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Home My WebLink AboutPermit EL13-1072 - IBANEZ RESIDENCE - LOW VOLTAGEIBANEZ RESIDENCE 4240 S 122 ST EL1 3-1072 City oPfukwila • 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.: 3347400385 Address: 4240 S 122 ST TUR:W Project Name: IBANEZ RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-1072 Issue Date: 10/25/2013 Permit Expires On: 04/23/2014 Owner: Name: IBANEZ ANTONIO D+MEL A Address: 4240 S 122ND ST , TUKVVILA 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 SECURITY SYSTEM Value of Electrical: NRES: $0.00 RES: $99.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: Washington Cities Electrical Code: $59.85 2011 Date: l -)-3 13 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 wor . I am uthorized to sign and obtain this electrical permit. Signature: �� Date: 16 /24/20/3 Print Name: J, V `1 vi :3 e( a 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 EL13-1072 Printed: 10-25-2013 • • PERMIT CONDITIONS Permit No. EL13-1072 **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 EL13-1072 Printed: 10-25-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ELI 3-- [Q7 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: 4240 S 122nd St Tukwila WA 98168 Tenant Name: PROPERTY OWNER Name: Brittainney Lucenti Name: Melanthony/Caren Ibanez City: Kent State: WA Zip: 98032 Address: 4240 S 122nd ST Email: brittainney@gaylordsecurity.com City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person 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: Email: brittainney@gaylordsecurity.com King Co Assessor's Tax No.: 334740-0385 Suite Number: Floor: New Tenant: ❑ Yes ❑..No 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: Contr Reg No.: GAYLOII055JG Exp Date: 03/31/2014 Tukwila Business License No.: BUS -0993429 Valuation of Project (contractor's bid price): $ 99 Scope of Work (please provide detailed information): Low voltage security system Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New 0 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:Upplications\Forms-Applications On Line \2011 Applications\Electrical 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 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: •A0\kA' cD1 / Date: 10/24/2013 Print Name: Brittainney Lucenti Day Telephone: (800) 575-4939 Mailing Address: 18000 72nd Ave S Suite 120 Kent WA 98032 City 11 \Applications\Forms-Applications On Line \2011 Applications\Electncal Permit Application Revised 8-9-11 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: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov RECEIPT Parcel No.: 3347400385 Permit Number: EL13-1072 Address: 4240 S 122 ST TUKW Status: PENDING Suite No: Applied Date: 10/25/2013 Applicant: IBANEZ RESIDENCE Issue Date: Receipt No.: R13-02978 Payment Amount: $59.85 Initials: WER Payment Date: 10/25/2013 01:20 PM User ID: 1655 Balance: $0.00 Payee: GAYLORD INDUSTRIES INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 14372 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 rinr• Rorpint-nR Printed: 10-25-2013 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300.Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 h+ 3 Project: (,� „Y rZ Type of Inspection: 2(00 Address:' 1 N 0 s ./225%^ Date Called: �. Special Instructions: 6'0AiiktIl . Date Wanted: - ! Q . Requester: Phone No: - riZ(1)MMENTS: Approved per applicable codes. Corrections required prior to approval. �1 V Inspector:. S T Date: O REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter 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 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 Master Electrician INFORMATION License CHAMBJL971RU Name CHAMBERS, JOSHUA L Status Active Business Owner Information Name Role Effective Date Expiration Date GAYLORD, R KEVIN 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 Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 DEVELOPERS SURETY E INDEM CO 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 10/25/2013