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Permit EL11-0493 - GEORGE RESIDENCE
GEORGE RESIDENCE 5595 S 150 ST EL1 1 -0493 Parcel No.: Address: Tenant Name: City if 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.cLtukwila.wa.us 3779300100 5595 S 150 ST TUKW GEORGE RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0493 Issue Date: 06/02/2011 Permit Expires On: 11/29/2011 Owner: Name: Address: Contact Person: Name: Address: GEORGE MR +MRS 5595 S 150TH ST , TUKWILA WA 98188 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 SECURITY SYSTEM Value of Electrical Work: Type of Fire Protection: NRES: $0.00 RES: $0.00 UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: f Q )-. 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 permit/ Signature: r / Date: f Print Name: / /.4 n( 6 % / no This permit shall become null an void if the work t 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 -0493 Printed: 06 -02 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0493 * *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 -0493 Printed: 06 -02 -2011 CITY OF TUKWILA) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www.ci. tukwlla. wa. us Electrical Permit No. 1 L 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: 5595 S 150TH STREET Tenant Name: N/A King Co Assessor's Tax No.: 377930 -0100 Suite Number: Floor: New Tenant: ❑ .....Yes Property Owners Name: VICTOR GEORGE (Taxpayer) Mailing Address: same as site TUKWILA City ❑..No WA 98188 Zip State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: William Millhollin Day Telephone: 360-945-2787 Mailing Address: E -Mail Address: 1345 GULF RD William @nwpemit.com Point Roberts WA 98281 City State Zip Fax Number: 360- 945 -2091 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT SECURITY SERVICES Mailing Address: 11824 NORTH CREEK PKWY N, ST #105 EVERETT WA 98205 Contact Person: William Millhollin E -Mail Address: William@nwpemit.com City State Zip Day Telephone: 360 - 945 -2787 Fax Number: 360- 945 -2091 Contractor Registration Number: ADTSES103205 Expiration Date: 08/18/2012 Valuation of Project (contractor's bid price): $ 500.00 Scope of Work (please provide detailed information): INSTALLING SECURITY SYSTEM Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes © No Type of Use: COMMERCIAL - Shopping Ctr(Community) Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement © Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: © Puget Sound Energy ❑ Seattle City Light RECEIVED 06- 01 -'11 16:27 FROM - TO- publicWcrks /dcd P002 /003 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings ..... $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added /altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added /altered without service change $50.00 (up to 5 circuits) ❑ Circuits added /altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured /mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: «< --r--, IN alp Mailing Address: %g_.6 (Pe Date: 6-a-1( Day Telephone: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: RECEIVED 06- 01 -'11 16:27 FROM - H.1Ayyu�mvu: u•ei un- nypu,auou> vu i.wcw •<wr - nICU11L J room nypncauuu.uUC TO- publicworks /dcd P003/003 • 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.TukwilaWA.gov Parcel No.: 3779300100 Address: 5595 S 150 ST TUI W Suite No: Applicant: GEORGE RESIDENCE RECEIPT Permit Number: EL11 -0493 Status: PENDING Applied Date: 06/02/2011 Issue Date: Receipt No.: R11 -01108 Initials: WER User ID: 1655 Payment Amount: $59.85 Payment Date: 06/02/2011 12:15 PM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1519 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: 06 -02 -2011 • • .,.. • • - . • . • • • . • • • . • • . • • e • • INSPECTION RECORD 641 Retain a copy with permit INSPECTION No.: . PERMIT NO. ..• • CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ve. (206) 431-36 Permit Inspection Request Line (206) 431-2451 _. . Project: 1-5 Type of Inspection: 2 Address: --"— Date Called: •-.., Special Instructions: • t( Ai T1 • Date Wanted: . 10/10 61. Requester: Phone No: rigl:Approved per applicable codes. El Corrections required prior to approval. COMMENTS: • . Inspector: . -6.1)deic Date: /0/16/1 J REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be L— paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • 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 -0493 GEORGE RESIDENCE 5595 S 150 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 11/29/2011. 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 11/29/2011, 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, c Bill Rambo Permit Technician File: Permit File No. EL 11-0493 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Contractors or Tradespeople Pry er Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by L£&1 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 ADT SECURITY SERVICES INC UBI No. 601636830 Phone 4254023356 Address 11824 North Creek Pkwy N #105 License No. ADTSESI03205 Suite /Apt. License Type Electrical Contractor City Bothell Effective Date 9/25/1997 State WA Expiration Date 9/25/2011 Zip 98011 Suspend Date County King Specialty 1 Limited Energy Business Type Corporation Specialty 2 Hvac /Rfrg Ltd Energy Parent Company Status Active 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 06/02/2011