HomeMy WebLinkAboutPermit EL13-0044 - LEISAM RESIDENCE - LOW VOLTAGELEISAM RESIDENCE
4405 S 150 ST
EL1 3-0044
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.: 0042000270
Address: 4405 S 150 ST TUKW
Project Name: LEISAM RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0044
Issue Date: 01/15/2013
Permit Expires On: 07/14/2013
Owner:
Name: LEI -SAM RODERICK II
Address: LEI -SAM ANNETTE T , 4405 S 150TH ST 98188
Contact Person:
Name: BRITTAINNEY LUCENTI Phone: 800-575-4939
Address: 18000 72 AV S, SUITE 120 , KENT WA, 98032
Contractor:
Name: GAYLORD INDUSTRIES INC
Address: 18000 72 AV S STE 120 , KENT WA 98032
Contractor License No: GAYLOII055JG
Phone: 800 575-4939
Expiration Date: 04/07/2013
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE WIRELESS SECURITY SYSTEM
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Fees Collected:
National Electrical Code Edition:
$59.85
2008
Permit Center Authorized Signature: Date:
_I `
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions oflawand 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 perf • •... • f work. I am authorized to ' • and obtain this electrical permit.
Signature:
Print Name:
Ni ed ` (i( Pitl\t
Date: ` ( 5
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
EL13-0044 Printed: 01-15-2013
• PERMIT CONDITIONS •
Permit No. EL13-0044
**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
EL13-0044 Printed: 01-15-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1 1.43--06.49
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.:
Site Address: 4405 S 150th ST Tukwila, WA 98188 Suite Number: Floor:
Tenant Name: Roderick Leisam
PROPERTY OWNER
Name: Brittainney Lucenti
Address: 18000 72nd Ave S Suite 120
Name: Roderick Leisam
Phone: (800) 5754939 Fax: (425) 227-7650
City: Kent State: WA
Address: 4405 S 150th St
Phone: (800) 5754939 Fax: (425)
227-7650
City: Tukwila
State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Brittainney Lucenti
Address: 18000 72nd Ave S Suite 120
Address: 18000 72nd Ave S Suite 120
Phone: (800) 5754939 Fax: (425) 227-7650
City: Kent State: WA
Zip: 98032
Phone: (800) 5754939 Fax: (425)
227-7650
Email: brittainney@gaylordsecurity.com
New Tenant: ❑ Yes .No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Gaylord Industries
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 5754939 Fax: (425) 227-7650
Contr Reg No.: GAYLOIIo55JG Exp Date: 03/31/2013
Tukwila Business License No.: BUS -0993429
Valuation of Project (contractor's bid price): $ 99
Scope of Work (please provide detailed information):
Low Voltage Wireless Security System
Will service be altered? ❑ Yes EI No Adding more than 50 amps? ❑ Yes 0 No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service
Proverb/ Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ApplicattonstFornn-Applications On Luc\2011 Applications\Electncal Permit Application Revised 8-9-11.docx
Revised: August 2011
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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
O 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
O Low voltage systems $59.85
(alarm, fumace 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:
Print Name: Brittainney Lucenti
Date: 01/15/2013
Day Telephone: (800) 575-4939
Mailing Address: 18000 72nd Ave S Suite 120 Kent WA 98032
City
H:\Applications\Form-Applications On Line \2011 Appbcations\Elcctrical Pernut Application Revised 8-9-11 .docx
Revised: August 2011
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State Zip
Page 2 of 2
•
► "'qs City of Tukwila
yDepartment 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.: 0042000270
Address: 4405 S 150 ST TUKW
Suite No:
Applicant: LEISAM RESIDENCE
RECEIPT
Permit Number: EL13-0044
Status: PENDING
Applied Date: 01/15/2013
Issue Date:
Receipt No.: R13-00330 Payment Amount: $59.85
Initials: WER Payment Date: 01/15/2013 01:25 PM
User ID: 1655 Balance: $0.00
Payee: GAYLORD INDUSTRIES INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12218 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
D.6.1e.1. n1.4 G_•1A1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
6/13°Nif
PERMIT NO.
CITY :OF TUKWILA BUILDING DIVISION
'6300 Southcenter Bivd., #100, Tukwila. WA 98188 0, (206) 431-3670
Permit -Inspection Request Line (206) 431-2451
Project r
Type of Inspection:
Address:
4405-5. 0Si_ .
Date Called:
"Th.
Special Instructions:
Date Wanted:.
1
2,1���
a.m.
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
4-7"i/ft,-
r
" /!
Inspector: JIek
Date: Q fh„ Li 13
i' 1
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
•
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
GAYLORD INDUSTRIES INC
4252277540
18000 72Nd Ave S, Suite 120
Kent
WA
98032
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601615495
Active
GAYLOII055JG
Electrical Contractor
4/7/1995
4/7/2013
Limited Energy
Hvac/Rfrg Ltd Energy
Electrical Administrator INFORMATION
License GAYLORK088NH
Name GAYLORD, ROBERT KEVIN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GAYLORD, R KEVIN
Agent
01/01/1980
7/9/2008
GAYLORD, R KEVIN
Chief Operating Officer
01/01/1980
$1,000.00
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
3
DEVELOPERS SURETY
& INDEM CO
740526C
03/01/2006
Until Cancelled
$4,000.00
03/06/2006
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
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EBERA00216
7/9/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02319
12/15/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02321
12/15/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00433
3/3/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
httns://fortress.wa. eov/lni/bbin/Print.asnx 01/15/2013