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Home My WebLink AboutPermit EL11-0242 - GENOA HEALTHCAREGENOA HEALTHCARE 18300 CASCADE AV EXPIRED 09 -12 -11 EL1 1 -0242 Parcel No.: Address: Tenant Name: 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: / /wwwci.tukwila.wa.us 7888900175 18300 CASCADE AV TUKW GENOA HEALTHCARE ELECTRICAL PERMIT Permit Number: EL11 -0242 Issue Date: 03/16/2011 Permit Expires On: 09/12/2011 Owner: Name: Address: Contact Person: Name: Address: RIVERPOINT TWO LLC PO BOX 20399 , SEATTLE WA 98102 PETE BRETZKE 15443 NE 95 ST , REDMOND WA 98052 Contractor: Name: TEKNON CORPORATION Address: 15443 NE 95 ST , REDMOND WA 98052 Contractor License No: TEKNOC*995KM Phone: 206 - 898 -6095 Phone: 425 - 895 -8535 Expiration Date: 05/22/2011 DESCRIPTION OF WORK: INSTALL CARD READER AND ELECTRIC LOCK Value of Electrical Work: NRES: $2,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: "V ` VJ, - ( I I hereby 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 electrical permit and agree to the conditions on the back of this permit. Signature: Date: ///,c2//7 Print Name: j)✓er u�2�t/GS 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 -9/09 EL 11 -0242 Printed: 03 -16 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0242 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0242 Printed: 03 -16 -2011 CITY OF TUKAA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us • Electrical Permit No. tLt `�- C2- L(;, 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 King Co Assessor's Tax No.: 7 k 6 q? 0— 4 I- t Suite Number: Floor: New Tenant: ❑ Yes ,rj .. No 9k/Oz Site Address: /k(34)0 iW9 . • Tenant Name: a6-71.44 h ,A Property Owners Name: DJ ( 7�� Mailing Address: T 0OX 2i» IT x_ 39 " City (t/n State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Fe`r Eve67z,.4C-e- Mailing Address: /577/4/g AV9 E -Mail Address: Day Telephone: (2& & - 6046- AO/1401W «l tv4 4W-2— City State Zip Fax Number2 -Sij =mss ELECTRICAL CONTRACTOR INFORMATION Company Name: 7—& ,/OJ1/ / '& )Y City State Zip Day Telephone: 2')& WS" —649 Fax Number: t ) eft - O S ` , Expiration Date: L ,22- %r Mailing Address: LC Contact Person: rey� s6�� E -Mail Address: 7k %2 Yoh/. Gdi. t Contractor Registration Number: Tbik%VOG `j�, jti'1 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information) /41✓L2 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes tf No Type of Use: Type of work: jzi New ❑ Addition ❑ Service Change i Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Porns- Applications On Line \.20I0 Applications \7.2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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: Print Name: _1,4 Mailing Address: Date: ..06 201/ Day Telephone:/264 - 6095 Date Application Accepted: City State Zip Date Application Expires: Staff Initials: H:1Applications\Fonns- Applications On Line\2010 Application.0-2010 - Electrical Permit Application.doc bh 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 Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: GENOA HEALTHCARE RECEIPT Permit Number: EL11 -0242 Status: PENDING Applied Date: 03/16/2011 Issue Date: Receipt No.: R11 -00502 Initials: User ID: Payee: WER 1655 Payment Amount: $136.50 Payment Date: 03/16/2011 08:19 AM Balance: $0.00 LAWRENCE BRETZKE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 072155 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receipt -06 Printed: 03 -16 -2011 • Gity of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director PETE BRETZKE 15443 NE 95 ST REDMOND WA 98052 RE: Permit No. EL11 -0242 18300 CASCADE AV 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 09/12/2011. 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 09/12/2011, 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, c Bill Rambo Permit Technician File: Permit File No. EL11 -0242 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Piper 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 TEKNON CORPORATION 4258958535 15443 Ne 95Th St Redmond WA 98052 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600525922 Active TEKNOC`995KM Electrical Contractor 5/14/2001 5/22/2011 Telecommunications License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TEKNOC,062J8TEKNON CORPORATION Electrical Contractor Limited Energy Unused 4/28/1994 9/24/2012 Active Electrical Administrator INFORMATION License HARISS'993KJ Name HARIS, SUKO Status Active Name Role Effective Date Expiration Date CT CORP Agent 05/11/2001 Bond Amount SMITH, ROGER B President 05/11/2001 58004736 SPENCER, GORDON J Secretary 05/11/2001 Page 1 of 2 DUIIU Bond 1111U1111a1IV11 Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 WASHINGTON INTL INS CO 58004736 03/15/2001 Until Cancelled $4,000.0005/11/2001 04/27/2010 Assignment of Savings Information No records found for the previous 6 year period Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 11 PHOENIX INSURANCE COMPANY DTC04538N677PHX10 05/01/2010 05/01/2011 51,000,000.00 04/27/2010 10 TRAVELERS PROPERTY CAS INS CO DTEC04538N677TIL0905/01/2009 05/01/2010 $1,000,000.0004 /30/2009 9 TWIN CITY FIRE INS COMPANY 59UUNU09300 10/13/2008 05/01/2009 $1,000,000.0010 /13/2008 8 ONEBEACON AMERICA INS CO 7100231420000 05/01/2008 05/01/2009 10/13/2008 $1,000,000.0005 /02/2008 7 TWIN CITY FIRE INS CO 59UUNTL4093 05/01 /2007 05/01 /2008 $170,000.00 04/30 /2007 https://fortress.wa.gov/lni/bbip/Print.aspx 03/16/2011