HomeMy WebLinkAboutPermit EL12-0836 - AUGUST RESIDENCEAUGUST RESIDENCE
5555 S 152 ST
CANCELLED 09-26-12
EL1 2-0836
City oikukwila
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.: 1157200221
Address: 5555 S 152 ST TUICW
Project Name: AUGUST RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0836
09/07/2012
03/06/2013
Owner:
Name: LA VISTA ESTATES APTS
Address: 10520 GRAVELLY LAKE DR SW , LAKEWOOD WA 98499
Contact Person:
Name: JENNIFER BURGESS
Address: 1345 GULF RD , POINT ROBERTS WA, 98281
Phone: 206 774 -9499
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:
APARTMENT 8: INSTALL SECURITY SYSTEM
Value of Electrical: NRES: $99.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xanmin - d this permit and know the same to be true and correct. All provisions of law and ordinances
with, hether specified herein or not.
Fees Collected:
National Electrical Code Edition:
5 Date:
$63.00
2008
The granting of this permit does not pre to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio • r t - r erf e of
Signature:
am authorized to sign and obtain this electrical permit.
Print Name:
This permit shall become null and void if the work is not c
or abandoned for a period of 180 days from the last inspection.
Date: q --d7 ?
enced within 180 days from the date of issuance, or if the work is suspended
doc: EL -4/10
EL1 2-0836
Printed: 09 -07 -2012
PERMIT CONDITIONS •
Permit No. EL 12 -0836
* *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 -0836 Printed: 09 -07 -2012
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.�i�' V D ✓U
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.: 1157200221
Site Address: 5555 S 152ND ST, APT 8 Suite Number: Floor:
New Tenant: ❑ Yes
Tenant Name:
VALERIE AUGUST
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT -AGENT
Name: VALERIE AUGUST
City: PT. ROBERTS State: WA Zip: 98281
Address: 5555 S 152ND ST, APT 8
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:
Email: jennifer @nwpermit.com
..No
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 *81D0 Exp Date: 03/20/2014
Tukwila Business License No.: 4,9 �M 11 4j
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: Apartment
0
Adding more than 50 amps? ❑ Yes No
Type of work:
❑ New ❑ Addition ❑ Service Change
® Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by: • _
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line\2011 Applications \Electrical Permit Application Revised 8-9 -1 I.docx
Revised: August 2011
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ 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 age systems I
(alarm, mac
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 ER qR LECTRICAL CONTRACTOR:
Signature:
��— - -- 11.116 /Ad/
07
Date: 097`06/2012
Print Name: Kathleen Genge Day Telephone: (206) 774 -9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
H:\ Applications \Fortrts - Applications On. Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
bh
City State Zip
Page 2 of 2
CiLfof 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.ci.tukwila.wa.us
SET RECEIPT
Copy Reprinted on 09 -07 -2012 at 11:34:54 09/07/2012
RECEIPT NO: R12 -02547
Initials: JEM
Payment Date: 09/07/2012
User ID: 1165 Total Payment: 178.50
Payee: NORTHWEST PERMITS INC, ADT ACCOUNT
SET ID: 09 -07 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
EL12 -0836
EL12 -0837
TOTAL:
Amount
63.00
115.50
115.50
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2168 178.50
TOTAL: 178.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 178.50
TOTAL: 178.50
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
$306.95
From: Jennifer Marshall
Sent: Wednesday, October 24, 2012 1:11 PM
To: Laurie Anderson
Subject: Refunds
Good afternoon Laurie,
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 1 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
August Residence
Permit Number EL12 -0836
Please draw a check in the amount of $50.40 (fifty dollars and forty 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): $50.40
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>
Wednesday, September 26, 2012 7:26 PM
Jennifer Marshall
Nickols, Timothy; Jennifer Burgess
Cancel /Refund Permit EL12 -0836
Please Cancel /Refund Permit EL12 -0836
Permit Number E
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
Cell: 206 - 719 -0347
Creating
Customers
for Life
-0836
cb/Itizmotpainuife4002)
lD/ai /iL
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Contractors or Tradespeople Pr} er 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 ADT LLC UBI No. 603190246
Phone 5619883600 Status Active
Address 11824 N Creek Parkway, N, License No. ADTLLL'881DO
Suite /Apt. Ste 105 License Type Electrical Contractor
City Bothell Effective Date 3/20/2012
State WA Expiration Date 3/20/2014
Zip 98011 Suspend Date
County King Specialty 1 Limited Energy
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
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 09/07/2012