HomeMy WebLinkAboutPermit EL16-0036 - BREBAN RESIDENCE - ADDITION TO SECURITY SYSTEMBRAEBAN RESIDENCE
12079 46" AVE S
EXPIRED 07/10/16
EL1 6-0036
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
Parcel No: 3347401195
Address: 12079 46TH AVE S
Project Name: BREBAN RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL16-0036
Issue Date: 1/12/2016
Permit Expires On: 7/10/2016
Owner:
Name: BREBAN GHITA & FLOAREA
Address: 12079 46TH AVE 5, TUKWILA, WA,
98178
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 SUITE 700, TACOMA,
WA, 98406
License No: ADTLLL*881DO Expiration Date: 3/20/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADDING TO EXISTING LOW VOLT SECURITY SYSTEM
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: 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
t
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.
Signa
Print
Date: I/l Z/ 1(0
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 WKWILA
its Community Development Department
.f
Permit Center
• 6300 Southcenter Blvd., Suite 100 .
Tukwila, WA98188
littp://www.Ttikwi]aWA.P-ov .
Electrical Permit No. r ---j,
U�— �03�
Project No.
Date Application Accepted:
Date Application Expires:
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.: 3347401195
Site Address: 12079 46TH AVE SOUTH Suite Number: Floor:
Tenant Name: GHITA BREBAN New Tenant: ❑ .....Yes []..No
PROPERTY OWNER
Name: GHITA BREBAN
Address: 12079 46TH AVE SOUTH
City: Tukwila State: WA Zip: 98178
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Covello/ jennifer@nwpermit.com
Address: 9808 3l 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): $ 250
Scope of Work (please provide detailed information): ADDING TO EXISTING LOW VOLT SECURITY SYSTEM
Will service be altered? ❑ Yes m No
Type of Use: RESIDENTIAL
Type of work:
❑ New ❑ Addition [I Service Change
® Low Voltage ❑ Generator ❑ Fire Alarm
Property Served bv:
❑ Puget Sound Energy ❑ Seattle City Light
H:WpplicationslFo m Applications On Ianc12014 ApplicaironsTlectrical Pemut Application Revised 1-1-14.doex
Revised: January 2014
bh
Adding more than 50 amps? 'Q Yes m No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page] of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ...................................$1.52.85
(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
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 1.80 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date: 01/04/2016
Print Name: WILLIAM MILLHOLLIN Day Telephone: (206) 774-9499
Mailing Address: 9808 31st Ave SE Everett WA 98208
City State Zip
HAApplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Rcvisod 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$187.37
EL16-0035 Address: 10655 TUKWILA INTERNATIONAL BLVD
Apn: 0423049169
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.93
EL16-0036 Address: 12079 46TH AVE S
Apn: 3347401195
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
TOTAL1
R000.322.900.04.00
0.00
$2.99
Date Paid: Tuesday, January 12, 2016
Paid By: NW PERMIT
Pay Method: CHECK 09981
Printed: Tuesday, January 12, 2016 4:07 PM 1 of 1
CPSYSTEMS
City of Tukwila
Department of Community Development - Jack Pace, Director
January 10, 2017
ADT
Attn: Tim Nickols
6102 N 91h St, Ste 700
Tacoma, WA 98406
RE: Request for Refund
Electrical Permit No. EL16-0036
Breban Residence -12079 46th Ave S
Dear Mr. Nickols,
Allan Ekberg, Mayor
This letter is in response to your written request for the cancellation and refund of electrical permit
EL16-0036. The Building Official has reviewed your written request for the refund of fees paid. The
determination has been made that due to the fact that the permit expired on July 10, 2016 there will be
no refund made at this time.
Sincerely,
Bill Rambo
Permit Technician
File: Permit No. ELI 6-0036
Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov
Bill Rambo
From:
Sent:
To:
Reyes, Julie A <jlee@adt.com>
Friday, January 06, 2017 10:33 AM
Brenda Holt
Cc: Nickols, Timothy; Jennifer Covello; Bill Rambo; Rachelle Ripley
Subject: Cancel/Withdraw permit EL16-0036 for Ghita Breban.
Please CancelM/ithdraw permit EL16-0036. No work was performed.
Please mail any refund to:
ADT, Attn: Tim Nickols
6102 N 9th St, Suite 700 Request for Refund
Tacoma, WA 98406
❑ Approved for full refund
Thank You, El Approved for % refund of fee(s)
Julie A. Reyes] Denied (provide explanation)
NW #83683 /
Signature/Initials
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 TU01"LA
JAN 0 6 2011
PERMIT CENTI '`
QDCity of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
6/1/2016
JENNIFER COVELLO
9808 31 AVE SE
EVERETT, WA 98208
RE: Permit No. ELI 6-0036
BREBAN RESIDENCE
12079 46TH 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 7/10/2016.
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 7/10/2016, 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,
Rachelle Ripl y
Permit Technician
File No: EL16-0036
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 9 Fax 206-431-3665
ADT LLC
}home. Inicio on Fspanol Contact
Safety
Washington State Department of
Labor & 'industries
ADT LLC
Page 1 of 2
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Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 6102 N 9TH ST
Ste 700
Principals TACOMA, WA98406
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*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
03/20/2012
Savings
No savings accounts during the previous 6 year period.
License Violations
No
_......
o 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.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 1/12/2016