HomeMy WebLinkAboutPermit EL08-0509 - MARTIN RESIDENCEMARTIN RESIDENCE
14406 42 AV S
EXPIRED 10 -28 -08
ELO8-509
Parcel No.:
Address:
Suite No:
COM' 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
0040000335
14406 42 AV S TUKW
ELECTRICAL PERMIT
Permit Number: EL08 -509
Issue Date: 05/01/2008
Permit Expires On: 10/28/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
MARTIN RESIDENCE
14406 42 AV S , TUKWILA WA
MARTIN SAM M +EREDULIN
14406 42ND AVE S , TUKVVILA WA
ADAM JETT
10029 S TACOMA WY H -8 , 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:
INSTALL NEW SECURITY SYSTEM
Value of Electrical: $200.00
Type of Fire Protection:
Electrical Service provided by:
SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this permit doe
construction or e performan
Signature:
Print Name:
Fees Collected: $55.00
National Electrical Code Edition: 2005
Date: 06/Dan
ned this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ork. I am authorized to sign and obtain this electrical permit.
Date: CD 1 /0 2r-
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 -509 Printed: 05 -01 -2008
Parcel No.: 0040000335
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
14406 42 AV S TUKW
MARTIN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -509
ISSUED
05/01/2008
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: S� p
doc: Cond -Elec
EL08 -509 Printed: 05-01 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.ci.tukwila.wa.us
Electrical Permit No.
t;1/99
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
Avg._ Co Assessor's Tax No.: Q 04 0000 33'
Site Address: 11-4 4 Ok y Zv�, AvQ. - S . Suite Number: Floor:
Tenant Name: Scry New Tenant: ❑ Yes C].. No
Property Owners Name: Sorts/1 Mo.ikh v\
Mailing Address: Sa,.r re
Two
City
v.) Pt 1 $tb4
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Adi►M
Mailing Address: i 00241 S . T .Loon(R- 1.J
E -Mail Address: Avrtt e#- @.-ADT: eiNt-y,
Day Telephone: 253 -(a20 - I0
W -1 LQke_wood- WIN q %499
City State Zip
Fax Number: 25-S - 02_0 - S°i O
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
A DT Sew v..4r SeXvi< eS
I -.2
Contact Person: kil,_YYI
E -Mail Address:
Contractor Registration Number:
City state Zip
Day Telephone: 2-S.6 — (o2 C r Sf1Ic
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ 11
Scope of Work (please provide detailed information): IN\S'`` 0.t � . � r.) S-e- (% S-k-v. "),)
Will service be altered? ❑ Yes ra, No Adding more than 50 amps? ❑ Yes 'A No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
IkLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
11 \Apphcanons \Forms- Applications On I-meld-2007 - Electncal Permit Application doc
bh
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
XLow 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 580.00
(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.
1 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:
Date: S A
Day Telephone: 253-" 27) - S' \ ( 0
Mailing Address 2-61 L.) -1 LO-ke. Loacd- k/Pt 9%49
City State Zip
IDate Application Accepted:
t5 12� Date Application Expires: - Staff Initials:
1�
H:WpplicationsWonns- Applications On line\4 2007 - Electrical Pemut Application.doc
bh
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../Iwww.ei.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
Doc: RECSETS -06
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro ec : /
Type of Inspection / l
s--
Ad . /,
. i., f/'s / / Aave..4
/J
Date Called:
Special I s ructions: miA wo Ai 0
Date Wanted:
/C7
/
a.m.
p.m.
Requester:
Phone No:
0 Approved per applicable codes.
COMMENTS:
orrections required prior to approval.
E0/4/416 = l 4/NF
WITE Apy.oviA 14/65-
V 6 fiT r A/,GW
Inspe r.:
.:Pt
Date:. ��
/1 / '` f.
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
. ,. . f _. Nt-
09 -08 -2008
Department of Community Development
ADAM JETT
10029 S TACOMA WY H -8
LAKEWOOD WA 98499
RE: Permit No. EL08 -509
14406 42 AV S 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 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 writing 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 10/28/2008 , 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,
44.9
xc:
er Marshall
it Technician
Permit File No. EL08 -509
6300 Southcenter Boulevard, Suite #100 a Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
Look Up a Contractor, Electr 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
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= ADTSESI032O5 05/01/2008