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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 bh 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 H: ApplicationsTorms-Applications On Line\2011 ApplicationsTlect+ical Permit Application Revised 8-9-11.do" Revised: August 2011 bh 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