HomeMy WebLinkAboutPermit EL13-1219 - STEVENSON RESIDENCE - LOW VOLTAGESTEVENSON RESIDENCE
15255 SUNWOOD BL
UNIT A-37
EL13-1219
Parcel No:
Address:
0
City of Tukwila
Department of Community Development
? 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.eov
8141400200
ELECTRICAL OTC PERMIT
15255 SUNWOOD BLVD A37
Project Name: STEVENSON RESIDENCE
Permit Number: EL13-1219
Issue Date: 12/2/2013
Permit Expires On: 5/31/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
STEVENSON OLLARY
15255 SUNWOOD BL A37 , TUKWILA,
WA, 98188
JENNIFER BURGESS
1345 GULF RD , POINT ROBERTS, WA,
98281
ADT LLC
Address: 11824 N CREEK PARKWAY N, SUITE ,
BOTHELL, WA, 98011
License No: ADTLLL*881D0
Lender:
Name:
Address:
Phone: (206) 744-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2014
DESCRIPTION OF WORK:
INTRUSION ALARM
Valuation of single family: $0.00
Valuation of mf/comm: $515.00
Type of Work: LOW VOLTAGE
Fees Collected: $77.90
Electrical Service Provided by:
Water District:
Sewer Distric:
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date:
I hearby 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 authorized to sign and obtain this
development per j t and agree to the conditions attached to this permit.
✓fly
Signatu
Print Name: (/A -AL AA)/ (`'"
Date: [2,2/7
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Electrical Permit No. EL1 r'2 .
Project No.
Date Application Accepted: '%-I 2- l t'
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:
Tenant Name:
15255 SUNWOOD BLVD, Unit Ar31
OLLARY STEVENSON
PROPERTY OWNER
Name: OLLARY STEVENSON
Address: 15255 SUNWOOD BLVD, Unit A
City: TUKWILA State: WA Zip: 98188
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
King Co Assessor's Tax No.: 8141400000
Suite Number: Floor:
New Tenant: ❑ Yes m .. 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*81D0 Exp Date: 03/20/2014
Tukwila Business License No.: (}, 1,1c t3q al ,Zl ps-c„ ,/
Valuation of Project (contractor's bid price): $ 515
Scope of Work (please provide detailed information):
Intrusion Alarm Installation
Will service be altered? ❑ Yes lj No
Type of Use: Condominium(Residential)
Type of work:
❑ New 0 Addition 0 Service Change
O Low Voltage 0 Generator 0 Fire Alarm
Property Served bv:
❑ Puget Sound Energy 0 Seattle City Light
Adding more than 50 amps? 0 Yes I No
H:l4pplications\Fauns-Applications On Line \2011 Applications\Elcctra;al Pawt Application Revised 8.9-1 l.docx
Revised: August 2011
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❑ Remodel
O Telecommunication
O Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools. spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
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 OWNE ' ELECTRINTRACTOR:
Signature.
Date: 12/02/2013
Print Name: Gavin McLean/NW Permit Day Telephone: (206) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
City
H:\ pplications\Forms-.applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT I QUANTITY I PAID
$77.90
EL13-1219 Address: 15255 SUNWOOD BLVD A37 Apn: 8141400200
$77.90
ELECTRICAL
$77.90
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R231
R000.322.101.00.00
$77.90
$77.90
Date Paid: Monday, December 02, 2013
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2489
Printed: Monday, December 02, 2013 12:25 PM 1 of 1
I?SYSTEMS
INSPECTION RECORD.
Retain a copy with permit
INSPECTION NO. PERMIT N .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: 1otdsord K� .
J
Type of Inspection:
" j
,l v
Address:15-2-ccs J
t _ 81-
Date Called:
Special Instructions:
Itt A-37
Date Wanted:
'
!
a r
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: &lido\
Date: r 4(2_ 13
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr er Friendly Page
1
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
03/0112012
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
httns://fortress.wa. 2ov/lni/bbip/Print.aspx 12/02/2013