HomeMy WebLinkAboutPermit EL11-1044 - IMADA RESIDENCEIMADA RESIDENCE
15345 SUNWOOD BL
EL1 1 -1044
City oilkukwila
•
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.: 1865200610
Address: 15345 SUNWOOD BL TUKW
Project Name: IMADA RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL 11 -1044
Issue Date: 11/17/2011
Permit Expires On: 05/15/2012
Owner:
Name: DAVIS NORINE L
Address: 15345 SUNWOOD BLVD #D 101 , TUKWILA WA
Contact Person:
Name: JENNIFER BURGESS Phone: 206 - 774 -9499
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:
INSTALL BURGLAR ALARM SYSTEM
Value of Electrical: NRES: $0.00 Fees Collected: $59.85
RES: $584.00
Type of Fire Protection: UNKNOWN
Electrical service provided by:
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Rk
Date: 114-7%-- (
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 o work. I am authorized to sign and obtain this electrical permit. �) %
Signature: Date: d f .26//
1 ( . j
Print Name:
J' il/att i i
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 -1044 Printed: 11 -17 -2011
PERMIT CONDITIONS
Permit No. EL 11 -1044
* *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 -1044 Printed: 11 -17 -2011
CITY OF TUKWIIIP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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
15 5 Val
Site Address: iroko Imada
Tenant Name:
Property Owners Name:
Mailing Address: SAME AS SITE
King Co Assessor's Tax No.: ,1186520060
Suite Number: pio3 Floor:
New Tenant: ❑ -- Yes ❑..No
TUKWILA WA 98168
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Jennifer Burgess- Northwest Permit Inc.
1345 GULF RD
Mailing Address:
Day Telephone: 206- 774 -9499
Point Roberts
WA 98281
E -Mail Address: jennifer @nwpemit.com
City
Fax Number:
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT
Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL WA 98011
City State Zip
Contact Person: Jennifer Burgess Day Telephone: 360- 945 -2787
Fax Number:
E -Mail Address:
Contractor Registration Number: ADTSESIO32O5 Expiration Date: 09/25/2013
Valuation of Project (contractor's bid price): $ 584.00
Scope of Work (please provide detailed information): INSTALL BURGLAR ALARM SYSTEM
Will service be altered? ❑ Yes E No Adding more than 50 amps? ❑ Yes E No
Type of Use: COMMERCIAL
Type of work:
❑ New ❑ Addition ❑ Service Change
E Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H: \Applications\Forms- Applicmions On Line \4 -2007 - Electrical Permit Application doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
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 1 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] AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: ieJ+ .k14/ /f J Jt
r,
Mailing Address: 1345 GULF RD
Date: 11/17/2011
Day Telephone: 206- 774 -9499
POINT ROBERTS, WA 98281
City
State
Zip
Date Application Accepted: Date Application Expires:
Staff Initials:
H:Wpplications\Forms- Applications On Line \4 -2007 - 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.TukwilaWA.gov
Parcel No.: 1865200610
Address: 15345 SUNWOOD BL TUICW
Suite No:
Applicant: IMADA RESIDENCE
RECEIPT
Permit Number: EL11 -1044
Status: PENDING
Applied Date: 11/17/2011
Issue Date:
Receipt No.: R11 -02510 Payment Amount: $59.85
Initials: WER Payment Date: 11/17/2011 08:51 AM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1889 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: Receipt -06 Printed: 11 -17 -2011
INSPECTION RECORD
Retain a copy with permit Et11-10111
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IF (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: •
110)A RtS
Type of Inspection:
Address:
• 153 LIC3vAidooDgi.
Date Called:
Special Instructions:
7
nn
sEw ^1 - !
Date Wanted: .
17
p.m
Requester:
Phone No:
pApProved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.
I � d 11 i
Date: i �
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector: '�:dk*
r�
Contractors or Tradespeople Prer Friendly Page
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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
ADTSESI032O5
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 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
ROBINSON,MICHAEL A
Treasurer
08/28/2001
08/21/2003
Bond Information
https://fortress.wa.gov/lni/bbip/Print.aspx
11/17/2011