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HomeMy WebLinkAboutPermit M11-091 - STEMCELL TECHNOLOGIESSTEM CELL TECHNOLOGIES 12698 GATEWAY DR Mi 1 -091 City oilI'ukwila 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.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 2716000020 Address: 12698 GATEWAY DR TUKW Project Name: STEMCELL TECHNOLOGIES Permit Number: M11 -091 Issue Date: 07/06/2011 Permit Expires On: 01/02/2012 Owner: Name: Address: Contact Person: Name: Address: Email: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE AZ 85261 BOB WALL 1411 R ST NW , AUBURN WA 98001 BOB.WALL@AMBIENTCONTROL.COM Contractor: Name: AMBIENT CONTROL CO INC Address: 1020 S 344 ST, SUITE 203 , FEDERAL WAY WA 98003 Contractor License No: AMBIECC101PW Phone: 253 -876 -9933 Phone: 253- 661 -5844 Expiration Date: 10/25/2011 DESCRIPTION OF WORK: REISSUE OF EXPIRED PERMIT M10 -105. PERMIT FOR (1) FINAL INSPECTION ONLY. INSTALL 2 WALK -IN COOLERS COMPLETE WITH COMPRESSORS AND REFRIGERANT PIPING. Value of Mechanical: $200.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $120.75 International Mechanical Code Edition: 2009 Date: (49v 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 aut • orized to sign and obtain this mechanical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: C // 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: IMC -4/10 M11-091 Printed: 07 -06 -2011 • • PERMIT CONDITIONS Permit No. MI 1-091 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances cif the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: IMC -4/10 M11 -091 Printed: 07 -06 -2011 CITY OF TUKWIiii Community Developlifiht Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Mechanical Pitt No. M 1 Project No. (For office use only) MECHANICAL 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 �,�> � � 1( King Co Assessor's Tax No.: Site Address: /,4, °7 b ec ( JJr . Suite Number: Floor: Tenant Name: 55€(446- ,a (� �`- c v1 r•, o tc ) yi°S New Tenant: 111--"ces ❑.. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: 'fib i 1 Mailing Address: / 6/l/ S< E -Mail Address: b 6. ",4t( �Gtv✓t Yj 18 i 11�y, /mil, p� Day Telephone: ?s3 — %i -P233 t ti•-n 90©c2 / City State Zip Fax Number: MECHANICAL CONTRACTOR INFORMATION Company Name: ILI 6 ( . 2:21 < Mailing Address: / 4(( Ske °l "1"1- / .h ick". 1 City Contact Person: 1, wS / f II-- �[ / E -Mail Address: d�r� � c,vq �/ � ��•-\ � „�., r�o� (� G Fax Number: Or-3 -Y .� Contractor Registration Number: /w Day Telephone: State '7/we)/ Zip was -933 Expiration Date: /a ARCHITECT OF RECORD — All plans must be stamped by architect of record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: E -Mail Address: 7 State Zip ENGINEER OF RECORD — All plans must be stamped by engineer of record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 2 State Zip H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh J Valuation of project (contractor's bid price): $ _ ® c94Z) / Scope of work (please rovide detailed information): 5T-1 5 / %. ti (),)gl,k ^�t- �©�(�— mod► P t° z'P.- /6 ox _t/ yfQ✓N 10A-1-1- Use: Residential: New Commercial: New Fuel Type: Electric Gas Replacement Replacement El Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Bioler /Compressor Qty furnace <100k btu air handling unit >10,000 cfm fire damper 0 -3 hp /100,000 btu furnace >100k btu evaporator cooler diffuser 3 -15 hp /500,000 btu • floor furnace ventilation fan connected to single duct thermostat 15 -30 hp /1,000,000 btu suspended/wall/floor mounted heater ventilation system wood/gas stove 30 -50 hp /1,750,000 btu appliance vent hood and duct emergency generator 50+ hp /1,750,000 btu repair or addition to heat/refrig/cooling system Incinerator - domestic other mechanical equipment air handling unit <10,000 cfm incinerator - comm/ind 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 additional periods not to exceed 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 international building code (current edition). 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 OWN OR AUTHO AGENT: Signature: / Print Name: ) J Q--1 4 ^ - / ( !�= Mailing Address: /971 ,/-1 ,51C re/ /VGf /s IDate Application Accepted: Date: Day Telephone: ex City State Zip Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line12010 Applications\7 -2010 - Mechanical Permit Application.doc Revised: 7.2010 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: M11 -091 Address: 12698 GATEWAY DR TUKW Status: PENDING Suite No: Applied Date: 07/06/2011 Applicant: STEMCELL TECHNOLOGIES Issue Date: Receipt No.: R11 -01383 Initials: User ID: Payee: WER 1655 Payment Amount: $96.60 Payment Date: 07/06/2011 03:31 PM Balance: $0.00 ROBERT WALL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 013329 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 07 -06 -2011 �, '. - • ''. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 07,0 "4 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 le_ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 a�� Project: �. - S --i:1n 'g /I fer&A,v ;ps Type of Isgection: t -,i,04- I Address: Date Called: Special Instructions: Date Wa ed: 7...... 1 % a.m. p.m. Requester: Phone No: roved per applicable codes. El Corrections required prior to approval. COMMENTS: T Inspec r: Date ;.,� 6 J Ate// ff // `� rJ aiR NSPECTION FEE REQUI ED. Pri /to next inspection. fee must be. .: . d at 6300 Southcenter Blvd.. Suit4100. Call to schedule reinspection. • �. , INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit •yA ee . •p.•N- p.•�pw. 7.. A/n -041 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Project: s. (41/ '7710., 4 h $,5 i7s Type of Inspection F .0- F, -ia, I Address: /),c, y' (7c, kk,i- / pV Suite #: Contact Person: Special Instructions: Phone No.: 'Approved per applicable codes. Corrections required prior to approval. COMMENTS: `7' Sprinklers: `f F►►� - C1•10, 1 Ok Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: tee - -i.,SJ u-e O1 old 2 'fp; vi, /1- ;7Z /i'l /V - /©c 5- / Needs Shift Inspection: `7' Sprinklers: `f Hrs.: , Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 5- / Inspector: A Avvl 511 D Date: 7- , , - / / H Hrs.: , , w $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: 1 Company Name: Address: City: 1 State: _ 1 Zip: Word /Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 ? Contractors or Tradespeople Printer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name AMBIENT CONTROL CO UBI No. 601081069 INC Phone 2536615844 Status Active Address 1411 R St Nw License No. AMBIECC101PW Suite /Apt. License Type Construction Contractor City Auburn Effective Date 10/16/1990 State WA Expiration 10/25/2011 Date Zip 980013506 Suspend Date County King Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac /R) Business Type Corporation Specialty 2 Unused Parent Company iated Licenses Page 1 of 2 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMBIECC133QB AMBIENT CONTROL COMPANY Construction Contractor Air Conditioning Commercial /Industrial /Refrig 11/2/1987 10/16/1990 Archived CASCADS0330D CASCADE DRAFT SYSTEMS INC Construction Contractor Commercial /Industrial / Refrig Unused 9/4/1997 7/28/2004 Expired Business Owner Information Name Role Effective Date Expiration Date WALL, DENA Cancel Date 01/01/1980 Amount WALL, ROBERT A JR 11 01/01/1980 DTC07224M2321ND10 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 OLD REPUBLIC SURETY CO YLI227438 10/16/2001 Until Cancelled $6,000.00 10/25/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 11 CHARTER OAK FIRE INS CO DTC07224M2321ND10 10/16/2010 10/16/2011 $1,000,000.00 10/06/2010 10 CHARTER OAK FIRE INS CO DTC07224M232C0F08 10/16/2008 10/16/2010 $1,000,000.00 09/30/2009 9 NORTH PACIFIC INS CO C03161616 10/16/2006 10/16/2008 $1,000,000.00 10/18/2007 8 NORTH PACIFIC INS CO CO2161616 10/16/2005 10/16/2006 $1,000,000.00 10/18/2005 7 NORTHERN INS CO OF NY SCP042626532 10/16/2004 10/16/2005 $1,000,000.00 09/20/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 07/06/2011