HomeMy WebLinkAboutPermit EL11-1092 - PATACSIL RESIDENCEPATACSIL
RESIDENCE
15135 62 AV S
EL1 1 -1092
City oPfukwila •
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.: 3597000143
Address: 15135 62 AV S TUKW
Project Name: PATACSIL RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -1092
Issue Date: 12/08/2011
Permit Expires On: 06/05/2012
Owner:
Name: PATACSIL BERHABE
Address: 15135 62ND AVE S , 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:
CHANGE SECURITY PANEL FROM A 3000 TO A 4000 PANEL AND ADDING GSM
Value of Electrical:
NRES: $0.00
RES: $250.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$59.85
2008
Date: 1
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.
Signature:
Print Name:
Date: - ti
t141
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 -1092 Printed: 12 -08 -2011
411
PERMIT CONDITIONS
•
Permit No. EL11 -1092
* *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
E L 11 -1092 Printed: 12 -08 -2011
CITY OF TUKWI L
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwcitukwila.wa.us
•
Electrical Permit No. ELI I- 1 O Z
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: 15135 62ND AVE SOUTH
Tenant Name:
Property Owners Name: AVELINA PATACSIL
Mailing Address: SAME AS SITE
King Co Assessor's Tax No.: 359700 -0143
Suite Number:
Floor:
New Tenant: ❑ Yes ❑..No
TUKWILA
City
WA
State
98168
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Jennifer Burgess
Mailing Address:
1345 GULF RD
E -Mail Address: Jennifer @nwpemit.com
Day Telephone: 206- 774 -9499
Point Roberts
City
Fax Number:
WA 98281
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT SECURITY SERVICES
Mailing Address: 11824 NORTH CREEK PKWY #105
Contact Person: Jennifer Burgess
E -Mail Address:
BOTHELL
City
Day Telephone:
Fax Number:
WA
State
360- 945 -2787
98011
Zip
Contractor Registration Number: ADTSESI03205 Expiration Date: 06/2012
Valuation of Project (contractor's bid price): $ 250.00
Scope of Work (please provide detailed information)• CHANGING OUT PANEL BOX FROM A 3000 TO A
4000 PANEL AND ADDING GSM
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New
RESIDENTIAL
No Adding more than 50 amps? ❑ Yes E No
❑ Addition
E Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Apphcauons\Fonns- Applications 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)
El 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.
1 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
L-1 l l(l" -,v._ 4/\"--;
Mailing Address: 1345 GULF RD.
Date: /2- (f -2 i1 f
Day Telephone: 206- 774 -9499
PT. ROBERTS WA 98281
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\ApphcauonstFonns- Applications On Line\4 -2007 - Electrical Permit Appltcanon.doc
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Page 2 of 2
0
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.aov
Parcel No.: 3597000143
Address: 15135 62 AV S TUKW
Suite No:
Applicant: PATACSIL RESIDENCE
RECEIPT
Permit Number: EL11 -1092
Status: PENDING
Applied Date: 12/08/2011
Issue Date:
Receipt No.: RI 1 -02666
Initials: WER
User ID: 1655
Payment Amount: $59.85
Payment Date: 12/08/2011 09:29 AM
Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1897 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: 12 -08 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q-, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
AC--S1L •
Type of Inspection:
00 I
Address: / wf,� � 62 �
iii
Date Called:
�
Special Instructions:
AbrRequester:
Date Wanted:.
(a.rr�
m.
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 06/6 Y �Z
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
05 -01 -2012
•
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 -1092
PATACSIL RESIDENCE
1513562 AV S 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 06/05/2012.
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 06/05/2012, 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,
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -1092
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Pr 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
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
12/08/2011