HomeMy WebLinkAboutPermit EL15-0092 - YOUNG RESIDENCE - CONVERSION MODULEYOUNG RESIDENCE
14075 33 AVE S
EL15-0092
ON 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.izov
Parcel No: 5537200032
Address: 14075 33RD AVE S
Project Name: YOUNG RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL15-0092
Issue Date: 1/29/2015
Permit Expires On: 7/28/2015
Owner:
Name:
YOUNG SALLY R
Address:
14075 33RD AVE S , TUKWILA, WA,
98168
Contact Person:
Name:
JENNIFER COVELLO
Phone: (206) 774-9499
Address:
9808 31ST AVE SE, EVERETT, WA,
98208
Contractor:
Name:
ADT LLC
Phone: (561) 988-3600
Address:
11824 N CREEK PARKWAY N, SUITE,
BOTHELL, WA, 98011
License No:
ADTLLL*881DO
Expiration Date: 3/20/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL HW TO RF CONVERSION MODULE
Valuation of single family: $504.00
Valuation of mf/comm: $0.00
Type of Work:
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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: ZZ/IA-X< 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 regula ' g construction or the performance of work. I am authorized to sign and obtain this
development permit aagree to the condj*ns attached to this permit.
S i g n a t u Date:
Print Na
�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 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hM?://www.TukwilaWA.gov
Electrical Permit No.�� �a
Project No.
Date Application Accepted: 01 q 15 _
Date Application Expires: WalllJ
use
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 I
King Co Assessor's Tax No.: 5537200032
Site Address: 14075 33rd Ave S Suite Number: Floor:
Tenant Name: Sally Young
New Tenant: ❑ .....Yes m ..No
PROPERTY OWNER
Name: Sally Young
Address: 14075 33rd Ave S
City: TUKWILA State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: JENNIFER COVELLO/NWPERMIT-AGEN
Address: 9808 31 St Ave SE
City: Everett State: WA Zip: 98208
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
install hw to rf conversion module
Will service be altered? ❑ Yes
Type of Use: Residentail
Type of work:
❑
New ❑ Addition
m
Low Voltage ❑ Generator
Property
Served by:
❑
Puget Sound Energy ❑
Z No
504
❑ Service Change
❑ Fire Alarm
Seattle City Light
H:Wpplications\Forrm-Applicetiom On Line12011 ApplicationsTlectrical Permit Application Revised 8-9-1 Ldocx
Revised: August 2011
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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.:
Adding more than 50 amps? ❑ Yes
❑ Remodel
❑ Telecommunication
V1 No
❑ Tenant Improvement
❑ Temporary Service
Page] 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)
PERMIT APPLICATION NOTES -
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
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.
Signature:
Print Name: C-1o'vll/( A&L'm
Mailing Address: 9808 31 st Ave SE
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Revised: August 2011
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Date: f�
Day Telephone: (206) 774-9499
EVERETT, WA 98208
City State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$62.84
EL15-0092 Address: 14075 33RD AVE 5 Apn: 5537200032
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
TOTALr R4379
R000.322.900.04.00 0.00
$2.99
:4
Date Paid: Thursday, January 29, 2015
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 2952
Printed: Thursday, January 29, 2015 2:25 PM 1 of 1 z.�
s' .. bYS TEF+{S
INSPECTION RECORD � q
Retain a copy with permit l !DL-
INSPECTION NtI. PERMIT Ni).
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project. Y ! fX t' 1 Type of Inspection: ��1�f AL,
AIA 1w
S&(/AAry
U
F(
REINSPECTIaN FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Gall to schedule reinspection.
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
License
6102 N 9TH ST
TACOMA, WA98406
206-719-0347
PIERCE County
Business type
Limited Liability Company
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
License no.
ADTLLL*881 DO
Effective — expiration
03/20/2012— 03/20/2016
Desinnated administrator
.................
Nickols, Tim
License type
Electrical Administrator
Bond
.................
Federal Ins Co
Bond account no.
82295435
Received by L&I
03/20/2012
Savings
.........................
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
License no.
NICKOT*902DA
$4,000.00
Effective date
03/01 /2012
Expiration date
Until Canceled
License Violations
........................................................
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 01/29/2015