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Home My WebLink AboutPermit EL13-0855 - ROSENGREN RESIDENCE - LOW VOLTAGEROSENGREN RESIDENCE 4022 S 150 ST ELi 3-0855 City oikukwila 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.: 0041000265 Address: 4022 S 150 ST TUKW Project Name: ROSENGREN RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL13-0855 09/06/2013 03/05/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: ROSENGREN ARTHUR & SONYA J 4022 S 150TH , TUKVVILA WA 98188 JENNIFER BURGESS Phone: 206 774-9499 1345 GULF RD , POINT ROBERTS WA, 98281 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 INSTALLATION Value of Electrical: NRES: $0.00 RES: $211.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this permit does not pre construction or of performance cork. capp ectit 1 - Signature: Fees Collected: $59.85 Washington Cities Electrical Code: 2011 Date: olipc11(3 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. 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. Date: Print Name: Gatti() mLLegy 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 EL13-0855 Printed: 09-06-2013 • PERMIT CONDITIONS Permit No. EL13-0855 **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 EL13-0855 Printed: 09-06-2013 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. E d 5 5 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: 4022 S 150TH ST King Co Assessor's Tax No.: 0041000265 Suite Number: Floor: Tenant Name: SONYA ROSENGREN PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT-AGENT Name: SONYA ROSENGREN. City: PT. ROBERTS State: WA Zip: 98281 Address: 4022 S 150TH ST Email: jennifer@nwpermit.com City: TUKWILA State: WA Zip: 98188 2 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 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): $ 211 Scope of Work (please provide detailed information): INTRUSION ALARM INSTALL Will service be altered? ❑ Yes IJ No Adding more than 50 amps? ❑ Yes I No Type of Use: Residential Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement O Low Voltage ❑ Generator 0' Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\ApplicationsWorns-Applications On Line1201 I Applications\Electrical Permit Application Revised 8-9-I I.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 ❑ 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) ❑j' MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75. O 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: Signature: Date: 09/06/2013 Print Name: Gavin McLean Day Telephone: (206) 774-9499 Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 City H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I.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 Parcel No.: 0041000265 Address: 4022 S 150 ST TUKW Suite No: Applicant: ROSENGREN RESIDENCE RECEIPT Permit Number: EL13-0855 Status: PENDING Applied Date: 09/06/2013 Issue Date: Receipt No.: R13-02566 Initials: JEM User ID: 1165 Payment Amount: $59.85 Payment Date: 09/06/2013 03:41 PM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio ' Amount Payment Check 9212 59.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 59.85 Total: $59.85 tints. Paraint-nR Printed: 09-06-2013 INSPECTION NO. INSPECTION -RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING -DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9818. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Kash\ c, i Res . Type of Inspection: 2400 Address:Date Called: Special Instructions: C . (Ai rPhone Date Wanted: a n. Requester: No: jicApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSP CTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C. 6300 Southcenter Blvd:, #100, Tukwila. WA 98188 - (206) 431-3670. Permit Inspection Request Line (206) 431-2451 \... 6o5 Project: gel "K6 Type of Inspection: el G D Address: yol rc— S ` /5Ote Sr:�' ' Called: Special Instructions: Date Wanted: am: Requester: Phone No: DApproved per applicable codes. Corrections required prior to approval. COMMENTS: leo Azt,$ - ((eAtiL/ *IP Ptr, 4f A c 55 Inspector: Date: 07/I(/+? � REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • 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 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 Bond Company Name Federal Ins Co Bond 1 Page 1 of 1 Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 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 09/06/2013