HomeMy WebLinkAboutPermit EL13-0720 - BOULEVARD AT SOUTH STATION - LOW VOLTAGEBOULEVARD AT
SOUTH STATION
4706 SOUTHCENTER BLVD
EXPIRED 01/26/14
ELi 3-0720
City ogukwila
•
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.: 2223049003
Address: 4706 SOUTHCENTER BL TUKW
Project Name: BOULEVARD AT SOUTH STATION
Permit Number: EL13-0720
Issue Date: 07/30/2013
Permit Expires On: 01/26/2014
Owner:
Name: MG ACRES APARTMENTS LP
Address: 10505 SORRENTO VALLEY RD , SAN DIEGO CA 92121
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*881DO Expiration Date: 03/20/2014
DESCRIPTION OF WORK:
APT #G101: INTRUSION INSTALL RELOCATION OF KEYPAD AND CAMERA
Value of Electrical:
NRES: $300.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $69.30
Washington Cities Electrical Code: 2011
Date:
I hereby certify that I have read and xam ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th 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.
Signatur
Print Name Wt `O -
Date: -1--� O\ V .
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
EL13-0720 Printed: 07-30-2013
411
PERMIT CONDITIONS
Permit No. EL13-0720
**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
EL13-0720 Printed: 07-30-2013
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. gov
•
Electrical Permit No.
Project No.
Date Application Accepted: DI {7�
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
ION
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: 4706 S CENTER BLVD APT#G101
Tenant Name: H t
P R :: R 4 fIWNER
Name: THE BOULEVARD AT SOUTH STATION
Address: 4706 S CENTER BLVD APT#G 101
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.: 2223049003
Suite Number: Floor:
New Tenant: ❑ Yes .. No
ELECTRICAL CONTRACTOR ENINFORMATION
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
Cit': 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): $ 300
Scope of Work (please provide detailed information):
INTRUSION INSTALL RELOCATION OF KEYPAD AND CAMERA
Will service be altered? ❑ Yes ® No
Type of Use: Apartment
Adding more than 50 amps? ❑ Yes ® No
Type of work:
❑ New 0 Addition 0 Service Change
VI Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
IA Puget Sound Energy 0 Seattle City Light
KtitymlieationsWorm\-Applications On Line \2011 Appli..ations\Electrical Permit Application Revised 5-9-I1.docx
Revised. August 2011
bh
❑ Remodel
O Telecommunication
O Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
• (including an attached garage)
❑ Garages, pools, spas and outbuildings
O 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 morc circuits) $7.65 ca
❑ 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
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:
SignatDate:
Print Nam V(LnctSdiidavvv)
Day Telephone: (206) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
City
H:4pplications\Foxmn-Applications On Lme\201 I Applications\Electrk.al 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.: 2223049003 Permit Number: EL13-0720
Address: 4706 SOUTHCENTER BL TUItW Status: PENDING
Suite No: Applied Date: 07/30/2013
Applicant: BOULEVARD AT SOUTH STATION Issue Date:
Receipt No.: R13-02240
Initials:
User ID:
JEM
1165
Payment Amount: $69.30
Payment Date: 07/30/2013 09:50 AM
Balance: $0.00
Payee: NORTHWEST PERMIT INC, ADT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2341 69.30
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 69.30
Total: $69.30
Drinf.ri- 1172An_9n1A
12/2/2013
•
City of Tukwila
Department of Community Development
JENNIFER BURGESS
1345 GULF RD
POINT ROBERTS, WA 98281
RE: Permit No. EL13-0720
BOULEVARD AT SOUTH STATION
4706 SOUTHCENTER BL, #G101
Dear Permit Holder:
•
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of
such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun
for a period of 180 days. Your permit will expire on 1/26/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 1/26/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
t Technician
File No: EL13-0720
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Peer Friendly Page
I
Electrical Contractor
A business licensed by Lai 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
httns://fortress.wa. aov/lni/bbin/Print. asnx 07/30/2013