HomeMy WebLinkAboutPermit EL09-0556 - SMITH RESIDENCESMITH RESI 1 ENCE
4502 S 158 ST
EXPI ' ED
02 -88 -10
ELO9-0556
Parcel No.: 8108600881
Address:
Suite No:
City(if 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
4052 S 158 ST TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0556
Issue Date: 09/01/2009
Permit Expires On: 02/28/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
SMITH RESIDENCE
4052 S 158 ST , TUKWILA WA
SMITH ROBERT B
4052 S 158TH ST , SEATTLE WA
Contact Person:
Name: ADAM JETT
Address: 10029 S TACOMA WY H -7 , LAKEWOOD WA
Contractor:
Name: ADT SECURITY SERVICES INC
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5
Phone:
Phone: 253 620 -5910
Phone: 425 - 893 -3668
Expiration Date: 09/25/2009
DESCRIPTION OF WORK:
ADD TO EXISTING SECURITY ALARM SYSTEM
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:
I hereby certify that I have read and e
governing this work will be complied
oNk
Fees Collected: $57.00
National Electrical Code Edition: 2005
Date: 61 loi I
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres
construction o he perfo Dance of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
Areilk IA .0
Date:
This permit shall be ne n . 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 -0556
Printed: 09 -01 -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.tukwila.wa.us
8108600881
4052 S 158 ST TUKW
SMITH RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0556
ISSUED
09/01/2009
09/01/2009
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.
Date:
doc: Cond -Elec
EL09 -0556 Printed: 09 -01 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwilawa.us
Electrical Permit No.
Project No.
(For office use only)
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
Site Address: _ Z S 01/N
Tenant Name:
King Co Assessor's Tax No.: 05r (0 (10$5K I
Suite Number:
Property Owners Name: (Z z r'4r AV.\
Mailing Address: 40S'7.— S . lS$ +h S1r.
New Tenant:
Floor:
❑ Yes ❑ ..No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: \O(YLCt
E -Mail Address: OLVY1. 0.41A . Ctj VY\
ELECTRICAL CONTRACTOR INFORMATION
Day Telephone: 3- (. O Pt ( 0
N -1 Lode.twood wtit '1 %491
City State Zip
Fax Number:
Company Name: AM"- Sec-wit-4
Mailing Address: 1 1$2,4 N . C_I•jr._. T 1�n N . ErCrhoNtAk iii 'Wol `
City State Zip
Contact Person: .OurY t 3-72-#A- Day Telephone: 253 - (QZO — 6910
E -Mail Address: AtlY1 `t..}" -k- 0.-41•4r. C.-OM Fax Number:
Contractor Registration Number: AD`TS..ST a6-2,05
Expiration Date:
G 2_5 /oat
Valuation of Project (contractor's bid price): $ 1 % Q
Scope of Work (please provide detailed information):
TA-CA/v-N
At) SQ__Guri A tc:Lf vv-\
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
St Seattle City Light
H: tApplicanonsWonns- Applications On Line t4 -2007 - Electrical Permit Application.doc
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Page 1 of 2
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
❑ Low voltage systems $55.00
(alann, 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
•, ,I, \ Date: 4"1
/ /o'
.11111.11A 1_ r Day Telephone: 263- i0 Z.o - 6c%1 0
1 co q S . T pvv cl... kom -ia -r) -0► ..4 ock- fin{ A °115 O 1
J City Stale Zip
Mailing Address:
Date Application Accepted:
tic Date Application Expires: Staff Initials:
r i
H: Applicadons\Fomms- Applications On Une\4 -2007 - Electrical Permit Applicationdoc
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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.: 8108600881
Address: 4052 S 158 ST TUKW
Suite No:
Applicant: SMITH RESIDENCE
RECEIPT
Permit Number: EL09 -0556
Status: PENDING
Applied Date: 09/01/2009
Issue Date:
Receipt No.: R09 -01373
Payment Amount: $57.00
Initials: JEM Payment Date: 09/01/2009 09:04 AM
User ID: 1165 Balance: $0.00
Payee: ADT SECURITY SERVICES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 0113439 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
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 09 -01 -2009
Department of Community Development
ADAM JETT
10025 S TACOMA WY H -6
LAKEWOOD WA 98499
RE: Permit No. EL09 -0556
4052 S 158 ST TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
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 02/28/2010.
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 02/28/2010, 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,
—".3?cA
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0556
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 o Fax: 206- 431 -3665
Untitled Page
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1
Page 1 of 4
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
ADT SECURITY SERVICES INC
4254023356
11824 NORTH CREEK PKWY N
#105
BOTHELL
WA
98011
KING
Corporation
UBI No.
Status
601636830
ACTIVE
License No. ADTSESI03205
License Type ELECTRICAL
CONTRACTOR
Effective Date 9/25/1997
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
9/25/2011
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ADTSES*115B5
ADT
SECURITY
SYSTEMS
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
UNUSED
1/25/1989
1 /25/1999
ARCHIVED
AMERIDT283LZ
AMERICAN
DISTRICT
TELEGRAPH
CO
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
UNUSED
6/9/1972
1/31/1990
ARCHIVED
MASTER ELECTRICIAN INFORMATION
License BEARDGE963LS
Name BEARD, GERALD E
Status ACTIVE
https: // fortress .wa.gov /lni/bbip /Detai1.aspx
09/01/2009