HomeMy WebLinkAboutPermit EL09-0542 - ADAME RESIDENCEADAME RESIDENCE
4629 S 160 ST
ELO9-0542
Parcel No.: 5379800170
Address:
Suite No:
Cityef 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
4629 S 160 ST TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0542
08/26/2009
02/22/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
ADAME RESIDENCE
4629 S 160 ST , TUKWILA WA
ADAME DENKEY B
4629 S 160TH ST , TUKWILA WA
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
BROADVIEW SECURITY INC
PO BOX 39300 , LAKEWOOD WA
License No: BROADSI9114M
Phone:
Phone: 253 - 582 -0800
Phone: 253 - 582 -0800
Expiration Date: 07/13/2011
DESCRIPTION OF
INTRUSION ALARM,
WORK:
ADD ON 2 SMOKE DETECTORS
Value of Electrical: NRES: $0.00
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:
$57.00
2005
Date: -(i2 _0 61
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 no
construction or theperft tce of
Signature:
presume to give authority to violate or cancel the provisions of any other state or local laws regulating
work. I • - rized to sign and obtain this electrical permit.
Print Name:
1CS 6 v3 ky
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: C - V1
doc: EL -4/07
EL09 -0542
Printed: 08 -26 -2009
Parcel No.:
Address:
Suite No:
Tenant:
. •
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.tulavila.wa.us
5379800170
4629 S 160 ST TUKW
ADAME RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0542
ISSUED
08/26/2009
08/26/2009
1: ** *ELECTRICAL * **
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: Date:
Print Name: 1 t ‘e\e- \f\-
doc: Cond -Elec
EL09 -0542 Printed- 08 -26 -2009
1
il-q09)(00-7
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://wwwcitukwilawa.us
() I/ / $OD
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 **
•
Electrical Permit No. t [ - aSL(2
Project No.
(For office use only)
SITE =LOCATION
Site Address: -I V 41 9 .1 l 600#) ✓" ee/
King Co Assessor's Tax No.: ,537136- & Q/70
Suite Number: Floor:
Nevi' Tenant: ❑,....Yes ❑.,No
Tenant Name:
Property Owners Name: �xL l -q n€/9ZI,
94 A OQ TH
z 41 / Q
Mailing Address: City
_CON.TACT- PERSON= Who do:we contact4hen your-rperniifis ready -to be issued :
Name:
Day Telephone:
Mailing Address:
Zip
City
E -Mail Address: Fax Number:
State
ElECTRICAL=:C
NTRACTOR:TNFORMATI(
.. iciA th` F t..J S2(_J Y' v
Company Name: CllrrnalI,iiliiii7411 y--- �.d /�//a - �} p
Mailing Address: ,g 0 ' /�� -g/:.- 10 41.E-11hoce 4' 9 7 O < i
�} �7/y /-� City � State �y ✓7Zip /� Q
Contact Person: , / ��(�('z 7 —//'7/ 7c Day Telephone: v"7'5 '✓� j 4: ' ,( & t 2
E -Mail Addres) '//27/77/2/;-2'3 i3r/7,11. i'7 Fax Number: &-�' -9 , ,!6 , - j7997
Contractor Registration Number: 17i //7 /! h'.2 /4/ c Expiration Date:
Valuation of Project (contractor's hid price): $ , 00
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes X No Adding more than 50 amps? ❑ Yes of 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
II Vs pplicm nns\t urns- Apphcal inns On Ltnet4.2007- Electrical 1'enur Applicanon.doc
bh
Pogo I oft
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•
•
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
(alamn, furnace thermostat) 555.00 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 $1 0.00 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
Az
Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI -FA MIL1" AND COt19MERCIAI.
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufacturedhnobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions 510.00 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 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 1 AM AUTHORIZED TO APPLY FOR TIES PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
AJea/r7/10 7L7.7/277-Z
Signature:
Print Name: ZQ/7/7C? �//77 7/.7,
Mailing Address: / • ',' -J 1�3d�
Date:
Day Telephone:
City
Z Stele
y96,
iDate Application Accepted:
Date Application Expires: I Staff Initials:
H:U pthc onons\fomu- Apphrnhons On I.inel4- 1007 - nl Perna( A{rplicntion.doc
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Page 2of2
•
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
Parcel No.: 5379800170
Address: 4629 S 160 ST TUKW
Suite No:
Applicant: ADAME RESIDENCE
RECEIPT
Permit Number: EL09 -0542
Status: PENDING
Applied Date: 08/26/2009
Issue Date:
Receipt No.: R09 -01344
Initials: WER
User ID: 1655
Payment Amount: $57.00
Payment Date: 08/26/2009 11:09 AM
Balance: $0.00
Payee: BRINKS HOME SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000430 57.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 57.00
Total: $57.00
PAY 'ENT
RECEIVED
doc: Receiot -06 Printed: 08 -26 -2009
INSPECTION RECORD Ci0), D9.1 1
Retain a copy with permit C ( J I f�
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION --
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: bei g iRes !
Type of Inspection:
Address:
Date Called:
ctio
Special Instru s:
Date Wanted:
V
A1/,
0
m.
Requester:
Phone No:
;KiApproved per applicable codes. ID Corrections required prior to approval.
COMMENTS:
O. K. , rJkL
:-ir
Date: ,0 D
E, $60.00 REI SPECTION FEE REQUIRED. Prior to inspec ion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
f.---.
Untitled Page
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Page 1 of 1
Electrical Contractor
A business licensed by L&tI 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
Broadview Security INC
2535820800
PO BOX 39300
LAKEWOOD
WA
98496
PIERCE
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600545354
ACTIVE
BROADSI9114M
ELECTRICAL CONTRACTOR
7/13/2009
7/13/2011
LIMITED ENERGY
UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BRINKHS148LE
BRINKS
HOME
SECURITY
INC
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
UNUSED
6/5/1986
3/31/2010
OUT OF
BUSINESS
Business Owner Information
Name
Role
Effective Date
Expiration Date
CT Corp System
AGENT
07/13/2009
Bond
Amount
Allen, Stephen C
PRESIDENT
07/13/2009
64S105191180BCM
Yevich, Stephen C
VICE PRESIDENT
07/13/2009
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
TRAVELERS
CAS £r
SURETY CO
64S105191180BCM
11/01/2008
Until
Cancelled
$4,000.00
01/20/2009
https://fortress.wa.gov/lni/bbip/Detail.aspx
08/26/2009