The URL can be used to link to this page

Home My WebLink AboutPermit EL14-0075 - DR PHILLIPS - SECURITY SYSTEMDR PHILLIPS 16218 42 AVE S EL1 4-0075 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 Parcel No: 5379800695 ELECTRICAL OTC PERMIT Permit Number: EL14-0075 Address: 16218 42 AVE S A Issue Date: 1/28/2014 Permit Expires On: 7/27/2014 Project Name: DR PHILLIPS Owner: Name: PHILLIPS JAMES H Address: 16218 42ND AVE S , TUKWILA, WA, 98188 Contact Person: Name: JENNIFER BURGESS Address: 1345 GULF RD , POINT ROBERTS, WA, 98281 Phone: (206) 774-9499 Contractor: Name: ADT LLC Phone: (561) 988-3600 Address: 11824 N CREEK PARKWAY N, SUITE , BOTHELL, WA, 98011 License No: ADTLLL*881D0 Expiration Date: 3/20/2014 Lender: Name: Address: DESCRIPTION OF WORK: INTRUSION ALARM INSTALLATION Valuation of single family: $0.00 Valuation of mf/comm: $399.00 Type of Work: LOW VOLTAGE Fees Collected: $77.28 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 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: Ohl) 14.'S 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' d agree to the conditions attached to this permit. Signature: Date: w Print Name: (mil,t', g-i- 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 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 http://www.TukwilaWA.gov Electrical Permit No. € Lt ` 00 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 Address: 16218 42nd Ave S Suite A Tenant Name: Dr Phillips Office PROPERTY OWNER Name: Dr Phillips Office Address: 16218 42nd Ave S Suite 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.: 5379800695 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.: p-vlc 0161 %lU 01 Valuation of Project (contractor's bid price): $ 399 Scope of Work (please provide detailed information): Intrusion Alarm Installation Will service be altered? ❑ Yes ❑✓ No Type of Use: COMMERCIAL Type of work: ❑ New ❑ Addition • Low Voltage ❑ Generator Property Served by: ❑ Service Change O Fire Alarm Puget Sound Energy ❑ Seattle City Light H:\Applications\Fornu-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes 0 No O Remodel ❑ Telecommunication 0 Tenant Improvement ❑ Temporary Service Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea O 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 O 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 O Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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 OWNER OR ELECTRICAL CO TOR: Signatur Print Name: Gavin McLean Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: 01/28/2014 Day Telephone: (206) 774-9499 City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $145.53 EL14-0075 Address: 16218 42 AVE S A Apn: 5379800695 $77.28 ELECTRICAL $73.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $73.60 TECHNOLOGY FEE $3.68 TECHNOLOGY FEE R000.322.900.04.00 $3.68 EL14-0076 Address: 16218 42 AVE S B Apn:"5379800695 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R964 R000.322.900.04.00 $3.25 $145.53 Date Paid: Tuesday, January 28, 2014 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 9103 Printed: Tuesday, January 28, 2014 10:14 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: k. r1'�IL�P5 Type of Inspection: ri Address: /f 0t Lf Date Called: Special Instructions: . n i Date Wanted: 2-0a.m p.m. Requester: Phone No: Approved per applicable codes.Corrections required prior to approval. COMMENTS: lF'jN�4t/ Inspector: Date: (2 ; REINSPECTION FEE REQUIRED.. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ADT LLC Page 1 of 2 Washington State Department of Labor & Industries ADT LLC Owner or tradesperson Gursahaney, Naren K Principals Gursahaney, Naren K Nelson Beleisch Ravi Tulsyan Doing business as ADT LLC WA UBI No. 603 190 246 11824 N Creek Parkway N BOTHELL, WA98011 206-719-0347 KING, County Business type Limited Liability Company Governing persons LLCADT License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. ADTLLL*881 DO Effective — expiration 03/20/2012 — 03/20/2014 Designated administrator Nickols, Tim License type Electrical Administrator Bond Federal Ins Co Bond account no. 82295435 Received by L&I 03/20/2012 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. License Violations ACTIVE License no. NICKOT*902DA $4, 000.00 Effective date 03/01/2012 No license violations during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 01/28/2014