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HomeMy WebLinkAboutPermit EL12-0691 - ADAME RESIDENCEADAME RESIDENCE 4629 S 160 ST CANCELLED 08-30-12 EL12 -0691 Parcel No.: Address: City olii'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: htip: / /www.TukwilaWA.gov 5379800170 4629 S 160 ST TUKW Project Name: ADAME RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0691 Issue Date: 07/26/2012 Permit Expires On: 01/22/2013 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: ADAME DENKEY B 4629 S 160TH ST , TUKWILA WA 98188 JENNIFER BURGESS Phone: 206 - 774 -9499 1345 GULF RD , POINT ROBERTS WA, 98281 ADT SECURITY SERVICES INC Phone: 206 - 719 -0347 Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011 Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2013 DESCRIPTION OF WORK: INSTALL CELLGUARD Value of Electrical: NRES: $0.00 RES: $199.00 Fees Collected: $59.85 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 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 tie performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: w(111a ,,��Z?l�o1f js� Date: a- lz 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 -0691 Printed: 07 -26 -2012 • PERMIT CONDITIONS Permit No. EL12 -0691 * *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 -0691 Printed: 07 -26 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No.' Project No. Date Application Accepted: 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.: 5379800170 Site Address: 4629 S 160TH STREET Suite Number: Floor: New Tenant: El Yes 21..No Tenant Name: DENKEY ADAME PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT-AGENT Name: DENKEY ADAME 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 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): $ 199 Scope of Work (please provide detailed information): INSTALLING CELLGUARD Will service be altered? 0 Yes RI No Type of Use: Residentia Adding more than 50 amps? 0 Yes El No Type of work: O New ID Addition El Service Change 121 Low Voltage 0 Generator 0 Fire Alarm Property Served by: O Puget Sound Energy 0 Seattle City Light H:\Applications \Fcrrms-Applications On Line \ 201 1 Applications \ Electncal Permit Application Revised 8-9-1 I slocx Revised: August 2011 bh O Remodel • Telecommunication O Tenant Improvement O 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, 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 �❑,,C Meter /mast repair $68.25 l�( Low voltage systems $59.85 ✓T (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 .APPPCATION 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 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: Date: 07/25/2012 Print Name: William Millhollin Day Telephone: (206) 774 -9499 Mailing Address: 1345 GULF RD PT. ROBERTS WA 98281 City State Zip HAApplications \Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 5379800170 Address: 4629 S 160 ST TUKW Suite No: Applicant: ADAME RESIDENCE RECEIPT Permit Number: EL12 -0691 Status: PENDING Applied Date: 07/26/2012 Issue Date: Receipt No.: R12 -02201 Payment Amount: $59.85 Initials: WER Payment Date: 07/26/2012 10:46 AM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2018 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: 07 -26 -2012 Laurie Anderson From: Sent: To: Subject: Jennifer Marshall Monday, October 29, 2012 9:59 AM Laurie Anderson RE: Refunds Here is the table updated to include the payee. To Finance Project Name Payee Permit No. Refund Amt 08/21/2012 Starbucks Coffee Poitras Sign & Lighting EL12 -0758 $60.48 10/01/2012 August Residence Northwest Permit Inc EL12 -0836 $50.40 10/01/2012 Sports Authority Touch Tone Communications Charles Brook EL12 -0839 $76.40 10/01/2012 Adame Residence Northwest Permit Inc EL12 -0691 $47.88 10/01/2012 JS Dental Clinic Joselito Santos PG12 -140 $153.72 10/11/2012 Red Wing Shoes SH2 Companies D12 -278 $178.80 10/24/2012 Interline Brand All Weather Rooftop Solutions D12 -339 $3 From: Jennifer Marshall Sent: Wednesday, October 24, 2012 1:11 PM To: Laurie Anderson Subject: Refunds Good afternoon Laurie, r tt 363d� ` 1z r>< #3t9I (0sO 1°45/1-, CtOt e1111 i0 %l�)I }K tfi 5(p 1 b20 1 %sj i z ,K# 3 (71 fog- IoAsi I K# 17 11 42411 06.95 c3 nu- ire It seems we have had a lot of refund requests as of late. I was going through my records and wanted to check on the following (one is quite old and the others I would have thought would have made the 10/19 check run... I want to make sure they hadn't slipped through the cracks). Please let me know if you need additional information to match these up with your records. To Finance Project Name Permit No. Refund Amt 08/21/2012 Starbucks Coffee EL12 -0758 $60.48 10/01/2012 August Residence EL12 -0836 $50.40 10/01/2012 Sports Authority EL12 -0839 $76.40 10/01/2012 Adame Residence EL12 -0691 $47.88 10/01/2012 JS Dental Clinic PG12 -140 $153.72 10/11/2012 Red Wing Shoes D12 -278 $178.80 10/24/2012 Interline Brand D12 -339 $306.95 I figure the one sent over on the 11th may have not made the check run based on its arrival time and I know the one sent over today didn't go through a time machine process, but am wondering about the others. Are they in process, do you need the paperwork sent to you again, etc.? Thanks! Jennifer 1 TO: FROM: DATE: SUBJECT: MEMORANDUM Laurie Anderson Brenda Holt 10/01/2012 Adame Residence Permit Number EL12 -0691 Please draw a check in the amount of $47.88 (forty-seven dollars and eighty -eight cents) to be payable to Northwest Permit Incorporated, care of Jennifer Burgess located at 1345 Gulf Rd in Point Roberts, Washington 98281. This permit has been cancelled due to the fact that their client ADT, LLC no longer has the contract to complete this work. An 80 percent refund of the permit fees has been approved by the Building Official. Account 000.322.101.00.00 (Electrical Permit NonRes): $47.88 Please forward the check to me and I will forward it on to the applicant. Thank you! Jennifer Marshall From: Sent: To: Cc: Subject: Nickols, Timothy <tnickols @adt.com> Thursday, August 30, 2012 11:04 AM Jennifer Marshall Nickols, Timothy; Jennifer Burgess Cancel /Refund Permit EL12 -0691 Please Cancel /Refund Permit EL12 -0691. The Customer has canceled the work. Please mail the refund to: ADT, Attn: Tim Nickols 10029 S. Tacoma Way, suite H -7 Tacoma, WA. 98499 Thank You, Tim Nickols Permitting Team Manager Administrator, ADT Security Washington State ADO6 - NICKOT *902DA EL06 - NICKOT *933BE Desk: 253- 620 -5957 Cell: 206 - 719 -0347 Creating Customers for Life adtauraxway01.adt.com made the following annotations CilY RED s AUG 312012 PERMIT CENTER f itefrAtA 607 eq- 1'444 ' 44, q/Zi3/0 it This email (including any attachments) may contain information that is private or business confidential. If you received this email in error, please delete it from your system without copying it and notify sender by reply email so that our records can be corrected. Contractors or Tradespeople Peter Friendly Page Page 1 of 3 Electrical Contractor A business licensed by L8I 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 1Treasurer 08/28/2001 08/21 /2003 Bond Information https: // fortress .wa.gov /lni /bbip /Print.aspx 07/26/2012