HomeMy WebLinkAboutPermit EL13-0453 - JOHNSON BRAUND DESIGN - LOW VOLTAGEJOHNSON BRAUND
DESIGN
7200 S 180 ST
EL1 3-0453
City oikukwila
•
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.: 3623049013
Address: 7200 S 180 ST TUKW
Project Name: JOHNSON BRAUND DESIGN
ELECTRICAL PERMIT
Permit Number: EL13-0453
Issue Date: 05/10/2013
Permit Expires On: 11/06/2013
Owner:
Name: KHK INVESTMENT LLC
Address: 26329 8TH AVE S , DES MOINES WA 98198
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:
SUITE 104:
INSTALL LOW VOLTAGE SECURITY AND CCTV SYSTEMS
Value of Electrical: NRES: $1,941.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date: 5-‘ 1 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
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signat{ire: =— — Date:
Print Name:
ovvA Sc\i'axkne
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
EL13-0453 Printed: 05-13-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0453
**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
EL13-0453 Printed: 05-13-2013
City oA'ukwila
•
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.: 3623049013
Address: 7200 S 180 ST TUKW
Project Name: JOHNSON BRAUND DESIGN
ELECTRICAL PERMIT
Permit Number: EL13-0453
Issue Date: 05/10/2013
Permit Expires On: 11/06/2013
Owner:
Name: KHK INVESTMENT LLC
Address: 26329 8TH AVE S , DES MOINES WA 98198
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:
SUITE 102:
INSTALL LOW VOLTAGE SECURITY AND CCTV SYSTEMS
Value of Electrical: NRES: $1,941.00
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:
$115.50
2008
Date: 0,_ 1
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
construction or the performance of work. I ant authorized to sign and obtain this electrical permit.
Signatur Date:
Print Name( 5 X' Q — `}\0,,,,
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
EL13-0453 Printed: 05-10-2013
• •
PERMIT CONDITIONS
Permit No. EL 13-0453
**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 m accordance with NFPA TO - 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
EL13-0453 Printed: 05-10-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1L( 31O4 -G
Project No.
Date Application Accepted:
: Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Annliratinnc 'nnl1 not bo arrenterl tI,'rnnnh the mail nr by fav
**Please Print**
SITE LOCATION
4
J11ar 1 tLLLLn Vaa.
King Co Assessor's Tax No.: 3623049013
72011 S 1 Rflth St
Tenant Name: Johnson 13raund Design
PROPERTY OWNER
Name: Paramount Pharmacy
I Addle":
7nnn r� 1 nn.1 Si -Suite -102 1 nn
• `--� 7200 -S iouc 1 Jv idle YC/[
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
Suite
J U1L41\U111Vb1. l 11..0./1.
New Tenant: 0 Yes VI ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
I Arlrlrpcc 118'24 VJnntCREEK PKWY fV it 1-05
City: BOTHELL State: WA Zip: 98011
Phone: Fax:
Contr Reg No.: ADLLL*81D0 Exp Date: 03/20/2014
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1,941
Scope of Work (please provide detailed information):
Install low voltage security and CCTV systems
Will service be altered? ❑ Yes ® No
Type of Use: Commercial
Adding more than 50 amps? ❑ Yes ® No
Type of work:
❑ New ❑ Addition 0 Service Change
Vi Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:tApplications\Fornu-Applications On Line \2011 Appli,Aion1\Elcctra.al Pcmit Applilation Revised 8-9-1 l.docx
Revised: August 2011
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❑ Remodel
O Telecommunication
O 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
❑ 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
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:
Signa e
Print Name:
(),A(vx__, 301A (w
Date:
Day Telephone: (206) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
City Stam Zip
H:\ApplicationsTorms-Applications On Line \2011 Applications\ElectricalPcmit Application Revised 8-9.11.docx
Revised: August 2011
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Page 2 of 2
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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.: 3623049013
Address: 7200 S 180 ST TUKW
Suite No:
Applicant: JOHNSON BRAUND DESIGN
RECEIPT
Permit Number: EL13-0453
Status: PENDING
Applied Date: 05/10/2013
Issue Date:
Receipt No.: R13-01596 Payment Amount: $115.50
Initials: WER Payment Date: 05/10/2013 02:35 PM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2281 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
,1nn• D ,' in4_flR
Printed• 05-10-2013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 lz.1 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Projec�®� � � �
Type of Inspection: �
.
Address: „,] �Q
/Zoo/5. %(1 o si
Date Called:
/
Special In4tructions:
Date Wanted:.
/
'.m�
6. •
Requester:
' ..
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
110
COMMENTS:
01(
- �at/
k
Inspector:
/1'
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee "must be` -
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.ci.tukwila.wa.us
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 5
5) 9-013
Plan Check/Permit Number: tL,1
O Response to Incomplete Letter #
O Response to Correction Letter #
O Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Joh r s
don
Project Address:
Contact Person.
64 X41(
A!
Summar of Revision: Mir / i . It/ I Pu Al
>
3
Phone ► umber
RECEIVED
11Cn1KWIUA
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas ofrevision-inclu'diiig date of revisiojp
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on S�� �—
H:\Applications\Fonns-Applications On Line \2010 Applications\7-2010 - Revision Submittal.doc
Created: 8-13-2004
Revised: 7-2010
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
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
https://fortress.wa.gov/lni/bbip/Print.aspx 05/10/2013