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Home My WebLink AboutPermit EL12-0161 - SLUK RESIDENCEDEWEY SLUK 4037 S 146 ST EL12 -0161 City okukwila 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.: 0040000930 Address: 4037 S 146 ST TUICW Project Name: DEWY SLUK ELECTRICAL PERMIT Permit Number: EL12 -0161 Issue Date: 02/17/2012 Permit Expires On: 08/15/2012 Owner: Name: PNC MORTGAGE Address: 32352 NEWMARK DR , MIAMISBURG OH Contact Person: Name: JENNIFER BURGESS Address: 1345 GULF RD , PT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 206 -774 -9499 Phone: 425 - 893 -3668 Expiration Date: 09/25/2013 DESCRIPTION OF WORK: INSTALLING SECURITY SYSTEM WITH CELLGUARD Value of Electrical: NRES: $0.00 RES: $400.00 Type of Fire Protection: UNKNOWNN Electrical service provided by: SEATTLE CITY L HT Permit Center Authorized Signature: 1 i'= I /. Date: I hereby certify that I have read and examined this / pe /'t 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. Fees Collected: National Electrical Code Edition: $59.85 2008 Signature: Print Name: Date: 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 EL12 -0161 Printed: 02 -17 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0161 * *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 EL12 -0161 Printed: 02 -17 -2012 CITY OF TUKIPA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. Z " O 1 Project No. Date Application Accepted: 4 (1 `7,2V 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 King Co Assessor's Tax No.: 004000 -0930 Site Address: 4037 S 146TH STREET Suite Number: Floor: Tenant Name: DEWEY SLUK PROPERTY OWNER Name: JENNIFER BURGESS /NWPERMIT -AGENT Address: 1345 GULF RD Name: DEWEY SLUK Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Address: SAME AS SITE City: TUKWILA State: WA Zip: 98168 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 New Tenant: ❑ Yes J ..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.: Valuation of Project (contractor's bid price): $ 400 Scope of Work (please provide detailed information): INSTALLING SECURITY SYSTEM WITH CELLGUARD Will service be altered? ❑ Yes 14 No Adding more than 50 amps? ❑ Yes No Type of Use: RESIDENTIAL Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\ Applications \Forts- Applications On Line1201 I Applications \Electrical Permit Application Revised 13-9-I I.docx 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: Signature: Print Name: WILLIAM MILLHOLLIN Mailing Address: 1345 GULF RD H:\ Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 02/13/2012 Day Telephone: (206) 774 -9499 PT. ROBERTS WA 98281 City State Zip 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.: 0040000930 Address: 4037 S 146 ST TUKW Suite No: Applicant: DEWY SLUK RECEIPT Permit Number: EL12 -0161 Status: APPROVED Applied Date: 02/17/2012 Issue Date: Receipt No.: R12 -00708 Payment Amount: $59.85 Initials: TLS Payment Date: 02/17/2012 02:03 PM User ID: 1670 Balance: $0.00 Payee: NORTHWEST PERMIT INC ADT ACCOUTN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1904 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: 02 -17 -2012 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: t Type of Inspection:, Address: Date Called: Special Instructs ns: Date Wanted:. // �/ ®� p.m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: Date: 04 7/12.. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit tiet2-01‘f PERMIT N0O . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: tiy �� S ` o Type of Inspection �� Address. Ljt)3!.S• /t, 5. Date Called: Special Instructions: Date Wanted:. .m Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: nl eldtkiy (Inspector: Date: lob /1L-. ( n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr, Friendly Page Page 1 of 3 Electrical Contractor A business licensed by LEtl 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 2067190347 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 Unused 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 Electrical Administrator INFORMATION License NICKOT *902DA Name NICKOLS, TIM Status Active 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 https://fortress.wa.gov/lni/bbip/Print.aspx 02/17/2012