HomeMy WebLinkAboutPermit EL10-0724 - STEMCELL TECHNOLOGIESSTEMCELL
TECHNOLOGIES
12698 GATEWAY DR
EXPIRED
03 -08 -11
EL1O-0724
C
City Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2716000020
Address: 12698 GATEWAY DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0724
Issue Date: 09/09/2010
Permit Expires On: 03/08/2011
Tenant:
Name: STEMCELL TECHNOLOGIES
Address: 12698 GATEWAY DRIVE , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/ Phone:
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: ART BERUBE Phone: 253 - 520 -1256
Address: 450 SHATTUCK AVE S , RENTON WA
Contractor:
Name: CONVERGINT TECHNOLOGIES LLC Phone: 425 272 -2250
Address: 450 SHATTUCK AV S, STE 100 , RENTON WA
Contractor License No: COVETL984BQ Expiration Date: 01/18/2012
DESCRIPTION OF WORK:
TERMINATE AND PROGRAM ALARM PANEL. FIELD DEVICES AND CABLE INSTALLED BY OTHERS.
Value of Electrical: NRES: $4,600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $178.50
National Electrical Code Edition: 2008
( Date: 57L
I hereby certify that I have read and examined thi 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 oes not presume to ive authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perforri ance of worj�. I am thorized to sign and obtain this electrical permit.
Signature:
Print Name:
47
Date:
r1/9407?5
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 abandoned for a period of 180 days from the last inspection.
doc: EL -4/07
ELI 0-0724 Printed: 09 -09 -2010
City of Tukwila
-a Z 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
Parcel No.: 2716000020
Address:
Suite No:
Tenant:
12698 GATEWAY DR TUKW
STEMCELL TECHNOLOGIES
•
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0724
ISSUED
09/09/2010
09/09/2010
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: 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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
/47 &Rued
Date:
doc: Cond -Elec
EL10 -0724 Printed: 09 -09 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwfia.wa.us
Electrical Permit No.0 G CD C) g Z y
Project No.
(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:
King Co Assessor's Tax No.: 2j/12_0/)_—_<? 0
/.V 71 .41B/0. ')RJI
Tenant Name: Sy:hp 5 % G,/ad, 6 / c) New Tenant: ❑ Yes ❑..No
Property Owners Name: SWA
Mailing Address: / ,2/ 7 ' 6 : 1 7 . 6 : 4 / 0 , 1 - 4 3 ) 1li[ 72164,47/49 4
74 9'AWCf
City State Zip
Suite Number:
Floor:
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: n
Mailing Address: //5-O
E -Mail Address: r¢j(2'1',,(jiy /2C,.8/1 &lpi/uLT,/ 414,7`,6)7?
ELECTRICAL CONTRACTOR INFORMATION
Day Te ephone:.25,5 13?-0 l
,o Gt/7 5
City / State Zi
Fax Number: y 6. 237— `i
Company Name: Cw / 1 .
Mailing Address:
Contact Person:
E -Mail Address: -5/47)21r
/
City
Day Telephone: _5,04
State
�c�
Fax Number: 5;4 Contractor Registration Number: 000 \ titi1-1 12 ✓Q Expiration Date:
Zip
Valuation of Project (contractor's bid price): $
JO a o 6r)
Scope of Work (please provide detailed information): regiem P, R,4i 19,7
i L911
Will service be altered? ❑ Yes ' No
Adding more than 50 amps?
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
Puget Sound Energy
Seattle City Light
H:\Applications\Forms- Applications On Line\20I0 Applications \7-2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Yes
'4 No
❑ Tenant Improvement
❑ Temporary Service
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, fumace 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) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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: Date:
Print Name:
Day Telephone:
Mailing Address:
City
Date Application Accepted:
State
Zip
Date Application Expires:
Staff Initials:
H:Wpplications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
• •
City of Tukwila
r y Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: hap://www.ci.tukwila.wa.us
Parcel No.: 2716000020
Address: 12698 GATEWAY DR TUKW
Suite No:
Applicant: STEMCELL TECHNOLOGIES
RECEIPT
Permit Number: EL10 -0724
Status: PENDING
Applied Date: 09/09/2010
Issue Date:
Receipt No.: R10 -01793
Payment Amount: $178.50
Initials: TLS Payment Date: 09/09/2010 01:22 PM
User ID: 1165 Balance: $0.00
Payee: ART J BERUBE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 00913B
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 09 -09 -2010
02 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
ART BERUBE
450 SHATTUCK AV S
RENTON WA 98057
RE: Permit No. EL10 -0724
12698 GATEWAY DR TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 03/08/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 03/08/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0724
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople P ter Friendly Page
•
Electrical Contractor
A business licensed by L&I 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
CONVERGINT TECHNOLOGIES LLC
4252722250
450 Shattuck Ave 5 Ste 100
Renton
WA
98057
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602133088
Active
CONVETL984BQ
Electrical Contractor
1/18/2002
1/18/2012
Limited Energy
Hvac /Rfrg Ltd Energy
MASTER ELECTRICIAN INFORMATION
License QUICKRJ967KQ
Name QUICKSALL, RILEY J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROGERS, JEFFREY J
Agent
01/18/2002
Bond Amount
LERNIHAN, GREGORY M
President
01/18/2002
82055897
WINKEL, WALTER W
Secretary
01/18/2002
ROGERS, JEFFREY J
Vice President
01/18/2002
TRAVELERS CAS &
SURETY CO
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
FEDERAL INS CO
82055897
05/08/2006
Until Cancelled
$4,000.0006/14/2006
1
TRAVELERS CAS &
SURETY CO
103757564
01/02/2002
Until Cancelled
05/08/2006
$4,000.0003/13/2002
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni /bbip /Print.aspx 09/09/2010