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Permit EL19-0787 - KAISER PERMANENTE - 4-HR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATOR
KAISER PERMANENTS - ANB 12401 E MARGINAL WAY S ELI 9-0787 Parcel No: Address: Ca�~~� of �7 �"°"^U v K�o��mUua t 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 OTC PERMIT 7345600385 12401 E MARGINAL WAY Project Name: KAISER PERMANENTE - ANB Permit Number: EL19'0787 Issue Date: 9/25/2019 Permit Expires On: 3/23/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: INTERNATIONAL GATEWAY EAST lZ2OlTUKVVLA|NTKNTNL8L4TH ' SEATTLE, WA, 98168 4MANDAN0KB 5808 S 196 ST , KENT, WA, 98032 PACIFIC POWER GROUP LLC 805BROADWAY 5T ST[7OO, VANCOUVER, WA, 98660 PACIFPG867D7 ''' Phone: (253) 395-9077 Phone: (360) 887-7400 Expiration Date: 3/28/2020 DESCRIPTION OF WORK: 4 HOUR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATOR. Valuat!on of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: GENERATOR Fees Collected: $85.94 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: International Residential Code Edition: lnternational Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signatu 2015 2015 2015 2015 2015 National Electricat Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: Date: 2017 2017 2015 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 perrnit 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. 1 am authorized to sign and obtain this development per agree to the conditions attached to this permit. Signature' Print Na Date: 5 /7 This permit shall become null and void if the work 15 not commenced within 180 days for the date of issuance, or if the work 15 suspended or abandoned for a period of 180 days from the last inspectiori. PERMIT CONDITIONS: 1: ***ELE[TR|[ALPERMIT O]NDOOONS**~ 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical lnspector 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 and the Washington Cities Electrical Code. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the buliding, 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 constred 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. EL Project No. Date Application Accepted; q- 95/ Date Application Expires: For- o e 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 King Co Assessor's Tax No.: Site Address: 12401 EAST MARINGAL WAY SOUTH Suite Number: Floor: New Tenant: LI Yes ..No Tenant Name: Kaiser Permanente - ANB PROPERTY OWNER Name: Kaiser Permanente - ANB Address: 12401 EAST MARINGAL WAY SOUTH City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Amanda Nokes Address: 1221 29TH ST NAV City: Auburn State: WA Zip: 98001 Phone: (253) 395-9077 Fax: (253) 395-2408 Email: ELECTRICAL CONTRACTOR INFORMATION —Company Name: Pacific Power Group Address: 805 Broadway St City: Vancouver State: WA Zip: 98660 Phone: (253) 395-9077 Fax: Contr Reg No.: PACIFPG867D7 Exp Date: 03/27/2020 Tukwila Business License No.; BUS -0995185 Valuation of Project (contractor's bid price): $ 500 hour load bank tests of emergency s Scope of Work (please provide detailed information): 4 dby generator Will service be altered? J Yes 0 No Adding more than 50 amps? LJJ Yes [22 No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage Z Generator 0 Fire Alarm D Telecommunication 0 Temporary Service Property Served by: [21 Puget Sound Energy I=1 Seattle City Light Hi\ Applications \Fomas-Applicat ions On Line \2014 ApplicationsElectrical Permit Application Revised 1-1-14.docx Revised'. January 2014 bh 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) 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*** PERMIT APPLICATION NOTES - Value of Construction — hi 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: Date: 08/26/2019 Print Name: Darrell Vardeman Day Telephone: (253) 395-9077 Mailing Address: 805 Broadway st Vancouver WA 98660 City H:\Applications\Forms-Applications On Line \2014 Applieaflu ns\EleotricaI Permit Application Revised 1-1-14,doex Revised: January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Nu m be DESCRIPTIONS A CCOUNT 1 QUANTITY I PAID PermitTRAK , $85.94 EL19-0787 Address: 12401 E MARGINAL WAY S Apn: 7 45600 85 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.97 TOTAL FEES PAID BY RECEIPT: R1866.5$85.94 , Date Paid: Wednesday, September 25, 2019 Paid By: KACY TROJCAK Pay Method: CREDIT CARD 036593 Printed: Wednesday, September 25, 2019 10:34 1 of 1 AM MOM crivivsy5TEN,5 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206'433'1878 CITY OF TUKWILA 8017340000802374464500 Date: 09/25/2019 10:]]:50 AM CREDIT CARD SALE VISA CARD NUMBER: ********+8389 K TRAN AMOUNT: $85.94 APPROVAL CD: 036593 RECORD #: 000 CLERK ID: kandace X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT Thank you! Merchant Copy INSPECTION NO. INSPECTION RECORD Retain a copy with permit ER Ii1T 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Colied: Special Instructions: DateWaited: �-� a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. RE1NSPECTI© FEE REQUIRED. Prior to next inspection. fee mus paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Washington State Department of )LaborL& industries 0 0 Home Espanol Contact Safety & Health Claims & Insurance Search L&I AZ 'Endex Help My Workplace Rights Trades & Licensing PACIFIC POWER GROUP LLC Owner or tradesperson Principals Piccini, Dante Silvio, PARTNER/MEMBER Doll, Michael Ray, PARTNER/MEMBER Walker, Bart Ty, PARTNER/MEMBER Mossey, Elmer William, MANAGER Nordstrom, William (Bit) Elme, DIRECTOR Price, Timothy R, DIRECTOR SW&W Legal Services, AGENT Dawkins, Mark, PARTNER/MEMBER (End: 03/28/2018) Bunday, Dennis, PARTNER/MEMBER (End: 03/28/2018) Doing business as PACIFIC POWER GROUP LLC WA UBI No. 602 886 195 805 Broadway St Ste 700 VANCOUVER, WA 98660 360-887-7400 CLARK County Business type Limited Liability Company Governing persons JAMES F NORDSTROM TRUST CHARLES J NORDSTROM; JAMES F NORDSTROM; JOHN D NORDSTROM; WILLIAM E NORDSTROM; [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, PACIFPG867D7 Effective — expiration 03/27/2014— 03/28/2020 Designated administrator Adsero, Jody R License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no. 104893446 Active. Meets current requirements. License no. ADSERJR871J2 54,000.00 Help us improve Received by L&I 03/27/2014 Savings No savings accounts during the previous 6 year period. License Violations Effective date 04/10/2009 Expiration date Until Canceled Infraction no. ETUCP00482 Satisfied Issue date RCW/WAC 11/02/2017 19.28.101 RCW Violation city Violation amount VANCOUVER 5500.00 Type of violation ELECTRICAL CITATION Description Failing to request an Inspection within 3 business days after completion of tile installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. ETUCP00485 Issue date 11/02/2017 Violation city VANCOUVER Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. ECLET00565 Issue date 08/07/2017 Violation city VANCOUVER Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Satisfied RCW/WAC 19.28.101 RCW Violation amount 5500.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 0 Certifications & Endorsements Workers' comp Public Works Requirements Workplace safety and health Help us improve