HomeMy WebLinkAboutPermit EL15-0523 - NGO RESIDENCE - INTRUSION ALARMET NGO
3829SI32 ND PL
EL15-0523
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
Parcel No: 1422600160
Permit Number: EL15-0523
Address: 3829 S 132ND PL
Issue Date: 6/9/2015
Permit Expires On: 12/6/2015
Project Name: KIET NGO
Owner:
Name: PHAM NGOC-NU THI+NGUYEN TU M
Address: 3829 S 132ND PL, TUKWILA, WA,
98168
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: 6102 N NINTH ST, TACOMA, WA,
98406
License No: ADTLLL*881DO
Expiration Date: 3/20/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADDING TO EXISTING LOW VOLTAGE INTRUSION ALARM
Valuation of single family: $0.00
Fees Collected: $62.84
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 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 Signatu
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 the conditions attached to this permit.
Signature: 'w Date: >
Print Name:,n
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
lam://hawiv.TukwilaWA. yo_v
Electrical Permit No. � 0�Z�
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.: 1422600160
Site Address: 3829 S 132nd PI Suite Number: Floor:
Tenant Name: Kiet Ngo New Tenant: ❑ .....Yes ❑ ..No
PROPERTY OWNER
Name: Kiet Ngo
Address: 3829 S 132nd PI
City: Tukwila State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Covello/ jennifer@nwpertnit.com
Address: 9808 31 st Ave SE
City: Everett State: WA zip: 98208
Phone: (206) 774-9499 Fax: (ggg) 400-0383
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
City: BOTHELL State: WA zip: 98011
Phone: (206) 774-9499 Fax: (ggg) 400-0383
Contr Reg No.: ADLLL* 81 DO Exp Date: 03/20/2016
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 305
Scope of Work (please provide detailed information): Adding to existing low voltage intrusion alarm
Will service be altered? ❑ Yes m No Adding more than 50 amps? Q Yes (jZ No
Type of Use: SFR
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ApplicationslFottns-Applicat ions On l.ine12014 ApplicationsTlectrical Permit Application Revised I-1-14.docx
Revised: January 2014
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Page I 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) .................................
$65.00
❑
Temporary service (generator) ...................................
$80.90
❑
Manufactured/mobile home service ...........................
$86.25
(excluding garage or outbuilding)
❑
Carnivals....................................................................
$80.60
Number of concessions .........................
$10.80 ea
Each ride and generator truck ...............
$10.80 ea
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 HF,REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE; UNDER
PENALTY OF PERJURY BY TIIE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name:
Date:
Day Telephone: (206) 774-9499
Mailing Address: 9808 31 st Ave SE Everett WA 98208
City State Zip
H:\Applications\Forms-Applications OnLine\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS•
PermitTRAK
QUANTITY
PAID
$62.84
EL15-0523 Address: 3829 S 132ND PL
Apn: 1422600160
$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' 4:'
R000.322.900.04.00 0.00
$2.99
$62.84
Date Paid: Tuesday, June 09, 2015
Paid By: ADT LLC
Pay Method: CHECK 62.84
Printed: Tuesday, June 09, 2015 11:23 AM 1 of 1 CM SY57EM5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ��/
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 ar
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection: w�M
77
Address: 13
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
Page 1 of 2
Home lnicio en .Espan"ol Contact.
Safety
Washington State Department of
Labor & Industries
ADT LLC
Owner or tradesperson
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
A-% hxlex Help My secure L'&I
Claims & Insurance Workplace Rights Trades & Licensing
ATTN LICENSING DEPT PO BOX 310702
BOCA RATON, FL33431-0702
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
Des ignated, administrator
Nickols, Tim
License type
Electrical Administrator
Bond
Federal Ins Co
Bond account no.
82295435
Received by L&I
0312012012
Savings
No savings accounts during the previous 6 year period.
License Violations
.................................... .... _...........
No license violations during the previous 6 year period.
I 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.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 6/9/2015