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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 bh 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