HomeMy WebLinkAboutPermit EL13-1233 - LE RESIDENCE - LOW VOLTAGELE RESIDENCE
13008 38 LANE S
EXPIRED 06/03/2014
EL13-1 233
Parcel No:
Address:
Project Name:
•
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.gov
7340600810
13008 38 LN S
LE RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL13-1233
Issue Date: 12/5/2013
Permit Expires On: 6/3/2014
Owner:
Name:
Address:
LE LAI V
13008 38TH LN S , TUKWILA, WA,
98168
Contact Person:
Name: JENNIFER BURGESS
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
1345 GULF RD , POINT ROBERTS, WA,
98281
ADT LLC
11824 N CREEK PARKWAY N, SUITE ,
BOTHELL, WA, 98011
ADTLLL*881D0
1//
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2014
DESCRIPTION OF WORK:
INSTRUSION ALARM INSTALL
Valuation of single family: $900.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $59.85
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer Distric: VALLEY VIEW SEWER SERVICE
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:
Permit Center Authorized Signature: imoAC)w
Date:
2012
2012
2012
12105-(13
• •
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 permit and agree to the conditions attached to this permit.
Signature: Date:/g/?
Print Name: /Jial t/t,,/vl "ills-OW/1
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 installationis 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 TUKW+1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No.
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
n / /� King Co Assessor's Tax No.: 731eN!D
3 0
Site Address: 06 ��? v/ V 3 Suite Number: Floor:
Tenant Name: 24-1 L
PROPERTY OWNER
Name3-61/1 i er
Name: f xj Le
Address: 3 //
f
( /b
Address::( 30a mo / AI 5
vSState: WA, Zip: /828(
City: TX /(Uu i (a- State: WA-
Zip: giCt/6
CONTACT PERSON - person receiving all project
communication
Name3-61/1 i er
/4J thjeo,
Address: 3 //
f
( /b
City: 'F fi
vSState: WA, Zip: /828(
Phone: 7/ o�/��_ Fax:
Email: „em,i er,„d/VW7 '"V/ •�'"1
New Tenant: ❑ Yes No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: f�pr. .Z..„
G
Address: (0 Z' f( l fore. (j._u i ' N;
City: `e/ State: • 4. Zip: Ix/
,( (
Phone: Fax:
Contr Reg No.;hnum° Exp Date:Cv�
((// �CJ�
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ et/V--��rr--
Scope of Work (please provide detailed information): .,1 -,?1 / af 1w / / Zi71// .45j Gbit
Will service b tered? Yes
Type of Use: e i ktIOt `
Type of work:
�^1
No Adding more than 50 amps? ❑ Yes No
❑ New 0 Addition 0 Service Change
Low Voltage 0 Generator 0 Fire Alarm
Propbrty Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\ApphcattonsWonns-Appltcattons On Line \2013 Apphcattons'Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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❑ Remodel
O Telecommunication
O Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
le
ily
$152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ L3pw voltage systems
1t: • (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
i (alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
O Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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 ; OR EL _ RICAL CONTRACTOR:
Signature:
Print Name:
0244./11 AL,c iko rel
Mailing Address: (,31('' L i I f R/
H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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Date: 2( 744 3
ay Telephone: wU 6 �-- ?i7
..3
Obt'r/ _ •„
City State Zip
IT 71)8 7
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermitTRAK
QUANTITY
PAID
$259.90
EL13-1233 Address: 13008 38 LN S Apn: 7340600810
$59.85
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY R000.322.101.00.00
$59.85
EL13-1234 Address: 1622145 AVE S Apn: 9314900120
$59.85
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY R000.322.101.00.00
$59.85
EL13-1235 Address: 120 ANDOVER PARK E Apn: 0223000062
$140.20
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
TOTAL FEES PAID BY RECEIPT: R264
$140.20
$259.90
Date Paid: Thursday, December 05, 2013
Paid By: NORTHWEST PERMIT INC, ADT ACCO
Pay Method: CHECK 1724
Printed: Thursday, December 05, 2013 1:04 PM 1 of 1
C✓I1WSYSTEMS
June 20, 2014
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Northwest Permit
c/o Jennifer Burgess
1345 S Gulf Rd
Point Roberts, WA 98281
RE: Refund for Permits
Dear Ms. Burgess,
Enclosed is an eighty percent refund of fees paid for permit EL13-1233 and EL14-0412. Per the email
request for permit cancellation and refund from Julie Reyes with ADT LLC, these permits were pulled for
work which was never completed.
Sincerely,
Jennifer Marshall
Permit Technician
File: Permit No. EL13-1233 & EL14-0412
Encl: Check No. 366591
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
TO:
FROM:
DATE:
SUBJECT:
•
MEMORANDUM
Laurie Anderson
Brenda Holt
May 16, 2014
Refunds for Electrical Permits
EL13-1233 & EL14-0412
•
Please draw a check in the amount of $79.57 (seventy-nine dollars and fifty-seven cents)
to be payable to Northwest Permit Incorporated at 1345 Gulf Rd in Point Roberts
Washington, 98281.
These permits were pulled but the work was never completed. The applicant has
requested a refund which the Interim Building Official has granted at 60%. Please refund
the money as follows:
Permit No.
Account
Amount.
EL13-1233
000.322.101.00.00
$35.91
EL14-0412
000.322.101.00.00
$41.58
EL14-0412
000.322.900.04.00
$2.08
Total Refund
$79.57
Please forward the check to me and I will forward it on to the applicant.
Thank you!
Jennifer Marshall
From: Reyes, Julie A <jlee@adt.com>
Sent: Friday, May 09, 2014 3:53 PM
To: Jennifer Marshall
Cc: Nickols, Timothy; Jennifer Covello
Subject: Cancel/Refund permit EL13-1233
Please Cancel/Refund Permit EL13-1233. We did not do any work.
*** Address has changed *** Please mail the refund to:
ADT, Attn: Tim Nickols
6102 N 9th St, Suite 700
Tacoma, WA 98406
Thank You,
Julie A. Reyes
This email (including any attachments) may contain information that is private or business confidential. If you
received this email in error, please delete it from your system without copying it and notify sender by reply
email so that our records can be corrected.
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5/1/2014
•
City of Tukwila
•
Department of Community Development
JENNIFER BURGESS
1345 GULF RD
POINT ROBERTS, WA 98281
RE: Permit No. EL13-1233
LE RESIDENCE
13008 30 LN S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of
such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun
for a period of 180 days. Your permit will expire on 6/3/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 6/3/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Jen7ifer Marshall
Permit Technician
File No: EL13-1233
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Prr, 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
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 12/05/2013