HomeMy WebLinkAboutPermit EL13-0696 - CARUTHERS RESIDENCE - LOW VOLTAGECARUTHERS RESIDENCE
11851 44 AV S
ELi 3-0696
City off 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.: 3347400491
Address: 11851 44 AV S TUKW
Project Name: CARUTHERS RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0696
Issue Date: 07/19/2013
Permit Expires On: 01/15/2014
Owner:
Name: CARUTHERS JESSE
Address: 11851 44TH AVE S , SEATTLE WA 98178
Contact Person:
Name: JENNIFER BURGESS Phone: 206-774-9499
Address: 1345 GULF RD , POINT ROBERTS WA, 98281
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 206-719-0347
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2013
DESCRIPTION OF WORK:
INSTALL INTRUSION ALARM
Value of Electrical: NRES: $0.00
RES: $199.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $59.85
Washington Cities Electrical Code: 2011
Date: 7—(q—(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 erformance of work. I am authorized to sign and obtain this electrical permit.
Signature Date:
Print Name: S3 \ CLO•_/ Sd\A O\i i -
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 -7/13
EL13-0696 Printed: 07-19-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0696
**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 -7/13
EL13-0696 Printed: 07-19-2013
CITY OF TUKWILA
Community Development Department
Permit (enter
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L\ _ Oesq(p
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL RICAL PERMFI 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
Site Address: 11851 44TH AVE S
Tenant Name: JESSE CARUTHERS
Rani, r. RT Y OWNER
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Name: JESSE CARUTHERS
City: PT. ROBERTS State: WA Zip: 98281
Address: 11851 44TH AVE S
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
City: PT. ROBERTS State: WA Zip: 98281
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
King Co Assessor's Tax No.: 3347400491
Suite Number: Floor:
New Tenant: D Yes m .. No
ELECTRICAL CONTRACTOR ry a .Ii :
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
Cin': 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): $ 199
Scope of Work (please provide detailed information):
INTRUSION ALARM INSTALL - ADD
Will service be altered? ❑ Yes ❑✓ No
Type of Use: Residential
Adding more than 50 amps? 0 Yes ® No
Tyne of work:
O New 0 Addition 0 Service Change
O Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:A4pplications\For s -Applications On Line \2011 Applicxtions'Electrical Permit Application Revised 8-9-1 l.docx
Revised. August 2011
bh
❑ Remodel
❑ Telecommunication
0 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 morc circuits) $7.65 ca
❑ Meter/mast repair $68.25
13/ 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:
4—
Signature:
Print Name:
tvurvx c\iv cio)r) e ---
Date:
Day Telephone: 06) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
City
H.\Applications\Forms-Applications On Linc\201 I Applications\Eleetrical Pernik Application Revised 8-9-I l.docx
Revised: August 2011
bh
State
Zip
Page 2 of 2
• •
4 wq� 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.uov
Parcel No.: 3347400491
Address: 11851 44 AV S TUKW
Suite No:
Applicant: CARUTHERS RESIDENCE
RECEIPT
Permit Number: EL13-0696
Status: PENDING
Applied Date: 07/19/2013
Issue Date:
Receipt No.: R13-02177 Payment Amount: $59.85
Initials: WER Payment Date: 07/19/2013 10:55 AM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2333 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
rine Raraint-na
Printed: 07-19-2013
.-_
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. `:PERMIT NO.
CITY OF TUKWILA:BUILDING DIVISION
6300 Southcenter blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
x=/3-494
Project:
Type of Inspection:
.
Address:
1/1,V 9 VniAtir S'
Date Called:
Special Instructions:
Date Wanted:>>
g`%— /J
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
nspector:
Date:,
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 P nter Friendly Page
Electrical Contractor
A business licensed by LEtI 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 SECURITY SERVICES INC
2067190347
11824 North Creek Pkwy N #105
Bothell
WA
98011
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601636830
Re -Licensed
ADTSESI03205
Electrical Contractor
9/25/1997
9/25/2013
9/16/2012
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
EfDateve
Ex Date on
n
Status
TYCOIIS88600
TYCO INTEGRATED
SECURITY LLC
Electrical
Contractor
Limited
Energy
Hvac/Rfrg
Ltd Energy
9/21/2012
9/21/2014
Active
AMERIDT283LZ
AMERICAN DISTRICT
TELEGRAPH CO
Electrical
Contractor
Limited
Energy
Unused
6/9/1972
1/31/1990
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
Agent
01/01/1980
KOCH, JOHN B
President
09/13/2011
BLEISCH, NELSON DAVID
Secretary
09/13/2011
FAXAS, MAGIN ANTHONY
Treasurer
09/13/2011
SNYDER, MICHAEL
President
01/01/1980
09/13/2011
MONROZE, M BRIAN
Secretary
06/15/2006
09/13/2011
FLANIGAN, TIMOTHY E
Secretary
06/15/2006
09/13/2011
ABROMEIT, RICHARD H
Treasurer
08/21/2003
09/13/2011
BOGGESS, JERRY R
Secretary
01/01/1980
06/15/2006
DOHERTY, BERNARD J
Secretary
01/01/1980
06/15/2006
RUZIKA, STEPHEN J
Secretary
01/01/1980
06/15/2006
BECK, JAN S
Secretary
01/01/1980
06/15/2006
DINIUS, DAVID
Secretary
01/01/1980
06/15/2006
FINNEY, P GRAY
Vice President
01/01/1980
06/15/2006
ROBINSON,MICHAEL A
Treasurer
08/28/2001
08/21/2003
Bond Information
Page 1 of 2
Bond
1
Bond Company Name
FEDERAL INSURANCE
COMPANY
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
8149 49 62
08/18/1997
Until Cancelled
08/23/2013
$4,000.00
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
https://fortress.wa.gov/lni/bbip/Print.aspx
07/19/2013