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Home My WebLink AboutPermit EL09-0078 - WELLBROCK RESIDENCEWELLBROCK RESIDENCE 12243 48 AV S ELO9-0078 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 0179001260 12243 48 AV S TUKW City.f 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 WELLBROCK RESIDENCE 12243 48 AV S , TUKWILA WA VANDERWEL RUBY E 12243 48TH AVE S , SEATTLE WA DEANNA SIMMONS PO BOX 39300 , LAKEWOOD WA Contractor: Name: BRINKS HOME SECURITY INC Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA Contractor License No: BRINKHS148LE DESCRIPTION OF WORK: INTRUSION ALARM Value of Electrical: NRES: $1,286.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Signature: Print Name: , /kJ_ C f doc: EL -4/07 a ith ELECTRICAL PERMIT • Permit Number: EL09 -0078 Issue Date: 01/27/2009 Permit Expires On: 07/26/2009 Phone: Phone: 253 582 -0800 Phone: 253 - 582 -0800 Expiration Date: 03/31/2010 Fees Collected: $57.00 National Electrical Code Edition: 2005 Date: C)L 171 , ed this permit and know the same to be true and correct. All provisions of law and ordinances 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. Date: /- 2 7 - e) 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. EL09 -0078 Printed: 01 -27 -2009 Parcel No.: 0179001260 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 12243 48 AV S TUKW 1 i 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 WELLBROCK RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0078 ISSUED 01/27/2009 01/27/2009 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. 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. Signature: Print Name: /� - i `-1 ` doc: Cond -Elec Date: a 7 -c EL09 -0078 Printed: 01 -27 -2009 Tenant Name: Property Owners Name: Mailing Address: E «by Name: - Mailing Address: E -Mail Address: 'ELECTRICATL CONTRACTORTINFORMATION ` Contact Person: E -Mail Addres FIAApplmaaons\Poms- Applicaonns On I.n \5.2007 - P.Ieoncol Permit Apphcation.doc bh • # qoiao CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.dtukwila.wa.us e) o ! 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 i 411 Site Address: l as 1 43 0 A w ./ 1 O �.. 5 Valuation of Project (contractor's bid price): $ I r - a vo • " Scope of Work (please provide detailed information): Electrical Permit No. E1/ 0 o, - V O o Project No. (For office use only) King Co Assessor's -Tax No.: /1/7" 3/ Suite Number: City TACT :PERSON = Who do we contact when y our = permitis ready: to be issued Day Telephone: - City oil000 oico New Tenant: ❑ Yes ❑ ..No State State Floor: Zip Zip Fax Number: 7 Company Name: e (7,9 /', Mailing Address: D a il v 4 �' 'e'�_00,Cirty &) 19 9 51 c/-_� 9 _ zi �j Day Telephone: '�� IJ ►"' P 0u e / Fax Number: 4.29 ()9 9 9 Aif/ Contractor Registration Number: I/� /� /`y Expiration Date: Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes pi No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement X Low Voltage ❑ Generator ❑ Fire Alarm ❑ 'Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light Pagel of2 1 RESIDENTI AI, 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 CIIANGES ❑ 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 Low voltage systems $55.00 (alarm, fumace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: 1 J.t 47/70 : Print Name: ' ,7 /7Q 7 // 77 7 9 Mailing Address: n:\Apphconons\ nmu•Apphcahons On 1.1.14.2007 = Elcnncnl Pcmvi Apphcenon.dnc. bh MULTI- FAMILY ANI) CO1VIMERCIAL 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 APPLICATIONNOTES = 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 1 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 TIIIS PERMIT. Day Telephone: Date: City Sate 98 y96, I Dale Application Accepted: Date Application Expires: Staff Initials: 1 Page 2of2 Parcel No.: 0179001260 Address: 12243 48 AV S TUKW Suite No: Applicant: WELLBROCK RESIDENCE Receipt No.: R09 -00141 Initials: JEM User ID: 1165 Payee: BRINKS HOME SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1000298 55.00 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 PAYMENT RECEIVED RECEIPT Account Code Current Pmts 000.322.101.00.0 55.00 Total: $55.00 Permit Number: EL09 -0078 Status: PENDING Applied Date: 01/27/2009 Issue Date: Payment Amount: $55.00 Payment Date: 01/27/2009 01:17 PM Balance: $2.00 doc: Receiot -06 Printed: 01 -27 -2009 Parcel No.: 0179001260 Address: 12243 48 AV S TUKW Suite No: Applicant: WELLBROCK RESIDENCE Receipt No.: R09 -00142 Initials: User ID: Payee: ACCOUNT ITEM LIST: Description doc: Receiot -06 JEM 1165 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 BRINKS HOME SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 2.00 PAYMENT RECEIVED RECEIPT Account Code Current Pmts 000.322.101.00.0 2.00 Total: $2.00 Permit Number: EL09 -0078 Status: PENDING Applied Date: 01/27/2009 Issue Date: Payment Amount: $2.00 Payment Date: 01/27/2009 01:17 PM Balance: $0.00 Printed: 01 -27 -2009 Project: j E � `� • Type of Inspection: POO Address: I li� 11 nY � Date Called: Special Instructio s: � ECJ�1�"� Date Wanted: �049 � ( a.m: Requester: Phone No: C O T ooh INS PECTI O N NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 14 1' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 INSPECTION RECORD Retain a copy with permit COMMENTS: r\ Inspector: Date:�I t Approved per applicable codes. Corrections required prior to approval.: ri $60.00 REINSPECTION FEE R WIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: " "" 06 -03 -2009 DEANNA SIMMONS PO BOX 39300 LAKEWOOD WA 98496 RE: Permit No. EL09 -0078 12243 48 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 final 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 writinj 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 07/26/2009 , 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, Bill Rambo Permit Technician xc: Permit File No. EL09 -0078 City of T.:kwfla Department of Community Development Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206- 431 -3665 Name Role Effective Date Expiration Date C T CORPORATION SYSTEM AGENT 06/05/1986 ALLEN, ROBERT B PRESIDENT 01/08/2002 CAGE, CHRIS B SECRETARY 06/05/1986 YEVICH, STEPHEN C TREASURER 01/08/2002 NEACE, STEVEN E VICE PRESIDENT 01/08/2002 MICHEL, PETER A VICE PRESIDENT 01/01/1980 01/08/2002 SCHLICHTER, PAUL M VICE PRESIDENT 01/01/1980 01/08/2002 JOHNSON, KEITH J VICE PRESIDENT 01/01/1980 01/08/2002 Untitled Page Electrical Contractor A business licensed by Lai 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 BRINKS HOME SECURITY INC 2535820800 PO BOX 39300 LAKEWOOD WA 98496 PIERCE CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600545354 ACTIVE BRINKHS148LE ELECTRICAL CONTRACTOR 6/5/1986 3/31/2010 BRINKHS159CL GOAKEHC979R2 LIMITED ENERGY UNUSED ADMINISTRATOR INFORMATION License GOAKEHC979R2 Name GOAKEY, HOWARD C JR Status ACTIVE Business Owner Information Bond Information I Bond I • https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= BR1NKHS 148LE • Page 1 of 2 01/27/2009