HomeMy WebLinkAboutPermit EL11-0204 - CONSTANTINE RESIDENCEThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL11 -0204
Constantine Residence
5936 South 149th Street
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
11
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
CONSTANTINE
RESIDENCE
5936 S 149 ST
EL1 1 -0204
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: / /wwwci.tukwila.wa.us
3597000086
5936 S 149 ST TUKW
CONSTANTINE RESIDENCE
ELECTRICAL PERMIT
Permit Number: ELI 0204
Issue Date: n'Il / 11
Permit Expires On:
btIit1h
Owner:
Name:
Address:
Contact Person:
Name:
Address:
CONSTANTINE LYNN H +MOORE MICHAEL J
5936 S 149TH ST , TUXWILA WA 98168
WIXtLIAM MILLHOLLIN
13 RD , PT 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:
Phone: 425 - 893 -3668
DESCRIPTION OF WORK:
INSTALL NEW BURGLAR ALRAM SYSTEM INCLUDING ADD (1) CONTROL (3) DEVICES
Value of Electrical Work: NRES: $1,085.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date:
/-
I hereby certify that I have read and examined this permi d 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 pe
Signature. i�T■_
Print Name: % ,! f LIP
Date: 3/7/7/
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
EL11 -0204
Printed: 03 -11 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0204
* *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
EL11 -0204 Printed: 03 -11 -2011
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. 6(.., 11426
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.: 3 £3 b 1 UC) on E24)
5a 3 Co \4 q st--
Tenant Name:
Property Owners Name:
Mailing Address:
Zip
Suite Number:
Floor:
City State
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: () 011/ jt t' l (Ld 1 it K1 Day Telephone:2(.0n Ct 4
Mailing Address: l�j S � Q-C� el/4S u.),1\--- 9 �2 f
"� City State Zip
E -Mail Address: \ \ ►ti ' C0 KlFax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person: LO • (AA/ I 1 1 / /11 Day Telephone: city siC le
E -Mail Address:, L iL O 4 ``Vba ne Vw� t . Cou4
Fax Number: /2 j
Contractor Registration Number: 4 3 S \ 9, B �� Expiration Date: 9 l 6 2 f/ J/
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailediformation):
(Oe-.) ar Warn')
ti
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes IT...No
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
HAApplicat ions \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
hh
Page 1 of 2
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ 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 -
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:
Date: '",////
Day Telephone: 2 beS ° 4-€ 4-€cD, '7
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line\2010 Application0-2010 - 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.: 3597000086
Address: 5936 S 149 ST TUKW
Suite No:
Applicant: CONSTANTINE RESIDENCE
RECEIPT
Permit Number: EL11 -0204
Status: PENDING
Applied Date: 03/11/2011
Issue Date:
Receipt No.: R11 -00478
Payment Amount: $115.50
Initials: TLS Payment Date: 03/11/2011 12:56 PM
User ID: 1165 Balance: $0.00
Payee: NORTHWEST PERMITADT ACCT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1478 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 03 -11 -2011
•
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
Project irk Ke5-
Address: 5-136, 5.14fq
Special Instructions:
IT1
Type of Inspection:
Date Called:
Date Wanted: .
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
'Inspector:
,Date: 0� /°9f,
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
08 -01 -2011
•
Cit%y of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
WILLIAM MILLHOLLIN
1345 S GULF RD
PT ROBERTS WA 98281
RE: Permit No. EL11 -0204
5936 S 149 ST 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 09/07/2011.
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 09/07/2011, 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. EL11 -0204
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
Gity of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
March 22, 2011
William Millhollin
Northwest Permit
1345 S Gulf Rd
Point Roberts, WA 98281
RE: Electrical Permit Number EL11 -0204
Constantine Residence - 5936 S 149 St
Dear Mr. Millhollin,
Enclosed is a refund for electrical permit EL11 -0204 that was applied for and issued March 11,
2011. At that time incorrect information was input into our permit program which resulted in an
over - assessment of fees. Enclosed is a refund for the $55.65 (fifty -five dollars and sixty -five
cents) overpayment.
Sincerely,
File: Permit No. EL11 -0204
Enclosure: Check No. 356987
W:\Permit Center \Refunds\Rcfunds\2011\ELI 1 -0204 Permit Refund.mht
jem
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
CITY OF TUKWILA, WA 98188 -2544
ACCOUNTS PAYABLE CHECK
NO.
' r, iINVOICE?NGMBER . `?2a - t
. s DATE
P.O: NUMBER'.a 3 �x
,. ? eOESCRIFTKW t,',":"4/..$ .:. w,_ ..�:awi���a���..,�',�,.�;r'e'
�c
x`3. P.MOUNTU,.
ELL11 -0204
03/11/2011
55.65
PERMIT REFUND
55.65
PLEASE DETACH BEFORE DEPOSITING
THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND—NOT A WHITE'BACKGROUND'
PAY
TO THE
ORDER
OF
CITY OF TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188 -2544
PAYABLE THROUGH.
151 Andover Park Easy
•Tukwila. WA 98188
19 -10
1250
h
012989
9'
1
14ECKx
t3HECK Akib
03/21/2011
55.65
Fifty Five Dollars and Sixty . Five Cents
NORTHWEST PERMIT`:'
ADT ACCOUNT
1345 S GULF RD
POINT ROBERTS, WA 98281
.,� THE BACK OF THIS DOCUMENT..,HASAN ARTIFICIAL WATERMARK -HOLD AT-AN ANGLETO,VIEW.
r :r
• •
MEMORANDUM
TO: Laurie Anderson j�
FROM: Brenda Holt '6V+ " .
DATE: 03/11/2011
SUBJECT: Constantine Residence
EL1 -0204
Please draw a check in the amount of $55.65 (fifty -five dollars and sixty -five cents) to be
payable to Northwest Permit, ADT Account located at 1345 S Gulf Rd in Point Roberts,
WA 98281.
The data entry in Permits Plus was incorrect and consequently the fees assessed and
collected were also incorrect. This refund is to be paid out of the Residential Electrical
Permit Account, 000.322.101.00.00.
Please forward the check to me and I will forward it on to the applicant.
Thank you!
Contractors or Tradespeople Peter Friendly Page
•
Page 1 of 3
Electrical Contractor
A business licensed by L81 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
03/11/2011