HomeMy WebLinkAboutPermit EL11-1018 - CASH AMERICACASH AMERICA
3920 S 146 ST
EXPIRED 05 -07 -12
EL1 1 -1018
City olkukwnla
•
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.: 0040000254
Address: 3920 S 146 ST TUKW
Project Name: CASH AMERICA
ELECTRICAL PERMIT
Permit Number: EL11 -1018
Issue Date: 11/09/2011
Permit Expires On: 05/07/2012
Owner:
Name: POLL TUKWILA LLC
Address: 8915 SE 44TH ST , MERCER ISLAND WA
Contact Person:
Name: JENNIFER BURGESS Phone: 360 945 -2787
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: 425- 893 -3668
Expiration Date: 09/25/2013
DESCRIPTION OF WORK:
UPGRADE EXISTING BURGLAR ALARM PANEL
Value of Electrical: NRES: $1,600.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting
constructi
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$115.50
2008
Date: 014
4
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
O V1'I U.t
arvIsde it
Date: 1 /9 boil
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 -1018 Printed: 11 -09 -2011
PERMIT CONDITIONS
Permit No. EL 11 -1018
* *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 -1018 Printed: 11 -09 -2011
CITY OF TUKWILA)
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
DUI —toga
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: 3920 South 146th St
Tenant Name:CaSh America
Property Owners Name: POLL TUKWILA LLC
Mailing Address: same as site
King Co Assessor's Tax No.: 0040000254
Suite Number:
New Tenant:
Floor:
❑ Yes El ..No
TUKWILA
City
WA
State
98133
Zip
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Name: Jennifer Burgess
Mailing Address:
1345 GULF RD
Day Telephone: 360 - 945 -2787
Point Roberts WA
E -Mail Address: jennifer @nwpemit.com
City State
Fax Number:206- 774 -9499
98281
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT Security Services
Mailing Address: 11824 NORTH CREEK PKWY #105
Contact Person: Jennifer Burgess
E -Mail Address:jennifer @nwpermit.com
Contractor Registration Number: ADTSESI03205
BOTHELL WA 98011
City State
Zip
Day Telephone: 206- 774 -9499
Fax Number: 360 - 945 -2091
Expiration Date: 09/25/2013
Valuation of Project (contractor's bid price): $ 1600.00
Scope of Work (please provide detailed information): Upgrade existing burglar alarm panel.
Will service be altered? ❑ Yes KI No Adding more than 50 amps? ❑ Yes n No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
In Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H.\Applications\Forms- Applications On Linekt-2007 - Electrical Permit Application.doc
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1of2
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 CTR CONTRACTOR:
Signature:
Print Name: Monica Ramsde
Mailing Address; 345 GULF RD
Date Application Accepted:
Date: 11/09/2011
Day Telephone:206- 774 -9499
POINT ROBERTS, WA 98281
City State
Zip
Date Application Expires:
H:Wpplications\Forms- Applications On Line\4-2007 - Electrical Permit Application.doc
Page 2 of 2
CiP 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
SET RECEIPT
Copy Reprinted on 11 -09 -2011 at 12:28:31 11/09/2011
RECEIPT NO: R11 -02454
Initials: JEM
Payment Date: 11/09/2011
User ID: 1165 Total Payment: 231.00
Payee: NORTHWEST PERMIT INC, ADT ACCOUNT
SET ID: 1109 SET NAME: ADT SECURITY SERVICES
SET TRANSACTIONS:
Set Member
EL11 -1018
EL11 -1019
TOTAL:
Amount
115.50
115.50
115.50
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1655 231.00
TOTAL: 231.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 231.00
TOTAL: 231.00
04 -02 -2012
Ci
•
f Tu
it
Jim Haggerton, Mayor
Department of Community Development
JENNIFER BURGESS
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. EL11 -1018
CASH AMERICA
3920 S 146 ST TUKW
Dear Permit Holder:
Jack Pace, Director
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 05/07/2012.
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 05/07/2012, 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,
fr\A44-V
er Marshall
t Technician
File: Permit File No. EL11 -1018
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople P; ter Friendly Page
•
Page 1 of 3
Electrical Contractor
A business licensed by LEti 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
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
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 5
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
ROBINSON,MICHAEL A
Treasurer
08/28/2001
08/21/2003
Bond Information
https://fortress.wa.gov/lni/bbip/Print.aspx
11/09/2011