HomeMy WebLinkAboutPermit EL10-0472 - CARUTHERS RESIDENCECARUTHERS RESIDENCE
11851 44 AV S
EL1 0-0472
Parcel No.:
Address:
Suite No:
City elikI'ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http://www.ci.tukwila.wa.us
3347400491
11851 44 AV S TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0472
Issue Date: 06/22/2010
Permit Expires On: 12/19/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
CARUTHERS RESIDENCE
11851 44 AV S , TUKWILA WA
CARUTHERS JESSE
11851 44TH AVE S , SEATTLE WA
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
Contractor:
Name: BROADVIEW SECURITY INC
Address: PO BOX 39300 , LAKEWOOD WA
Contractor License No: BROADSI9114M
Phone:
Phone: 253 582 -0800
Phone: 253 - 582 -0800
Expiration Date: 07/13/2011
DESCRIPTION OF WORK:
INSTRUSION ALARM
Value of Electrical: NRES: $57.00
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
ami
ith,
Fees Collected:
$57.00
National Electrical Code Edition: 2008
Date: OU (i4V V
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 • • es not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the = - rfo nce of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
This permit shall become null and void if the work is not c
or abandoned for a period of 180 days from the last inspe
Date: v .L l - (Q
immenced within 180 days from the date of issuance, or if the work is suspended
tion.
doc: EL -4/07
EL10 -0472
Printed: 06 -22 -2010
0/11
wq� City of Tukwila
ti
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.: 3347400491
Address:
Suite No:
Tenant:
11851 44 AV S TUKW
CARUTHERS RESIDENCE
•
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0472
ISSUED
06/22/2010
06/22/2010
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 pe does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating construc y on or the performance of work.
Signature:
Print Name: / v C
Date: taJ - (c)
doc: Cond -Elec
ELI 0-0472 Printed: 06 -22 -2010
-:►
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
g00
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 **
.SIT LOCATION
•
Electrical?Permit"Nt O. L.4 V Vrl l L
Project No
(For•ofce:use only) .
��— `-� King Co Assessor's -Tax No.: 33 L7 S e' V9
Site Address: / / g'13---
' (� 1 £ 4 ' ' " u 5 0 Suite Number: Floor:
Tenant Name: 4ic" p/ 04/24 171—e12-_,S New Tenant: ❑ .....Yes g..No
Property Owners Name: S G Cf' t 724 7 M8 2 S 9/ 7
Mailing Address: / / Y ' q t'r �e. SO/ iwa l�/� ir
City State Zip
Name:
Mailing Address.
E -Mail Address:
Day Telephone:
tECT.
NTRACPORZNFORIYIATI.
City
State
Zip
Fax Number:
Company Name: a 40 Dr1 —
Mailing Address: P 0 NV -.91 1O O
lr%�O'91
city //�� state �, /zip
Day Telephone: v'Y . "✓� �q. ` (1-��
s 5) ThThonSG broad U i�eu) Seto%1 Fax Number: z7QL —4-g'.--- /)999
E -Mail Addre qq ++++ 1,� ��
Contractor Registration Number _.V rl� ADslq u oil Expiration Date:
Contact P erson: I !
Valuation of Project (contractor's bid price): $7. aO�
Scope of Work (please provide detailed information):
�7"I/5i7 .b/c7l2z..
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
XSeattle City Light
No Adding more than 50 amps? ❑ Yes yi No
❑ Service Change
❑ Fire Alarm
1-1• \A nnlicalinnsVonns- Andicelions On Line1A- 2007 - Eleclricol Permit Applicalion.doc
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication 0. Temporary Service
Page 1 of2
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
(alami, 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 $1 0.00 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)
,PERMIT. =AEPLICATI ON -NOTE
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 ... $1 0.00 ea
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. �n� tJ //�/77_�
Print Name: a,7/7a
Mailing Address: /. 5..ga
Date Application Accepted: ("{
Date:
(1)1214w
Day Telephone:
9g J9 6
tP
2.0_,K- 0.9 ,9
City Siete
(n Date Application Expires: AO le I k7
Staff Initials:
n,. l .ine14•2007- Electrica1 Pemul Applicatian.dac
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://wwwci.tulcwila.wa.us
Parcel No.: 3347400491
Address: 11851 44 AV S TUKW
Suite No:
Applicant: CARUTHERS RESIDENDE
RECEIPT
Permit Number: EL10 -0472
Status: PENDING
Applied Date: 06/22/2010
Issue Date:
Receipt No.: R10 -01121
Payment Amount: $57.00
Initials: JEM Payment Date: 06/22/2010 04:08 PM
User ID: 1165 Balance: $0.00
Payee: BROADVIEW SECURITY PERMIT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000521 57.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 57.00
Total: $57.00
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 06 -22 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
&01-or?,
PERMIT NO. R
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431-367
t-
Project: 6.4 jun 15
Type of Inspection:
Address: l o '5 1 li�
�e e
Date Called:
Special Instructions:
���� V r7
Date Wanted:
,� %
l
//
n`
p.m.
Requester:
Phone No:
Approved per applicable codes. n Corrections required prior to approval. 8
COMMENTS:
ft)
Inspector: C
Date:
1Z/H/10
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
6u0-oti-7�l
PERMIT NO.
(206)431-3670
(f6
Project. / /� RType
J
of Inspection:
loo
Address:
/151 Yy /4-,/.
Date Called:
Special Instructions:
SCG Ja-,T.
Date Wanted:
7/07
&n.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. j
COMMENTS:
?I& cM)i-
.// /C�l ►v1J Date: 7/01 0
❑ $60.00 REINSPE TION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
c- �....._�e.....a.... - - _z,10_1a:r_,.:-.c.,:rb,r.,:uz. .0, r,4 zs r:a:1.. n.roa ir.— fA.
12 -01 -2010
City of Tukwila
epartment of Community Developme
DEANNA SIMMONS
PO BOX 39300
LAKEWOOD WA 98496
RE: Permit No. EL10 -0472
11851 44 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 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 01/03/2011.
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, , provided the inspection shows progress.
-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 01/03/2011, 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,
—R>dA
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0472
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pter Friendly Page
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Broadview Security Inc
2535820800
Po Box 39300
Lakewood
Wa
98496
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600545354
Active
BROADSI9114M
Electrical Contractor
7/13/2009
7/13/2011
Limited Energy
Unused
Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
BRINKHS148LE
Brinks Home
Security Inc
Electrical
Contractor
Limited
Energy
Unused
6/5/1986
3/31/2010
Expired
ADMINISTRATOR INFORMATION
License BLACKAD926QP
Name Black, Adrian D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Ct Corp System
Agent
07/13/2009
Allen, Robert B
President
07/13/2009
Yevich, Stephen C
Vice President
07/13/2009
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
TRAVELERS CAS &
SURETY CO
64S105191180BCM
11/01/2008
Until Cancelled
$4,000.00
01/20/2009
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/22/2010