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Permit EL15-0571 - M&I GOLDEN, SILVER, DIAMOND - INTRUSION ALARM
M & I GOLDEN, SILVER, DIAMOND 13985 INTERURBAN AVE S 140 EL15-0571 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: 3365900230 Permit Number: EL15-0571 Address: 13985 INTERURBAN AVE S 140 Issue Date: 6/22/2015 Permit Expires On: 12/19/2015 Project Name: M&I GOLDEN, SILVER, DIAMOND Owner: Name: DAO TRANG T H Address: PO BOX 16184, SEATTLE, WA, 98116 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: INSTALL LOW VOLTAGE INTRUSION ALARM Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $104.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA 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: � YWAA 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 perm' and agree to the conditions attached to this permit. Signatur ��f, Date: �� l Print Name: 014111-1 t�/y► 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 Tuhivila, WA 98188 hgp://www.TukwilaWA.gov IElectrical Permit No. Vl Project No. Date Application Accepted: Date Application Expires: Ise 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.: 3365900230 Site Address: 13985 Interubran Ave S Suite Number: Suite 14 Floor: Tenant Name: M&I Golden, Silver, Diamond New Tenant: ❑ .....Yes ❑ ..No PROPERTY OWNER Name: M&I Golden, Silver, Diamond Address: 13985 Interubran Ave S Suite 140 City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Jennifer Covello/jennifer@nwpermit.com Address: 9808 31 st Ave SE City: Everett State: WA Zip: 98208 Phone: (206) 774-9499 Fax: (888) 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: (888) 400-0383 Contr Reg No.: ADLLL* 81 DO Exp Date: 03/20/2016 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 104 Scope of Work (please provide detailed information): install low voltage intrusion alarm Will service be altered? ❑ Yes m No Type of Use: SFR Tyne of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:Upplications\Forms-Applications On Line\2014 Applications\Electrieal Permit Application Revised 1-1-14.deu Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes m No ❑ Tenant Improvement ❑ Temporary Service 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) ................................. $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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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. Signature: Print Name: r r9A✓1L. A44/ elI Mailing Address: 9808 31 A Ave SE H:\Applications\Fonns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date:�y�/� Day Telephone: (206) 774-9499 Everett WA 98208 City State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $68.25 EL15-0571 Address: 13985 INTERURBAN AVE S 140 Apn: 3365900230 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL PAID BY RECEIPT: R5588 $3.25 $68.25 Date Paid: Monday, June 22, 2015 Paid By: ADT LLC Pay Method: CHECK 3077 Printed: Monday, June 22, 2015 10:41 AM 1 of 1 CN? SY57EM5 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 11 /2/2015 JENNIFER COVELLO 9808 31 AVE SE EVERETT, WA 98208 RE: Permit No. EL15-0571 M&I GOLDEN, SILVER, DIAMOND 13985 INTERURBAN AVE S 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 12/19/2015. 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 12/19/2015, 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, c Bill Rambo Permit Technician File No: EL15-0571 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /j�' - ' / Y ( xc l L-W Type of Inspection: / Address: / 3 ff- Date Called: Special Instructions: qL'^ ArPhone Date Wanted: b m. Requester: No: EJ Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. D INSPECTION RECORD j Retain a co with permit copy v"�:O INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: file Type of Inspection: rr 1-'51 L Address: `� �� 141-0144 Date Called: Special Instructions: ® Date Wanted: p.m Requester: � ©� one No: pf S a7v2 Approved per applicable codes. &] Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ADT LLC Page 1 of 2 Home Inicio en lspanol Contact Safety (rWashington State Department of ,h Lab©r & 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 Search L&I� A-7Index Help MySecure I &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 Designated, administrator Nickols, Tim License type Electrical Administrator Bond Federal Ins Co Bond account no. 82295436 Received by L&I 03/20/2012 Savings ............ ._. No 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. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 6/22/2015