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HomeMy WebLinkAboutPermit EL10-0600 - CROZIER RESIDENCECROZIER RESIDENCE 15102 51 AV S EL1O-0600 City ATukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Req uest Line: 206 -431 -2451 Web site: http://www.ci.tulcwila.wa.us Parcel No.: 9844400045 Address: Suite No: 1510251 AV S TUKW ELECTRICAL PERMIT Permit Number: EL10 -0600 Issue Date: 07/27/2010 Permit Expires On: 01/23/2011 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor KATHY CROZIER 1510251AVS, CROZIER OLIVIER D +LAFRANCE 15102 51ST AVE S , TUKWILA WA KATHY CROZIER 15102 51ST AVE S , TUKWILA WA BROADVIEW SECURITY INC PO BOX 39300 , LAKEWOOD WA License No: BROADSI9114M Phone: Phone: (206)383 -9728 Phone: 253 - 582 -0800 Expiration Date: 07/13/2011 DESCRIPTION OF INTRUSION ALARM WORK: Value of Electrical: Type of Fire Protection: NRES: $0.00 RES: $696.00 UNKNOWN Electrical Service provided by: SCL Permit Center Authorized Signature: Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: 07,77//0 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this • = t does not presume construction • e perfor ance of work. I a Signatur Print Name: ive authority to violate or cancel the provisions of any other state or local laws regulating tho ' ed to sign and obtain this electrical permit. Josue! CuJi-/ Date: 0 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 EL10 -0600 Printed: 07 -27 -2010 Parcel No.: Address: Suite No: Tenant: o 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.tulcwila.wa.us 9844400045 1510251 AV S TUKW KATHY CROZIER PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0600 ISSUED 07/27/2010 07/27/2010 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 permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating const fion or the performance of work. Signature: Print Name: .P,v„ aril DA kO5t-t Date: doc: Cond -Elec ELI 0-0600 Printed: 07 -27 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.citukwila.wa.us 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 L O:CATI ON Electrical Permit No 4- /0,Ciro 00 Project No. For office use only) King Co Assessor's -Tax No.: Site Address: /5-1 i Q ` �� f 11-17 Suite Number: Floor: THY ac) —.L'7- New Tenant: ❑ ....Yes No Tenant Name: Property Owners Name: Mailing Address: Name: Mailing Address: E -Mail Address: 0 City o dowe contactwhen your permit is ready to be issue; (,raz'�er State Zip Day Telephone: /.0 3S3 City State Zip Fax Number: Company Name: rDO eco Se6or f — — Q Q G� Mailing Address: � 0 Pi L�au�Cic°��^,G &, // v ` City State Zip Q Day Telephone: '✓ �TJj of — /1 W , i C Fax Number: _4.5�- 5 t - 6'2999 Expiration Date: Contact Person: Alro E -Mail Addres, 5) 07171 Q nSG b(00C) U I S on Contractor Registration Number: pV (o RDS19111 M Valuation of Project (contractor's bid price): $_ c 90 Scope of Work (please provide detailed information): // Ade Le E Aro' Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy Seattle City Light No Adding more than 50 amps? ❑ Yes No ❑ Service Change ❑ Fire Alarm HAAnol icminns\famu- Applications On Line14 -2007 - Electrical Pemtil Applicntion.doc ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of2 RESIDENTI AL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $740.00 (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, fumace thermostat) PERMIT APPLICATION NOTE MULTI- FAMILY AND CORIMERCIAL 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 Number of concessions $10.00 ea $75.00 Value of Construction —In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and -justifiable cause demonstrated. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Xo ✓/���/7•- ��`�� Print Name: /772 J / /7?/�-":7r 7f?5 Mailing Address: /l/ . ¶6 /1 Date: Day Telephone: 4 -etOL &vim 9$ 4/9 6 City Stine Zip Dale Application Accepted: Date Application Expires: Staff initials: 1 _a_..... _ e lion n, i ;ne14.2007 - Electrical Permit Application.Joc Page 2 of2 • 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.: 9844400045 Address: 15102 51 AV S TUKW Suite No: Applicant: KATHY CROZIER RECEIPT Permit Number: EL10 -0600 Status: APPROVED Applied Date: 07/27/2010 Issue Date: Receipt No.: R10 -01415 Initials: LAW User ID: 1632 Payment Amount: $57.00 Payment Date: 07/27/2010 10:37 AM Balance: $2.85 Payee: BROADVIEW SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1000530 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: 07 -27 -2010 • 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: hup://www.ci.tukwila.wa.us RECEIPT Parcel No.: 9844400045 Permit Number: EL10 -0600 Address: 15102 51 AV S TUKW Status: APPROVED Suite No: Applied Date: 07/27/2010 Applicant: KATHY CROZIER Issue Date: Receipt No.: R10 -01416 Initials: User ID: Payee: LAW 1632 Payment Amount: $2.85 Payment Date: 07/27/2010 10:38 AM Balance: $0.00 BROADVIEW SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 2.85 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 2.85 Total: $2.85 PAYMENT RECEIVED doc: Receiot -06 Printed: 07 -27 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,10 -60600 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 LB Project: � ke5 ® 7Q � Type of Inspection: loo Address: /S(02" SI k/. Date Called: Special Instructions: Date Wanted: 7 03 a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: ae: x90310 REINSPECTIO FEE REQUIRE d. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • Electrical Contractor A business licensed by LEN 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 BROADVIEW SECURITY INC UBI No. 600545354 Phone 2535820800 Status Active Address Po Box 39300 License No. BROADSI9114M Suite /Apt. City Lakewood State WA Zip 98496 County Pierce Business Type Corporation Parent Company License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 Electrical Contractor 7/13/2009 7/13/2011 Limited Energy Unused Other 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 Et SURETY CO 645105191180BCM 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 07/27/2010