HomeMy WebLinkAboutPermit EL15-0475 - KBA KEITHLY BARBER - INTRUSION ALARM1114*4 OPY41111,44 m 0 1 ow I " 10MI tki 103
565 ANDOVER PARK W
SUITE 101
EL15-0475
City of Tukwila
• Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No: 2623049144 Permit Number: EL15-0475
Address: 565 ANDOVER PARK W 101 Issue Date: 5/27/2015
Permit Expires On: 11/23/2015
Project Name: KBA KEITHLY BARBER
Owner:
Name:
SOUTHCENTER CORPORATE SQUAR
Address:
150 CALIFORNIA ST, SAN FRANCISCO,
WA, 94111
Contact Person:
Name:
JENNIFER COVELLO
Address:
9808 31 AVE SE, EVERETT, WA, 98208
Contractor:
Name:
ADT LLC
Address:
6102 N NINTH ST, TACOMA, WA,
98406
License No:
ADTLLL*881DO
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE INTRUSION ALARM
Valuation of single family: $0.00
Valuation of mf/comm: $469.00
Type of Work: LOW VOLTAGE
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2016
Fees Collected: $81.80
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: W Date: ��
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature: —�.��A Date:
C12-
Print Name: l cdl'(In %4 4L-41
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: 'ELECTRICAL PERMIT CONDITIONS'
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Soulhcenter Blvd., Suite 100
Tukwila, WA 98188
http://ww-%v.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
use
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 I
King Co Assessor's Tax No.. 2623049144
Site Address: 565 Andover Park W Suite Number: #101 Floor:
Tenant Name: KBA Keithly Barber New Tenant: ❑ .....Yes R ..No
PROPERTY OWNER
Name: KBA Keithly Barber
Address: 565 Andover Park W
City: TUKWILA State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: JENMFER COVELLO/NWPERMIT-AGEN
Address: 9808 31st Ave SE
City: Everett state: WA Zip: 98208
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Install low voltage intrusion alarm
469
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
City: BOTHELL State: WA ZIP: 98011
Phone: Fax:
ContrRegNo.: ADLLL*81D0 ExpDate: 03/20/2016
Tukwila Business License No.:
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No
Type of Use: commercial
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsTorms-Applications OnLine\2011 Applications\FicaricalPerrnit ApplicaionRevised 8-9.1l.docx
Revised: August 2011
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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
❑ 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)
PERMIT APPLICATION NOTES -
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
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.
Date: A% r r--
Print Nance: (dot ✓lh �'� Day Telephone: (206) 774-9499
Mailing Address: 9808 31 st Ave SE EVERETT, WA 98208
City State Zip
H:\Applications\Fomvt-Applications On LineQ011 Applicatiom0ectncal Permit Application Revised 8-9-11.doex
Revised: August 2011
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
PAID
$81.80
EL15-0475 Address: 565 ANDOVER PARK W 101
Apn: 2623049144
$81.80
ELECTRICAL
$77.90
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$77.90
TECHNOLOGY FEE
$3.90
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R5365
R000.322.900.04.00 0.00
$3.90
1
Date Paid: Wednesday, May 27, 2015
Paid By: ADT LLC
Pay Method: CHECK 3062
Printed: Wednesday, May 27, 2015 12:50 PM 1 of 1
r?PSYS7EM5
INSPECTION RECORD f
Retain a copy with permit �✓"' '�
INSPECTION N0, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670.
Permit Inspection Request Line (206) 438-9350
Ins
Project. I pe of pection:
PAAL,
Address: -5z J
Date Called:
Special Instructions:
Date Wanted: a.m.
Requester:
Phone No:7 ,-`3 N
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must he
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
Page 1 of 2
Home Inicio en Espanol Contact
Safety
Washington State Department of
Labor & Industries
ADT LLC
Owner or tradesperson
Principals
Gursahaney, Naren K, PARTNER/MEMBER
Beleisch, Nelson D, PARTNER/MEMBER
Tulsyan, Ravi, PARTNER/MEMBER
Doing business as
ADT LLC
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ATTN LICENSING DEPT PO BOX 310702
BOCA RATON, FL33431-0702
206-719-0347
PIERCE County
WA UBI No. Business type
603 190 246 Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
_............................................................
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
ADTLLL*881DO
Effective — expiration
03/2012012— 03/20/2016
Designated administrator
Ni.ckols, Tim
License type
Electrical Administrator
Bond
_...............
Federal Ins Co
Bond account no.
82295435
Received by L&I
03/20/2012
Savings.
savings accounts during the previous 6 year period.
License Violations
............ .
No l'icerise violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
NICKOT*902DA
$4,000.00
Effective date
03/01 /2012
Expiration date
Until Canceled
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 5/27/2015