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Home My WebLink AboutPermit EL16-0722 - CLEARSIGN COMBUSTION CORP - SECURITY SYSTEMCLEARSIGN COMBUSTION CORP 12870 INTERURBAN AVE S EL16-0722 { 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: htta://www.TukwilaWA.eov ELECTRICAL OTC PERMIT Parcel No: 2716000010 Permit Number: EL16-0722 Address: 12870 INTERURBAN AVE S Issue Date: 8/5/2016 Permit Expires On: 2/1/2017 Project Name: CLEARSIGN COMBUSTION CORP Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900, SCOTTSDALE, WA, National Electrical Code: 85261 Contact Person: 2015 Name: JENNIFER COVELLO Address: 9808 31 AVE SE, EVERETT, WA, 98208 Contractor: 2014 Name: ADT LLC Address: 6102 N NINTH ST SUITE 700, TACOMA, International Fuel Gas Code: WA, 98406 License No: ADTLLL*881DO Lender: Name: Address: DESCRIPTION OF WORK: ADDING TO EXISTING LOW VOLT SECURITY SYSTEM Phone: (206) 774-9499 Phone: (561) 988-3600 Expiration Date: 3/20/2018 Valuation of single family: $0.00 Fees Collected: $99.86 Valuation of mf/comm: $900.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 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: 12/5/ I 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 Tukwila, WA 98188 http://www.Tukwi]aWA.aov PA Electrical Permit No.6w V-- V lW 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.: 271600001.0 Site Address: 1.2870 INTERURBAN AVE S Suite Number: Floor: Tenant Name: CLEARSIGN COMBUSTION CORP New Tenant: ❑ .....Yes ❑ ..No PROPERTY OWNER Name: CLEARSIGN COMBUSTION CORP Address: 12870 INTERURBAN AVE S 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: 03/20/201.6 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 900 Scope of Work (please provide detailed information): ADDING TO EXISTING LOW VOLT SECURITY SYSTEM Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes W1 No Type of Use: Comm Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Prouerty Served by: ❑ Puget Sound .Energy ❑ Seattle City Light R\ApplicationsWornts-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh 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 $65.00 (no added/altered circuits) Temporary service (generator) ................................... ❑ Service change with added/altered circuits.................$81.90 Manufactured/Jmobile home service ........................... $86.25 number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ...........$54.60 Carnivals.................................................................... $80.60 (up to 5 circuits) Number of concessions ......................... ❑ Circuits added/altered without service change ...........$54.60 Each ride and generator truck ............... $10.80 ea (6 or more circuits) ............................................... $7.65 ea ❑ Meter/inast 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/Jmobile 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signe Print Date: A/SIiG te: (206) 774-9499 Mailing Address: 9808 31st Ave SE Everett WA 98208 City State Zip H:\Applications\Forms-Applications On Line\2014 Applications0ec tical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $99.86 EL16-0722 Address: 12870 INTERURBAN AVE S Apn: 2716000010 $99.86 ELECTRICAL $95.10 PERMIT FEE MULTI FAM/COMM 8000.322.101.00.00 0.00 $95.10 TECHNOLOGY FEE $4.76 TECHNOLOGY FEE TOTAL.. R000.322.900.04.00 0.00 $4.76 $99.86 Date Paid: Friday, August 05, 2016 Paid By: NW PERMIT Pay Method: CHECK 3264 Printed: Friday, August 05, 2016 12:43 PM 1 of 1 CN? SY57EM5 INSPECTION RECORD INSPECTION NO. Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd- #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: I 1 Type of Inspection:6t� $ iV,. Address: 12170 �� Date Called: Special Instructions: Date Wanted: a. .m. Requester: ,� (— J� 1 I Phone No: MApproved per applicable codes. 11 Corrections required prior to approval. n s pector: REINSPECTION IFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ADT LLC Home, Espanol Contact Safety & Health Washington State Department of Ch Labor & Industries ADT LLC Claims & Insurance Owner or tradesperson 6102 N 9TH ST 603 190 246 Ste 700 Principals TACOMA, WA 98406 Whall, Timothy J, PARTNER/MEMBER 206-719-0347 Active. PIERCE County Finney, Gray P, PARTNER/MEMBER Bresingham, Daniel M, MANAGER CT, CORP SYSTEM, AGENT Gursahaney, Naren K, PARTNER/MEMBER (End: 07/13/2016) Beleisch, Nelson D, PARTNER/MEMBER (End: 07/13/2016) Tulsyan, Ravi, PARTNER/MEMBER (End: 07/13/2016) Doing business as ADT LLC Page 1 of 2 Search L&I A-6Index help My LKI Workplace Rights Trades & Licensing 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 03120/2012— 03/20/2018 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. Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Effective date 03101/2012 Expiration date Until Canceled https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 8/5/2016