HomeMy WebLinkAboutPermit EL12-0307 - EXECUTIVE COATING & CONTRACTINGEXECUTIVE COATING
& CONTRACTING
1138 INDUSTRY DR
EL1 2-0307
City o�I'ukwila
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.: 2523049071
Address: 1138 INDUSTRY DR TUKW
ELECTRICAL PERMIT
Project Name: EXECUTIVE COATING & CONTRACTING
Permit Number: EL12 -0307
Issue Date: 04/02/2012
Permit Expires On: 09/29/2012
Owner:
Name: WALTON CWWA TUKWILA 1 LLC
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR
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: $694.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
ami
ith,
/6//7
$84.00
2008
Date: Old 09)/12—
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit doe of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performary�e f work. J eit aut riz9d to sign and obtain this electrical permit.
Signature:
Print Name:
(;/-1/2L-•
Date: lJ 447,1-7?
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 -0307 Printed: 04 -03 -2012
4 PERMIT CONDITIONS 4
Permit No. EL12 -0307
* *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 -0307 Printed: 04 -03 -2012
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.: 2523049071
Address:
1138 INDUSTRY DR TUKW
ELECTRICAL PERMIT
Project Name: EXECUTIVE COATING & CONTRACTING
Permit Number: EL12 -0307
Issue Date: 04/02/2012
Permit Expires On: 09/29/2012
Owner:
Name:
Address:
WALTON CWWA TUKWILA 1 LLC
C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR
Contact Person:
Name: JENNIFER BURGESS
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: 206 774 -9499
Phone: 425- 893 -3668
Expiration Date: 09/25/2013
DESCRIPTION OF WORK:
INSTALL SECURITY SYSTEM
Value of Electrical: NRES: $694.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
/
ami
ith,
The granting of this permit does not pres
construction or he performance of work.
Signature:
Print Name:
Fees Collected:
National Electrical Code Edition:
$84.00
2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
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 -0307 Printed: 04 -02 -2012
•
PERMIT CONDITIONS J
Permit No. EL12 -0307
* *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: Arty 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 -0307 Printed: 04 -02 -2012
CITY OF TUKWWLA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
.
Electrical Permit No. 2----171901 j
Project No.
Date Application Accepted: 04 L
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:
1138 Industry Dr #40
Tenant Name: Executive Coating & Contracting
PROPERTY OWNER
Name: JENNIFER BURGESS /NWPERMIT -AGENT
Name: Executive Coating & Contracting
City: PT. ROBERTS State: WA Zip: 98281
Address: SAME AS SITE
Email: JENNIFER @NWPERMIT.COM
City: TUKWILA State: WA
Zip: 98188
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.: 2523049071
Suite Number: Floor:
New Tenant: ❑ Yes m ..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.: ADTSESI032O5 Exp Date: 09/25/2013
Tukwila Business License No.: 9L1/ 0j,c'1'Gvo
Valuation of Project (contractor's bid price): $ 694
Scope of Work (please provide detailed information):
INSTALLING SECURITY SYSTEM
Will service be altered? ❑ Yes J No
Type of Use: Commercial
Adding more than 50 amps? ❑ Yes ® No
Type of work:
❑ New ❑ Addition ❑ Service Change
® Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound jpEnergy ❑ Seattle City Light
H:\ Applications \Forms - Applications l n pine \2011 Applications \Electrical Permit Application Revised 8 -9-1 I.docx
Revised: August 2011 n
bh *
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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, fumace 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, fumace 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:.
Print Name:
Nat,t,vt_
Date:
04/01/2012
Day Telephone: (206) 774 -9499
Mailing Address: 1345 GULF RD PT. ROBERTS WA 98281
City
H:\ Applications \Forms- Applications On Line \2011 Applications Electrical Permit Application Revised 8 -9.1 I.docx
Revised: August 2011
3h
State Zir
Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant:
•
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
RECEIPT
2523049071
1138 INDUSTRY DR TUKW
EXECUTIVE COATING & CONTRACTING
Permit Number:
Status:
Applied Date:
Issue Date:
EL12 -0307
ISSUED
04/02/2012
04/02/2012
Receipt No.: R12 -02626
Initials: LAW
User ID: 1632
Payment Amount: $63.00
Payment Date: 09/17/2012 03:27 PM
Balance: $0.00
Payee:
NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Check
Authorization No.
8369
63.00
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $63.00
63.00
doc: Receiot -06
Printed: 09 -17 -2012
Cie 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.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R12 -01193
Initials: JEM
User ID: 1165
Payee: NORTHWEST PERMIT INC
Payment Date: 04/02/2012
Total Payment: 143.85
SET ID: 0402 SET NAME: NW PERMIT
SET TRANSACTIONS:
Set Member
EL12 -0306
EL12 -0307
TOTAL:
Amount
59.85
84.00
59.85
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1416 143.85
TOTAL: 143.85
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
ELECTRICAL PERMIT - RES 000.322.101.00.0
84.00
59.85
TOTAL: 143.85
INSPECTIONzRECORD
'Retain a copy with permit
` INSPECTION NO. PERMIT NO. 11
CITY. TUKWILA BUILDING DIVISION
•...6300 Souticenter:Blvd.; #100, Tukwila. WA 98188 (206) 431 -3670
Permit: Inspection Request Line (206) 431 -2451
Projects /�
.
(
Type of Inspection:
z(or)
Addres `
Date Called:
Special Instructions:
Date Wanted:..
I b O
a.m
p.m.
Requester:
Phone No
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
\-1;1 6\11Jec
Date: (o JO ti
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
�.'paid'at•6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION. RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. 1'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670.
Permit Inspection Request Line (206) 431 -2451
a4i' D3o7
Project j
• �j A'1i pV (/�
Type of Inspection: .
/i�1J
Address': 1 1 3 8 'Nib�(,��
7
Date Called:
- --
Special Instructions:
Date Wanted:.
9
(a .
P.m.
Requester:
Phone No:
Approved per applicable codes.
VICorrections required prior to approval. .
COMMENTS:
- Ad Mth'; CA-4k') N JiR? P2o,J1 ED
f�
101 rxl r1(
? A4 .063. i)O %fie - r ,fsPec- ,o4.J cc,
Inspector:
Ei Wt
Date:
R1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
rpaid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection
INSPECTION RECORD
® Retain a copy with permit ia"��
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 6- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
g �/I�
Type Type of Inspection:
Address:
I 31 1NDittSii V
I
,1 I,/
Date Called:
���ti -17-e.144 c---- ,,
ecial Instructions:
Date Wanted:
f
/�
a.m.
p.m•
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
j it9_,5/are -rrd.4-/ j ?c 1X183 -r-ef-
/roc t.,-Ks 1,1
06-)L , ),
���ti -17-e.144 c---- ,,
eoI Lill'
/foe D-K5
Inspector:
e 6V /tor
Date:
ri $60.00 R INSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
_,a��:- ,.,-- � ":� -. Ott._ r..,....,.. �r-.,.- f., �rl.. au,. �' �....:_., s`" v"-^°`-"- .t•'k.- .,..�c�+..�✓�^- .'.`�,.s .....,.__._.,u, .,.,...�- ._.,-�.r
09 -04 -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. EL12 -0307
EXECUTIVE COATING & CONTRACTING
1138 INDUSTRY DR 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 10/01/2012.
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 10/01/2012, 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,
A2„L
Bill Rambo
Permit Technician
File: Permit File No. EL12 -0307
6300 SouthcenterBoulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665
Contractors or Tradespeople Prater Friendly Page
•
Page 1 of 3
Electrical Contractor
A business licensed by LEt1 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
ADTSESI03205
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
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
04/02/2012