HomeMy WebLinkAboutPermit EL13-1234 - SABRIE RESIDENCE - LOW VOLTAGESABRIE RESIDENCE
16221 45 AV S
EL1 3-1234
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�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
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Email:
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Address: 16 z Zi( '5 ,4-V -
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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 _
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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
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❑ 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
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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:/ � �� •
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Date Called:
Special Instructions:
Date Wanted:
U I Z
/2112—
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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