Loading...
HomeMy WebLinkAboutPermit EL11-0120 - LANCE TIMMERMAN DMDLANCE TIMMERMAN DMD 7100 FORT DENT WY EL1 1 -0120 Parcel No.: Address: Tenant Name: City Ilk 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 2954900440 7100 FORT DENT WY TUKW LANCE TIMMERMAN DMD ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0120 02/15/2011 08/14/2011 Owner: Name: Address: Contact Person: Name: Address: RADOVICH PROPERTIES LLC 2835 82ND AVE SE STE 300 , MERCER ISLAND WA 98040 WILLIAM MILLHOLLIN 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: INSTALL A LOW VOLTAGE BURGLAR ALARM (1) CONTROL AND (2) DEVICES Value of Electrical Work: NRES: $249.00 Fees Collected: $63.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 „9„ Date: 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 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 and agree to the conditions on the back of this p i Signature: V`1110 Print Name: cl 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. Date: doc: EL -9/09 EL11 -0120 Printed: 02 -15 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0120 * *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 EL 11 -0120 Printed: 02 -15 -2011 CITY OF TUKWILr Community Development Department Permit Center 6300 Southcenter Blvd:, Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. 0- 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: 7100 FORT DENT WAY Tenant Name: LANCE TIMMERMAN DMD Property Owners Name:_ RADOVICH PROPERTIES LLC Mailing Add° same as site TUKWILA ress City King Co Assessor's Tax No.: 2954900440 Suite Number: #270 Floor: New Tenant: ❑ Yes El „No WA State 98188 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: William Millhollin 1345 GULF RD Mailing Address: E -Mail Address: William @nwpemit.com Day Telephone: Point Roberts City Fax Number: 360- 945 -2787 WA 98281 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL WA 98011 City State Zip Contact Person: William M i l l hOl l i n Day Telephone: 360 - 945 -2787 E -Mail Address: Fax Number: Contractor Registration Number: ADTSESI032O5 Expiration Date: 09/25/2011 Valuation of Project (contractor's bid price): $ 249.00 Scope of Work (please provide detailed information): INSTALL A LOW VOLTAGE BURGLAR ALARM 1 Control and 2Devices Will service be altered? ❑ Yes M No Adding more than 50 amps? ❑ Yes © No Type of Use: Office Building Type of work: ❑ New ❑ Addition ® Service Change ® Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplicationa\Prnm - Application On line \4 -2007 - Electrical Permit Applicationdoc bh ® Remodel ® Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 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:/lwww.ci.tukwila.wa.us Parcel No.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: Applicant: LANCE TIMMERMAN DMD RECEIPT Permit Number: EL11 -0120 Status: PENDING Applied Date: 02/15/2011 Issue Date: Receipt No.: RI 1-00285 Payment Amount: $63.00 Initials: WER Payment Date: 02/15/2011 09:12 AM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1391 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt -06 Printed: 02 -15 -2011 w 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 -36 Permit Inspection Request Line (206) 431 -2451 6,11-0oD Project:W ,0 ". ri,s44 vvGG Type of Inspection: 2_400 Address:....) {�' Date Called: Special Instructions: Date Wanted: a tr s p.m. Requester: Phone No: 4 Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: j//113(-4Niee\ ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: 3 INSPECTION RECORD Retain a copy with permit (Urn° INSPECTION NO. MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: L>rcnTIlMartAIJ Type of Inspection: ° Z� ®v Address: 'j/ �� j� !!� �'� /[ill Date Called: Special Instructions: 5a-Arl Date Wanted: 7#7 �:m Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (;-6 ha/ A-dp pf Date: 7/1/ / n REINSPECTION PEE. REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit 614-0/10 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION le- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Leat IrriAli Type of Inspection: Address: Date Called: Special Instr ctions: -itt-4/4rr7 . • Date Wanted: a p: m. Requester: Phone No: • ❑ Approved per applicable codes. Corrections. required prior to approval. e••., COMMENTS: C IA 1--- Ainskirep hi at MU41 ,i 1-� �9iNIT Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. •,r- - :- ..41-r. -•∎ -, INSPECTION RECORD Retain a copy with permit 6,11-012/0 INSPECTION NO. PERMIT N0. CITY OF TUKWILA. BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project : i r • t Type of Inspection: 7 Address: ( Date Called: Special Ins ructions: 5 c, / 'I / Date Wanted: Requester: 11 Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: kw' we'. Inspector: ...hi . -� 1Date: a- Jz /iI REINSPECTION FEE REQUIRED. Prior to next inspection: fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 06 -30 -2011 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director WILLIAM MILLHOLLIN 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. EL11 -0120 7100 FORT DENT WY 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 08/27/2011. 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 08/27/2011, 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, nt,,dU Bill Rambo Permit Technician File: Permit File No. ELI 1 -0120 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Contractors or Tradespeople P ter Friendly Page w Page 1 of 3 Electrical Contractor A business licensed by LftI 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 02/15/2011