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Home My WebLink AboutPermit EL12-0994 - BOULEVARD AT SOUTH STATIONBOULEVARD AT SOUTH STATION 4708 SOUTHCENTER BL EL1 2-0994 City oilfukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.Tukw ila WA .gov ELECTRICAL PERMIT Parcel No.: 2223049003 Address: 4708 SOUTHCENTER BL TUKW Project Name: BOULEVARD AT SOUTH STATION Permit Number: EL12 -0994 Issue Date: 10/17/2012 Permit Expires On: 04/15/2013 Owner: Name: MG ACRES APARTMENTS LP Address: 10505 SORRENTO VALLEY RD , SAN DIEGO CA 92121 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 *881D0 Expiration Date: 03/20/2014 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE SECURITY SYSTEM Value of Electrical: NRES: $198.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $63.00 2008 Date: t 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 - this • rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio ' 1, o - of work. I am authorized • sign and obtain this electrical permit. Signature: Date: I017- l L�� I Print Name: �` t 14 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 -0994 Printed: 10 -17 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0994 * *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 -0994 Printed: 10 -17 -2012 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. l; L_\.l O4 f u Project No. I 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.: Site Address: 4708 South Center Blvd Suite Number: Unit C Floor: The Boulevard at South Station Tenant Name: PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Name: The Boulevard at South Station City: PT. ROBERTS State: WA Zip: 98281 Address: 4708 South Center Blvd 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 New Tenant: ❑ Yes ❑.. 0 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.: Valuation of Project (contractor's bid price): $ 198 Scope of Work (please provide detailed information): install low voltage security system Will service be altered? ❑ Yes 1Z1 No Adding more than 50 amps? ❑ Yes No Type of Use: Commercial Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement VI Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ . Seattle City Light H:\ Applications \Forns - 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, 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 ❑ 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 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 1 NER OR ELECTRICAL CONTRACTOR: 1I�1 �. I��'�L Date: l0fl7-1 Print Name: �� ♦ ` .� �.� Day Telephone: (206) 774 -9499 4 Signature: 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 I.docx 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 RECEIPT Parcel No.: 2223049003 Permit Number: EL12 -0994 Address: 4708 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 10/17/2012 Applicant: BOULEVARD AT SOUTH STATION Issue Date: Receipt No.: R12 -02890 Payment Amount: $63.00 Initials: WER Payment Date: 10/17/2012 01:07 PM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2105 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 rinr.• Rarr>int -f1R PrintMri• 1f1 -17 -2(112 INSPECTION NO. INSPECTION RECORD Retain a copy with permit eL,lr OT?"( PERMIT N o. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: Address: Sont 1170 8 -S.C. L. Special Instructions: Type of Inspection: 2too Date Called: Date Wanted: fo/z6 rn Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: • -- &NJ/rt. a Inspector: Date:lb 2k 1 t REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri, Friendly Page 1 Electrical Contractor A business licensed by LEI 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 2067190347 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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 10/17/2012