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Home My WebLink AboutPermit EL11-0832 - STEMCELL TECHNOLOGIESSTEM CELL TECHNOLOGIES 12698 GATEWAY DR EL1 1 -0832 City ofikukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -36 65 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2716000020 Address: 12698 GATEWAY DR TUKW Project Name: STEMCELL TECHNOLOGIES ELECTRICAL PERMIT Permit Number: EL11 -0832 Issue Date: 09/06/2011 Permit Expires On: 03/04/2012 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ Contact Person: Name: TIMM GOGGIN Address: 450 SHATTUCK AV S , RENTON WA Contractor: Name: CONVERGINT TECHNOLOGIES LLC Address: 450 SHATTUCK AV S, STE 100 , RENTON WA Contractor License No: COVETL984BQ Phone: 360- 509 -3180 Phone: 425 272 -2250 Expiration Date: 01/18/2012 DESCRIPTION OF WORK: REISSUE OF EXPIRED PERMIT EL10 -0724 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: National Electrical Code Edition: $178.50 2008 Date: ei,ii,,ti 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 • : rformance of wo I am authorized to sign and obtain this electrical permit. Signature: Print Name: I 1 '�‘'\ G 0 C 0-1 , i 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. Date: doc: EL -4/10 EL11 -0832 Printed: 09 -06 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0832 * *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 -4/10 EL11 -0832 Printed: 09 -06 -2011 CITY OF TUKWIL• Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PermtNo. t �� '0) 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.: Site Address: 1 (p C\ (T A;'e. W Ay Nom, Suite Number: Floor: Tenant Name: S V'e. N o \ New Tenant: E. Yes ❑ .. No Property Owners Name: C. i3 2 L — A R\" t .) ► o C A v %ukw►1\ Mailing Address: 12 iO City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: l ,, o.q (ro it (r d n1 Day Telephone: Mailing Address: Ll S a SPA -A \-v c. k A\) S s Ile N k o t j City State Zip Fax Number:1i 2-.S- - 2S1 - O et '-t c1 \-,� ►� `rgo57 E -Mail Address: 1, r► • (r o(r (r, 1J Q C O Ny e-{ aJ I n1 "C , (GM ELECTRICAL CONTRACTOR INFORMATION Company Name: c01Jvest►Nk Tcc.kNoLdim' Mailing Address: GI S° s N 4 }k v L A\1 E S E 4otJ wA . 1 i0 City State Zip Contact Person: (, r-► & o C) (r- iv Day Telephone: 3 (no - S Get — 3 ‘ 55 0 E -Mail Address: T. trt , (-c GU, N@ C.5i.lvEC.51 tJ (o tA Fax Number: Li .6-- 2 5 1 - a 9 4 et Contractor Registration Number: EC O 6 GA C o N U E 4 L g rd Ll Gk Expiration Date: (— 1St- 7-01-L. Valuation of Project (contractor's bid price): $ i (CD 6t5 Scope of Work (please provide detailed information): A\ ac 'Sy S -'c C i.‘3.] c �� Will service be altered? ❑ Yes IQ No Type of Use: 5- -°P-e7 S� Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Fones- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 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 irEr 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) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Camivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - IDate Application Accepted: 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: Print Name: i LA'N Lc (..f-Ci- 13 Mailing Address: 11.56 5 14A\- \\LC.. /1V E S. Date: Day Telephone: 360 So 9` 3 l SS 0 City •.✓A c1 OSS State Zip Date Application Expires: Staff Initials: H:1Applications'Forms- Applications On Line 12010 Applications17 -2010 - Electrical Permit Application doc Revised. May 2011 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.TukwilaWA.gov RECEIPT Parcel No.: 2716000020 Permit Number: EL11 -0832 Address: 12698 GATEWAY DR TUKW Status: PENDING Suite No: Applied Date: 09/06/2011 Applicant: STEMCELL TECHNOLOGIES Issue Date: Receipt No.: R11 -01937 Initials: WER User ID: 1655 Payment Amount: $89.25 Payment Date: 09/06/2011 08:58 AM Balance: $0.00 Payee: CONVERGINT TECHNOLOGIES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6698 89.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 89.25 Total: $89.25 doc: Receiot -06 Printed: 09 -06 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 -(206) 431 -36 Permit Inspection Request Line (206) 431 -2451 (u/-o'32- Project: 5 _�_ , r `��/ Type of Inspection: Address. Date Called: Special Instruction ornRequester: Date Wanted:. Q` �, a.m. P r Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 4 c[Pitr Inspector: '% 1L, Date: 67 O� I t ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr t r 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 S 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 08994588 WINKEL, WALTER W Secretary 01/18/2002 ROGERS, JEFFREY J Vice President 01/18/2002 FEDERAL INS 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 3 Fidelity & Deposit Co of MD 08994588 05/08/2011 Until Cancelled $4,000.0004/13/2011 2 FEDERAL INS CO 82055897 05/08/2006 Until Cancelled 08/10/2011 $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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESHA000448 2/7/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/06/2011