HomeMy WebLinkAboutPermit EL13-0742 - TANG RESIDENCE - LOW VOLTAGETANG RESIDENCE
12251 48 AV S
CANCELLED OS -23-13
ELi 3-0742
City oPI'ukwila
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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.: 0179001255
Address: 12251 48 AV S TUKW
Project Name: TANG RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0742
Issue Date: 08/05/2013
Permit Expires On: 02/01/2014
Owner:
Name: VUONG T THACH & HUONG TANG
Address: 12251 48TH AVE S , TUKWILA WA 98188
Contact Person:
Name: BRITTAINNEY LUCENTI Phone: 800-575-4939
Address: 18000 72 AV S, SUITE 120 , KENT WA, 98032
Contractor:
Name: GAYLORD INDUSTRIES INC
Address: 18000 72 AV S STE 120 , KENT WA 98032
Contractor License No: GAYLOII055JG
Phone: 800 575-4939
Expiration Date: 04/07/2015
DESCRIPTION OF WORK:
INSTALL LOW VOILTAGE WIRELESS SECURITY SYSTEM
Value of Electrical:
NRES: $0.00
RES: $99.00
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: •� 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 • ork.43 m aut ized to sign and obtain this electrical permit.
Signature:
Print Name:
("DqcL,\CJ , 1 PiE e(6-)
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.
Date:
doc: EL -7/13
EL13-0742 Printed: 08-05-2013
• PERMIT CONDITIONS S
Permit No. EL 13-0742
**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
EL13-0742 Printed: 08-05-2013
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-a
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. U.— I — C L 2 .
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.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: 017900-1255
Site Address: 12251 48th Ave S Tukwila WA 98178 Suite Number: Floor:
Tenant Name:
PROPERTY OWNER
Name: Brittainney Lucenti
Name: Huong Tang
City: Kent State: WA Zip: 98032
Address: 12251 48th Ave S
Email: Brittainney@gaylordsecurity.com
City: Tukwila State: WA
Zip: 98178
CONTACT' PERSON — person receiving all project
communication
Name: Brittainney Lucenti
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 5754939 Fax:
Email: Brittainney@gaylordsecurity.com
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Gaylord Industries
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 5754939 Fax:
Contr Reg No.: GAYLOII055JG Exp Date: 03/14/2014
Tukwila Business License No.: BUS -0993429
Valuation of Project (contractor's bid price): $ 99
Scope of Work (please provide detailed information):
Low voltage wireless security system
Will service be altered? ❑ Yes I1 No Adding more than 50 amps? ❑ Yes IZ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
m Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications'Forms-Applications On Line\2011 Applications\Electncal Permit Application Revised 8-9-1 l.docx
Revised. August 2011
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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
• 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
O Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O 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:
Signature: Date:
Print Name: Brittainney Lucenti Day Telephone: (800) 575-4939
Mailing Address: 18000 72nd Ave S Suite 120 Kent WA 98032
City
H \Apphcations\Forms-Applications On Lme\2011 Applications\Electrical Permit Application Revised 8-9-11 docs
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.: 0179001255
Address: 12251 48 AV S TUKW
Suite No:
Applicant: TANG RESIDENCE
RECEIPT
Permit Number: EL13-0742
Status: PENDING
Applied Date: 08/05/2013
Issue Date:
Receipt No.: R13-02293 Payment Amount: $59.85
Initials: WER Payment Date: 08/05/2013 02:15 PM
User ID: 1655 Balance: $0.00
Payee: GAYLORD INDUSTRIES INC
TRANSACTION LIST:
Type Method Descriptio • Amount
Payment Check 13794 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
Printed: 08-05-2013
September 19, 2013
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Brittainney Lucenti
Gaylord Industries
18000 72 Ave S, Ste 120
Kent, WA 98032
RE: Refund for Permit Number EL13-0742
Dear Ms. Lucenti,
A request for permit cancellation and refund of permit EL13-0742 was received by the Tukwila Permit
Center. The Building Official has determined that this permit can be cancelled and eighty percent of the
permit fee refunded. Enclosed is a check for a refund in the amount of $47.88 (forty-seven dollars and
eighty-eight cents).
Sincerely,
Jen
Per
File:
End:
hall
ician
Permit No. EL13-0742
Check No. 364332
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
MEMORANDUM
TO: Laurie Anderson
FROM: Brenda Holt
DATE: 08/29/2013
SUBJECT: Tang Residence
Permit Number EL13-0742
Please draw a check in the amount of $47.88 (forty-seven dollars and eighty-eight cents)
to be payable to Gaylord Industries, 18000 72 Ave S, Suite 120 in Kent Washington
98032.
The customer cancelled the work and consequently this permit is no longer required. The
Building Official has approved an eighty percent refund of the fees paid. Please provide
the refund as follows:
Account 000.322.100 (Building Permit - Res): $47.88
Please forward the check to me and I will forward it on to the applicant.
Thank you!
)EEI[GAYLORD
08/22/2013
Bob Benedicto (Building Department)
6300 Southcenter Boulevard Suite #100
Tukwila, WA 98188
REC LVED
AUG 23 20'3
t,r�M�nUrvr, r
DE VELUPMENT
This is a request for a refund on permit EL13-0742. This customer cancelled
before we ever preformed any work in the home. If refunds could please be
made out to Gaylord Industries 18000 72nd Ave S Suite 120 Kent, W 98032, that
would be great. Also Attn: Brittainney Lucenti when sending the check.
Thank you,
Brittainney Lucenti
800-575-4939 Ext 7103
Brittainney@gaylordsecurity.com
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18000 72nd Ave. S.
Suite 120
Kent, WA 98032
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PHONE (425) 227-7540
FAX (425) 227-7650
WEB SITE http://www.gaylordsecurity.com
Contractors or Tradespeople Per Friendly Page
•
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
GAYLORD INDUSTRIES INC
4252277540
18000 72Nd Ave S Ste 120
Kent
WA
98032
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601615495
Active
GAYL011055JG
Electrical Contractor
4/7/1995
4/7/2015
Limited Energy
Hvac/Rfrg Ltd Energy
Master Electrician INFORMATION
License CHAMBJL971 RU
Name CHAMBERS, JOSHUA L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GAYLORD, R KEVIN
Agent
01/01/1980
7/9/2008
GAYLORD, R KEVIN
Chief Operating Officer
01/01/1980
$1,000.00
Bond Information
Bond Bond Company Name
DEVELOPERS SURETY
Et INDEM CO
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
740526C
03/01/2006
Until Cancelled
$4,000.00
03/06/2006
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
Infraction / Citation
Date
RCW Code
• Type
Status
Violation Amount
EBERA00216
7/9/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02319
12/15/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02321
12/15/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00433
3/3/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx 08/05/2013