HomeMy WebLinkAboutPermit EL17-0335 - ENVISTA FORENSICS - BURGLAR ALARMENVISTA FORENSICS
12694 GATEWAY DR
ELI 7-0335
Parcel No:
Address:
Project Name:
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
2716000020 Permit Number: EL17-0335
12694 GATEWAY DR
ENVISTA FORENSICS
Issue Date: 5/5/2017
Permit Expires On: 11/1/2017
Owner:
Name:
Address:
EPROPERTYTAX INC DEPT#207
PO BOX 4900 , SCOTTSDALE, WA,
85261
Contact Person:
Name: JENNIFER TREUMER
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
6102 N NINTH ST -SUITE 700 ,
TACOMA, WA, 98406
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
I II
Phone: (206) 719-0347
Phone: (561) 988-3600
Expiration Date: 3/20/2018
DESCRIPTION OF WORK:
BURGLAR ALARM INSTALL
Valuation of single family: $0.00
Valuation of mf/comm: $900.00
Type of Work: LOW VOLTAGE
Fees Collected: $101.88
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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 at cbed to this permit.
Sign
Print Name:
V ()(J U
Date: / "— 7 --
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. Permit's 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.TukwilaWA.gov
Electrical Permit No. G L17 0 33
Project No.
Date Application Accepted:
Date Application Expires:
(For oj:ce 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:
Tenant Name:
i 2. (o °I.4 Csicyk Ian- 5 .
Ch QCs #V -Pure Ins cts
King Co Assessor's Tax No.: d n1(0000020
PROPERTY OWNER
Name: A --b-1—
�'7
Name: f riV1Tci
cov, St C..S•
City: - - State:
Address: r- 9 t7 j
(77 c it wcj
ovt . s
City
Stater.
Zip:1 51(eA
Ivy _ L �
CONTACT PERSON — person receiving all project
communication
Name: A --b-1—
�'7
Address:610 i N, Cl t:t..,.
Address:
City: - - State:
Zip:Cle
City: MCJLCC.1/lik-r-A
State:
Zip:
Phone:
Fax:
Email:
Suite Number: Floor:
New Tenant: D Yes .No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: prt*1"'
Address:610 i N, Cl t:t..,.
*riot)
City: - - State:
Zip:Cle
Phone: Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 9'°
Scope of Work (please provide detailed information):
1 1 CA.,V \ -r--1A4A-C% l I
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
No
Adding more than 50 amps? ❑ Yes al -No
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:\Pemiit Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, fumace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
U Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alann, furnace thermostat) .el 1 kir
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY c ' HE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0 ELE T
Signature:
Print Name:
Mailing Address:
TACTOR:
,A -
( l (r2 "J • 'Id' tk -7 LX )
Day Telephone:
Date: 5-16 1)
Z F-2—‘213-1 Sr -'jt kt16
W:\Permit Center\Applications-Handouis'Permit Applications \PDF's\Electrical Permit Application Revised 1-1.17.docx
Revised: January 2017
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City State Zip
Page 2 of 2.
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
.
PermitTRAK •
ACCOUNT .
QUANTITY
. ;:'
..,,,
PAID
$101.88
EL17-0335 Address: 12694 GATEWAY DR
Apn: 2716000020$101.88
-
ELECTRICAL
$97.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$97.03
TECHNOLOGY FEE
$4.85
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11426
R000.322.900.04.00
0.00
•••1
. ;
$4.85
$10.1.88
Date Paid: Friday, May 05, 2017
Paid By: ADT LLC
Pay Method: CHECK 126204
Printed: Friday, May 05, 2017 7:37 AM 1 of 1
CIT
SYSTEMS
2 -
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
&—A V/ s TA--
Type of Inspection:
rA
Address: /l���
Date Called:
Special Instructions
p
/ . )o
"^
1
Date Wanted:
a.m.
Requester:
rr
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
0 \
46//,
Inspector:
':(614/‘(
Date:/0 10 /17
REINSPECTI017 FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(
INSPECTION NO.
INSPECTION RECORD
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:r� ST 4O�ype
of Inspection:
Address:lei 64.(tv
Date Called:
Special Instructions: 14 2.:1
bA
/i1
6r2 -171G 2117?
Date Wanted: / I 0 ,
am
Requester: fi '✓
/
rQ
Phone No: 2 cy}
` t 33 (i
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
6265c-cit"b0t4' / 7 /0:00
Inspector:
Date: 007
REINSPECTI0A'1 FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
9/29/2017
City of Tukwila
Department of Community Development
JENNIFER TREUMER
6102 N NINTH ST - SUITE 700
TACOMA, WA 98406
RE: Permit No. EL17-0335
ENVISTA FORENSICS
12694 GATEWAY DR
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 11/1/2017.
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.
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 11/1/2017, 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,
ti -0119
Rachelle Ripley 4
Permit Technician
File No: EL17-0335
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
ADT LLC
Ilomc Espafiol Contact
Safety & Health . Claims & Insurance
Washington State Department of
CI
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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*881D0
Effective — expiration
03/20/2012— 03/20/2018
Designated administrator
Nickols, Tim
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator NICKOT*902DA
Bond
...............
Federal Ins Co
Bond account no.
82295435
$4,000.00
Received by L&I Effective date
03/20/2012 03/01/2012
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL* 881 DO&SAW=
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5/5/2017
ADT LLC
License Violations
No license violatic,is during the previous 6 ye,„. -period.
Workers' camp
Do you know if the i;usiness 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 4 of Year 2016 "Greater than 100 Workers"
L&I account representative
T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@Ini.wa.gov.
Track this contractor
Account is current.
Workplace safety and health
Check for any past i afety 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 8:1387
Violations
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