HomeMy WebLinkAboutPermit EL13-0322 - MOQUIA RESIDENCE - LOW VOLTAGEMOQUIA RESIDENCE
16833 53 AV S
EL1 3-0322
City olkukwila
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.: 8125200480
Address: 16833 53 AV S TUKW
Project Name: MOQUIA RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0322
Issue Date: 04/03/2013
Permit Expires On: 09/30/2013
Owner:
Name: MOQUTA MARLON L+NGUYEN TRIN
Address: 12825 26TH AVE S , SEATAC WA 98168
Contact Person:
Name: BRITTAINNEY LUCENTI Phone: 800 575-4939
Address: 18000 72 AV S, STE 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:
LOW VOLTAGE WIRELESS SECURITY SYSTEM
Value of Electrical: NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$59.85
2008
I hereby certify that I have read anc(exan$ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli vent 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 perfo. . - of wor I am authorized to sign and obtain this electrical permit.
Signature: 1 O tv�I II I I AL 411 hk Date: L/ 3 / /
Print Name: 5(\ \--k-
c ( V\
This permit shall become null and void if t11 4ork 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
EL13-0322 Printed: 04-03-2013
PERMIT CONDITIONS
Permit No. EL13-0322
**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
EL13-0322 Printed: 04-03-2013
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. SLI
Project No.
Date Application Accepted: C61, l L2
Date Application Expires: "'—
(For office we 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.: % i2-_20 1 01-1iD
Site Address: 16833 53rd Ave S Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: Brittainney Lucenti
Name: Marlon Moquia
Address: 18000 72nd Ave S Suite 120
Address: 16833 53rd Ave S
City: Kent State: WA
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) 575-4939 Fax: (425) 227-7650
City: Kent State: WA
Zip: 98032
Phone: (800) 575-4939 Fax: (425)
227-7650
Email: brittainney@gaylordsecurity.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Gaylord Industires
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 575-4939 Fax: (425) 227-7650
Contr Reg No.: GAYLOII055JG Exp Date: 03/31/2014
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 Z No Adding more than 50 amps? ❑ Yes Z No
Type of Use:
Tvoe of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
® Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Prouerty Served bv:
0 Puget Sound Energy 0 Seattle City Light
H:\Applications\Forns-Applications On Line \2011 Applications\Electrical 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
m 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
❑ 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)
O 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 OWNE "6R ELECTRICAL CONTRACTOR:
Signature, ol L Date: 04/03/2013
Print Name: Brittainney Lucenti Day Telephone: (800) 575-4939
Mailing Address: 18000 72nd Ave S Suite 120 Kent WA 98032
H:\ApplicationsTorms-Applications On Ltne\2011 Applications\Electrical Permit Application Revised 8.9-11.docx
Revised: August 2011
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City
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.: 8125200480
Address: 16833 53 AV S TUKW
Suite No:
Applicant: MOQUIA RESIDENCE
RECEIPT
Permit Number: EL13-0322
Status: PENDING
Applied Date: 04/03/2013
Issue Date:
Receipt No.: R13-01214 Payment Amount: $59.85
Initials: JEM Payment Date: 04/03/2013 12:40 PM
User ID: 1165 Balance: $0.00
Payee: GAYLORD INDUSTRIES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12832 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
PrintArl• n4 -n3 -2n13
INSPECTION RECORD:
Retain a copy with permit
INSPECTION NO. PERMIT NO..
CITY OF TUKWILA BUILDING ,DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
D4J1A ICO •
Type of Inspecion:
-Type
foo
Address:i x'33 J! /
Date Called:
Special Instructions:
Date Wanted:.
.."-(,,
�✓•J
a.m
p.m.
Requester:
Phone No:
® Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:,001Otrideei.
Date:
040o
0o 3.
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 Lai 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 Ste 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
GAYL011055JG
Electrical Contractor
4/7/1995
4/7/2015
Limited Energy
Hvac/Rfrg Ltd Energy
Master Electrician INFORMATION
License CHAMBJL971 RU
Name CHAMBERS, JOSHUA L
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
ft 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
ELEIS00433
3/3/2011
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
httos://fortress.wa.2ov/lni/bbin/Print.asnx 04/03/2013