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Home My WebLink AboutPermit EL12-0783 - FINE DESIGNSFINE DESIGNS 16550 WEST VALLEY HY EL1 2-0783 City oillfukwila 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.: 2523049084 Address: 16550 WEST VALLEY HY TUKW Project Name: FINE DESIGNS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0783 08/17/2012 02/13/2013 Owner: Name: Address: Contact Person: Name: Address: FINE DESIGNS 16550 W VALLEY HWY , TUKWILA WA 98188 JENNIFER BURGESS /NW PERMIT - AGENT 1345 GULF RD , PT ROBERTS WA, 98281 Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011 Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2013 Phone: (206)774 -9499 Phone: 206 - 719 -0347 DESCRIPTION OF WORK: INSTALLING SECURITY SYSTEM Value of Electrical: NRES: $99.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Fees Collected: National Electrical Code Edition: $63.00 2008 Permit Center Authorized Signature: `/` �{ . z�/ "C � Date: e20 /I ;, 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 t e performance of work. I am authorized to sign and obtain this electrical permit. Signature: or Date: Print Name: /11,7/MeACcv 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 -0783 Printed: 08 -17 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0783 * *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 -0783 Printed: 08 -17 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical, Permit No. L� .I.J C 7F---3 Project No. Date Application Accepted: QO Expires: oat % -2//3 Date Application Expir (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 ** 2523049084 King Co Assessor's Tax No.: 16550 West Valley Hwy Site Address: Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ ..No PROPERTY OWNER Name :JENNIFER BURGESS/NWPERMIT -AGENT Name Fine Designs CityPT. ROBERTS State: WA Zip: 98281 Address :16550 West Valley Hwy • City:TUKWILA State: WA Zip: 98188 CONTACT PERSON - person receiving all project communication Name :JENNIFER BURGESS/NWPERMIT -AGENT Address:1345 GULF RD CityPT. ROBERTS State: WA Zip: 98281 Phone: (206) 774 -9499 Fax: Email: jennifer @nwpermit.com ELECTRICAL CONTRACTOR INFORMATION •: Company Name: ADT LLC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*8 1 DO Exp Date: 03/20/2012 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 99 Scope of Work (please provide detailed information): INSTALLING SECURITY SYSTEM Will service be altered? ❑ Yes Type of Use: Commercial No Adding more than 50 amps? ❑ Yes [ No Type of work: ❑ New ❑ Addition ❑ Service Change V Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy 11 Seattle City Light H:Wpplicntions\Forms- Applications On line \2011 Applcations\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) ERMIT APPLICATION NOTES 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 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: Print Name: / /0 1 fL rill ithoVivi Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 H:1Applications\Forms- Applications On Line t2011 Applications\Electrical Permit Application Revised 8-9 -1 l.docx Revised: August 2011 bh Day Telephone: Date: 08/15/2012 (206) 771 9199 City Stale 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.: 2523049084 Address: 16550 WEST VALLEY HY TUKW Suite No: Applicant: FINE DESIGNS RECEIPT Permit Number: EL12 -0783 Status: PENDING Applied Date: 08/17/2012 Issue Date: Receipt No.: R12 -02383 Payment Amount: $63.00 Initials: LAW Payment Date: 08/17/2012 08:53 AM User ID: 1632 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8592 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 08 -17 -2012 INSPECTION RECORD Retain a.copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION- 6300 Southcenter Blvd., #100, Tukwila: WA 98188 ` (206).431- 3670' Permit Inspection Request Line '(206) "431 -2451 Project: flour' 'bif3 1. .4i Type of Inspection: i=2 /DC9 • = Address: /J S.t/J J,.) V 1P4' Date Called: Specd Instructions: Date Wanted:. ?"..2d' / -a.m. p.m. Requester: Phone No: pf Approved per applicable codes. COMMENTS: Corrections required priorr to approval..: Inspector 4'7z,v, n REINSPCTION FEE REQUIRED. Prior to next inspection, fee:must.be, paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reihspection. Date: L--war Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by L &I 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 LLC 5619883600 11824 N Creek Parkway, N, Ste 105 Bothell WA 98011 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603190246 Active ADTLLL *881 DO Electrical Contractor 3/20/2012 3/20/2014 Limited Energy Unused Electrical Administrator INFORMATION License NICKOT*902DA Name NICKOLS, TIM Status Active Business Owner Information Name Role Effective Date Expiration Date GURSAHANEY, NAREN K Partner /Member 03/20/2012 BELEISCH, NELSON D Partner /Member 03/20/2012 TULSYAN, RAVI Partner /Member 03/20/2012 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Federal Ins Co 82295435 03/01/2012 Until Cancelled $4,000.00 03/20/2012 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type https: // fortress .wa.gov /lni/bbip /Print.aspx 08/17/2012