300 DENVER AVE S , SEATTLE, WA, 98108 LONG BUILDING TECHNOLOGIES INC 5001 S ZUNI ST, LITTLETON CO, , 80120 LONGBBT868PT 1!/ Phone: (206) 375-4068 Phone: (303) 975-2100 Expiration Date: 2/9/2019 DESCRIPTION OF WORK: INSTALL (1) HVAC VAV REPLACEMENT CONTROLLER, INSTALL (1) REPLACEMENT ROOM SENSOR, INSTAL;L (17) REPLACEMENT THERMOSTATS, INSTALL HEAT PUMP CONTROLLER, INSTALL (4) WATER SENSORS, AND TERMINATE ALL LOW VOLTAGE CABLE. Valuation of single family: $0.00 Valuation of mf/comm: $8,038.00 Type of Work: LOW VOLTAGE Fees Collected: $280.29 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: 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 TUKWW_. � Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hftp://wvvw.TukwilaWA.gov Electrical Permit No. Lt 7 O'.Q S Project No. Date Application Accepted: Date Application Expires: (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 King Co Assessor's Tax No.: 042304-9190 Suite Number: 205 Floor: 2 New Tenant: ❑ Yes ®..No Tenant Name: PROVIDENCE HEALTH AND SERVICES PROPERTY OWNER Name: SABEY CORPORATION 131139 Address: 12201 TUKWILA INTERN'L BLVD FL4 City: SEATTLE State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Craig Gibson Address: 5300 DENVER AVE S City: SEATTLE State: WA Zip: 98108 Phone: (206) 375-4068 Fax: Email: cgibson@LONG.com ELECTRICAL CONTRACTOR INFORMATION Company Name: LONG Building Technologies, Inc. Address: 5001 S ZUNI ST City: LITTLETON State: CO Zip: 80120 Phone: (303) 975-2100 Fax: Contr Reg No.: LONGBBT86S 1TExp Date: 02/09/2019 Tukwila Business License No.; gus - Q Q9X 0 7q Valuation of Project (contractor's bid price): $ 8,038 Scope of Work (please provide detailed information): Install 1 HVAC VAVeplacement controller, install 1 1 replacement room sensor, install 17 replacement t -stats, install heat pump controller, install 4 water sensors, and terminate all low voltage cable. Will service be altered? ❑ Yes [v] No Adding more than 50 amps? ❑ Yes ErNo Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change 0 Remodel ® Tenant Improvement ® Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: 0 Puget Sound Energy m Seattle City Light W:\Permit Center\Applications-Handouts \Permit Applications\PDFs\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh 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*** CATION°NOTE 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: Signature: Q Date: 05/26/2017 Print Name: Craig Gibson cgibson@LONG.com Day Telephone: (206) 375-4068 Mailing Address: LONG Building Technologies, Inc. 5300 DENVER AVE S, SEATTLE, WA 98108 City State Zip W:\Permit Center\ Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $280.29 EL17-0405 Address: 2811 S 102ND ST 250 Apn: 0423049190 $280.29 Credit Card Fee $8.16 Credit Card Fee R000.369.908.00.00 0.00 $8.16 ELECTRICAL $259.17 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $259.17 TECHNOLOGY FEE $12.96 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11590 R000.322.900.04.00 0.00 $12.96 $280.29 Date Paid: Tuesday, May 30, 2017 Paid By: CRAIG GIBSON Pay Method: CREDIT CARD 030511 Printed: Tuesday, May 30, 2017 1:45 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INS ECTION 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 6-0 -otto Project: p koJtb Cti, Type of pection: �� cj44 L Address: 28 i < b2, tr. Date Called: Special Instructions: `r `! "� l'' " i Date Wanted: .m. p.. Requester: Phone No: 371 no , Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector:JP/ ISkh Date: f/ /O. J REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection, LONG Building Technologies Inc Washington S%te Department of Labor aboindustries Page 1 of 2 Home Espanol. Con act Search L&I A -Z Index Safety & Health Claims & Insurance Workplace Rights LONG Building Technologies Inc Owner or tradesperson Principals Balent, Mark, PRESIDENT Long, Jeff, VICE PRESIDENT Williams, Matt, AGENT Doing business as LONG Building Technologies Inc WA UBI No. 603 434 121 5001 S Zuni St LITTLETON, CO 80120 303-975-2100 Business type Corporation Governing persons DOUG WILKINSON JEFF LONG; MARK BALENT; STEVE HANSEN; 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. LONGBBT868PT Effective — expiration 02/09/2015— 02/09/2019 Designated administrator MILLER, BRIAN J Active. Meets current requirements. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603434121 &LIC=LONGBBT868PT&SAW= 5/30/2017 LONG Building Technologies Inc License type Electrical Administrator Bond Western Surety Co Bond account no. 62206513 Received by L&I 02/09/2015 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. License no. MILLEBJ188J3 $4,000.00 Effective date 10/31/2014 Expiration date Until Canceled Page 2 of 2 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 335,566-00 Doing business as LONG BUILDING TECHNOLOGIES INC Estimated workers reported Quarter 1 of Year 2017''31 to 50 Workers" L&I account representative T2 / MATT PEDERSEN (360)902-5476 - Email: PEDM235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603434121 &LIC=LONGBBT868PT&SAW= 5/30/2017