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Home My WebLink AboutPermit EL14-0778 - STAUDT RESIDENCE - SECURITY SYSTEMSTAUDT RESIDENCE 15836 43 AVE S EL1 4-0778 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 ELECTRICAL OTC PERMIT 6154200040 Permit Number: 15836 43RD AVE S Issue Date: Permit Expires On: STAUDT RESIDENCE EL14-0778 8/12/2014 2/8/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: STAUDT ANTHONY L 15836 43RD 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 Phone: (206) 774-9499 Phone: (561) 988-3600 Expiration Date: 3/20/2016 DESCRIPTION OF WORK: INTRUSION ALARM INSTALL Valuation of single family: $425.00 Valuation of mf/comm: $0.00 Type of Work: FIRE ALARM Fees Collected: $62.84 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: HIGHLINE Sewer District: NONE Current Codes adopted by the City of Tukwila: International 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: Date: 0411H 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: Crirt/`l- Print Name: 6c,444, Date:✓7)11-:/// 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 0 2100 ELECTRICAL FINAL 0 7003 ROUGH -IN ELECTRICAL 0 7002 SERVICE 0 7001 UNDERGROUND/SLAB CITY OF TUKWI—A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Lt Project No. Date Application Accepted: 01 12l i Date Application Expires: or 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: 15836 43RD AVE S ANTHONY STAUDT PROPERTY OWNER Name: ANTHONY STAUDT Address: 15836 43RD AVE S City: TUKWILA State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: JENNIFER COVELLO/NWPERMIT-AGENT Address: 9808 31 st Ave SE City: Everett State: WA Zip: 98208 Phone: (206) 774-9499 Fax: Email: jennifer@nwpermit.com King Co Assessor's Tax No.: 6154200040 Suite Number: Floor: New Tenant: ❑ Yes ..No ELECTRICAL CON TRACTOR 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: 03/20/2016 Tukwila Business License No.: b 1 7 f i7c1 ., Valuation of Project (contractor's bid price): $ 425 Scope of Work (please provide detailed information): INTRUSION ALARM INSTALL Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes ® No Type of Use: Residentail Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel ❑ 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:\ApplicationsWorms-Applications On Line\2011 Applications \Electrical Permit Application Revised 8-9-11.doex Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ 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 ❑ 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 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ 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 I-IEREBY 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 Signatur Print Name: £z eI L _ Day Telephone: (206) 774-9499 Mailing Address: 9808 31st Ave SE EVERETT, WA 98208 State Zip ELECTRICAL CONTRACTOR: City Date: f?.- H:\Applications\Fomu-Applications 6n Line12011 Applications Eleciaeal Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT, I QUANTITY PAID PermitTRAK 62.84 EL14-0778 Address: 15836 43RD AVE S pn: 6154200040 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2839 R000.322.900.04.00 0.00 $2.99 $62.84 Date Paid: Tuesday, August 12, 2014 Paid By: NORTHWEST PERMIT, ADT ACCOUNT Pay Method: CHECK 2800 Printed: Tuesday, August 12, 2014 1:31 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 6,11/-a# Project: if l Type of Inspection: a fikt�.-- Address: /�� • Date Called: Special Instructions: Date Wanted: 9- a m: Requester: 1 Phone No: trgApproved per applicable codes. tl Corrections required prior to approval. COMMENTS: Inspector: Date: OViz lY REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 tu1oi1g Project: Type of Inspection: Address: � �3 � � 5 �, Date Called: Special Instructions: A -or Date Wanted: Q IIQ\3 G... p.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: — 40 hax- l Z-o5"-p.'i - - iia 0d?'A .r .J Jr1 - Pk43 ('_D Jrk C-r' 1A/5 e ok. lot. 51( /Zt;( 77 A4.M(A6 GoAt io-AA&J( ItI3Pay,fforintir Date: O�8711/ tr REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: T ADT LLC Page 1 of 2 4:7411 Washington State Department of Labor & Industries ADT LLC Owner or tradesperson Gursahaney, Naren K Principals Gursahaney, Naren K, PARTNER/MEMBER Beleisch, Nelson D, PARTNER/MEMBER Tulsyan, Ravi, PARTNER/MEMBER Doing business as ADT LLC WA UBI No. 603 190 246 6102 N 9TH ST TACOMA, WA98406 206-719-0347 PIERCE County Business type Limited Liability Company 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 Active. Meets current requirements. Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Received by L&I Effective date 03/20/2012 03/01/2012 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL* 881 DO&SAW= 08/12/2014