HomeMy WebLinkAboutPermit EL10-0814 - WEST TOWER COMMUNICATIONSWEST TOWER
COMMUNICATIONS
405 EVANS BLACK DR
EL1O-0814
�J��IILA wqs Cityikf 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.:
Address:
Tenant Name:
0223100036
405 EVANS BLACK DR TUKW
ELECTRICAL PERMIT
WEST TOWER COMMUNICATIONS
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0814
10/13/2010
04/11/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BANK OF AMERICA
WA1- 501 -15 -08 , PO BOX 34029 /LEEDE 98124
CYNDAL MILROLLEN
1345 GULF RD , POINT ROBERTS WA 98281
Contractor:
Name: ADT SECURITY SERVICES INC
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2011
Phone: 360 945 -2787
Phone: 425- 893 -3668
DESCRIPTION OF WORK:
ADD /ALTER (7) DEVICES TO EXISTING BURGLAR ALARM SYSTEM
Value of Electrical Work:
Type of Fire Protection:
NRES: $980.00
RES: $0.00
UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
xa
ith
Fees Collected:
$96.60
National Electrical Code Edition: 2008
t^g9 Date: 0
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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: /D / /3/ /Q
Print Name:
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
EL10 -0814
Printed: 10 -13 -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: htqx//www.ci.tukwila.wa.us
PERMIT CONDITIONS
Parcel No.: 0223100036
Address:
Suite No:
Tenant:
405 EVANS BLACK DR TUKW
WEST TOWER COMMUNICATIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0814
ISSUED
10/13/2010
10/13/2010
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: 41/724/144-ZZ/1-e---"----
Print Name: n67U%U4
Date: PAV/0
doc: Cond -Elec
EL10 -0814 Printed: 10 -13 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100 -
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
=:Project No.
CIA oiottill
(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 4L A 'Ut z- - 7 / V,
King Co Assessor's Tax No.: l/4 -lb10 —0092(
Site Address: 1"1-0 v J eL 'l✓t_-- T7/c,
Suite Number:
Floor:
Tenant Name: 1/01-- 7 7 1 7 , 6 9 7 - A UNI 776A) S New Tenant: ❑ Yes ® ..No
Property Owners Name:
Mailing Address: I-00 /49U4 81.,19-a_ TP,€, . 1, ?Kw 114- /,cif}— �B / 8�
State Zip
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: &YA-OA -L M /'L /#LL U /Narlfiobbr 1begw/1- Day Telephone: 46.0 V/5 —2 78%
Mailing Address: / 45" 4t /LC /'ZDD PT R0- 6e-L76 t),4 qz - I
City State Zip
E -Mail Address: C ynda. /i,vovperini f . eb",,- Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AVf 4'/,-(?I
Mailing Address: 1/824' /J 171L C, 4. P/ Wvy ti # /O' ,3077t6LL ., VD I /
City State Zip
Contact Person: e YA)PA -L N 11--it--.01.1-6-A1
Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: APT-6631-0 Z0 X205
Expiration Date: 9/25/020 1/
po
Valuation of Project (contractor's bid price): $ gP3b
Scope of Work (please provide detailed information): 4DZ7 /A-L7"... 7 P /66"5 TV
�x /' 77/Ul� ,RUk4L G M 5t S7 f
Will service be altered? 1:21 Yes ❑ No Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Tenant Improvement
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 a2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(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 -
IDate Application Accepted:
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: /CR,
Print Name: ,PBA)V1 -
Date: /0 3// D
Day Telephone:
Mailing Address:
City
Io�l3�l�
State
Date Application Expires:
Staff Initials:
HMpplications\Porn s- Applications On Line\2010 Applications \7 -2010 - Electncal Permit Applicatton.doc
bh
Page 2 of 2
Zip
I
•
City of Tukwila
s" z 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.: 0223100036 Permit Number: EL10 -0814
Address: 405 EVANS BLACK DR TUKW Status: PENDING
Suite No: Applied Date: 10/13/2010
Applicant: WEST TOWER COMMUNICATIONS Issue Date:
Receipt No.: R10 -02058
Payment Amount: $96.60
Initials: JEM Payment Date: 10/13/2010 11:09 AM
User ID: 1165 Balance: $0.00
Payee: NORTHWEST PERMIT ADT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1304 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
doc: Receipt -06 Printed: 10 -13 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a. copy with permit (1,(0'41
PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:'
i
(PM
Type of Inspection:
Address: S5
�
Date Called:
Special Instructions:
e�
56AI 1
Date Wanted:
/0/2'6'
ap m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
ref\Ii?rt/
Inspector:
./friAr-AMIC
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: /
Id Y6/0
ADT Always There°
To whom it may concern:
ADT Security Services
11824 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
Detach And Display CertiIicatt.
i-
P.i iZOG3:
Ifs
n
N1 •
F625- 052 -0110 (8197)
F625- 052000 (8197 )
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR LTD ENERGY
LICENSE # EXP. DATE
EC066A :: : :'.'ADTSESI032O5 9/25/2011
EFFECTIVE: DATE: 925/1997
ADT SECURITY SERVICES INC
11824 NORTH CREEK PKWY N #105
BOTHELL WA 98011
Di-tach And Display Certificate
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR LTD ENERGY
LICENSE # EXP. DATE
EC066A ADTSESI03205 9/25/2011
EFFECTIVE DATE 9/25/1997
ADT SECURITY SERVICES INC
11824 NORTH CREEK PKWY N #105
BOTHELL WA 98011
Sig nature
Issued by DEPARTMENT OF LABOR Aid {:1 )
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
Contractors or Tradespeople PSer Friendly Page
1
Page 1 of 3
Electrical Contractor
A business licensed by Lttl 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
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 S
Secretary
01/01/1980
06/15/2006
DINIUS, DAVID
Secretary
01/01/1980
06/15/2006
FINNEY, P GRAY
Vice President
01/01/1980
06/15/2006
https://fortress.wa.gov/lni/bbip/Print.aspx
10/13/2010