HomeMy WebLinkAboutPermit EL08-1387 - KAMIYA BIO MEDICAL COMPANYI,
KAMIYA
IO MEDICAL CO
12779 GATEWAY DR
ELO8-1387
Parcel No.:
Address:
Suite No:
Cityef Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
2716000060
12779 GATEWAY DR TUKW
ELECTRICAL PERMIT
Permit Number: EL08 -1387
Issue Date: 10/27/2008
Permit Expires On: 04/25/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Cont act Person:
Name:
Address:
KAMIYA BIO MEDICAL CO
12779 GATEWAY DR , TUKWILA WA
RREEF AMERICA REIT II CORP/
PO BOX 4900 #207 , SCOTTSDALE AZ
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
Cont ractor:
Name: BRINKS HOME SECURITY INC
Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA
Contractor License No: BRINKHS148LE
Phone:
Phone: 253 58 -0800
Phone: 253 - 582 -0800
Expiration Date: 03/31/2010
DESCRIPTION OF WORK:
INTR' JSION ALARM
Valve! of Electrical:
$974.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition:
Elect acal Service provided by: PUGET SOUND ENERGY
Perm.t Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
exam]
with
$90.00
2005
Date: JIvH*b
Led this permit and know the same to be true and correct. All provisions of law and ordinances
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
const ruction or the .performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print lame:
Date: Z6 .- 7 -6:2e
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or ab indoned for a period of 180 days from the last inspection.
doc: E _-4/07
EL08 -1387 Printed: 10 -27 -2008
Parc al No.: 2716000060
Add •ess:
Suite No:
Ten nt:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
12779 GATEWAY DR TUKW
KAMIYA BIO MEDICAL CO
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1387
ISSUED
10/27/2008
10/27/2008
1: *'' *ELECTRICAL * **
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: A oproved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
4: Al electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -16B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
builc.ing, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
6: T1te issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of th,s provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
pres ernes to grant this authority are therefore not valid.
7: AZy 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.
I her aby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
ordii Lances governing this work will be complied with, whether specified herein or not.
The !Fronting of this permit does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of work.
Sign; iture:
Print Name: Cilti'I e-
Date: /O 7,2 7— tff
doc: (:ond -Elec
EL08 -1387 Printed: 10 -27 -2008
• �4
w CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
app.'/ 3- /Soo
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 **
Electrical Permit No.
Project No.
(For office use only)
SITE LOCATION
Site Address:
King Co King C Assessor's Tax No.: d 7 / & DO 60 66
Suite Number:
la77 £iitewo4Vnu,
Tenant Name: , New Tenant:
Property Owners Name: - ��, V�. • I ar i j ',14 r
Mailing Address: ii le 01 - - - , i
City State
Floor:
Yes
❑ ..No
Zip
CONTACT PERSON —Who do we contact when your permitis ready to be issued
Name:
Mailing Address:
Day Telephone:
City
State
Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
C Name: e ///7 f� /%7t�
Company ame: Q ��1 p
Mailing Address: Po, L 1;lie, G)iOcL Z/ /9 9 «9t#
State ��y r�zip /� ���
Contact Person:S� /��� .L / /70 -// %�!� �% Day Telephone: v7 D7 �f" - �J/�/�
E -Mail Address f1" /2 7/?7 /7/�'� (c,...:%/1977/701/6.e4/171 Fax Number: c �9 ��f ` , ,0977
Contractor Registration Number: tJt2 ' / `�' z f
City
Expiration Date:
Valuation of Project (contractor's bid price): $_ 4� (1 `0
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
111 Seattle City Light
No Adding more than 50 amps'? ❑ Yes
yi No
❑ Service Change
❑ Fire Alarm
H Wppl,canons\Pomu- Apphcanons On Lineal -2007 - Electrical Permit Apphcaton.doc
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added /altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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:
Signature: 1L,%� .7/7u , 7//77/2707 -S0
Print Name: ' - e //Q //27 7, 7/' //}} Day Telephone:
Mailing Address: t . J/ex -�93d0 �" Z'e 2CL
City
Date:
i',9 98 I q�
State p
IDate Application Accepted:
Date Application Expires:
Staff Initials:
1
HAApplicalions\Foms- Apphcanons On Line \4.2007 - Elenncal Permit Applicnnon doc
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Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Para )1 No.: 2716000060
Address: 12779 GATEWAY DR TUKW
Suite No:
Appl.cant: KAMIYA BIO MEDICAL CO
RECEIPT
Permit Number: EL08 -1387
Status: PENDING
Applied Date: 10/27/2008
Issue Date:
Rece .pt No.: R08 -03624
Initia.s: JEM
User ID: 1165
Payment Amount: $90.00
Payment Date: 10/27/2008 12:24 PM
Balance: $0.00
Paye :: BRINK'S HOME SECURITY INC.
TRAIJSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000249 90.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 90.00
Total: $90.00
doc: R sceiot -06
Printed: 10 -27 -2008
INSPECTION RECORD e f 3
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
2-
ProjecKNAIlik 610
Type of Inspection:
Address:
1 V7-11 61 4J �A' 1
Date Called:
Special Instructs ns:
Date Wanted:
111p�
a.m.
p
Requester:
Phone No:
MApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
(ot41o5 rvi9E
El$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
•wn..w • -. vb.••• ...txs?!.. ..masn s.._...... « — — _
INSPECTION RECORD
Retain a copy with permit
PERMIT
INSPECTION NO. NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3E7
Project: p,jj
Type of Inspection:
Address: -7 +) q �y�
1 1 t j (11 '1rwA1
Date Called:
c i u dtl Ti L es
Special Instructions:
Date Wanted:
/Q 3p
a.m.
p.m
Requester:
Top e (tlblwJ sc-oiSat.5
Alp
Phone No:
Approved per applicable codes. lgl Corrections required prior to approval.
COMMENTS:
— 5%) PPo es C461. <5 of
c i u dtl Ti L es
- fiosati> Uot 5 9-600 1
C.401.6 t.e 5 EJ'tq. W kIR.- Tnt&o04 IA
Top e (tlblwJ sc-oiSat.5
Alp
-To ..1 c.AA PAA))
Inspector:
(Date: 3( /0\7
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor 1
A business licensed by LEtI to contract electrical work within the scope of its specialty.
Electrical Contractors must maintain a surety bond or assignment of savings account.
They also must have a designated Electrical Administrator or Master Electrician who is a
member of the firm or a full -time supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BRINKS HOME SECURITY
INC
2535820800
PO BOX 39300
LAKEWOOD
WA
98496
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
600545354
ACTIVE
BRINKHS148LE
ELECTRICAL
CONTRACTOR
6/5/1986
3/31/2010
BRINKHS159CL
GOAKEHC979R2
LIMITED ENERGY
UNUSED
ADMINISTRATOR INFORMATION
License GOAKEHC979R2
Name GOAKEY, HOWARD C JR
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
AGENT
06/05/1986
ALLEN, ROBERT B
PRESIDENT
01/08/2002
CAGE, CHRIS B
SECRETARY
06/05/1986
YEVICH, STEPHEN C
TREASURER
01/08/2002
NEACE, STEVEN E
VICE PRESIDENT
01/08/2002
MICHEL, PETER A
VICE PRESIDENT
01/01/1980
01/08/2002
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= BRINKHS 148LE
10/27/2008