The URL can be used to link to this page

Home My WebLink AboutPermit EL13-0816 - KETZEBACK RESIDENCE - LOW VOLTAGEKETZEBACK RESIDENCE 12933 33 PL S EXPIRED 02/24/14 EL13-0816 City oPfukwila 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.: 7359600375 Address: 12933 33 PL S TUKW Project Name: KETZEBACK RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0816 Issue Date: 08/28/2013 Permit Expires On: 02/24/2014 Owner: Name: ARCH BAY HOLDINGS LLC Address: PO BOX 266005 , LITTLETON CO 80163 Contact Person: Name: JENNIFER BURGESS Address: 1345 GULF RD , POINT ROBERTS WA, 98281 Phone: 206 774-9499 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: INTRUSION ALARM INSTALL Value of Electrical: NRES: RES: $0.00 Fees Collected: $59.85 $823.00 Type of Fire Protection: UNKNOWN Washington Cities Electrical Code: 2011 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xam wit h, The granting of this permit does not pr construction or erformance of work. Signature: Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Print Name: two t/la Gd✓1 Date: 003 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 EL13-0816 Printed: 08-28-2013 • PERMIT CONDITIONS Permit No. EL13-0816 **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 EL13-0816 Printed: 08-28-2013 CITY OF TUKRA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Ll - V1, W 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 Site Address: Tenant Name: 12933 33RD PL S MARISA KETZEBACK King Co Assessor's Tax No.: -1 PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT-AGENT Name: MARISA KETZEBACK City: PT. ROBERTS State: WA Zip: 98281 Address: 12933 33RD PL S Email: jennifer@nwpermit.com City: TUKWILA State: WA Zip: 98168 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 Number: Floor: New Tenant: ❑ Yes ..No ELECTRICAL. CONTRACTOR INFORMATION Company Name: ADT LLC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*81 D0 Exp Date: 03/20/2014 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 823 Scope of Work (please provide detailed information): INTRUSION ALARM INSTALL Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ✓❑ No Type of Use: Residential Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy , Seattle City Light HAApphcations\Forms-Applications On Line\2011 Applications\Electrcal Permit Application Revised 8-9-1 I.docx Revised' August 2011 bh Page I 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 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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 I-IAVE 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 OW R OR ELECTRICAL CONTRACTOR: 6/, Signat Print Name: a✓t k /wgGI cet v Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 H.\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-I I docs Revised' August 2011 bh Date: W/03 Day Telephone: (206) 774-9499 City State Zip Page 2 of 2 • • 'qs 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.: 7359600375 Address: 12933 33 PL S TUKW Suite No: Applicant: KETZEBACK RESIDENCE RECEIPT Permit Number: EL13-0816 Status: APPROVED Applied Date: 08/28/2013 Issue Date: Receipt No.: R13-02487 Initials: User ID: JEM 1165 Payment Amount: $59.85 Payment Date: 08/28/2013 08:00 AM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9204 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 Racaint-(1R Printed: 08-28-2013 1/2/2014 • City of Tukwila Department of Community Development JENNIFER BURGESS 1345 GULF RD POINT ROBERTS, WA 98281 RE: Permit No. EL13-0816 KETZEBACK RESIDENCE 1293333PLS 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 2/24/2014. 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 2/24/2014, 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, ennif ermi r Marshall Technician File No: EL13-0816 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by LEI 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 08/28/2013