HomeMy WebLinkAboutPermit EL12-0824 - ALLIANCE STAFFINGALLIANCE STAFFING
400 INDUSTRY DR
EXPIRED
02-26-13
EL1 2-0824
City otI'ukwila
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.: 0223400010
Address: 400 INDUSTRY DR TUKW
Project Name: ALLIANCE STAFFING
ELECTRICAL PERMIT
Permit Number: EL12 -0824
Issue Date: 08/30/2012
Permit Expires On: 02/26/2013
Owner:
Name: BLUE DOG PROPERTIES TRUST
Address: C/O THOMSON REUTERS PTS , PO BOX 847 92018
Contact Person:
Name: JENNIFER BURGESS Phone: 206 - 774 -9499
Address: 1345 GULF RD , POINT ROBERTS WA, 98281
Contractor:
Name: ADT LLC Phone: 561 - 988 -3600
Address: 11824 N CREEK PARKWAY N, SUITE 105 , BOTHELL WA 98011
Contractor License No: ADTLLL *881DO Expiration Date: 03/20/2014
DESCRIPTION OF WORK:
INSTALL SECURITY SYSTEM
Value of Electrical: NRES: $199.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$63.00
2008
:W`, ,/,-, Date: C% — 10'ek
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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
mZ{ia./1-1 M1ttiteGuek
Date: ?0 _ I
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
EL1 2-0824 Printed: 08 -30 -2012
PERMIT CONDITIONS •
Permit No. EL12 -0824
* *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 -0824 Printed: 08 -30 -2012
CITY OF TUKW1044 .
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
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 Address:
Kin . Co Assessor's Tax No.:
Suite Number: 1 Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name:
d.xds t' w� rY 6 � [> >e .,1„;�
Name: / Ni.e r - mrii
Address: MIIIIMINNIMIN
Name: b (l j G iii /P syV r l�
Phone. 1 i ax:
d>—G I%%
II 1 II tir AM �1 r " '� lE
Address: 4i 5frr P
II
City: VA [/A J(76, State: i t Zip:
A
d.xds t' w� rY 6 � [> >e .,1„;�
Name: / Ni.e r - mrii
Address: MIIIIMINNIMIN
City: In C 71 Stat- : 4 Zip: c,i iI
Phone. 1 i ax:
d>—G I%%
II 1 II tir AM �1 r " '� lE
Valuation of Project (contractor's bid price): $
v7
Scope of Work (please provide detailed information):
- c.`1 1t/ ri
Will service be altered? ❑ Yes No
Type of Use: P &A/1/1/7 of %A. 4
Type of work: l/
Adding more than 50 amps? ❑ Yes ❑ No
❑ 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:WpplicationsWorms- 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
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$8L90 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)
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.
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 WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: ,7 /�/� )1
Print Name: /(/(/t'1 / hiPU h ay Telephone: 340 '-�T6 7 g']� kte
Date: —�G-
Mailing Address: 3 `L
H:Wpplications\Forms- Applications On Line \2011 Applications'Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
City
F
ate Zip
Page 2 of 2
r
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.: 0223400010
Address: 400 INDUSTRY DR TUKW
Suite No:
Applicant: ALLIANCE STAFFING
RECEIPT
Permit Number: EL12 -0824
Status: PENDING
Applied Date: 08/30/2012
Issue Date:
Receipt No.: R12 -02504
Payment Amount: $63.00
Initials: WER Payment Date: 08/30/2012 11:20 AM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2200 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: Receipt -06 Printed: 08 -30 -2012
Jennifer Marshall
From: Jennifer Marshall
Sent: Tuesday, April 16, 2013 10:08 AM
To: 'Nickols, Timothy'
Subject: RE: Cancel /Refund these two permits please.
After routing your request to the Building Official, it was brought to my attention that EL12 -1028 received final approval
on December 13, 2012. Consequently cancellation and refund cannot be granted.
Additionally, the expiration of EL12 -0824 occurred February 26, 2013 which was before this request was submitted. As
stated in my email from April 10, 2013, unless you are able to provide a record of our receiving this request (email, fax
receipt, etc.) a refund cannot be granted.
Jennifer Marshall
Permit Technician, City of Tukwila
T: 206 431 -3670, F: 206 431 -3665
The City of opportunity, the community of choice.
From: Nickols, Timothy [ma ilto:tnickols @adt.com]
Sent: Wednesday, April 10, 2013 11:10 AM
To: Jennifer Marshall
Cc: Jennifer Burgess; Nickols, Timothy
Subject: Cancel /Refund these two permits please.
Importance: High
Hi. I already requested one of them canceled back in September 2012 (EL12- 0824), but it appears it did not get
processed. We did not perform the electrical work at this site at all. Here is the other permit number as well.
Permit Number: EL12 -1028
Permit Number ;EL12- 0824
TrackingNumber
45359
Time Submitted
Customer
Name
Contractor
Name
Customer
Address
Permit
Number
Permit Cost f Permit Status
Oct 26 2012 1:15PM
Alliance
Staffing
ADT
400 Industry
Dr Suite 180 i
EL12-
1028
43504
Aug 29 2012 10:49AM
Alliance
Staffing
ADT
400 Industry
DR Suite 180
EL12-
0824
COULD
NOT
LOCATE
COULD
NOT
LOCATE
10/30/2012 JB: Uploaded 10/29/2012 KG: Scan
to NK SM CM JB PU USPS to Alliance Staffing
10/29/2012 JB: App to KG
9/13/2012 JA: car n gilled permit per TiNequest I
9.4.2012 sm: mailed permit to HO 08/30/2012
BJ_PU, scan to JB 08/29/2012 JB _App to BJ
1
Jennifer Marshall
From: Jennifer Marshall
Sent: Wednesday, April 10, 2013 1:37 PM
To: 'Nickols, Timothy'
Subject: RE: Cancel /Refund these two permits please.
Good afternoon Timothy,
I will begin the process for refunding EL12 -1028.
I do not have a record of having received a request for refund for EL12 -0824 before it expired February 26, 2013. Do you
have a record of our receiving this request (email, fax receipt, etc.)? If so, please send it in to me. Otherwise I will be
unable to process a refund.
Thanks,
)ennifer Marshall
Permit Technician, City of Tukwila
T: 206 431 -3670, F: 206 431 -3665
iennifer.marshall @tukwilawa.gov
From: Nickols, Timothy [mailto:tnickols @adt.com]
Sent: Wednesday, April 10, 2013 11:10 AM
To: Jennifer Marshall
Cc: Jennifer Burgess; Nickols, Timothy
Subject: Cancel /Refund these two permits please.
Importance: High
Hi. I already requested one of them canceled back in September 2012 (EL12- 0824), but it appears it did not get
processed. We did not perform the electrical work at this site at all. Here is the other permit number as well.
Permit Number: EL12 -1028
Permit Number: er: ELL12 -0824
TrackingNumber
Time Submitted
Customer
Name
Contractor
Name
Customer
Address
Permit
Number
Permit Cost
Permit Status
45359
Oct 26 2012 1:15PM
Alliance
Staffing
ADT
400 Industry
Dr Suite 180
EL12-
1028
COULD
NOT
LOCATE
10/30/2012 JB: Uploaded 10/29/2012 KG: Scan
to NK SM CM JB PU USPS to Alliance Staffing
10/29/2012 JB: App to KG
43504 �`
Aug 29 2012 10:49AM
Alliance I
Staffing
ADT
400 Industry
DR Suite 180
EL12-
0824
COULD
NOT
LOCATE
9/13/2012 JA: cancelled permit ,.per TN request
9.4.2012 sm: mailed permit to HO 08/30/2012
BJ: PU, scan to JB 08/29/2012 JB: App to BJ
1
01 -02 -2013
•
City of Tukwila
Department of Community Development
JENNIFER BURGESS
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. EL12 -0824
ALLIANCE STAFFING
400 INDUSTRY DR TUKW
Dear Permit Holder:
Jirn Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 02/26/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 02/26/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL12 -0824
6300 Southcenter Boulevard,. Suite #100 • Tulaflila, Washington 98188• Phone 206 -431 -3670 • Faz206 -431 -3665
Contractors or Tradespeople titer Friendly Page
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 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 D0
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 08/30/2012