HomeMy WebLinkAboutPermit EL08-0508 - T-MOBILET- MOBILE
17401 SOUTHCENTER PY
ELO8-508
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.: 2623049120
Address: 17401 SOUTHCENTER PY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -508
Issue Date: 05/01/2008
Permit Expires On: 10/28/2008
Tenant:
Name: T- MOBILE
Address: 17401 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: WINNERS 3 LLC Phone:
Address: 117 E LOUISA ST #230 , SEATTLE WA
Contact Person:
Name: ADAM JETT Phone: 253 620 -5910
Address: 10029 S TACOMA WY H -8 , LAKEWOOD WA
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 425 - 893 -3668
Address: 11824 NORTH CREEK PY N # 105 , BOTHELL WA
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2009
DESCRIPTION OF WORK:
ADD TO EXISTING SECURITY SYSTEM
Value of Electrical: $1,500.00
Fees Collected:
$104.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:�V vY'
Date: 61 Pa b�
I hereby certify that I have read and karr fined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or he perform • ce o work. I am aut prized to sign and obtain this electrical permit.
Date: 6/1 O$
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.
doc: EL -4/07
EL08 -508 Printed: 05 -01 -2008
• •
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.: 2623049120
Address: 17401 SOUTHCENTER PY TUKW
Suite No:
Tenant: T- MOBILE
PERMIT CONDITIONS
Permit Number: EL08 -508
Status: ISSUED
Applied Date: 05/01/2008
Issue Date: 05/01/2008
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: 1 /0C1(
doc: Cond -Elec
EL08 -508 Printed: 05-01 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Electrical Permit No. fJL'v1 qS?
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:
Tenant Name: — t o\o' ��..
Property Owners Name: 1,.1 i ntr\-9XS
Mailing Address: in e. t.ot,t■ S/r, ik 2-3()
King Co Assessor's Tax No.: 2(PZ3OLV9 Zp
% I y 01 Sov,AVI e.�e.rrk-tt e P
Suite Number:
New Tenant:
Floor:
❑ Yes ❑..No
City
t,J is 'W 02—
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ACktivY\ V e,+ 4'
Mailing Address: 1 002` S . Vo.C.QIMVN.
E -Mail Address: Qvv1"\ e -VA @MDT Gt,t►rv1
Day Telephone: Z '1 —(020 ' IO
1-1- 1 Lakea,jc . , 99
City State Zip
Fax Number: 2-6'5 - (07 0— Sa9
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A DT Se-e-w t SeXVIC c -
Mailing Address: �11�'32-4 J. % 1?k u J
Contact Person: - t
+-��vv
E -Mail Address:
Contractor Registration Number:
1
illtcktnel ( LA °I D c71
City State Zip
Day Telephone: 2S_5 — to 2C) — Sa IC)
Fax Number:
Expiration Date: - 2 S 0
Valuation of Project (contractor's bid price): $ t 5 0 0
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes A No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
ik Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H lApplicatons\Fonns- Apphcauons On L nc 4 -2007 - Electrical Permit Apphcaaon 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
(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:
Print Name:
Date: S A/3s,
Day Telephone: 2-65— (022) — �J9
Mailing Address: 2-q $ t y o . l..) ;- -1 LO kt iosxk- WP 9"Ati°i�
City State Zip
IDate Application Accepted: r %0t 1,1241)
Date Application Expires: i Staff Initials:
HAApplications\Fotms- Applications On Lin64 -2007 - Electrical Permit Applicationdoc
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Page 2 of 2
1
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 : // w'w. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R08 -01443
Initials: JEM
User ID: 1165
Payee: ADT SECURITY SYSTEMS
Payment Date: 05/01/2008
Total Payment: 388.60
SET ID: 0501 SET NAME: ADT
SET TRANSACTIONS:
Set Member Amount
EL08 -507 229.60
EL08 -508 104.00
EL08 -509 55.00
TOTAL: 388.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 0109492 388.60
TOTAL: 388.60
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 388.60
TOTAL: 388.60
1873 05/01 9711 TOTAL 388.60
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6tio-s-a's
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION IL
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 1:: 1461(1
Type of Inspection:
l tDO ?�
Address:
1 1 .5
P -
Date Called:
3
Specia Instructions:
Date Wanted:
If
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ti
eof414 14
O.K
Inspector:
jf-ti 4 DG� /Of
ri $60.00 REINSPECTION FEE RE d JIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
In ..— .- d..•- e•m.ff[swIAror- .....d. - --
Look Up a Contractor, Electrii or Plumber License Detail
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
ADTSESI032O5
Licensee Name
ADT SECURITY SERVICES INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601636830
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
11824 NORTH CREEK PKWY N #105
Address 2
City
BOTHELL
County
KING
State
WA
Zip
98011
Phone
4254893668
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
HVAC/RFRG LTD ENERGY
Effective Date
9/25/1997
Expiration Date
9/25/2009
Suspend Date
Separation Date
Parent Company
Previous License
ADTSES* 115B5
Next License
Associated License
BEARDGE963LS
Master Electrician Information
License
BEARDGE963LS
Name
BEARD, GERALD E
Status
ACTIVE
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
C T CORPORATION
SYSTEM
AGENT
01/01/1980
SNYDER, MICHAEL
PRESIDENT
01/01/1980
•
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https: // fortress. wa. gov /lni/bbip /printer. aspx ?License= ADTSESI032O5 05/01/2008