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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