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HomeMy WebLinkAboutPermit EL10-0969 - NGUYEN RESIDENCENGUYEN RESIDENCE 4261 S 148 ST EL1O-0969 Parcel No.: Address: Tenant Name: 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 0042000030 4261 S 148 ST TUKW NGUYEN RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0969 11/29/2010 05/28/2011 Owner: Name: Address: Contact Person: Name: Address: NGUYEN NAM +NGUYEN AN 4261 S 148TH ST , TUKWILA WA 98168 CAROL STRICK 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: LOW VOLTAGE BURGLAR ALARM SYSTEM (1600 SF) Value of Electrical Work: NRES: Type of Fire Protection: $0.00 RES: $0.00 SMOKE DETECTORS Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: ned 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 pre construction or the performance of work. of this permit. Signature: Print Name: me to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back ' ?r04 $/ri'Ck Date: A‘),- 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 -0969 Printed: 11 -29 -2010 • a PERMIT CONDITIONS Permit No. EL10 -0969 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL10 -0969 Printed: 11 -29 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httal/www.cLtukwila.wa.us • Electrical Permit No. 0 V 1 U 1 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: King Co Assessor's Tax No.: OD y DD Q O �� d Suite Number: Floor: Tenant Name: 7r-- D / " ; 1 Property Owners Name: NLI i j y e, /1 PfGi; /�✓l ct 4 n Mailing Address: / New Tenant: Yes ❑..No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: MA) PC rri - Mailing Address: 1 p i Ro b .erf -3 E -Mail Address: Ng, q g 4 A)14.) Perm/ i 2• • c r-L., Day Telephone: b id ?$ • " 274 7 cNa e q2 State 1p City Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: l/ Dr Mailing Address: 1142 y Nor J-1,1 C r e-e K %\-wC/ Fogg, U1�- g� // City State Zip Contact Person: Day Telephone: .2- y/ E -Mail Address: Fax Number: Contractor Registration Number: /l Pr 5F S .L 3 C ,C Expiration Date: D % - 0 a - // Valuation of Project (contractor's bid price): $ .3 y9. 0 / / Scope of Work (please provide detailed information): G p W UD /T4 f' 6 o gti q 66 -rf Will service be altered? ❑ Yes to No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy tX Seattle City Light H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea fa Low voltage systems (alarm, furnace thermostat) $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: Print Name: Mailing Address: Day Telephone: Nob'er3� city Date: ■trr;0? 7j `J °74 Weg qe, Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line\2010 Applications \7 -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 Parcel No.: 0042000030 Address: 4261 S 148 ST TUKW Suite No: Applicant: NGUYEN RESIDENCE RECEIPT Permit Number: EL10 -0969 Status: PENDING Applied Date: 11/29/2010 Issue Date: Receipt No.: R10 -02388 Payment Amount: $59.85 Initials: JEM Payment Date: 11/29/2010 04:08 PM User ID: 1165 Balance: $0.00 Payee: NORTHWEST PERMIT INC ADT ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1289 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 doc: Receiot -06 Printed: 11 -29 -2010 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 Insfection Request Line (206) 431 -2451 Project: d 61) 1 6, ` Type of Inspection: /©C) Address: 26,1 5. Pa, Date Called: Special In tructions: 6(6)4( ` Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. JJ COMMENTS: Corrections required prior to approval. 1 '= J 0 F 'J ' ! di" r/IJAAV Inspector: Date: 12/03/0 n REINSPECTION FEE REQUIRED. Prior two next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople liter Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by L&I 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 ADTSES103205 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 11/29/2010