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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 bh 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