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HomeMy WebLinkAboutPermit EL13-0964 - LE RESIDENCE - LOW VOLTAGELE RESIDENCE 12015 46 AV S EL1 3-0964 City o f ukwila J s Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 3347401275 Address: 12015 46 AV S TUKW Project Name: LE RESIDENCE • ELECTRICAL PERMIT Permit Number: EL13-0964 Issue Date: 10/03/2013 Permit Expires On: 04/01/2014 Owner: Name: LE BRYAN HO DINH+KIM CHAU THI PRAM Address: 12015 46TH AVE S , TUKWILA WA 98178 Contact Person: Name: JENNIFER BURGESS - NW PERMIT - AGENT Phone: (206) 774-9499 Address: 1345 GULF RD , PT 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*881DO Expiration Date: 03/20/2014 DESCRIPTION OF WORK: INSTALL NEW SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $928.00 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: (v/3 //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 • ermit does not presume to give authority tp violate or cancel the provisions of any other state or local laws regulating construction or t ; -rformance o work. I am autho 'aed sign and obtain this electrical permit. `)4Yd� rt" /`• Date: � Print Name: C'et L i L rt6Geeit,, 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 EL13-0964 Printed: 10-03-2013 • • PERMIT CONDITIONS Permit No. EL13-0964 **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 EL13-0964 Printed: 10-03-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. f(t 3- o f &y Project No. Date Application Accepted: Date Application Expires: o/v3/0 o Li/o-3// y (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: 12015 46th Ave S King Co Assessor's Tax No.: 3347401275 Suite Number: Floor: Tenant Name: Bryan Le PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT-AGENT Name: Bryan Le Cih': PT. ROBERTS State: WA Zip: 98281 Address: 12015 -46th Ave S Email: jennifer@nwpermit.com City: TUKWILA State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: JENNIFER BURGESS/NWPERMIT-AGENT Address: 1345 GULF RD Cih': PT. ROBERTS State: WA Zip: 98281 Phone: (206) 774-9499 Fax: Email: jennifer@nwpermit.com New Tenant: ❑ Yes O..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT LLC Address: 11824 -NORTH -CREEK PKWY N #1,05 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*81 DO Exp Date: 03/20/2014 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 928 Scope of Work (please provide detailed information): install new security system Will service be altered? 0 Yes ® No Adding more than 50 amps? ❑ Yes © No Type of Use: residential Type of work; ❑ New 0 Addition 0 Service Change la Low Voltage 0 Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light n:tApplicatons l vans-Applralrom On Lme121/1 I Applrc:nsxbV:leclrrcal Perms Appllcalion Revved 11-9-1 I.docs Revised: August 2011 bh Northwest paperwork Page 2 O Remodel 0 Tenant Improvement O Telecommunication ❑ 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) ..... $59.85ea 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 ❑ Manufacturedlmobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPGICAT,,ION.NOTES1 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 sit CONTRACTOR: Signature: //i yet- -..------- Date: 10/03/2013 Print Name' McLean/NW Permit Day Telephone: (206) 774-9499 Mailing Address: 1345 GULF RD, PT 'ROBERTS, WA 98281 City State Zip R: ApplicetiwtztFomn-Application. On Line12911 Apphetutoro\Flectrical Permit Applic:tton Revised 9.9-1 I.ducz Revised: August 2911 bh Page 2 of 2 NnrthwPet nanPrwnrlr Pio 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.: 3347401275 Address: 12015 46 AV S TUKW Suite No: Applicant: LE RESIDENCE RECEIPT Permit Number: EL13-0964 Status: PENDING Applied Date: 10/03/2013 Issue Date: Receipt No.: R13-02799 Payment Amount: $59.85 Initials: LAW User ID: 1632 Payment Date: 10/03/2013 11:30 AM Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2620 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 Printari• 1 n-ni-2n1:1 1 - INSPECTION NO. INSPECTION' RECORD Retain a copy with permit (1/6'01(11( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: /./6 �.Type of Inspection: L(00Address: tiorcipo Ifi l - Date Called: Special Instructions: CA� , / 110 BTW (/ 11— U:30 Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. .."4 Inspector: , edrite Date: .� larll3 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 permitft13*-41 O. INSPE TION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: / Type of Inspection: A f00 — (kV/6P )1Jr QR©gi DEQ A Address: /zoic ifio Date Called: iJo d? i t..C, ryt-aL. Special Instructions: 56A/417 Date Wanted: two), Q .m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: — (kV/6P )1Jr QR©gi DEQ A 3:30 AAD 3;4o. Ala A4s4ff\) iJo d? i t..C, ryt-aL. - Aikkkap 3 -_co . nio, eaC '-1-01 - g-CkV sD ViaJ ‘ Dr AGt,t(-5, Inspector: Date: 0o /i3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pier Friendly Page • Electrical Contractor A business licensed by LEtI 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 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 httos://fortress.wa.2ov/lni/bbip/Print.aspx 10/03/2013