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HomeMy WebLinkAboutPermit EL11-0801 - STETSON RESIDENCESTETSON RESIDENCE 13258 40 AV S EL1 1 -0801 City ofitukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 7340600961 Address: 13258 40 AV S TUKW Project Name: STETSON RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0801 Issue Date: 08/25/2011 Permit Expires On: 02/21/2012 Owner: Name: STETSON JOHN B III Address: 13258 40TH S , SEATTLE WA Contact Person: Name: WILLIAM MILLHOLIN Address: 1345 GULF RD , POINT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 360- 945 -2787 Phone: 425 - 893 -3668 Expiration Date: 09/25/2011 DESCRIPTION OF WORK: INSTALLING CELLGUARD SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $149.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: I hereby certify that I have read and examined this p: t 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 • ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio t e pe mance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: U a— This permit shall become null and vbiH if the work is 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 -4/10 EL11 -0801 Printed: 08 -25 -2011 PERMIT CONDITIONS Permit No. EL 11 -0801 * *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 -4/10 EL11 -0801 Printed: 08 -25 -2011 CITY OF TUKWIAP Community Development Department Electrical Permit No. . _ L \ 1- as V 1 Permit Center 6300 Southcenter Blvd., Suite 100 Project No. Tukwila, WA 98188 http://www.ci.tukwila.wa.us (For ofice 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: 13258 40TH AVE Tenant Name: N/A Property owners Name: JOHN STETSON Mailing Address: same as site King Co Assessor's Tax No.: 7340600961 Suite Number: New Tenant: ❑ Yes ❑..No Floor: TUKWILA city WA 98188 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: William Millhollin Day Telephone: 360-945 -2787 Mailing Address: Point Roberts WA 98281 E -Mail Address: 1345 GULF RD William @nwpemit.com City State Zip Fax Number: 360- 945 -2091 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Security Services Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL Contact Person: William Millhollin E -Mail Address: William @nwpermit.com Contractor Registration Number: ADTSES1032O5 WA 98011 City State Day Telephone: 360 - 945 -2787 Fax Number: 360- 945 -2091 Expiration Date: 09/25/2011 Zip Valuation of Project (contractor's bid price): $ 149.00 Scope of Work (please provide detailed information): INSTALLING CELLGUARD Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes © No Type of Use: Type of work: ❑ New ❑ Addition ❑ ServiceChange ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplications \Forma- Applications On Lme \4 -2007 - Electrical Permit Application.doc Page 1 of 2 bh 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. MISCELLANEOIJS 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: Day Telephone: 3•0 - 9y 5 al-S7 H: m coons Forms -App matrons • e • -2 m 1 - ec c . pp ca, on.. oc bh f j'IVAINY I93 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web si te: http: / /www.Tukwila WA .gov Parcel No.: 7340600961 Address: 13258 40 AV S TUKW Suite No: Applicant: STETSON RESIDENCE RECEIPT Permit Number: EL11 -0801 Status: APPROVED Applied Date: 08/25/2011 Issue Date: Receipt No.: R11 -01865 Initials: TLS User ID: 1670 Payment Amount: $59.85 Payment Date: 08/25/2011 11:18 AM Balance: $0.00 Payee: NORTHWEST PERMITS ADT ACCT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1843 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: 08 -25 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO." PERMIT NO. (01-0goi CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .„ (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 ' Project: 516564 Type of Inspection: ji , Address: I 5 7 1/0 AV- Date Called: Special Instructions: s{,J I Date Wanted:. �� /—� t� s3.. p.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. i COM MENTS: A Inspector: Date: 07/0241 0 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pre Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by Lftl 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 08/25/2011