HomeMy WebLinkAboutPermit EL12-1015 - TRAN RESIDENCETRAN RESIDENCE
5412 S 149LN
CANCELLED 12 -14-12
EL12-1O15
i `nukwila
City o
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.: 7661600210
Address: 5412 S 149 LN TUKW
Project Name: TRAN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -1015
Issue Date: 10/23/2012
Permit Expires On: 04/21/2013
Owner:
Name: KOSTAS CURTIS M +JUDY
Address: 5412 S 149TH LN , TUKWILA WA 98168
Contact Person:
Name: JENNIFER BURGESS Phone: 360 945 -2787
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:
ADD LOW VOLTAGE KEYPAD (RESIDENTIAL)
Value of Electrical: NRES: $0.00
RES: $107.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$59.85
2008
I hereby certify that I have read and e cami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this permit does not pres
construction or the performanpe of work. I am authorized to sign and obtain this electrical permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Date:
Print Name: ca rD( s f r, c
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 -1015 Printed: 10 -23 -2012
PERMIT CONDITIONS
Permit No. EL12 -1015
* *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 -1015 Printed: 10 -23 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
(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.: %a ocaio
Site Address: S/ /e2 5 1" 9' /424 t Suite Number:
Tenant Name: / t10I %r4
Floor:
New Tenant: ❑ Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Day Telephone:
Mailing Address:
City
State
Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A G� ,,(I p 'y�' �i f / , ,, / ^ y /
Mailing Address: 1 /e o f Nor flit r'P 1 Kt #y ' v $ 0 '! L e, 1 V V A a ` rel(
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: A -0 -L g /Qo Expiration Date:
3- OZ -ao /y
Valuation of Project (contractor's bid price): $ /t 7
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes J No
Type of Use:
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:Wpplications \Forms - Applications On Line\2010 Applications \7.2010 - Electrical Permit Application.doc
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Page 1 of 2
1
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 OWNER OR ELECTRICAL CONTRACTOR: 45t'}'
sloe
Signature:
Date: • ?3
r
Print Name: (1 1rd ( 54 /k Day Telephone:.3 6 6 - % 5_
/ e 1 T !,7)1,eir+5 / 0971� Mailing Address: i (/►i pt r / •+ / S Yt `6u /# -� ft Ws �Q State Fg"Zip
I023j12
Date Application Accepted:
Date Application Expires:
Staff Initials: y�
H: Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
1
•
City of Tukwila
yi 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.: 7661600210
Address: 5412 S 149 LN TUKW
Suite No:
Applicant: TRAN RESIDENCE
RECEIPT
Permit Number: EL12 -1015
Status: PENDING
Applied Date: 10/23/2012
Issue Date:
Receipt No.: R12 -02950
Payment Amount: $59.85
Initials: JEM Payment Date: 10/23/2012 03:07 PM
User ID: 1165 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2118 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
fine. RAr. int-fl
Printarl• 10 -93 -2012
January 10, 2013
City of Tukwila Jim Haggerton, Mayor
Department of COMMliltity Development Jack Pace, Director
Northwest Permit
c/o Jennifer Burgess
1345 S Gulf Rd
Point Roberts, WA 98281
RE: Refund for Permit Number EL12 -0523 and 1015
Dear Ms. Burgess,
Requests for permit cancellation and refund for permits EL12 -0523 and EL12 -1015 was received by the
Tukwila Permit Center. The Building Official has determined that these permits can be cancelled and
eighty percent of the permit fee refunded. Enclosed is a check for a refund in the amount of $118.40 (one
hundred eighteen dollars and forty -four cents).
The breakdown of the refund is as follows:
EL12 -0523: $70.56
EL12 -1015: $47.88
File:
Encl:
Permit No. EL12 -0523 & EL12 -1015
Check No. 362343
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665
MEMORANDUM
TO: Laurie Anderson
FROM: Brenda Holt
DATE: 12/18/2012
SUBJECT: ADT Refunds
Permit Numbers EL12 -0523 & EL12 -1015
Please draw a check in the amount of $118.44 (one hundred eighteen dollars and forty -
four cents) to be payable to Northwest Permits ADT Account, attention Jennifer Burgess.
This company is located at 1345 Gulf Rd in Point Roberts, Washington 98281.
These permits have been cancelled by the tenant and homeowner respectively which
eliminates the need for permits. An 80 percent refund of the permit fees has been
approved by the Building Official.
Account 000.322.101.00.00 (Electrical Permit NonRes): $70.56
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!
Jennifer Marshall
From:
Sent:
To:
Cc:
Subject:
Nickols, Timothy <tnickols @adt.com>
Friday, December 14, 2012 2:50 PM
Jennifer Marshall
Jennifer Burgess; Nickols, Timothy
Cancel /Refund Permit EL12 -1015
Please Cancel Permit EL12 -1015. Work that required permit has been canceled.
Parcel No.:
Address:
Project Name:
7661600210
5412 S 149 IAN Turtv
TRAM RESIDENCE
ELECT
Owner
Name:
Address:
Thank You,
Tim Nickols
Permitting Team Manager
Administrator, ADT Security
Washington State
ADO6 - NICKOT *902DA
EL06 - NICKOT *933BE
Desk: 253 - 620 -5957
Cell: 206 - 719 -0347
0 Creating
Customers
for ,Life
^PT.
KOSTAS CURTIS M +rU Y
5412 S 149TH LN , TUKWILA WA 98168
1
Contractors or Tradespeople Prr Friendly Page
1
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
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'881D0
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
Bond Company Name
Federal Ins Co
Bond
1
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
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 10/23/2012