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Home My WebLink AboutPermit EL13-0385 - WRIGHT MEDICAL TECHNOLOGY - LOW VOLTAGEWRIGHT MEDICAL TECHNOLOGY 617 STRANDER BL EL1 3-0385 City oil/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 ELECTRICAL PERMIT Parcel No.: 0223300020 Address: 617 STRANDER BL TUKW Project Name: WRIGHT MEDICAL TECHNOLOGY Permit Number: EL13-0385 Issue Date: 04/24/2013 Permit Expires On: 10/21/2013 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: CWWA TUKWILA 1 LLC C/0 EQUITY OFFICE MGMT LLC , PO BOX A-3879 60690 JENNIFER BURGESS Phone: 206-774-9499 1345 GULF RD , POINT ROBERTS WA, 98281 ADT LLC Phone: 561-988-3600 11824 N CREEK PARKWAY N, SUITE 105 , BOTHELL WA 98011 Contractor License No: ADTLLL*881D0 Expiration Date: 03/20/2014 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE SECURITY SYSTEM 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: Fees Collected: National Electrical Code Edition: Date: $63.00 2008 -)-14-(3 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 constorman a of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: (MCA \ \Q \! tJl Q 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. Date: doc: EL -4/10 EL13-0385 Printed: 04-24-2013 PERMIT CONDITIONS Permit No. EL13-0385 **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 EL13-0385 Printed: 04-24-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www:TukwilaWA.gov Electrical Permit No:; Project No. EL G C t Datc Application Accepted'. ' Date Application Expiiei: 11 (Fbr ofee use only) ELECTRICAL PERMIT APPLICATION Applications and.pians must,be complete in order ;to be accepted.for-plan.review. nnlira.tinnc .vill not k. #I.a moil nr Ii., fov **Please Print** 'SITE LOCATION Al 77 4'frnr.rir.r...Rl.rA • oiic,tUUicb;3 ._ .. -. aW is iY ui;iiia.;. Tenant Name:-wright 'iv' eatcai `1 echnoiogy King Co Assessor's Tax No.: 0223300020 • PROPERTY -OWNER . Name: Wright Medical Technology Arli,., `.. . ... • -11-1"5. 'o % 1'jil't111t1oi 1;64 City: TUKWILA State: WA Zip: 98188 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 t' 11.)t) I New Tenant: -❑ Yes ID .. No 'ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT TIC Ad -4'T ;.-.n . i....r.. , CIU;EK nr -- 1 1' -, 1V1JI1-11'I �.I'Ci:l.fi r1 r f it -JW City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*R1 n() Exp Date: 03/20/2014 TiikwilaBusinessLicense No.: Valuation of Project (contractor's bid price): $ 99 Scope of Work (please provide detailed information): Install low voltage security system Will servicebe altered? ❑ Yes Type of Use: Commercial 0 No Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ❑ Addition m Low Voltage ❑ Generator ❑ Firc Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light 0 Service Change H:\4pplications\Fornts-Applications On Linc 1201 1 Applications\Electrical Pamit Application Revised 8-9-1 l.docx Revised: August 2011 hh ❑ Remodel O Telecommunication ❑ Tenant Improvement ❑ 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) $152.85 $81.90 ea $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) O 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 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. TheBnilding 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: Date: 04/24/2013 Day Telephone: (206) 774-9499 Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 City H:\4pplications\Forms-Applications On Line\201 1 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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 RECEIPT Parcel No.: 0223300020 Permit Number: EL13-0385 Address: 617 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 04/24/2013 Applicant: WRIGHT MEDICAL TECHNOLOGY Issue Date: Receipt No.: R13-01417 Payment Amount: $63.00 Initials: WER User ID: 1655 Payment Date: 04/24/2013 02:23 PM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2268 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 �.:.. L...1• AA 7A n114, INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Insp4ction Request Line (206) 431-2451 �Type of Inspection: iov h°13 °I((206) 431-367 Project: , . / (t1 1/ 10< Address: 6r ►"� Special Instructi ns: Ser-Jktri Date Called: Date Wanted: So Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. /- ieXT COMMENTS: r I Date: 05117 113 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION NO. INSPECTION RECORD Retain a copy with permit U{1 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: Okatif �� Type of Inspection: ��dv Address: 6 v Date Called: Special Instructions: Grp _ V )4{ ' { ��i{ Date Wanted: . 5-80 Requester: Phone No: 0 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 4Zesako\iLk- [-bk_ 5 /17 I l / Inspector: ` J Date:O /! i 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 Peer 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'881DO 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 ExpirationDate 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!//fnrtress_wa_gov/lni/bbin/Print. asnx 04/24/2013