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Permit EL13-0836 - WILLIAMS RESIDENCE - LOW VOLTAGE
WILLIAMS RESIDENCE 13874 37 AV S CANCELLED 09-12-13 ELi 3-0836 City Arukwila 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.: 8864000800 Address: 13874 37 AV S TUKW Project Name: WILLIAMS RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0836 Issue Date: 09/03/2013 Permit Expires On: 03/02/2014 Owner: Name: MANG NGOUN Address: 13874 37TH AVE S , TUKWILA WA 98168 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: LOW VOLTAGE WIRELESS SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $0.00 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: 3-0 0 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 of work. I am 'zed to sign and obtain this electrical permit. Signature: - ' Date: r3 0 Print Name: 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 EL13-0836 Printed: 09-03-2013 • PERMIT CONDITIONS • Permit No. EL13-0836 **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 EL13-0836 Printed: 09-03-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. l= i.., I S' 0 ea/ 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.: 886400-0800 Site Address: 13874 37th Ave S Tukwila WA 98168 Suite Number: Floor: New Tenant: ❑ Yes ❑..No Tenant Name: PROPERTY OWNER Name: Brittainney Lucenti Name: Carol Williams City: Kent State: WA Zip: 98032 Address: 13874 37th Ave S Email: brittainney@gaylordsecurity.com City: Tukwila State: WA Zip: 98168 CONTACTIPERSON — peison receiving all project communication Name: Brittainney Lucenti Address: 18000 72nd Ave S Suite 120 City: Kent State: WA Zip: 98032 Phone: (800) 575-4939 Fax: (425) 226-7650 Email: brittainney@gaylordsecurity.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Gaylord Industries Address: 18000 72nd Ave S Suite 120 City: Kent State: WA Zip: 98032 Phone: (800) 575-4939 Fax: (425) 226-7650 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 LJ No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement VI Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:Npplications\Forms-Applications On Line\2011 Applications'Elecnical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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 m 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 ❑ 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 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: Print Na rittainney Lucenti Mailing Address: 18000 72nd Ave S Suite 120 Date: 09/03/2013 Day Telephone: (800) 575-4939 Kent WA 98032 City H \Applications\Portms-Applications On Line \2011 Apphcations\Electrical Permit Application Revised 8-9-11 docs Revised August 2011 bh State Zip Page 2 of 2 October 9, 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 EL13-0836 Dear Ms. Lucenti, A request for permit cancellation and refund of permit EL13-0836 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). File: Permit No. EL13-0836 End: Check No. 364487 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 TO: FROM: DATE: SUBJECT: MEMORANDUM Laurie Anderson Brenda Holt 09/16/2013 Williams Residence EL13-0836 Please draw a check in the amount of $47.88 (forty-seven dollars and eighty-eight cents) to be payable to Gaylord Industries at 18000 72 Avenue S, Ste 120 in Kent, Washington 98007. The applicant has requested this permit be cancelled due to the fact that the work was not done. In response to this information, the Building Official has approved an eighty percent refund of the permit fee. Please provide the refund as follows: Account 000.322.101 (Electrical Permit - Res): $47.88 Please forward the check to me and I will forward it on to the applicant. Thank you! 09/09/2013 Bob Benedico (Building Department) 6300 Southcenter Boulevard Suite #100 Tukwila , Wa 98188 RECEIVED SEP 10 COM&I12J , i y DF_" VELUNMEN"C13 This is a request fora refund on permit EL13-0836._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. Also Attn: Brittainney Lucenti when sending the check. Thank you, Brittainney Lucenti 800-575-4939 Ext 7103 Brittainney©gaylordsecurity.com 1,eltkiA4 caxpedd-P4 crl3fro (3 • • 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.: 8864000800 Address: 13874 37 AV S TUKW Suite No: Applicant: WILLIAMS RESIDENCE RECEIPT Permit Number: EL13-0836 Status: PENDING Applied Date: 09/03/2013 Issue Date: Receipt No.: R13-02527 Initials: WER User ID: 1655 Payment Amount: $59.85 Payment Date: 09/03/2013 02:45 PM Balance: $0.00 Payee: GAYLORD INDUSTRIES INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13940 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 `inr• Rorninf-na Printed: 09-03-2013 Contractors or Tradespeople Peer Friendly Page I Electrical Contractor A business licensed by L&I 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 CHAMBJL971RU Name CHAMBERS, JOSHUA L Status Active Business Owner Information Name Role Effective Date Expiration Date GAYLORD,RKEVIN Agent 01/01/1980 7/9/2008 GAYLORD, R KEVIN Chief Operating Officer 01/01/1980 $1,000.00 Bond Information Page 1 of 1 Bond 3 Bond Company Name DEVELOPERS SURETY & INDEM CO Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 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 09/03/2013