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Home My WebLink AboutPermit EL12-0368 - CLARK RESIDENCECLARK RESIDENCE 13719 43 PL S EL1 2-0368 Parcel No.: Address: City ATukwila 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 2612000280 13719 43 PL S TUKW Project Name: CLARK RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0368 04/19/2012 10/16/2012 Owner: Name: Address: Contact Person: Name: Address: CLARK CHAD +CYNTHIA WEBER 13719 43RD PL S , TUKWILA WA JENNIFER BURGESS Phone: 206 774 -9499 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 WITH CELLGUARD Value of Electrical: NRES: $0.00 RES: $988.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied $59.85 2008 nn� Date: 0411I tir- amir d this permit and know the same to be true and correct. All provisions of law and ordinances ith, hether specified herein or not. The granting of this permit does not pres a to give authority to violate or cancel the provisions of any other state or local laws regulating construction or a performanc ff work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: M.IpM1ate�„ Date: (91b 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 -0368 Printed: 04 -19 -2012 PERMIT CONDITIONS Permit No. EL12 -0368 * *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 -0368 Printed: 04 -19 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. ' ix -D ( Project No. Date Application Accepted: tf 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: 13719 43RD PLACE S Tenant Name: CHAD CLARK King Co Assessor's Tax No.: 2612000280 Suite Number: New Tenant: PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD Name: CHAD CLARK 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 Floor: ❑ Yes ..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.: Valuation of Project (contractor's bid price): $ 988 Scope of Work (please provide detailed information): INSTALLING SECURITY SYSTEM WITH CELLGUARD. Will service be altered? ❑ Yes No Adding more than 50 amps? Type of Use: Residential . Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Yes 1Z No ❑ Tenant Improvement Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line\2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE -0 New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea VLow 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 WASHINGT6N, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 04/19/2012 Print Name: William Millhollin Day Telephone: (206) 774 -9499 Mailing Address: 1345 GULF RD PT. ROBERTS WA 98281 , City H:\Applications \Forms - Applications On Line \201 I Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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.: 2612000280 Address: 13719 43 PL S TUKW Suite No: Applicant: CLARK RESIDENCE RECEIPT Permit Number: EL12 -0368 Status: PENDING Applied Date: 04/19/2012 Issue Date: Receipt No.: R12 -01372 Payment Amount: $59.85 Initials: JEM Payment Date: 04/19/2012 02:54 PM User ID: 1165 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8630 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: 04 -19 -2012 INSPECTION`RECORD Retain a copy with permit INSPECTION. N0: PERMIT NO. CITY OF TUKWILA BUILDING DIVISION I\ 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (. (206) 431 -3670 ,Pe.rmit lnspection:.Request Line (206) 431 -2451 2 -030 Project: it I ..4414- �(4j • Type of Inspection: 7 ' ,! 11C% Address: 13 1 Li3 PL-. Date Called: _- Special Instructio_ ns: r g�Ot� 0�. Date Wanted:. "/ i� `a. r \ ''�''"" 1 . . Requester: Phone No Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: " X11,. REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: D 2444111.- INSPECTION RECORD �u�'p�� Retain a copy with permit j INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 jiz, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project:._ % f Type of Inspection: r v 2` ®`� Address: (. LB pi, . Date Called: Special Instructions: j rte. Date Wanted:. i// if m. (p -m Requester: t • Phone No: EApproved per applicable codes. Corrections required prior to approval. COMMENTS: 4c(SCAA{N y/24 x a.4. Inspector: r4 bi„ Date: 6124/12....._ j� pi REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.