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Home My WebLink AboutPermit EL12-0701 - LANE RESIDENCELANE RESIDENCE 1121151 AV S CANCELLED 12-16-12 EL12 -0701 City oiiliukwila 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.: 3348401763 Address: 11211 51 AV S TUKW Project Name: LANE RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0701 Issue Date: 07/30/2012 Permit Expires On: 01/26/2013 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: LANE PAMELA 11211 51ST AVE S , TUKWILA WA 98178 JENNIFER BURGESS 1345 GULF RD , PT ROBERTS WA, 98281 ADT SECURITY SERVICES INC Phone: 206 - 774 -9499 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: INSTALLING EQUIPMENT TO EXISTING SYSTEM Value of Electrical: NRES: $0.00 RES: $264.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $59.85 2008 ♦3U/ rL Date: I hereby certify that I have read and examined this rmit 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 othis permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructior Signature: Print Name: f or I am autho ' _ d to sign and obtain this electrical permit. Date: 7O/Z This permit shall become null and void if the work is not : mmenced 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 -0701 Printed: 07 -30 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0701 * *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 -0701 Printed: 07 -30 -2012 CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No... L t a. - 6-40 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.: 3348401763 Site Address: 11211 51ST AVE SOUTH Suite Number: Floor: Tenant Name: GLEN LANE New Tenant: ❑ Yes m ..No PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD Name: GLEN LANE Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Address: SAME AS SITE City: TUKWILA State: WA Zip: 98178 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): $ 264 Scope of Work (please provide detailed information): INSTALLING EXTRA EQUIPMENT TO EXISTING SYSTEM Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes Q No Type of Use: Residential Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service 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 ❑ 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, 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 1 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 Signature: NER OR ELECTRICAL CONTRACTOR: Date: 07/30/2012 Print Name: ��Z�� 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 Ldocx 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.: 3348401763 Address: 11211 51 AV S TUKW Suite No: Applicant: GLEN LANE RECEIPT Permit Number: EL12 -0701 Status: APPROVED Applied Date: 07/30/2012 Issue Date: Receipt No.: R12 -02220 Payment Amount: $59.85 Initials: TLS Payment Date: 07/30/2012 07:39 AM User ID: 1670 Balance: $0.00 Payee: NORTHWWEST PERMIT INC ADT ACCT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2142 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 -30 -2012 December 18, 2012 City of Tukwila Jim Haggerton, Mayor Department Of Community Development Jack Pace, Director Northwest Permit ATTN: Jennifer Burgess 1345 Gulf Road Point Roberts, WA 98281 RE: Refund for Permit Number EL12 -0701 Lane Residence —11211 51 Ave S Dear Ms. Burgess, A request for permit cancellation and refund for permit EL12 -0701 was received by the Tukwila Permit Center. The Building Official has determined that this permit can be cancelled and eighty percent of the permit fee refunded. Enclosed is a check for a refund in the amount of $47.88 (forty -seven dollars and eighty eight cents). File: Permit No. EL12 -0701 Encl: Check No. 362203 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665 MEMORANDUM TO: Laurie Anderson j FROM: Brenda Holt �iV1 DATE: 11/21/2012 , SUBJECT: Lane Residence Permit Number EL12 -0701 Please draw a check in the amount of $47.88 (forty -seven dollars and eighty -eight cents) to be payable to Northwest Permits located at 1345 Gulf Road in Point Roberts, Washington 98281. This permit has been cancelled per the electrical contractor and an 80 percent refund of the permit fees has been approved by the Building Official. Account 000.322.101.00.00 (Electrical Permit Res): $47.88 Please forward the check to me and I will forward it on to the applicant. Thank you! 1 Jennifer Marshall From: Nickols, Timothy <tnickols @adt.com> Sent: Friday, November 16, 2012 10:48 AM To: Jennifer Marshall Cc: Jennifer Burgess; Nickols, Timothy Subject: Cancel /Refund Permit EL12 -0701 Please Cancel /Refund Permit EL12 -0701 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 AD06 - NICKOT *902DA EL06 - NICKOT *933BE Desk: 253 - 620 -5957 CeII: 206 - 719 -0347 itmCreating wip Customers for Life ot ki 1046 ///20/2_0/ 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. 1 Contractors or Tradespeople Pr, Friendly Page Page 1 of 3 Electrical Contractor A business licensed by Lai 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 9801.1 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 icense 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 07/30/2012