HomeMy WebLinkAboutPermit EL07-787 - JACK RESIDENCEJACK RESIDENCE
11854 44 AV S
ELO7-787
- Parcel No.: 3347401030
Address: 11854 44 AV S TUKW
Suite No:
Tenant:
Name: JACK RESIDENCE
Address: 11854 44 AV S , TUKWILA WA
DESCRIPTION OF WORK:
INTRUSION ALARM
Value of Electrical: $500.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Signature
doc: EL -4/07
Cityf 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
Owner:
Name: Phone:
Address:
Contact Person:
Name: DEANNA SIMMONS Phone: 253 - 582 -0800
Address: P 0 BOX 39300 , LAKEWOOD WA
Contractor:
Name: BRINKS HOME SECURITY INC Phone: 253 -582 -0800
Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA
Contractor License No: BRINKHS148LE Expiration Date: 03/31/2008
Print Name: / ` Ail c"te—o
ELECTRICAL PERMIT
Permit Number: ELO7 -787
Issue Date: 12/18/2007
Permit Expires On: 06/15/2008
Fees Collected:
National Electrical Code Edition:
Date:
$55.00
2005
1�= 8 -07
I hereby certify that I have read and examined this permit and lrnow 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 perforrpance of work. I am authorized to sign and obtain this electrical permit.
Date: 2 /(25 O
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.
EL07 - 787 Printed: 12 -18 -2007
Parcel No.: 3347401030
Address: 11854 44 AV S TUKW
Suite No:
Tenant: JACK RESIDENCE
1: ** *ELECTRICAL * **
doc: Cond -Elec
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
PERMIT CONDITIONS
Permit Number: EL07 -787
Status: ISSUED
Applied Date: 12/18/2007
Issue Date: 12/18/2007
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.
6: 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.
Date: /Zl /SS ' -7
EL07 -787 Printed: 12 -18 -2007
Site Address:
Name:
Mailing Address:
Contact Person:
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✓
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
�D (• y33- / 800
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
Tenant Name:
Property Owners Name: Son t� ( 4
Mailing Address: • J it . _
/ •
CONTACT PERSON =Who dowe contact when your permit is ready to be issued
E -Mail Address:
-' d
Electrical Permit No. 6 — 7_113__T
Project No.
(For office use only)
King Co Assessor's Tax No.:
Suite Number: . Floor:
New Tenant: ❑ Yes ..No
City
State
Zip
Day Telephone:
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: _ - _ -- -- G
Mailing Address: Rat Pr _gl o0 L a&wooa- /I 93 v9
City / State Zip
Day Telephone: v�" � a s 2 1 O CIU
E -Mail Address " i J/�//7f .w Fax Number:. nD of r (2999
Contractor Registration Number: D //7I' �� ,"4" z. r y Expiration Date:
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
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
Page 1 of 2
nat
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
7C" Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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: )t T,7O
Print Name: - x./7/76?
Mailing Address: � 6e/r
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City State
Date:
Day Telephone:
98 y96
I Date Application Accepted: Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 -02788
Payee: BRINKS HOME SECURITY
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
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
RECEIPT
Parcel No.: 3347401030 Permit Number: ELO7 -787
Address: 11854 44 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/18/2007
Applicant: JACK RESIDENCE Issue Date:
Initials: WER Payment Date: 12/18/2007 01:03 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1169 55.00
Account Code Current Pmts
000.322.101.00.0 55.00
Total: $55.00
Payment Amount: $55.00
6220 12/18 9710 TOTAL 55.00
doe: Receiot -06 Printed: 12 -18 -2007
Project 4?
Type of Inspection:
2/00 /706
Address: (5 ... 11
yit
Date Called:
Special Instructio s:
Date Wanted: a.m
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
1
D K
rtAIA-c,_
INSPECTION RECORD
Retain a copy with permit
6 M - 77
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
'Inspector:
Date: DG/
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
05 -08 -2008
DEANNA SIMMONS
P O BOX 39300
LAKEWOOD WA 98496
RE: Permit No. EL07 -787
11854 44 AV S 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 Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 06/15/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
fer Marshall
it Technician
Permit File No. ELO7 -787
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
C T CORPORATION
SYSTEM
AGENT
06 /05/1986
ALLEN, ROBERT B
PRESIDENT
01/08/2002
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
BRINKHS 148LE
BRINKS HOME SECURITY INC
ELECTRICAL CONTRACTOR
600545354
48258900
CORPORATION
PO BOX 39300
LAKEWOOD
PIERCE
WA
98496
2535820800
ACTIVE
LIMITED ENERGY
UNUSED
6/5/1986
3/31/2008
BRINKHS 159CL
GOAKEHC979R2
Electrical Administrator Information
License
Name
Status
GOAKEHC979R2
GOAKEY, HOWARD C JR
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BRINKHS 148LE 12/18/2007