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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