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,
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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
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PERMIT CENTER
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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