HomeMy WebLinkAboutPermit EL10-0766 - NATIONWIDE CLAIMS INVESTIGATIONATIONWIDE CLAIMS
INVESTIGATIONS
932 INDUSTRY DR
EXPIRED
08-23-11
EL1 0-0766
Parcel No.:
Address:
City114f 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
2523049015
932 INDUSTRY DR TUKW
ELECTRICAL PERMIT
Tenant Name: NATIONWIDE CLAIMS INVESTIGATION
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0766
09/28/2010
03/27/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
WALTON CWWA TUKWILA 1 LLC
C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
NAIDA KHAN Phone: 360 -945 -2787
1345 GULF RD , POINT ROBERTS WA 98281
ADT SECURITY SERVICES INC Phone: 425 - 893 -3668
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2011
DESCRIPTION OF WORK:
INSTALLING LOW VOLTAGE BURGLAR ALARM AND CCTV SYSTEM WITH ONE CONTROL AND SEVEN
DEVICES
Value of Electrical Work: NRES: $1,139.00 Fees Collected: $115.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: l d V
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 t 's permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th ormance of work. I am authorized to sign and obtain this electrical permit.
Signature: Q._ ,Q___Q Date:
Print Name: iJl -q,j 1-aQ t-, f yl l 1 v I- -CS
'u
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 -9/09
ELI 0-0766 Printed: 09 -28 -2010
•
wq� 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.:
Address:
Suite No:
Tenant:
2523049015
932 INDUSTRY DR TUKW
PERMIT CONDITIONS
NATIONWIDE CLAIMS INVESTIGATION
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0766
ISSUED
09/28/2010
09/28/2010
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.
Date: 9 cp--g .(0
doc: Cond -Elec
EL10 -0766 Printed: 09 -28 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
Lt 0- 07�P�P
(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: 932A Industry Dr #230
Tenant Name: Nationwide Claims Investigation
Property Owners Name: SAME AS ABOVE
Mailing Address: 932A Industry Dr #230
King Co Assessor's Tax No.: 2523049015
Suite Number:
New Tenant:
Floor:
❑ Yes
Tukwila
City
WA
State
�..No
98681
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Naida Khan
Mailing Address:
1345 GULF RD
Day Telephone: (360) 945 -2787
Pt roberts WA 98281
E -Mail Address: naida @nwpermit.com
City' State Zip
Fax Number: (360) 945 -2091
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT SECURITY SERVICES
Mailing Address:
11824 NORTH CREEK PKWY N, ST #105
WA 98011
Contact Person: Naida Khan
E -Mail Address: naida @nwpermit.com
Contractor Registration Number: ADTSESI03205
City State
Day Telephone: (360) 945 -2787
Fax Number: (360) 945 -2091
Expiration Date: 09/25/2011
Zip
Valuation of Project (contractor's bid price): $ 1,139
Scope of Work (please provide detailed information): INSTALLING LOW VOLTAGE BURGLAR ALARM
AND CCTV SYSTEM WITH ONE CONTROL AND SEVEN DEVICES
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
• Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
m No Adding more than 50 amps? ❑ Yes m No
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attacicd garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, fumace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /alten;d 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.
1 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 OWN ' OR ELECTRICAL CONTRACTOR:
Signature:
Q-r
Print Name: KATHLEEN MILLHOLLIN
Mailing Address: 1345 GULF RD, PT. ROBERTS
Day Telephone:
Date: 09/28/2010
(360) 945 -2787
City
WA 98281
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2010 Applications \I -2010- 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: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2523049015 Permit Number: EL10 -0766
Address: 932 INDUSTRY DR TUICW Status: PENDING
Suite No: Applied Date: 09/28/2010
Applicant: NATIONWIDE CLAIMS INVESTIGATION Issue Date:
Receipt No.: R10 -01919 Payment Amount: $115.50
Initials: WER Payment Date: 09/28/2010 02:17 PM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMITS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1254 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 09 -28 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6(0- 046
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Projedt: m to e ( '
Type of Inspection: 1.
Address:
Date Called:
Special Instructions:
/c.AAI r
1
5i
Date Wanted:
z...-a.m.
���
may"
Requester:
111
Phone No:
LIApproved per applicable codes.
14 Corrections required prior to approval. 7
COMMENTS:
cdei6Vr etu_idt)
Inspector:
6r1Q61C
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: D2, 21 (i
06 -30 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. EL10 -0766
932 INDUSTRY DR TUKW
Dear Permit Holder:
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 08/23/2011.
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-
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 08/23/2011, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0766
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
02 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. EL10 -0766
932 INDUSTRY DR TUKW
Dear Permit Holder:
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 03/27/2011.
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 03/27/2011, 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,
Bill Rambo
Permit Technician
File: Permit File No. ELl0 -0766
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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 Printer Friendly Page
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Page 1 01-3
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
Effective
Ex Date on
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
09/28/2010