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HomeMy WebLinkAboutPermit EL11-0982 - NORTH STREAM DEVELOPMENTNORTH STREAM DEVELOPMENT 4485 S 134 PL EL1 1 -0982 City oPfukwila N Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: htto: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 2613200084 Address: 4485 S 134 PL TUKW Project Name: NORTH STREAM DEVELOPMENT Permit Number: Issue Date: Permit Expires On: EL11 -0982 10/27/2011 04/24/2012 Owner: Name: NORTH STREAM DEVELOPMENT Address: 720 4TH AVE STE 102 , IURKLAND WA Contact Person: Name: JENNIFER BURGESS 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: 09/25/2013 DESCRIPTION OF WORK: INSTALL CAMERA SYSTEM Value of Electrical: NRES: $7,701.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and - arm governing this work will be complied with, The granting of this permit constructi• • or e perf• anc Signature: Print Name: • sum of wor I Fees Collected: National Electrical Code Edition: $230.10 2008 Date: 1 o(vi ( U d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. Date: ) v Q I -Qol 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 -4/10 EL11 -0982 Printed: 10 -27 -2011 PERMIT CONDITIONS • Permit No. EL11 -0982 * *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 art 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 m 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 -0982 Printed: 10 -27 -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. 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: 4485 S 134th Place King Co Assessor's Tax No.: 2613200084 Suite Number: Floor: New Tenant: ❑ Yes ..No Tenant Name: Property Owners Name: Northstream Development CO Mailing Address: same as site TUKWILA city WA State 98168 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Jennifer Burgess 1345 GULF RD Mailing Address: Day Telephone: 360- 945 -2787 Point Roberts WA 98281 E -Mail Address: Jennifer @nwpemit.com City State Zip Fax Number: 206- 774 -9499 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Security Services Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL WA City State Contact Person: Jennifer Burgess Day Telephone: 206- 774 -9499 E -Mail Address: Jennifer @nwpermit.com Fax Number: 360- 945 -2091 98011 Zip Contractor Registration Number: ADTSES103205 Expiration Date: 09/25/2012 Valuation of Project (contractor's bid price): S 7701.00 Scope of Work (please provide detailed information): Install camera system. Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes © No Type of Use: 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 II:Wpplications\Forms- Applications On I.ine44 -2007 - Electrical Permit Applicalion.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 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 510.00 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 510.00 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 LA OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELE ' RI AL CO TRACTOR: Signature: Print Name. Monica Ramsd 1I, /Ief%tea...!tiptio I I Mailing Address:1345 GULF RD Date Application Accepted: I0 Date: 10/27/2011 Day Telephone: 206- 774 -9499 POINT ROBERTS, WA 98281 nth , City State Zip Date Application Expires: Staff Initials: II. \Applications Forms- Applications On LineW -2007 - Electrical Permit Application.doc hh )6 - Page 2 of 2 V 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 RECEIPT Parcel No.: 2613200084 Permit Number: EL11 -0982 Address: 4485 S 134 PL TUICW Status: PENDING Suite No: Applied Date: 10/27/2011 Applicant: NORTH STREAM DEVELOPMENT Issue Date: Receipt No.: R11 -02350 Initials: JEM User ID: 1165 Payment Amount: $230.10 Payment Date: 10/27/2011 12:35 PM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1657 230.10 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 230.10 Total: $230.10 doc: Receiot -06 Printed: 10 -27 -2011 PI INSPECTION.RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -367 Eul -dlb� 6300 Southcenter.Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Projec : N...`011.4-11 Del. Type of Inspection: V Address 5 6 - l3 y p L. Date Called: 1 Special Instr ctions: .� ') • 4N-111r • Date Wanted:. qi7 � m. Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector: Date: 0 lilt Q r� REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INISPII ON RECORD Retain aOpy with permit INSPECTION NO: 1 PERMIT NO CITY OF TUKWIL4ejsui NG DIVISIQJ 6300 Southcenter Blvd., #0,5/ Tuk j /a, WA 98188 (206)431 -367 Project: ✓ A/. S' E Type of Inspection: ,1,wv (2 Addres : g,�' s, ��y ri Dat led: . al Instructions: Specii Date Want d: yea— /a. m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. S COMMENTS: fib/11Z 1-10" SA A CAL( jQusetfv,7w , 6 /Id (414 Inspector: n y }QF 2 /*VT Date: fl $60.00(EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JENNIFER BURGESS 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. EL11 -0982 NORTH STREAM DEVELOPMENT 4485 S 134 PL 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 04/24/2012. 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 04/24/2012, 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. ELI 1 -0982 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Piper Friendly Page Page 1 of 3 Electrical Contractor A business licensed by LEt1 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 9/25/2013 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 KOCH, JOHN B President 09/13/2011 BLEISCH, NELSON DAVID Secretary 09/13/2011 FAXAS, MAGIN ANTHONY Treasurer 09/13/2011 SNYDER, MICHAEL President 01/01/1980 09/13/2011 MONROZE, M BRIAN Secretary 06/15/2006 09/13/2011 FLANIGAN, TIMOTHY E Secretary 06/15/2006 09/13/2011 ABROMEIT, RICHARD H Treasurer 08/21/2003 09/13/2011 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 https://fortress.wa.gov/lni/bbip/Print.aspx 10/27/2011