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Home My WebLink AboutPermit EL12-1063 - ASRIYAN RESIDENCEASRIYAN RESIDENCE 1163535LNS EXPIRED 05 -08 -13 EL12-1 063 City oftukwila • 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.: 0733000031 Address: 11635 35 LN S TUKW Project Name: ASRIYAN RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -1063 Issue Date: 11/09/2012 Permit Expires On: 05/08/2013 Owner: Name: ASRIYAN SUSANNA Address: 11635 35TH LN S , TUKWILA WA 98168 Contact Person: Name: JENNIFER BURGESS /NW PERMIT AGENT Phone: (206)774 -9499 Address: 1345 GULF RD , PT 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: ADDING CELLGUARD Value of Electrical: NRES: $0.00 RES: $99.00 Fees Collected: $59.85 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: V U.7(../t[---e^ Date: (I/01'//� 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 he performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: M4 etm locti4A Date: 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 -1063 Printed: 11 -09 -2012 • PERMIT CONDITIONS • Permit No. EL12 -1063 * *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 -1063 Printed: 11 -09 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical' Permit No. . ProjectNo Date Application Accepted /) f-7/( Date-Application Expires. , . 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** King Co Asscssor's Tax No.: 073300-0031 Site Address: 11635 35TH LANE SOUTH Tenant Name: SUSANNA ASRIYAN :PROPERTY. OWNE : ! .."..‘, ......: Namc: SUSANNA ASRIYAN Addrcss: 12249 43RD AVE 11635 35TH LANE SOU' City: TUKWILA State: WA Zip: 98168 CONTACT i:591fq;.1..::i:iil'allp jc,CiL , PERSON 4,. e,eorcniciiirn , 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 Suite Number: New Tenant: Floor: 0 Yes ..No ELECTRICAL CONTRACTOR INFORMATION •.. ....',',, Company Namc: ADT LLC Addrcss: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*81D0 Exp Datc: 03/20/2014 Tukwila Busincss Liccnsc No.: Valuation of Project (contractor's bid price): $ 99 Scope of Work (please provide detailed information): ADDING CELLGUARD Will service be altered? 0 Yes RI No Type of Use: Residential Type of work: O New 0 Addition 21 Low Voltage 0 Generator Property Served by: O Puget Sound Energy Adding more than 50 amps? 0 Yes No 0 Service Change 0 Fire Alarm Seattle City Light IMApplicationsTorms-Applicauons On Line \ 2011 ApplicationskElectrical Pernut Application Revised 8-9-11.docx Revised: August 2011 bh O Remodel O Telecommunication O Tenant Improvement O Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea Low voltage systems (alarm, furnace thermostat) 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 %I 1.55 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 system $59.85 (alarm, furnace thermostat) PERMIT- APPLICATION NOTE MULTI - FAMILY AND COMMERCIAL Fees arc based on thc 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 thc date of application shall cxpirc 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: Date: Print Name: WILLIAM MILLHOLLIN/NW Permit Day Telephone: (206) 774 -9499 Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 City H:\Applications\Forms- Applications On Line\2011 Apphcations\Elecutcal Pernut Application Revised 8.9- 11.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 Parcel No.: 0733000031 Address: 11635 35 LN S TUKW Suite No: Applicant: ASRIYAN RESIDENCE RECEIPT Permit Number: EL12 -1063 Status: PENDING Applied Date: 11/09/2012 Issue Date: Receipt No.: R12 -03084 Payment Amount: $59.85 Initials: LAW Payment Date: 11/09/2012 03:34 PM User ID: 1632 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2385 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 rinn• Rereint -(1R Printprt• 11 -Mq -9(117 04 -02 -2013 • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JENNIFER BURGESS/NW PERMIT AGENT 1345 GULF RD PT ROBERTS WA 98281 RE: Permit No. EL12 -1063 ASRIYAN RESIDENCE 11635 35 LN S TUKW Dear Permit Holder: 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 05/08/2013. 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 05/08/2013, 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. ELI2 -1063 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 9'8188 • Phone 206-431 -3670 • Fat 206431 -3665 Contractors or Tradespeople P1ter Friendly Page • Electrical Contractor A business licensed by LFtI 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 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 Bond Company Name Federal Ins Co Bond 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 11/09/2012