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Home My WebLink AboutPermit EL15-0121 - DESSALEGNE RESIDENCE - CONNECT PANEL, DEVICE AND POWER SUPPLY AND WIRINGDESSALEGNE RESIDENCE 4628 S 160 ST CANCELED 07120115 EL15-0121 ON of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-93SO Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 2223049095 Permit Number: EL15-0121 Address: 4628 S 160TH ST Issue Date: 2/5/2015 Permit Expires On: 8/4/2015 Project Name: DESSALEGNE RESIDENCE Owner: Name: ADAM DESSALEGNE B Address: 4628 S 160TH , SEATTLE, WA, 98188 Contact Person: Name: JENNIFER COVELLO Phone: (206) 774-9499 Address: 9808 31 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: REPLACE QUICK CONNECT PANEL REPLACE LOW VOLTAGE DEVICE AND POWER SUPPLY REPLACE DEVICE AND WIRE Valuation of single family: $200.00 Fees Collected: $62.84 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT Water District: HIGHLINE Sewer District: NONE 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: Vim/ c y 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 ree to the conditions attached to this permit. Signature: ! �� c Date:010�/00/5 Print Name: / Y- I'Xm _ _ _ L VI1 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 http://www.TukwilaWA.gov Electrical Permit No. L , Project No. Date Application Accepted: Date Application Expires: _ 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.: 2223049095 Site Address: 4628 S 160TH STREET Suite Number: Floor: Tenant Name: ADAM DESSALEGNE New Tenant: ❑ .....Yes Qf ..No PROPERTY OWNER Name: ADAM DESSALEGNE Address: 4628 S 160TH STREET City: TUKWILA State: WA Zip: 98188 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): $ 200 Scope of Work (please provide detailed information): REPLACE QUICK CONNECT PANEL REPLACE LOW VOLTAGE DEVICE AND POWER SUPPLY REPLACE DEVICE AND WIRE Will service be altered? ❑ Yes Q No Type of Use: Residential Type of work: ❑ New ❑ Addition ❑ Service Change 0 Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light I l:\Applications\Forms-Applications On Linc\2011 ApplicationsElectrical Permit Application Revised 8-9-1l.docx 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: 03/20/201 Ei Tukwila Business License No.: Adding more than 50 amps? ❑ Yes 0 No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings...................................$152.85 (including an attiched garage) ❑ Garages, pools, spas End outbuildings ........................ S81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) ................................ S59.85 ea NI'.SIDENTIAL REI40DEL AND SERVICE CHANGES ❑ Service change or alteration ...................................... S81.90 (no added/altereti circuits) ❑ Service change with added/altered circuits ................. S81.90 number of added circuits ....................... S 11.55 ea ❑ Circuits added/altered without service change ........... S54.60 (up to 5 circuits) ❑ Circuits added/altered without service change ........... S54.60 (6 or more circuits) ............................................... S7.65 ea ❑ Meter/mast repair ....................................................... S68.25 Low voltage systems ................................................. S59.85. (alarm, furnace thermostat) PERMIT APPLICATION NOTES - MI;IT.TI-FAMILY , AND COMMERCIAL Fees are based on the valuation o f the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ................................. $61-.00 ❑ Temporary service (generator) ................................... $78.75 ❑ Mamifactured/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 constnlction amount should be entered by the applicant. This figure will be reviewed and is :;ubject to possible revision by the :Permit Center to comply with current :Fee schedules. Expiration of Plan Review — Applications for which n:1 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 extemion shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I A:M AUTHORIZEI:I TO APPLY FOR THIS PERMIT. Date: 02/05/2015 (206) 774-9499 Mailing; Address: 9808 31st Ave SE EVERETT, WIAL 98208 City Slaw Zip ll:Wpplicalions%Fortns.Applications On Lmc\2011 ApplieationskEleetrieal Permit r.ppliestion Revised 8-9-1 Ldoex Revised: August 20l 1 bh PEge 2 of 2 DESCRIPTIONS PermitTRAK $62.84 EL15-0121 Address: 4628 S 160TH ST Apn: 2223049095 $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 R000.322.900.04.00 0.00 $2.99 Date Paid: Thursday, February 05, 2015 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 2922 Printed: Thursday, February 05, 2015 3:47 PM 1 of 1 RWSYS7EMS City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director August 21, 2015 ADT ATTN: Tim Nickols 6102 N 91h St, Suite 700 Tacoma, WA 98406 RE: Partial Refund of Fees Permit Number EL15-0121 Dear Mr. Nickols, Enclosed you will find a check in the amount of $47.88 (forty seven dollars and eighty eight cents). The Building Official reviewed your request for a partial refund of permit fees based on the request for cancellation. The refund amount is 80% of the permit fees. Sincerely, Bill Rambo Permit Technician File: Permit No. EL15-0121 Encl: Check No. 369996 WAPermit Centel-\Refund,s\Refiuids\2015\EL15-0121 Permit Refitnd.docx 6300 Southcenter Boulevard, Suite #100 9 Tukwila, Washington 98188 9 Phone 206-431-3670 • Fax 206-431-3665 MEMORANDUM TO: Laurie Anderson FROM: Brenda Holt ok DATE: July 23, 2015 SUBJECT: Refund for Electrical Permit EL15-0121 Please draw a check in the amount of $47.88 (forty-seven dollars and eight -eight cents) to be payable to Northwest Permit at 9808 31" Avenue SE in Everett, WA 98208. The work for this permit was not performed. The permit has been cancelled and the applicant has requested a refund which the Building Official has granted at 80%. Please provide the refund as follows: Account Amount 000.322.101.00.00 $47.88 000.322.900.04.00 $0.00 Total $47.88 Please forward the check to me and I will forward it on to the applicant. Thank you! Bill Rambo From: Brenda Holt Sent: Monday, July 20, 2015 8:01 AM To: Rachelle Ripley; Bill Rambo Subject: FW: Cancel/Withdraw permit EL15-0121 for Adam Dessalegne. Can one of you please process the refund for the permit below. Thanks Brenda From: Reyes, Julie A [mailto:jlee@adt.com] Sent: Friday, July 17, 2015 12:53 PM To: Brenda Holt Cc: Nickols, Timothy; Jennifer Covello Subject: Cancel/Withdraw permit EL15-0121 for Adam Dessalegne. Please Cancel/Withdraw permit EL15-0121. No work was performed. Please mail any refund to: ADT, Attn: Tim Nickols 6102 N 9th St, Suite 700 Tacoma, WA 98406 Thank You, Julie A. Reyes NW #72420 Request for Refund ❑ Approved for full refund r� Approved for ( % refund of LJ Denied (provide explanation) Signkture/Initials fee(s) 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. RECEIVED CITY OF TUKWILA JUL 2 0 2015 PERMIT CENTER City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 7/1/2015 JENNIFER COVELLO 9808 31 AVE SE EVERETT, WA 98208 RE: Permit No. EL15-0121 DESSALEGNE RESIDENCE 4628 S 160 ST Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 8/4/2015. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 8/4/2015, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, —411�L c Bill Rambo Permit Technician File No: EL15-0121 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 e Phone 206-431-3670 • Fax 206-431-3665 ADT LLC Page 1 of 2 Home Inicio en Espanol COTAUft Search L&I A-1 Index Help My Secure 1AI. Safety Claims & Insurance Workplace Rights Trades & Licensing ADT LLC Owner or tradesperson 6102 N 9TH ST Gursahaney, Naren K TACOMA, WA98406 206-719-0347 Principals PIERCE County Gursahaney, Naren K, PARTNER/MEMBER Beleisch, Nelson D, PARTNER/MEMBER Tulsyan, Ravi, PARTNER/MEMBER Doing business as ADT LLC WA UBI No. Business type 603 190 246 Limited Liability Company License 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 Designated administrator .........._............ Nickols, Tim License type Electrical Administrator Bond ................ Federal Ins Co Bond account no. 82296436 Received by L&I 03/20/2012 Savings N ..............._ ... o savings accounts during the previous 6 year period. License Violations ........................................................ No license violations during the previous 6 year period. Workers' comp Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Effective date 03/01/2012 Expiration date Until Canceled Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums This company has multiple workers' comp accounts. Active accounts L&I Account ID Account is current. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 02/05/2015