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Home My WebLink AboutPermit EL11-1110 - LE RESIDENCELE RESIDENCE 3520 S 116 ST EL11-lilO City oliTukwila 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 Parcel No.: 0733000005 Address: 3520 S 116 ST TUKW Project Name: LE RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -1110 Issue Date: 12/13/2011 Permit Expires On: 06/10/2012 Owner: Name: LE LONG +ANNA Address: 3520 S 116TH ST , 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 SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $200.00 Type of Fire Protection: SMOKE DETECTORS Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature Fees Collected: National Electrical Code Edition: Date: $59.85 2008 I hereby certify that I have read an ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli= • wit , 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 perforr�{ance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: /• / — if 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 -1110 Printed: 12 -13 -2011 PERMIT CONDITIONS Permit No. EL 11 -1110 * *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 -1110 Printed: 12 -13 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. �� — III 0 Project No. Date Application Accepted: 13 1,1 Date Application Expires: (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: Tenant Name: 3520 S 116TH ST LONG LE PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD Name: LONG LE Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Address: SAME AS SITE I ct ' D City: State: Zip: CONTACT PERSON — person receiving all project communication Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD City: PT. ROBERTS State: WA Zip: 98281 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM King Co Assessor's Tax No.: 0733000005 Suite Number: Floor: New Tenant: ❑ Yes 0 ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT SECURITY SERVICES INC. Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Contr Reg No.: ADTSESI03205 Exp Date: 09/25/2013 Tukwila Business License No.: yy,I ,t C D I ct ' D Valuation of Project (contractor's bid price): $ 200 Scope of Work (please provide detailed information): INSTALL SECURITY SYSTEM Will service be altered? ❑ Yes IJ No Adding more than 50 amps? ❑ Yes 0 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 K Seattle City Light H :lApplicationsWorns- Applicanons On Line1201 1 Applications \Electrical Permit Application Revised 8-9-11 disci Revised August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 ELECTRICAL CONTRACTOR: Signal Print Name: LINA THOMPSON Day Telephone: (206) 774 -9499 Mailing Address: 1345 GULF RD PT. ROBERTS WA 98281 Date: 12/13/2011 City H \Applications \Forrts - Application On Line \20I1 Applications\Elecvical Perm Application Revised 8-9-1 I.docc Revised: August 2011 bh State Zip Page 2 of 2 OM of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: hitp://www.ci.lukwila.wa.us SET RECEIPT Copy Reprinted on 12 -13 -2011 at 09:30:23 12/13/2011 RECEIPT NO: R11 -02711 Initials: JEM Payment Date: 12/13/2011 User ID: 1165 Total Payment: 182.70 Payee: NORTHWEST PERMIT INC, ADT ACCOUNT SET ID: 1213 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL11 -1109 EL11 -1110 EL11 -1111 TOTAL: Amount 59.85 59.85 63.00 63.00 TRANSACTION LIST: Type Method Description Amount Payment Check 2087 182.70 TOTAL: 182.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 ELECTRICAL PERMIT - RES 000.322.101.00.0 63.00 119.70 TOTAL: 182.70 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: 3S`' -0 S. 11, sr� Date Called: Special Instructions: Date Wanted: . /� r crriferi Requester: Phone No: Approved per applicable codes. aCorrections required prior to approval. COMMENTS: Inspector: � 6641eic, 'Date: r2 f .'i ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pier Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by LB.I 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 her Associated Licenses License icense 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 12/13/2011