HomeMy WebLinkAboutPermit EL10-0733 - HEDIN RESIDENCEHEDIN RESIDENCE
4310 S 150 ST
EL1 0-0733
City (*Tukwila
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
Parcel No.: 0042000086
Address: 4310 S 150 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0733
Issue Date: 09/13/2010
Permit Expires On: 03/12/2011
Tenant:
Name: HEDIN RESIDENCE
Address: 4310 S 150 ST , TUKWILA WA
Owner:
Name: HEDIN TERRANCE L Phone:
Address: HORACEK ROSE M , 4310 S 150TH ST
Contact Person:
Name: CYNDAL MILHOLAND Phone: 360 - 945 -2787
Address: 1345 GULF RD , POINT ROBERTS 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: 09/25/2011
DESCRIPTION OF WORK:
INSTALLING 1 LOW VOLTAGE BURGLAR ALARM SYSTEM W/ CELL UNIT
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$59.85
National Electrical Code Edition: 2008
Date: q~/ YO
I hereby certify that I have read and examined thi 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: /l // 3/./ o
Print Name: •» J2J 4 ' 12—
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 -0733 Printed: 09 -13 -2010
Parcel No.:
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
0042000086
4310 S 150 ST TUKW
HEDIN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0733
ISSUED
09/13/2010
09/13/2010
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 construction or the performance of work.
Signature:
e9t,-v(aL—q,u
Print Name: / /01L /UA-
Date: I//�//0
doc: Cond -Elec
ELI 0-0733 Printed: 09 -13 -2010
CITY OF TUKWIL1P
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. • �., C / (" -- n r
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
Site Address: 4310 S 150th St
Tenant Name: Rose Hedin
Property Owners Name: same as tenant name
Mailing Address: same as site address
King Co Assessor's Tax No.: 0042000086
Suite Number: Floor:
New Tenant: ® Yes ❑ .. No
Tukwila
City
WA 98188
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Northwest Permit Inc
Mailing Address: 1345 gulf rd
E -Mail Address: cyndal @nwpermit.com; naida @nwpermb
Day Telephone:
(360) 945 -2787
point roberts wa 98281
City State Zip
Fax Number: (360) 945 -2091
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT SECURITY SERVICES
Mailing Address: 11824 N CRK PKW N STE 105
Contact Person: NORTHWEST PERMIT
E -Mail Address:
WA 98011
City State Zip
Day Telephone: (360) 945 -2787
Fax Number:
Contractor Registration Number: ADTESI032O5 Expiration Date: 09/25/2011
Valuation of Project (contractor's bid price): $ 778
Scope of Work (please provide detailed information): installing 1 low voltage burglar alarm system w/ cell unit
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No
Type of User SFR
Type of work:
❑ New ❑ Addition
m Low Voltage ❑ Generator
Property Served by:
O Puget Sound Energy
❑ Seattle City Light
HMpplientions \ Forma- Appbcations On Line \2010 Applications \1 -2010 - Electrical Pmnit Application.doc
❑ Service Change
❑ Fire Alarm
bh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
VP( Low voltage systems
I (alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Z%VV/eic— -
Date:
t0/9/°
Day Telephone: 01 I�Z' 97%—.96
Mailing Address:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\ApplicationsWoms- Apphmnons On lane \2010 Applications \1 -2010 - Elecmcal Pemnt Apphmtion.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: / /www.ci.tukwila.wa.us
Parcel No.: 0042000086
Address: 4310 S 150 ST TUKW
Suite No:
Applicant: HEDIN RESIDENCE
RECEIPT
Permit Number: EL10 -0733
Status: PENDING
Applied Date: 09/13/2010
Issue Date:
Receipt No.: R10 -01813
Initials: TLS
User ID: 1670
Payment Amount: $59.85
Payment Date: 09/13/2010 11:34 AM
Balance: $0.00
Payee: NORTHWEST PERMIT INC / ADT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1143 59.85
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 59.85
Total: $59.85
PAYMENT
RECEIVED
doc: Receipt -06
Printed: 09 -13 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Euo -033
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION tr--
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project: /40 i� it..."
/
of Inspection:
2100
Address:
N3(Q S. /W5T.
Date Called:
\
Special Instructions: .
5(cA1T 7
Date Wanted:
9
a s_
a.m
m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. .
COMMENTS:
Inspector:
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Ito -o733
Project:
Type of Inspection:
Address:
�► ®5.
/
d si,
Date Called:
,-
Special Instru Lions:
5fcuki r(
Date Wanted:
7fry
p.m
Requester:
Phone No:
DApproved per applicable codes.
,Corrections required prior to approval.
COMMENTS:
/1�o Prcr.f-S
- p Notkb r her i-55
Inspector:
Date:
0l,1to
n REINSPECTI01' FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ADT Always There°
To whom it may concern:
ADT Security Services
1 1824 North Creek Pkwy North
Suite 105
Bothell. WA 98011
Tel: 800 752 5482
Fax: 425 415 6164
This letter authorizes representatives from NW Permits, Inc to obtain permits on behalf of ADT Security
Services.
Thanks,
Chris Flynn
Operations Manager /ADT Security
Contractors or Tradespeople Peer Friendly Page
•
Page 1 of 3
Electrical Contractor
A business licensed by Lai 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
ADT SECURITY SERVICES INC
4254023356
11824 North Creek Pkwy N #105
Bothell
WA
98011
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601636830
Active
ADTSESI03205
Electrical Contractor
9/25/1997
9/25/2011
Limited Energy
Hvac /Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
ADTSES*115B5
A D T SECURITY
SYSTEMS
Electrical
Contractor
Limited
Energy
Unused
1/25/1989
1/25/1999
Archived
AMERIDT283LZ
AMERICAN DISTRICT
TELEGRAPH CO
Electrical
Contractor
Limited
Energy
Unused
6/9/1972
1/31/1990
Archived
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
MONROZE, M BRIAN
Secretary
06/15/2006
FLANIGAN, TIMOTHY E
Secretary
06/15/2006
ABROMEIT, RICHARD H
Treasurer
08/21/2003
BOGGESS, JERRY R
Secretary
01/01/1980
06/15/2006
DOHERTY, BERNARD J
Secretary
01/01/1980
06/15/2006
RUZIKA, STEPHEN J
Secretary
01/01/1980
06/15/2006
BECK, JAN 5
Secretary
01/01/1980
06/15/2006
DINIUS, DAVID
Secretary
01/01/1980
06/15/2006
https://fortress.wa.gov/lni/bbip/Print.aspx
09/13/2010