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Permit EL15-0626 - ALLEN RESIDENCE - SECURITY SYSTEM
ALLEN RESIDENCE 4504SI37THST EL15-0626 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: 7347600125 Permit Number: EL15-0626 Address: 4504 S 137TH ST Issue Date: 7/14/2015 Permit Expires On: 1/10/2016 Project Name: ALLEN RESIDENCE Owner: Name: GUIRNALDA RAMON M Address: 4504 S 137TH ST, 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: LOW VOLTAGE SECURITY SYSTEM Valuation of single family: $434.00 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 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature:R& f VM Df & Date: 4 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: 2 4K.� Date: 7P//�- Print Name:_ 1(5;l{(/AA, A&5� 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 Tulovila, 1,VA 98188 hiip://www.TukwilaWA.Izov 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 King Co Assessor's Tax No.: 7347600125 Site Address: 4504 S 137th St Suite Number: Floor: Tenant Name: —September Allen New Tenant: ❑ .....Yes ❑ ..No PROPERTY OWNER Name: September Allen Address: 4504 S 137th St 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): $ 434 Scope of Work (please provide detailed information): low volt security Will service be altered? ❑ Yes m No Type of Use: Res Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplicetiotis\Fom -Applications On Line\2014 ApplicationsWectrical Permit Application Revised 1-1-14.docx Revisod January 2014 bh Adding more than 50 amps? ❑ Yes 91 No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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 J Low voltage systems ................................................. $59.85 Vvvv (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 ***EFFECTIVE JANUARY 1, 2014 EACH 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 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. Date: C �� Print Name: /� `QXG Day Telephone: (206) 774-9499 Mailing Address: 9808 31 st Ave SE Everett WA 98208 City State Zip H:\Applicatiom\Fomis-Application On Line\2014 Applications\Electrical Penn it Application Revised 1-1-14.docx Revised January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $62.84 EL15-0626 Address: 4504 S 137TH ST Apn: 7347600125 $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 Date Paid: Tuesday, July 14, 2015 Paid By: NW PERMIT Pay Method: CHECK 3110 Printed: Tuesday, July 14, 2015 2:44 PM 1 of 1 CRSYSTEMS • City of Tukwila Jim Haggerton, Mayor • Department of Community Development Jack Pace, Director October 6, 2015 Tim Nickols ADT 6102 N 9`h St, Ste 700 Tacoma, WA 98406 RE: Partial Refund of Fees Permit Number EL15-0626 Dear Mr. Nichols, 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, WALtv Rachelle Riple Permit Technician File: Permit No. EL15-0626 Encl: Check No. 370405 WAPermit Center\Refundv\Refunds\2015\EL15-0613 Permit Refund.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Brenda Holt From: Reyes, Julie A <jlee@adt.com> Sent: Thursday, September 17, 2015 3:25 PM To: Brenda Holt Cc: Nickols, Timothy; Jennifer Covello Subject: Cancel/Withdraw permit EL15-0626 for September Allen. Please Cancel/Withdraw permit EL15-0626. 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 #78116 RECEIVED CITY OF TUKWILA SEP 17 2015 PERMIT CENTER 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. Request for Refund ❑ Approved for full refund Approved for 9'0_% refund of fee(s) t ❑ Denied (provide explanation) i Signature/Initials i 1 ADT LLC Page 1 of 2 Home inicio en Espanol Contact Safety 4nWashington State Department of Lab©r & Industries ADT LLC Search L&I I ,wc =: A -I Index Help hit Secure L&f Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 6102 N 9TH ST Ste 700 Principals TACOMA, WA 98406 Gursahaney, Naren K, PARTNER/MEMBER 206-719-0347 Beleisch, Nelson D, PARTNER/MEMBER PIERCE County 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*881DO Effective — expiration 03/20/2012— 03/20/2016 Designated 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. License Violations ...................................... ................ No license violations during the previous 6 year period. Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Effective date 03101/2012 Expiration date Until Canceled I Workers' comp I 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= 07/15/2015