HomeMy WebLinkAboutPermit EL14-0374 - VAN FRACHEN RESIDENCE - SECURITY SYSTEMVAN FRACHEN
RESIDENCE
4031 S 146 ST
EL1 4-0374
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: 0040000925
ELECTRICAL OTC PERMIT
Permit Number: EL14-0374
Address: 4031 S 146 ST Issue Date: 4/21/2014
Permit Expires On: 10/18/2014
Project Name: VAN FRACHEN RESIDENCE
Owner:
Name: VAN FRACHEN ANNA M
Address: PO BOX 68732 4031 S 146TH,
SEATTLE, WA, 98168
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: 3/20/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD TO EXISTING SECURITY SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $62.84
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 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature: t�( Nam`
Date:) ` ! Li
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: a-6 —2l T�`%k
Print Name: r /`(G7J�UI u'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 TUX LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
� t
Electrical 1-ermit 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
Site Address:
Tenant Name:
1031 57
j4-4,t,,. vA4 Fro,.: i 'tt
PROPERTY OWNER
Name: A
nnAo<
1 pa-/N F f \--C _
Address:
(
S i t1i y-
6
/i[(/7�[�3
City: l�/ f% (
State: , !_ Zip:1j6 '
CONTACT PERSON — person receiving all project
communication
Name: Tem ?f r pxrad,00peitvi
Ale
Address: /34t5 9� ,c- /J
City: 4j?Lvfbv(S State: ! / Zip: '
;, :
Phone: 766 -_ R/Max:
Email: Tell A l'r-Zr& It W.perfrt/. e *' '"1
King Co Assessor's Tax No.:
1-�rroo� Z 5
Suite Number: Floor:
New Tenant: ❑ Yes cSr.
No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 4p7,--�) /'
L(�r,1'
Address:' U Z J f / oiItA Z tivA Al
City: RoWle ///�' State:'(/( Zi : y
Phone: Fax:
Contr Reg No.hpaL;j(a j�l poExp Date: O?/zo/�/�
1/
TukwilaBusineeessssvLicense�lNoo..r/;
Valuation of Project (contractor's bid price): $ 4,cF
Scope of ork (please provide detailed information):
A e ii-1 A 4�grlf S sf&\
� � y
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: RZ-°f!I6'l?(
Type of work:
❑ New ❑ Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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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) $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
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
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.
1 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 0
ELECTRICAL CONTRACTOR:
Signature: �� Date: 0— 4— 36./11
Print Name: i/ V I L (, 01 /\,j Mi(ko`l,(i A
lMailing Address: 3 45 ` i`7U/f J
Day Telephone: [i,-6 —60 / —Q '63
15
City State Zip
H:Wpplications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised I-I-14.docx
Revised: July 2013
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$62.84
EL14-0374 Address: 4031 S 146 ST Apn: 0040000925
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1872
R000.322.900.04.00
$2.99
$62.84
Date Paid: Monday, April 21, 2014
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2774
Printed: Monday, April 21, 2014 4:09 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
64 ti
(206) 431-3670
DIVISION
PERMIT NO.
Project: JJ jj el,
V't4 i't<-"�\
Type of Inspection:
A.I'+tCti
Address: 0) i S - r i& 3,
Date Called:
Special Instructions:
Date Wanted:
ilizfsa.
Requester:
Phone No:
j b Y 3 7
16
0Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
If v
Inspector:...Ni r rz,0
Date: %ilr
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 3
Washington State Department of
Labor & Industries
ADT LLC
Owner or tradesperson
Gursahaney, Naren K
Principals
Gursahaney, Naren K Beleisch, Nelson
DTulsyan, Ravi
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
LLC ADT
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
ADTLLL*881 DO
Effective — expiration
03/20/2012 — 03/20/2016
Designated administrator
Nickols, Tim
License type
Electrical Administrator
Bond
Federal Ins Co
Bond account no.
82295435
Received by L&I
03/20/2012
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
NICKOT*902DA
$4, 000.00
Effective date
03/01/2012
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 04/21/2014