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HomeMy WebLinkAboutPermit EL13-1234 - SABRIE RESIDENCE - LOW VOLTAGESABRIE RESIDENCE 16221 45 AV S EL1 3-1234 • �yw City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 1908 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov Parcel No: Address: ELECTRICAL OTC PERMIT 9314900120 Permit Number: EL13-1234 1622145 AVE S Project Name: SABRIE RESIDENCE Issue Date: 12/5/2013 Permit Expires On: 6/3/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SABRIE SHARIFFA 16221 45TH AVE S , TUKWILA, WA, 98188 JENNIFER BURGESS 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: INTRUSION ALARM, ADD CELLGUARD Valuation of single family: $99.00 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Fees Collected: $59.85 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE Sewer Distric: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: ovVila Date: I2 oCr( • • I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development perm't and agree to the conditions attached to this permit. n j Signature: Date:.! 9=40$ / 3 Print Name: kJ g/gcarit l !k& 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 TUKW� 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: 12-' 0 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: / 6ZZ Tenant Name: 4ha ri -F 56'/We 5 5oiri, King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ,No PROPERTY OWNER jJ Name: (,_-tw Address: 131(5 5uiti._ ii) Name: li _ ri r f ,,K� e ze2�j _ f 7 ax:W Ur�v'-/ul; Email: j— 'r W T rfilii COY " ` Address: 16 z Zi( '5 ,4-V - ' City: 77 kl 1(J . State: /_ ),/1 Zip: tar CONTACT PERSON — person receiving all project communication jJ Name: (,_-tw Address: 131(5 5uiti._ ii) City: W_ ./',A,./t State: / / Zip: WI'Phone: Gggl ze2�j _ f 7 ax:W Ur�v'-/ul; Email: j— 'r W T rfilii COY " ` I74fgoolzO ELECTRICAL CONTRACTOR INFORMATION Company Name: fQ1 Lf /�, l Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Will service be altered? ,E1 Yes 16 No Type of Use: )Witoie(?-tc( Type of work: ❑ New 0 Addition 0 Service Change Low Voltage 0 Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light Adding more than 50 amps? ❑ Yes No H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh ❑ Remodel O Telecommunication O Tenant Improvement ❑ Temporary Service Page 1 of 2 t �1 t •I r RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single faiiiily dwellings $152.85 (including an attached garage) ❑ rages, pools, spas and outbuildings $81.90 ea ta: (alarm, -1 • ace thermos'. 9.85 ea syste 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 ' ElMeter/mast repair ' 1 r 1 , $68.25 • ;EC 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ 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 mot 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: • if#V1 Date: L J wt 1 el / t Print Name: Y�! J((k D� (� 4 Day Telephone:L2�%� 1 oio Mailing Address: 13 � Stilt Rivt Y / e� 76 W rat City State Zip H:\Applications\Forms-Applications On Line \2013 Apphcations'Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh 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 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 643, (23q 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project: `08 kte ges , Type of Inspection: /� Address:/ � �� • � rib). � Date Called: Special Instructions: Date Wanted: U I Z /2112— ` if r p.m. Requester: Phone No: 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 6tNlifeN, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: tilt 24 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit �t3-�Z3 PERMIT NO. Project: 5105e. ,R t� Type of Inspection: r Address: /41 1c Ave Date Called: Special Instructions: ADRequester: 504/017 Date Wanted: /,- 09 G(( p m� i Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ACces5 :oo Ke() (,i5 m04 AJ) PRaIl Dr ACcE55 Inspector:. •' Date: nq 3 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 Per Friendly Page • Electrical Contractor A business licensed by L81 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 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 12/05/2013