HomeMy WebLinkAboutPermit EL14-1213 - CHANES RESIDENCE - VIDEO SURVEILLANCE AND CARD ACCESS SYSTEMCHANES RESIDENCE
13301 57TH AVE S
WITHDRAWN/CANCEL
04/22/2015
EL14-1213
City of Tukwila
Department of Community Development
�) 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
i6 Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No:
Address:
ELECTRICAL OTC PERMIT
2172000229 Permit Number: EL14-1213
13301 57TH AVE S
Project Name: CHANES RESIDENCE
Issue Date: 12/16/2014
Permit Expires On: 6/14/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
HIGH COUNTRY HOMES LLC
PO BOX 188 , PUYALLUP, WA, 98371
JENNIFER COVELLO
9808 31 AVE SE, EVERETT, WA, 98208
ADT LLC
Address: 11824 N CREEK PARKWAY N, SUITE ,
BOTHELL, WA, 98011
License No: ADTLLL*881D0
Lender:
Name:
Address:
1 1 1
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2016
DESCRIPTION OF WORK:
INSTALL VISDEO SURVEILLANCE AND CARD ACCESS SYSTEMS
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: 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:
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:
'P,,t
Date:
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 t J conditions attached to this permit.
Signature:
Print Name:
�i-
�/1L" M»,^
� /i
Date: / � � C
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 TUKWILA
Community Development Department
Permit Center
6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
http://wvvvv.TukwilaWA.gov
Electrical Permit No. C LV A- 1)43
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
King Co Assessor's Tax No.: 2172000229
Site Address: 13301 57th Ave S Suite Number: Floor:
Tenant Name:
Jordan Chanes
PROPERTY OWNER
Name: Jordan Chanes
Address: 13301 57th Ave S
City: TUKWILA State: WA
Zip: 98178
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
New Tenant: ❑ Yes ® ..No
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): $ 388
Scope of Work (please provide detailed information):
Install video surveillance and card access systems
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes ® No
Type of Use: Residential
Type of work:
❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
O Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forn s-Applications On Line \2D1 ] Applications\Eleetrical 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
❑ 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:`1.2'' 0�2__---_______,. Date: 12/16/2014
Print Name: fit/ t N /w" a ►^ Day Telephone: (206) 774-9499
Mailing Address: 9808 31 st Ave SE EVERETT, WA 98208
City
State Zip
H:\Applications\1 orms-Applications On Linel2011 Applcations\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$125.68
EL14-1213 Address: 13301 57TH AVE S
Apn: 2172000229
$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
EL14-1214 Address: 15126 SUNWOOD BLVD 11 Apn: 8141401630
$62.84
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: R3780
R000.322.900.04.00
0.00
$2.99
$125.68
Date Paid: Tuesday, December 16, 2014
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2985
Printed: Tuesday, December 16, 2014 11:42 AM 1 of 1
CriPINSYSTEMS
TO:
FROM:
DATE:
MEMORANDUM
Laurie Anderson
Brenda Holt
April ,6 2015 •
SUBJECT: Refunds for Electrical Permit
EL14-1213 11°
Please draw a check in the amount of $47:881(forty-seven dollars and eighty-eight cents)
to be payable to, :orthwestTermi“ncorporated at 1345 Gulf Rd in Point Roberts
Washington, 98281.
This permit EL14-1213 was not needed. The applicant has requested cancellation and
refund of this permit. The Interim Building Official has approved cancellation and
granted an 80% refund. Please refund the money as follows:
ran
11
000.322.101.00.00 i'
$4.7:88
TOTAL REFUND
$47.88
Please forward the check to me and I will forward it on to the applicant.
Thank you!
Brenda Holt
From:
Sent:
To:
Cc:
Subject:
Reyes, Julie A <jlee@adt.com>
Friday, March 20, 2015 12:43 PM
Jennifer Marshall
Nickols, Timothy; Jennifer Covello
Cancel/Refund permit EL14-1213 for Jordan Chanes.
Please cancel permit EL14-1213. 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 permit #71065
RECEIVED
CITY OF TUKWIL
MAR 2 0 2015
PERMIT CENTER
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.
Request for Refund
Approved for full refund
El Approved for EIL% refund of
_ Denied (provide explanation)
fee(s)
Signature/Initials ___-14Z
1
4.
DESCRIPTIONS
rmit
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
125.68
ddress `1330157TH,AVE S,
n: 2172000229
62i
'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
44121?
126 SUNWOOD BLVD 11`
n814140.163
2.84
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: R3780
R000.322.900.04.00
0.00
$2.99
$125.68
Date Paid: Tuesday, December 16, 2014
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2985
Printed: Friday, April 10, 2015 9:35 AM 1 of 1
SYSTEMS
ADT LLC
Page 1 of 2
Washington State Depattalent 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= 12/16/2014