The URL can be used to link to this page

Home My WebLink AboutPermit EL13-0115 - FIELDS RESIDENCE - LOW VOLTAGEFIELDS RESIDENCE 5612 S 133 ST CANCEL 06-20-13 EL13-01 15 City oilTukwila 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.: 2172000240 Address: 5612 S 133 ST TUICW Project Name: FIELDS RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL13-0115 02/01/2013 07/31/2013 Owner: Name: Address: Contact Person: Name: Address: EGBERT DANIEL 29043 59TH PL S , AUBURN WA 98001 JENNIFER BURGESS Phone: 206-774-9499 1345 GULF RD , POINT ROBERTS WA, 98281 Contractor: Name: ADT LLC Address: 11824 N CREEK PARKWAY N, SUITE 105 , BOTHELL WA 98011 Contractor License No: ADTLLL*881DO Expiration Date: 03/20/2014 Phone: 561-988-3600 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $138.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: )-'' -13 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 the erformance of work. I am authorized to sign and obtain this electrical permit. Signature•__ Date: Print Name: 12D Y CX.Q k t!it' .4Z.. 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 EL13-0115 Printed: 02-01-2013 • PERMIT CONDITIONS • Permit No. EL 13-0115 **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 EL13-0115 Printed: 02-01-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Snuthcenter Rlvd., .Suite 100 Tukwila, WA 98188 http://www.TukwilaWA. goy Electrical Permit No.: L1 r Q [ 1 ' Project No. Date Application Accepted: Date Application Expires:`: :(For"oj ce us'e,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 Assessor's Tax No.: 2172000240 Site Address: 5612 S 133RD STREET Suite Number: Floor: New Tenant: 0 Yes Tenant Name: RANDALL FIELDS PROPERTY OWNER ,"., Name: RANDALL FIELDS -City: PT. ROBERTS State: WA , Zip: 98281 Address: 5612 S 133RD STREET Email: jennifer@nwpermit.com City: 'TUKWILA • State: WA Zip: 98178 CONTACT PERSON:: person,reeeiving.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.: • Valuation of Project (contractor's bid price): $ 138 Scope of Work (please provide detailed information): Install low voltage security system Will service be altered? 0 Yes Type of Use: Residential Adding more than 50 amps? 0 Yes ® No Tvpe of work: ❑ New 0 Addition 0 Service Change m Low Voltage 0 Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:la pplications\Fonns-Applications On Line \201 1 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication ❑ Tenant Imprpvement ❑ Temporary Service" Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ ' Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $15.2.85. $81.90 ea $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: Signature.. Date: 02/01/2013 Print Name: %:J ,&.1/11Q J0( /NW Permit Day Telephone: (206) 774-9499 Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 City H:\Applications\Forms-Applications On Lincl2b11 Applications\Elcctrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh State Zip Page 2 of 2 r 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.: 2172000240 Address: 5612 S 133 ST TUKW Suite No: Applicant: FIELDS RESIDENCE RECEIPT Permit Number: EL13-0115 Status: PENDING Applied Date: 02/01/2013 Issue Date: Receipt No.: R13-00693 Payment Amount: $59.85 Initials: WER Payment Date: 02/01/2013 03:12 PM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2536 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 AC Printed• f19-(11-9013 July 23, 2013 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Jennifer Burgess Northwest Permit 1345 S Gulf Rd Point Roberts, WA 98281 RE: Refund for Permit Number EL13-0115 Dear Ms. Burgess, A request for permit cancellation and refund of permit EL13-0115 was received by the Tukwila Permit Center. The Building Official has determined that this permit can be cancelled and eighty percent of the permit fee refunded. Enclosed is a check for a refund in the amount of $47.88 (forty-seven dollars and eighty-eight cents). Sincerely, `Jenn Pyr Marhall echn' cian File: Permit No. EL13-0115 Encl: Check No. 363939 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 TO: FROM: DATE: SUBJECT: MEMORANDUM Laurie Anderson Brenda Holt 07/02/2013 Fields Residence Permit Number EL13-0115 Please draw a check in the amount of $47.88 (forty-seven dollars and eighty-eight cents) to be payable to Northwest Permit Incorporated located at 1345 Gulf Road in Point Roberts, Washington 98281. The customer cancelled the job with the contractor ADT Security which is a client of Northwest Permits who paid for the permit. The Building Official has reviewed the request and approved an eighty percent refund as shown below: Account 000.322.101.00.00 (Electrical Permit N Res): $47.88. Please forward the check to me and I will forward it on to the applicant. Thank you! Jennifer Marshall From: Jennifer Marshall Sent: Thursday, June 20, 2013 3:57 PM To: 'Nickols, Timothy' Subject: RE: Cancel/Refund Permit EL13-0115 I will route this request through the Building Official. If a refund is granted it will be made to the payee, Northwest Permit Incorporated. Jennifer Marshall Permit Technician, City of Tukwila T: 206 431-3670, F: 206 431-3665 The City of opportunity, the community of choice. From: Nickols, Timothy [mailto:tnickols(@adt.com] Sent: Thursday, June 20, 2013 3:40 PM To: Jennifer Marshall Cc: Nickols, Timothy; Jennifer Burgess Subject: Cancel/Refund Permit EL13-0115 Please Cancel/Refund Permit EL13-0115. We did not perform any work, the customer canceled. 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 • •- t i 1 tit) Igitoceta /25/240/6 06-03-2013 • City of Tukwila Jiin Haggerton, Mayor Department of Community Development Jack Pace, Director JENNIFER BURGESS 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. EL13-0115 FIELDS RESIDENCE 5612 S 133 ST 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 07/31/2013. 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 07/31/2013, 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, -1Dza Bill Rambo Permit Technician File: Permit File No. EL13-0l 15 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by LEl 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 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 httos://fortress.wa.gov/lni/bbio/Print.asnx 02/01/2013