HomeMy WebLinkAboutPermit EL16-0459 - SCRUBS AND BEYOND - INTRUSION ALARMSCRUBS AND BEYOND
17340 SOUTHCENTER PKWY
EL16-0459
City of Tukwila
or ' 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.aov
ELECTRICAL OTC PERMIT
Parcel No: 2623049110 Permit Number: EL16-0459
Address: 17340 SOUTHCENTER PKWY Issue Date: 5/19/2016
Permit Expires On: 11/15/2016
Project Name: SCRUBS AND BEYOND
Owner:
2012
Name: KIR TUKWILA 050 LLC
2014
Address: 3333 NEW HYDE PARK RD #100 C/O
2012
KIMCO REALTY CORP, PO BOX 5020
2014
NEW HYDE PK, WA, 11042
2012
Contact Person:
2014
Name: JENNIFER COVELLO
Phone: (206) 774-9499
Address: 9808 31 AVE SE, EVERETT, WA, 98208
2012
Contractor:
2012
Name: ADT LLC
Phone: (561) 988-3600
Address: 6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
License No: ADTLLL*881DO
Expiration Date: 3/20/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE INTRUSION ALARM
Valuation of single family: $0.00
Fees Collected: $72.77
Valuation of mf/comm: $291.00
Type of Work: LOW VOLTAGE
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGH LINE,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: �%yl �W i ' Date: '� I
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:
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
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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**
Name: Scrubs and Bevond
Address: 17340 Southcenter Pkwy
City: Tukwila State: WA Zip: 98188
Name: Jennifer Covello/ jennifer@nwpermit.com
Address: 9808 31st Ave SE
City: Everett State: WA Zip: 98208
Phone: (206) 774-9499 Fax: (888) 400-0383
Email:
ELECTRICAL. CONTRACT ION
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*81D0 Exp Date: 03/20/2016
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 291
Scope of Work (please provide detailed information): install low voltage intrusion alarm
Will service be altered? ❑ Yes m No
Type of Use: Comm
ine of work:
❑
New ❑ Addition
0
Low Voltage ❑ Generator
Property
Served by:
❑
Puget Sound Energy ❑
❑ Service Change
❑ Fire Alarm
Seattle City Light
Adding more than 50 amps? ❑ Yes m No
❑
Remodel
❑
Tenant Improvement
❑
Telecommunication
❑
Temporary Service
�$ l•�'i. � f! � � � � 0.i
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)
$80.90
❑
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)
$10.80 ea
❑
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)
PERMITAPPLICATIONNOTES -
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
PERMI"T 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: ZLk%Aity SYto%!
Mailing Address: 9808 31st Ave SE
Date: S/14%/t&
Day Telephone: (206) 774-9499
Everett WA 98208
City State Zip
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
• ,
$293,79
EL16-0456 Address: 5112 S 163RD PL
Apn: 8700500060
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.99
EL16-0457 Address: 10610 47TH AVE S
Apn: 5476800250
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.99
EL16-0458 Address: 1016 INDUSTRY DR
Apn: 2523049071
$95.34
ELECTRICAL
$90.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$90.80
TECHNOLOGY FEE
$4.54
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.54
EL16-0459 Address: 17340 SOUTHCENTER PKWY Apn: 2623049110
$72.77
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$69.30
TECHNOLOGY FEE
$3.47
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.41
TOTAL
Date Paid: Thursday, May 19, 2016
Paid By: ADT LLC
Pay Method: CHECK 3317
Printed: Thursday, May 19, 2016 1:23 PM 1 of 1 %10i Mr,1 I
SYSTEMS
INSPECTION RECORD �/
Retain a copy with permit -(Vvo
i7l
INSPECTION NO. P RMIT N0.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
n:
Project:
Type of Inspectio
Address: � �
p I
Date Called:
Special Instructions:
Date Wante a
Requester:
Phone No:
%Approved per applicable codes. LJ Corrections required prior to approval.
Date:
F] REINSPECTION FEE REQUIRED. Prior to next inspection fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection.
ADT LLC
inWashington 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
Home Espanol Contact
Safety & Health Claims & Insurance
6102 N 9TH ST
Ste 700
TACOMA, WA 98406
206-719-0347
PIERCE County
Business type
Limited Liability Company
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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
0312012012— 03120/2018
Designated administrator
Nickols, Tim
Active.
Meets current requirements.
License type
License no.
Electrical Administrator
NICKOT*902DA
Bond
Federal Ins Co
$4,000.00
Bond account no.
82295435
Received by L&I
Effective date
03/20/2012
03/0112012
Expiration date
Until Canceled
Savings
..............
No s- a' vings accounts during the previous 6 year period.
License Violations
...........................................
No license violations during the previous 6 year period.
Workers' comp
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= 5/19/2016