HomeMy WebLinkAboutPermit EL13-0155 - HULL RESIDENCE - LOW VOLTAGEHULL RESIDENCE
14738 59 AV S
EL13-0155
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.: 3597000078
Address: 14738 59 AV S TUKW
Project Name: HULL RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0155
Issue Date: 02/15/2013
Permit Expires On: 08/14/2013
Owner:
Name: HULL DAVID T+MELISSA
Address: 14738 59TH AVE S , TUKWILA WA 98168
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*881DO Expiration Date: 03/20/2014
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE SECURITY SYSTEM
Value of Electrical: NRES: $0.00
RES: $232.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied wi
Date:
$59.85
2008
this permit and know the same to be true and correct. All provisions of law and ordinances
ther specified herein or not.
The granting of this permit does not pres - • give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signal Date:
1 S .C°\3
Print Name:
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
EL13-0155 Printed: 02-15-2013
PERMIT CONDITIONS
Ill
•
Permit No. EL 13-0155
**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
EL13-0155 Printed: 02-15-2013
CITY OF TUKWWf
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn: //www.TukwilaWA.gov
Electrical Permit No. tLt
Project No.
Date Application Accepted: 0 lc 13
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 Address:
Tenant Name:
14738 59th Ave S
David Hull
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Name: David Hull
City: PT. ROBERTS State: WA Zip: 98281
Address: 14738 59th Ave S
Email: jennifer@nwpermit.com
City: TUKWILA State: WA
Zip: 98168
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
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes m ..No
3597000078
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.: p)(C , rme �G
V V 1
Valuation of Project (contractor's bid price): $ 232
Scope of Work (please provide detailed information):
Install low voltage security system
Will service be altered? 0 Yes No Adding more than 50 amps? ❑ Yes 1,11 No
Type of Use: RESIDENTIAL
Tvue of work:
0 New ❑ Addition . 0 Service Change 0 Remodel 0 Tenant Improvement
m Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
A:l4pplicationsTorn s -Applications On Line \2Ul I Applic. tions\Electrical Pmma Application Revised 8-9-1 l.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
z.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
►` T. , .:.e s $59.85
(alarm, furnace ermostat)
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:
Date: 02/12/2013
Print Name: Briana Schiavone /NW Permit Day Telephone: (206) 774-9499
Mailing Address: 1345 ,GULF RD, PT ROBERTS, WA 98281
City
H:\4pplications\Forms-Applications On Lmc1201 I Apphcatmns\Elcctraal Pamd Application Revised 8-9-11.docx
Revised: August 2011
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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.: 3597000078
Address: 14738 59 AV S TUKW
Suite No:
Applicant: HULL RESIDENCE
RECEIPT
Permit Number: EL13-0155
Status: PENDING
Applied Date: 02/15/2013
Issue Date:
Receipt No.: R13-00828 Payment Amount: $59.85
Initials: JEM Payment Date: 02/15/2013 11:16 AM
User ID: 1165 Balance: $0.00
Payee: NORTHWEST PERMIT INC, ADT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2548 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
Driniorl• M_1' fl1 Z
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ! ► ki Kes -
Type of Inspection:
Z too
Address: /17 3Y 57 j�/ , Js
Date Called:
Special Instructions: '
p )P.
ti
F1" ( P.M.
Date Wanted:.
212_0a
Requester:
r
Phone No:
8 Approved per applicable codes.
ElCorrections required prior to approval..
COMMENTS:
, , 1jDate: 0 /10 if)
C REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Contractors or Tradespeople Pr' ter 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
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
httns://fortress.wa.aov/lni/bbin/Print.asnx 02/15/2013