HomeMy WebLinkAboutPermit EL14-1175 - SAISONGKHAM RESIDENCE - SECURITY SYSTEM DEVICESAISONGKHAM
RESIDENCE
13752 45 AVE S
CANCELLED
05/04/15
EL14-1 175
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
7347600356 Permit Number:
13752 45TH AVE S Issue Date:
Permit Expires On:
Project Name: SAISONGKHAM RESIDENCE
EL14-1175
12/4/2014
6/2/2015
Owner:
Name:
Address:
SAISONGKHAM SMITH+KHAMMOUAN
13752 45TH AVE S , TUKWILA, WA,
98168
Contact Person:
Name: JENNIFER COVELLO Phone: (206) 774-9499
Address: 9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC Phone: (561) 988-3600
11824 N CREEK PARKWAY N, SUITE ,
BOTHELL, WA, 98011
License No: ADTLLL*881D0 Expiration Date: 3/20/2016
Contractor:
Name:
Address:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD DEVICE TO EXISTING INTRUSION ALARM
Valuation of single family: $193.00
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:
International Fuel Gas Code:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Permit Center Authorized Signature:
Date: 121 t o l l
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 permi and agree to thpconditions attached to this permit.
Signature:/�4/�
Print Name: c4ri /1.c,L6DVn
Date: G �/
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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
4: 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.
5: 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.
6: 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 TUKW_.__ 1
Community Development Department
Permit Center
6300 Southcenter Bh d., Suite 100
Tukwila, WA 98188
http://wwvv.TukwilaWA.gov
Electrical Permit No. .--t" t 11 C
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:
13752 45th Ave S
David Saisongkham
PROPERTY OWNER
Name: David Saisongkham
Address: 13752 45th Ave S
City: TUKWILA State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: JENNIFER COVELLO/NWPERMIT-AGENT
Address: 9808 3 l st Ave SE
City: Everett State: WA Zip: 98208
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
King Co Assessor's Tax No.: 7347600356
Suite Number: Floor:
New Tenant: ❑ Yes .. No
ELECTRICAL CON'IRACTOR 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): $ 193
Scope of Work (please provide detailed information):
Add device to existing intrusion alarm
Will service be altered? ❑ Yes ❑V No
Type of Use: RESIDENTIAL
Type of work:
❑ New ❑ Addition ❑ Service Change
® Low Voltage 0 Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
Adding more than 50 amps? ❑ Yes ® No
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
H:\Appticationslporms-Applications OnLine \2011. Applications \ Elecnical Permit Application Revised 8-9-11.docx
Revised: August 2011
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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
*Lowvoltage 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 113E STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: �/a--'"l,
Date:
Print Name: L/[ a �l t/1 t �t t v�,_. Day Telephone: (206) 774-499
Mailing Address: 9808 31st Ave SE
EVERETT,
City
WA 98208
State
Zip
H:1Applications\Forms-Applications On L.ine12011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
62.84
EL14-1175 . Address: 13752 45TH AVE S Apn: 7347600356
62.84
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3700
R000.322.900.04.00
0.00
$2.99
$62.84
Date Paid: Thursday, December 04, 2014
Paid By: NORTHWEST PERMITS INC
Pay Method: CHECK 2973
Printed: Thursday, December 04, 2014 2:55 PM 1 of 1
SYSTEMS
1'
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Laurie Anderson
Brenda Holt OK
April 20, 2015
Refund for Electrical Permit
EL14-1175
Please draw a check in the amount of $47.88 (forty seven dollars and eighty-eight cents)
to be payable to Northwest Permits at 9808 — 31 St Avenue SE in Everett, Washington,
98208.
This permit was not needed. Please refund the money as follows:
Account
Amount
000.322.101.00.00
$47.88
Total
$47.88
Please forward the check to me and I will forward it on to the applicant.
Thank you!
Brenda Holt
From: Reyes, Julie A <jlee@adt.com>
Sent: Thursday, April 09, 2015 3:31 PM
To: Jennifer Marshall
Cc: Nickols, Timothy; Jennifer Covello
Subject: Cancel/Refund permit EL14-1175 for David Saisongkham.
Please cancel permit EL14-1175. Permit not needed.
Please mail any refund to:
ADT, Attn: Tim Nickols
6102 N 9th St, Suite 700
Tacoma, WA 98406
Thank You,
Julie A. Reyes
NW #70696
This email, including attachments, may contain information that is private or confidential. If you received this
communication in error, please delete it from your system without copying it and notify sender by reply
communication. ADT Security Services and its affiliates reserve the right to monitor communications handled
by its data communications systems to help ensure compliance with ADT's policies, confidentiality obligations,
and applicable laws.
l
Request for Refund
Approved for full refund
Approved for a % refund of fee(s)
Denied (provide explanation)
Signature/Initials
1
ADT LLC
Page 1 of 2
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= 12/04/2014