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