HomeMy WebLinkAboutPermit EL09-0543 - MONTEJANO RESIDENCEMONTEJANO RESIDENCE
4310 S 122 ST
ELO9-0543
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
Parcel No.: 3347400400
Address: 4310 S 122 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0543
Issue Date: 08/26/2009
Permit Expires On: 02/22/2010
Tenant:
Name: MONTEJANO RESIDENCE
Address: 4310 S 122 ST , TUKWILA WA
Owner:
Name: MONTEJANO JOSE +MANDEE K Phone:
Address: 4310 S 122ND ST , TUKWILA WA
Contact Person:
Name: DEANNA SIMMONS Phone: 253 - 582 -0800
Address: PO BOX 39300 , LAKEWOOD WA
Contractor:
Name: BROADVIEW SECURITY INC Phone: 253 - 582 -0800
Address: PO BOX 39300 , LAKEWOOD WA
Contractor License No: BROADSI9114M Expiration Date: 07/13/2011
DESCRIPTION OF WORK:
INTRUSION ALARM
Value of Electrical: NRES: $0.00 Fees Collected: $57.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: Date:
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 •t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the • _ - • an • ,.f work. I am aut I • • - • to sign and obtain this electrical permit.
Signature:
Print Name:
1\. (cam/
Date: 6 c_Qc -7
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: EL -4/07
EL09 -0543 Printed: 08 -26 -2009
Parcel No.: 3347400400
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.tukwila.wa.us
4310 S 122 ST TUKW
MONTEJANO RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0543
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 th- performance of work.
Signature:
Print Name.
't1A/\ kAks6Lki(:-/
Date:
doc: Cond -Elec
EL09 -0543
Printed: 08 -26 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htlp://www.ci.tukwilawe. us
�D l 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 **
ofe5 SOL/
Electrical Permit No. LLf )9_ 0,51-i 33
Project No.
(For office use only)
SITELOCATION
u�) King Co Assessor's Tax No,: 33y7j 4/ -O Y 00
Site Address: 7 31 D 5 / a9 nol 7 Suite Number:
Tenant Name:
Property Owners Name: ManCite 01
1 f-71, QTO
Mailing Address: /O 1 / 9dnd thee
Floor:
New Tenant: ❑ Yes ❑ ..No
City
9f/7g
State Zip
!TACT PERSON - Who:do we contact; when: your;^permifis ready to' -be issued.
Name:
Day Telephone:
Mailing Address:
state
City
Zip
E -Mail Address: Fax Number:
Company Name:
1 iiiii ar_eAtege%m% ti_arsg, t t.., Sec o,' `"
Mailing Address: / 0 , /n( . 1 ‘O 4a;K LdoorL 4 //9 % O
�-) City State �jZip Q j�
Contact Person: / 7 ✓//77/ �� �,y Day Telephone: 5� "�s- g.2_��jU0t/
E -Mail Address`��f�71/7'7� ��72%7 .W/i Fax Number: ,.� �F,f — (%9%9
Contractor Registration Number: 71/77, /4/g) Ga- Expiration Date:
Valuation of Project (contractor's bid price): $ I-100' 00
Scope of Work (please provide detailed information): /7177/- ///7
Will service be altered? ❑ Yes iA] No Adding more than 50 amps? ❑ Yes yi No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ 'Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm El Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Ugsficaoonaomu•Apphcanons On Linet4 -2(747- Elamcal Pennii Apphcaiion.doc
bh
Page I of2
1
RESIDENTIAL
NEW RESIIDENTIAI. SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings 575.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEI, 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
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
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 l HAVE READ AND EXAMINED THJS 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: La 7I/%?/77 9 -Z-e:
Print Name: �I //17a - /l.?:7/27(.7 ?
Mailing Address: / • ,6T,r --9--61)0
Date:
Day Telephone:
,Z(Zs'Lr)(22CC a2/9
City Suite
Y9
IDate Application Accepted:
Date Application Expires: I Staff htitials:
II \A1 ,Iicetions\ronns.Appl c F,ons On LtneW -2007- 'Electrical Permit Application dnc
bt.
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
RECEIPT
Parcel No.: 3347400400 Permit Number: EL09 -0543
Address: 4310 S 122 ST TUKW Status: PENDING
Suite No: Applied Date: 08/26/2009
Applicant: MONTEJANO RESIDENCE Issue Date:
Receipt No.: R09 -01345
Initials: WER
User ID: 1655
Payment Amount: $57.00
Payment Date: 08/26/2009 11:20 AM
Balance: $0.00
Payee: BRINKS HOME SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000426 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
AY E <T
ECEIVED
doc: Receiot -06 Printed: 08 -26 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
x`07 -0 V
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: O
�^`A-'�~ �t
Type of Inspection:
/D0
Address.
Date Called:
Special lnst uctions:
54 CA(T1
Date Wanted:
P2- a.m.
P.m
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
113-"km‘, R Date:nto
ri $60.00 REINS CTION FEE REQ D
to inspec ion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
City of T'u ila
Jim Haggerton, Mayor
Department of Community Development
DEANNA SIMMONS
PO BOX 39300
LAKEWOOD WA 98496
RE: Permit No. EL09 -0543
4310 S 122 ST TUKW
Dear Permit Holder:
Jack Pace, Director
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 Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 02/22/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 02/22/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0543
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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 Et
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