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HomeMy WebLinkAboutPermit EL14-0781 - PHAM RESIDENCE - SECURITY SYSTEMHERNANDEZ RESIDENCE 13727 43 PL S EL14-0781 Parcel No: Address: 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 2612000300 Permit Number: 13727 43RD PL S Project Name: HERNANDEZ RESIDENCE Issue Date: Permit Expires On: EL14-0781 8/12/2014 2/8/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: HERNANDEZ JORGE 13727 43RD PL S , TUKWILA, WA, 98168 JENNIFER COVELLO 9808 31 AVE SE , EVERETT, WA, 98208 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: 1 K 1 r V I Q N fim1 Valuation of single family: $100.00 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 District: VALLEY VIEW SEWER SERVICE 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: c Ut zK CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. LI k '\ Project No. Date Application Accepted: �1 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 King Co Assessor's Tax No.: 2612000300 Site Address: 13727 43RD PL S Suite Number: Floor: Tenant Name: JORGE HERNANDEZ New Tenant: ❑ Yes 0..No PROPERTY OWNER Name: JORGE HERNANDEZ Address: 13727 43RD PL S City: TUKWILA State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: JENNIFER COVELLO/NWPERMIT-AGENT Address: 1345 GULF RD City: PT. ROBERTS State: WA Zip: 98281 Phone: (206) 774-9499 Fax: Email: jennifer@nwpermit.com 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.: Valuation of Project (contractor's bid price): $ 150 Scope of Work (please provide detailed information): INTRUSION ALARM INSTALL Will service be altered? ❑ Yes II No Adding more than 50 amps? ❑ Yes © No Type of Use: RESIDENTIAL Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H.\Applications\Forms-Applications On Line\2011 Applications \Electrical Permit Application Revised 8.9-I l.docx 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 0 Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $81.90 (no added/altered circuits) O 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 ❑ 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. 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 OR ELECTRICAL CONTRACTOR: Signature: Date: 08/ 12/2014 Print Name: Gavin McLean Day Telephone: (206) 774-9499 Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281 City H:IApplications\Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-1 I.docx Revised. August 201 I bh Slate Zip Page 2 of 2 LA ti, 0, Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY I PAID $125.68 EL14-0780 ` Address: Apn: 0040000236 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 EL14-0781 Address: .3727 43RD PL S Apn: 2612000300 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R2841 0.00 $2.99 $125.68 Date Paid: Tuesday, August 12, 2014 Paid By: NORTHWEST PERMIT INC, ADT ACCO Pay Method: CHECK 2801 Printed: Tuesday, August 12, 2014 1:51 PM 1 of 1 SYSTEMS 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 axt-o771 Project: /1 l 7, gi5 - Type of Inspection: fi, j Address: I ?717 y3 Pt- Date Called: Special Instructions: , Date Wanted:J) a In, Requester: $ Phone No: /ggo 00 Approved per applicable codes. Corrections required prior to approval. COMMENTS: n 1- r 1 Inspector; 1,4b d jfe REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 6 1(1 /' 1 Tyco Integrated Security LLC Page 1 of 2 Washington State Department of Labor & industries Tyco Integrated Security LLC Owner or tradesperson MAXIE, ROBERT C Principals MAXIE, ROBERT C, PARTNER/MEMBER CABANILLAS, KATHRYN L, PARTNER/MEMBER Van Dover, Mark T., MANAGER CT CORPORATION SYSTEM, AGENT BLEISCH, NELSON D, PARTNER/MEMBER (End: 04/23/2013) FAXAS, MAGIN A, PARTNER/MEMBER (End: 04/23/2013) MCGRATH, DANIEL J, MANAGER (End: 04/23/2013) Doing business as Tyco Integrated Security LLC WA UBI No. 601 636 830 11824 N Creek Pkwy, Ste 105 BOTHELL, WA 98011 561-988-3646 KING County Business type Limited Liability Company 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 HVAC/RFRG License no. TYCOIIS88600 Effective — expiration 09/21 /2012— 09/21 /2014 Designated administrator LITTLE, RON 0 License type Master Electrician Bond Active. Meets current requirements. License no. LITTLR0978D4 Federal Ins Co $4,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601636830&LIC=TYCOIIS88600&SAW= 08/12/2014