HomeMy WebLinkAboutPermit EL08-0526 - TUKWILA OFFICER'S GUILDTUKWILA OFFICERS
GUILD
623 INDUSTRY DR
ELO8-526
City* 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.: 2523049008
Address: 623 INDUSTRY DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -526
Issue Date: 05/06/2008
Permit Expires On: 11/02/2008
Tenant:
Name: TUKWILA OFFICER'S GUILD
Address: 623 INDUSTRY DR , TUKWILA WA
Owner:
Name: LEHMAN SHANNA Phone:
Address: 2235 FARADAY AVE STE O , CARLSBAD CA
Contact Person:
Name: ADAM JETT Phone: 253 620 -5910
Address: 10029 S TACOMA WY H -7 , 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:
INSTALL NEW SECURITY SYSTEM
Value of Electrical: $300.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$62.00
2005
Date: ` lJ(e L a'D
I hereby certify that I have read and e v n ed 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 • the perfo - of work. I am authorized to sign and obtain this electrical permit.
Signature: _ .��- .����.�. _ Date: S
Print Name: t• 41 AIL e
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 -526
Printed: 05 -06 -2008
Parcel No.: 2523049008
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
623 INDUSTRY DR TUICW
TUKWILA OFFICER'S GUILD
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -526
ISSUED
05/06/2008
05/06/2008
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 m 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
EL08 -526 Printed: 05 -06 -2008
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpJIWww. ci. t kwila. wa. us
Electrical Permit No. -V/ D —CZ(
(
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
King Co Assessor's Tax No.: 2-S2-S01-1 10 Olt
Site Address: 'P 13 1Y d L S tV' ter. n Suite Number:
Tenant Name:�ltikW 1p� � 5 1 d
Property Owners Name: Le h v o..r Shan r'et-
Mailing Address: S0.trt_ OJ Sv 1-e_
Floor:
New Tenant: ❑ Yes ❑..No
Ti�Jcw i 1 a..
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Ac►M Te 4-
Mailing Address: i 0 D2A S S. �II.C.QVYvOL
E -Mail Address: Av i-jeA-} �FlDT c -v-
Day Telephone: 2-S 62.0 10
4-4 -1 Lake_lAioocX, W q 499
City State Zip
Fax Number: 253 - (o2_0 - 5q9
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A DT S ex-km-
Mailing Address: 111/4 N • {- ?k 1 ii Py4tel � 1 LW �n
City State Zip
Day Telephone: 2-S- - f02.0 — JIC)
Fax Number:
Contractor Registration Number: Expiration Date: - 2 S 0
Contact Person: P16-0-Y1,-1
E -Mail Address:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
` v\s NeA,J Sca t S�Sk \
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 3FL No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Is(Low Voltage ❑ Generator LI Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
` Puget Sound Energy
❑ Seattle City Light
H ■Application \Fomns- Appincanona On Line \4-20n7 - Ele ancal Pemm 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
❑ 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: do •
Mailing Address: O
Day Telephone:
Date:
2 - S - 6 - - Gj`j(0
Zvi S . a.c_o>M a i,ic 1,-}- -1 Lake Ind- tars .9$419
City State Zip
Date Application Accepted: 61 L,
Date Application Expires:
Staff Initials: )
V
H:Wpplications\Fotms- Applications On IJn& 4 -21x17 - Electrical Permit Application doc
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Page 2 of 2
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:/lwww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -01499
Initials: JEM
User ID: 1165
Payee: ADT SECURITY SERVICES, INC.
Payment Date: 05/06/2008
Total Payment: 206.00
SET ID: 0506 SET NAME: ADT SECURITY SERVICES
SET TRANSACTIONS:
Set Member Amount
&li08 =526" 62.00
EL08 -527 144.00
TOTAL: 206.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 0109493 206.00
TOTAL: 206.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 206.00
TOTAL: 206.00
2054 05/06 9711 TOTAL 206.00
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
RMIT NO.
P-
(206)431-3670
P-rojject:
!1444/. ff/c//!5 Ql'k)
Type of Inspection:
10--V
Address:
647JA/ANSTIT Y All
Date Called:
Special Instructions:
Date Wanted: Wi
a.rr .
Requester:
Phone No:
roved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Ins e
Date‘/
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:
Look Up a Contractor, Electrilo 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 05/06/2008