HomeMy WebLinkAboutPermit EL14-0850 - PHITSANOUKANE RESIDENCE - SECURITY SYSTEMPHITSANOUKANE
RESIDENCE
4217 S 116 ST
EL1 4-0850
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
3347400085
4217 S 116TH ST
ELECTRICAL OTC PERMIT
Project Name: PHITSANOUKANE RESIDENCE
Permit Number: EL14-0850
Issue Date: 9/2/2014
Permit Expires On: 3/1/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
PHITSANOUKANE SOMMAY
4217 S 116TH ST, TUKWILA, WA,
98168
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT L
111
Phone: (206) 774-9499
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INTRUSION ALARM INSTALLATION
Valuation of single family: $313.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $62.84
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA 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:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
"-iyDate:
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:
Print Name:
Aara i ,/k/i1
Date:
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 TUKWLP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L- L 14 Q e s
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: 4217 s 116th St
King Co Assessor's Tax No.: 3347400085
Suite Number: Floor:
Tenant Name: Phitsanoukane, Somsano New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: Phitsanoukane, Somsano
Address: 4217 s 116th St
City: TUKWILA State: WA
Zip: 98168
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
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: 03/20/2016
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 313
Scope of Work (please provide detailed information):
INTRUSION ALARM REPLACEMENT
Will service be altered? ❑ Yes
Type of Use: Residentail
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Funm-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-I l.docx
Revised: August 2011
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Adding more than 50 amps? ❑ Yes J No
0 Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 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:
Print Name: d(IAM )(I% 4 1f1/ /' n ` Day Telephone:
Mailing Address: 9808 3lst Ave SE EVERETT, WA 98208
o1/az/�Ay
(206) 774-9499
City
State Zip
H:\Applications\Foam-Applications On Line \20l l Applications\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 20l
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Page 2 of 2
0
Q4
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
131:0
EL14-0849Address: 613 INDUSTRY DR
m: 252304900E
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.25
EL14-0850 Address: 4217 S 116TH'ST Apn: 3347400085 .'
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: R2986
R000.322.900.04.00
0.00
$2.99
$131.09
Date Paid: Tuesday, September 02, 2014
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2792
Printed: Tuesday, September 02, 2014 3:12 PM 1 of 1
CRSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ELIti" Ot5
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Protect:
i'IWf5 arl oh kAf € AS
Type of Inspection: . i� i
Address:
WI7 s Hi/
Date Called:
Ol/�
Special Instructions:
Date Wanted: a.m.
Requester: /
SUMSa 1au1
Phone No:
zvtp 7693 - 12 ti
Approved per applicable codes.ig
Corrections required prior to approval.
COMMENTS:
Inspector:
01rivii
Date:
Q/n,frj
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
C14 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= 09/02/2014