HomeMy WebLinkAboutPermit EL13-0406 - SOPHEAK RESIDENCE - LOW VOLTAGESOPHEAK RESIDENCE
11629 35 LN S
EL1 3-0406
City Tukwila
d�
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.: 0733000030
Address: 11629 35 LN S TUKW
Project Name: SOPIEAK RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0406
Issue Date: 04/29/2013
Permit Expires On: 10/26/2013
Owner:
Name: DOAK DARRYL E SR
Address: 11812 26TH AVE SW , BURIEN WA 98146
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*881D0 Expiration Date: 03/20/2014
DESCRIPTION OF WORK:
LOW VOLTAGE SECURITY SYSTEM
Value of Electrical: NRES: $0.00
RES: $199.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
aurin
th,
Date:
$59.85
2008
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres • e to give authority to violate or cancel the provisions of any other state or local laws regulating
constructs io11 a erf ance of work. I am authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name: ?-..-6(tc_Nt.
Sign
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
EL13-0406 Printed: 04-29-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0406
**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
EL13-0406 Printed: 04-29-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tidnwiln WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. 'e �`�O4oco
Project No.
Tl—+
ill Tel ($
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
. 1NN1ii:uilUil� iuiu pliau:, must be L:uilipiele iii Ladei Lu be iicc.epLeu ilii plan Ieiiev .
Annlirotinnc ,trill not be arrante,i thrnnnh the moil or h,r Fax
**Please Print**
SITE LOCATION
r31ic •ti.aUicb�.
Tenant Name:
11 1351-14 1 AFH-
SUk'HEAK. KLf l'H
King Co Assessor's Tax No.: 0733000030
OW Lc I\UiiiUici.
PROPERTY OWNER
Name: SOPHEAK KEITH
Address: , , /2 9 , rTTT T • 1 rr' 1
-' 11027 JJ 117 Lti1VE J
City: TUKWILA
State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Address: 1345 GULF RD
Cin': PT. ROBERTS State: WA Zip: 98281
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
New Tenant: 0 Yes Z.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
, nn . rnr TTT r,n TTTT TTl tx tT 1T 11 , nr
I A ild race 111824
1 1824 1VOis. 117 L11EEr1 Y1\ VV 1 1V ht 105
City: BOTHELL State: WA Zip: 98011
Phone: Fax:
Contr Reg No.: ADI,I,T *RID(1 Exp Date: nq/'n/'n14
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 199
Scope of Work (please provide detailed information):
Install low voltage security system
Will service be altered?
❑ Yes ® No
Adding more than 50 amps? ❑ Yes ® No
Type of Use: RES
Type of work:
❑ New ❑ Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement
VI Low Voltage 0 Generator 0 Firc Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applicatiom\Forms-Applications On Line 12011 Apptications\Electrieal Permit Application Revised 8-9-11.docx
Revised: August 2011
hh
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
EX -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, 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
O 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.
Thc Building Official may grant one extension of time for an additional period not to exceed 90 days. Thc 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:
Signa e: Date:
Day Telephone: (216) 774-9499
Print Name:
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
city
H:\4pplications\Forms-Applications On Line \201 I Applications\Electrical Permit 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.: 0733000030
Address: 11629 35 LN S TUKW
Suite No:
Applicant: SOPHEAK RESIDENCE
RECEIPT
Permit Number: EL13-0406
Status: PENDING
Applied Date: 04/29/2013
Issue Date:
Receipt No.: R13-01452
Initials: JEM
User ID: 1165
Payment Amount: $59.85
Payment Date: 04/29/2013 12:05 PM
Balance: $0.00
Payee: NORTHEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2270 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
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
643-0 lot
6300;'Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
ject: �}
ProJo
Type of Inspection:
2100
Address:
Date Called:
Special,Instructions: I
Date Wanted:.
543 ri.,
Requester:
1
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1
•
..r ,.,
61LInspector: '� �7� Date: 0403 13
aREINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECtTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300. Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451 t -
Project:; . P ert ��
Rf,..
Type of Inspection:
Address:Date
111414 5-1V
Called:
Special Instructiont:
• '
Date Wanted:.
51102-a.rm.
P.m
Requester:
a
Phone No:
D Approved per applicable codes.
piCorrections required prior to approval.
COMMENTS:
_ p
fc, /: 50 0-#4 .
Rta VI DE AtLes 5
Inspector:
Date: Oval QQ 3
d jJ
IREINSPECTION'FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople litter Friendly Page
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•
Page 1 of 2
Electrical Contractor
A business licensed by lid 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
Bond
Amount
BELEISCH, NELSON D
Partner/Member
03/20/2012
82295435
TULSYAN, RAVI
Partner/Member
03/20/2012
Bond Information
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
Summons and Complaints are not filed with the department for this
httns://fortress.wa.gov/lni/bbin/Print. asnx
04/29/2013