HomeMy WebLinkAboutPermit EL13-0284 - RUNWAY COLLECTION II - LOW VOLTAGERUNWAY COLI,FCTION II
1230 SOUThCENTER MALL
EL1 3-0284
Parcel No.:
Address:
City dftukwila
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
ELECTRICAL PERMIT
9202470010
1230 SOUTHCENTER MALL TUKW
Project Name: RUNWAY COLLECTION II
Permit Number:
Issue Date:
Permit Expires On:
EL13-0284
03/20/2013
09/16/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA 92013
JENNIFER BURGESS
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*881D0 Expiration Date: 03/20/2014
Phone: 206 774-9499
Phone: 561-988-3600
DESCRIPTION OF WORK:
REPLACE EXISTING LOW VOLTAGE SECURITY SYSTEM, PANEL WITH KEYPAD, AND CONNECT TO
EXISTING DEVICES. ALSO ADD DEVICES.
Value of Electrical: NRES: $99.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this permit does not pre
construction • th - • erformance of work
Signature:
Print Name: Willi& � (//yi
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.
Fees Collected:
National Electrical Code Edition:
Date:
$63.00
2008
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
doc: EL -4/10
EL13-0284 Printed: 03-20-2013
• PERMIT CONDITIONS •
Permit No. EL13-0284
**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
EL13-0284 Printed: 03-20-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Ru,9 O21f
Project No.
Date Application Accepted: l 2 7 3
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.: ¶/0'2
Site Address: 1230 Southcenter Mall Suite Number: Floor:
Tenant Name: Runway Collection 11 New Tenant: D Yes ..No
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Name: Runway Collection II
Cit': PT. ROBERTS State: WA Zip: 98281
Address:
Email: jennifer@nwpermit.com
City: TUKWILA State: WA
Zip: 98188
CONTACT,PERSON - person receiving all project
communication
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Address: 1345 GULF RD
Cit': PT. ROBERTS State: WA Zip: 98281
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
Cit': BOTHELL State: WA Zip: 98011
Phone: Fax:
Contr Reg No.: ADLLL*81D0 Exp Date: 03/20/2014
Tukwila Business License No.: Ll� (kq ,,
Valuation of Project (contractor's bid price): $ 99
Scope of Work (please provide detailed information):
Replace existing low voltage security system, panel & keypad, connect to existing devices add devices
Will service be altered? ❑ Yes ❑✓ No
Adding more than 50 amps? ❑ Yes VI No
Type of Use: Commercial
Type of work:
O New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
• Low Voltage 0 Generator ❑ ' Fire Alarm 0 Telecommunication 0 Temporary Service
Pro . e Served b :
'i Puget Sound Energy 0 Seattle City Light
H:\Applications\Forns-Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-11.docc
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, fumace 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:
Signature:_
Print Name:
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
tow NuokG(,n
Date:
0?-zG3
Day Telephone: (206) 774-9499
City
H:\Applications\Forns-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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State Zip
Page 2 of 2
SET RECEIPT
Copy Reprinted on 03-20-2013 at 14:26:05 03/20/2013
RECEIPT NO: R13-01095
Initials: JEM Payment Date: 03/20/2013
User ID: 1165 Total Payment: 178.50
Payee: NORTHWEST PERMIT INC
SET ID: 0320 SET NAME: NW PERMIT
SET TRANSACTIONS:
Set Member Amount
EL13-0281 115.50
EL13-0284 63.00
TOTAL: X5.5.0
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 2471 178.50
TOTAL: 178.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0
TOTAL:
178.50
178.50
w
INSPECTION RECORD
Retain a copy with permit
6,13 -ay
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t2Th (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
y�
"' v 1 £U4....j4TYPe
of Inspection: Z/O
Address: 1170
Date Called:
Special Instructions:
.
Date Wanted:3/6-4
alm.
(13'9
Requester:
Phone No:
ctiApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
- *IN Ps -L/ of -1
Inspector:
Date: 03 /'Z7 /13
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 Pinter Friendly Page
•
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'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. eov/lni/bbin/Print.asnx 03/20/2013