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Home My WebLink AboutPermit EL15-0776 - TOP POT DOUGHNUTS - CCTV SYSTEMTOP POT DOUGHNUTS EL15-0776 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.Tukwi[aWA.Rov Parcel No: 0223100085 Address: 401 BAKER BLVD Project Name: TOP POT DOUGHNUTS ELECTRICAL OTC PERMIT Permit Number: EL15-0776 Issue Date: 9/3/2015 Permit Expires On: 3/1/2016 Owner: Name: PEARL ALVIN S+CAROLE R Address: 9741 E ESTANCIA WAY, SCOTTSDALE, WA, 85262 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 CCTV SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $3,257.00 Type of Work: LOW VOLTAGE Fees Collected: $169.89 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: 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 agree to the conditions attached to this permit. Signature: Date: �Q3' Print Name: 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 TUKW_ I Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Rov SITE LOCATION Site Ad, Tenant r , Electrical Permit No. 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" PROPERTY OWNER Name: Address: �-Mai Zip City: State:LVA CONTACT PERSON — person receiving all project communication Name: �`��i�� I'•� �y Address: �' V City: e r� L State: Zip: Phone: _ _ 4 Fax: Email: ei i) )ev IVA) - ej "OJT . &w Valuation of Project (contractor's bid price): Scope of Work (please provide detailed inforr P Will service be alter d? Yes No Type of Use: YV ,111 re-hpa5± Type of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Apphcations0ectrical Permit Application Revised I-1-14.docx Revised: July 2013 bh King Co Assessor's Tax No.: CJ(. Suite Number: Floor: ee New Tenant: ❑ ..... Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: Nocm ��'! •� City: State: PA Zip: Phone: ®v ��'i Fax: (L` ' Contr Reg No.: t t'1 ipo Exp Date:�3 L lJ Tukwila Business License No.; Adding more than 50 amps? ❑ Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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) 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. Print Name: AIt 1jl Am LY �1 h`il hl ll/ Mailing Address f8o 131-tXve. Date: '� i Day Telephone: L!/ 6 ~ � 1 � 1 — cl 11 r-rkM city State Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS• PermitTRAK QUANTITY PAID $169.89 EL15-0776 Address: 401 BAKER BLVD Apn: 0223100085 $169.89 ELECTRICAL $161.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $161.80 TECHNOLOGY FEE $8.09 TECHNOLOGY FEE TOTAL RECEIPT:08 R000.322.900.04.00 0.00 $8.09 •. Date Paid: Thursday, September 03, 2015 Paid By: ADT LLC Pay Method: CHECK 3137 Printed: Thursday, September 03, 2015 4:22 PM 1 of 1 CRSYS7EM5 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 Permit Inspection Request Line (206) 438-9350 Project: lop PC f Type of Inspection: Address: 40/ Date Called: Special Instructions: Date Wanted: a. 9 � p.m. Requester: Phone No: U KEINSPECTIUN FEE KEUUIKEU. Prior to next Inspection, tee must De paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ADT LLC Page 1 of 2 Home Inicio en Espanol 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 Search L&I A-Z Index Help My Secure L&I Claims & Insurance Workplace Rights Trades & Licensing 6102 N 9TH ST Ste 700 TACOMA, WA 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. 82295435 Received by L&I 03/2012012 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/verifyIDetail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 9/3/2015