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Permit EL17-0009 - DOAN RESIDENCE - CCTV SYSTEM
DOAN RESIDENCE 14404 MILITARY RD S CANCELLED 06/13/17 ELI 7-0009 Parcel No: Address: 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 0040000015 Permit Number: 14404 MILITARY RD S Issue Date: Permit Expires On: Project Name: DOAN RESIDENCE EL17-0009 1/12/2017 7/11/2017 Owner: Name: Address: NGUYEN KEN T 14403 34TH AVE S , TUKWILA, WA, 98168 Contact Person: Name: JENNIFER COVELLO Address: 9808 31 AVE SE , EVERETT, WA, 98208 Contractor: Name: ADT LLC Address: 6102 N NINTH ST SUITE 700, TACOMA, WA, 98406 License No: ADTLLL*881D0 Lender: Name: Address: Phone: (206) 774-9499 Phone: (561) 988-3600 Expiration Date: 3/20/2018 DESCRIPTION OF WORK: CCTV SYSTEM (T -COMM) Valuation of single family: $2,200.00 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Fees Collected: $64.10 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: 1 1 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. Date: t/t2i 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 UP' 1 `UK WILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 11 0001 Project No. Date Application Accepted: Date Application Expires: (For of we use onl 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 Site Address: 14404 MILITARY RD S Tenant Name: ANH DOAN PROPERTY OWNER Name: Jennifer Covello/ jennifer@nwpermit.com Name: ANH DOAN City: Everett State: WA Zip: 98208 Address: 14404 MILITARY RD S Email: City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication 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: King Co Assessor's Tax No.: 0040000015 Suite Number: Floor: New Tenant: ❑ Yes El ..No 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*881 D0 Exp Date: 03/20/2017 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2,200 Scope of Work (please provide detailed information): CCTV. SYSTEM (T -COMM) Will service be altered? U Yes Type of Use: res WI No Adding more than 50 amps? _. ❑ Yes , m 'No Type of work: ❑ New 0 Addition ® Low Voltage 0 Generator Property Served by: ❑ Puget Sound Energy 0 Seattle City Light n:\Applications\Fomes-Applications On Linc\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 ❑ Service Change ❑ Fire Alarm .•1- ❑ Tenant Improvement ❑ Temporary Service ❑ Remodel ❑ Telecommunication 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, fumace 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) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $65.00, O 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*** PERMIT APPLICATION NOTES -; 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 1 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 Nam4 J 3 ASA -iv\ S x-04 Mailing Address:. 9808 31st Ave SE Day Telephone: Everett Date: ' /5W+ (206) 774-9499 WA 98208 City H:Wpplications\Forms-Applications On Line \20I4 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 State Zip Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $192.30 EL17-0009 Address: 14404 MILITARY RD S Apn: 0040000015. $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 I 0.00 i $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.05 EL17-0010 Address: 4407 S 146Th ST Apn: 0040000730 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY • 1 R000.322.101.00.00 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE 1 R000.322.900.04.00 0.00 I $3.05 EL17-0038 Address: 4917 S 112TH ST Apn: 3348401731 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 I 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10417 R000.322.900.04.00 0.00 $3.05 $192.30 Date Paid: Thursday, January 12, 2017 Paid By: ADT LLC Pay Method: CHECK 3423 Printed: Thursday, January 12, 2017 11:29 AM 1 of 1 APSYSTEMS 6/5/2017 City of Tukwila Department of Community Development. JENNIFER COVELLO 9808 31 AVE SE EVERETT, WA 98208 RE: Permit No. EL17-0009 DOAN RESIDENCE 14404 MILITARY RD S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director 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 7/11/2017. 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. 1 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 7/11/2017, 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 Ripley Permit Technician File No: EL17-0009 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 MEMORANDUM TO: Laurie Anderson*AKFROM: Brenda Holt DATE: June 13, 2017 SUBJECT: Refund for Electrical Permit EL17-0009 Please draw a check in the amount of $48.84 (forty-eight dollars and eight -four cents) to be payable to ADT, ATTN: Tim Nickols at 6102 N 9th St, Suite 700 in Tacoma, WA 98406. The work for this permit was not performed. The permit has been cancelled and the applicant has requested a refund which the Building Official has granted at 80%. Please provide the refund as follows: 1Account Amount 000.322.101.00.00 $48.84 000.322.900.04.00 $0.00 Total $48.84 Please forward the check to me and I will forward it on to the applicant. Thank you! Bill Rambo From: Reyes, Julie A <jlee@adt.com> Sent: Tuesday, June 13, 2017 10:06 AM To: Brenda Holt Cc: Nickols, Timothy; Jennifer Covello; Bill Rambo; Rachelle Ripley Subject: Cancel/Withdraw permit EL17-0009 for Anh Doan. Good Morning, Please Cancel/Withdraw permit EL17-0009. No work was performed. Please mail any refund to: ADT LLC Attn: Tim Nickols 6102 N 9th St, Suite 700 Tacoma, WA 98406 Thank You, Julie A. Reyes NW #90544 Request for Refund Approved for full refund Approved for g -d % refund of fee(s) Denied (provide explanation) 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 TUKWILA PERMIT CENTER ADT LLC Horne Espanol Contact Safety & Health Claims & Insurance Ck Washington State Department of Labor & Industries Search L&I Page 1 of 2 A-ZIndex II:elp My L&1 Workplace Rights Trades & Licensing ADT LLC Owner or tradesperson Principals Whall, Timothy J, PARTNER/MEMBER 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 WA UBI No. 603 190 246 6102 N 9TH ST Ste 700 TACOMA, WA 98406 206-719-0347 PIERCE County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. ADTLLL*881 D0 Effective —expiration 03/2012012— 03/20/2018 Active. Meets current requirements. 1 Designated administrator Nickols, Tim License type Electrical Administrator Bond Federal Ins Co Bond account no. 82295435 Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Received by t_&I Effective date 03/20/2012 03/01/2012 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 1/5/2017 ADT LLC License Violations No license violations during the previous 6 yea, ,ieriod. 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. Active accounts L&I Account ID 247,533-00 Doing business as ADT LLC Estimated workers reported Quarter 3 of Year 2016 "Greater than 100 Workers" L&I account representative T4 / ALISON WOODWARD (360)902-4629 - Email: W0AL235©Ini.wa.gov Track this contractor Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 04/04/2014 Inspection no. 316977750 Location 4206 200th St E Spanaway, WA 98387 Violations Page 2 of 2 «> Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881 DO&SAW= 1/5/2017