HomeMy WebLinkAboutPermit EL13-0930 - TCMS OF SEATTLE - LOW VOLTAGETCMS OF SEATTLE
12646 INTERURBAN AV S
EL1 3-0930
City oillrukwila
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.: 2716000030
Address: 12646 INTERURBAN AV S TUKW
Project Name: TCMS OF SEATTLE
ELECTRICAL PERMIT
Permit Number: EL13-0930
Issue Date: 09/24/2013
Permit Expires On: 03/23/2014
Owner:
Name: EPROPERTYTAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
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*881D0 Expiration Date: 03/20/2014
DESCRIPTION OF WORK:
INTRUSION ALARM INSTALLATION WITH CELLGUARD
Value of Electrical:
NRES: $673.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
„MI
Fees Collected: $86.50
Washington Cities Electrical Code: 2011
Date: f .Y ›(-1 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
construction or the
Signature:
Print Name:
mit does not pres me to give authority to violate or cancel the provisions of any other state or local laws regulating
ormance of wo) am authorized to sign and obtain this electrical permit.
Date:
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
EL13-0930 Printed: 09-24-2013
PERMIT CONDITIONS
Permit No. EL13-0930
**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
EL13-0930 Printed: 09-24-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LC `4 3 Y3 0
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: 12646 Interurban Ave S
King Co Assessor's Tax No.: 2716000030
Suite Number: Floor:
Tenant Name: TCMS of Seattle
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Name: TCMS of Seattle
City: PT. ROBERTS Statc: WA Zip: 98281
Address: 12646 Interurban Ave 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 Statc: WA Zip: 98281
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
New Tenant: 0 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*8I D0 Exp Datc: 03/20/2014
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 673
Scope of Work (please provide detailed information):
Intrusion Alarm Installation with Ccllguard
Will service be altered? ❑ Yes Q No Adding more than 50 amps? 0 Yes 0 No
Type of Use: Commercial
Tyne of work:
❑ New 0 Addition 0 Service Change
(a Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
HAApplaatiomiFonm-Application. On LIne1011 ApplicatioitAblcorical Permit Application Ramo(' 04-1 1 Aucx
kat:book August 2011
bh
Northwest paperwork Page 2
O Remodel 0 Tenant Improvement
O Telecommunication 0 Temporary Service
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 ca
ftESIDENTIAL 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) 563.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Camivals 578.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTE
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 TI IAT 1 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 OWNEJ4 R ELECTRICAL CONTRACTOR:
Signature: ' 1 !/ !/ ' [/ Date: 09/24/2013
Print Name: Gavin McLean /NW PermitDay Telephone: (206) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
City
H0ApplicatbnmPorms-Application. On Line \2011 Applications \Electrical Permit Application Revised 11-9-I1.duex
Rrvised: 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
RECEIPT
Parcel No.: 2716000030 Permit Number: EL13-0930
Address: 12646 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 09/24/2013
Applicant: TCMS OF SEATTLE Issue Date:
Receipt No.: R13-02720
Initials: WER
User ID: 1655
Payment Amount: $86.50
Payment Date: 09/24/2013 01:29 PM
Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2614 86.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 86.50
Total: $86.50
Printed: 09-24-2013
INSPECTION`':RECORD 643-0:7%)Retain a copy with permit
INSPECTION N0. PERMIT .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ,,,roi5 8F imonte
Type of Inspection: Z, 00
'
Address: f'j/ 1j Q 6
Date Called:
Special Instructions:
5(1/404)k
Date Wanted:f o/Or
:m:Requester:1
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
X1
COMMENTS:
Inspector:
Date:
10/01
0/0' 13
n REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Proer 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'881 DO
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 09/24/2013