HomeMy WebLinkAboutPermit EL18-0045 - FREEMAN RESIDENCE - ADD DEVICES TO INTRUSTION ALARMFREEMAN RESIDENCE
14247 55 AVE S
ELI 8-0045
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
0761000185 Permit Number: EL18-0045
14247 55TH AVE S
Project Name: FREEMAN RESIDENCE
Issue Date: 1/12/2018
Permit Expires On: 7/11/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
FREEMAN DAVID W+MECHELLE A
14247 55TH AVE S , TUKWILA, WA,
98168
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
Address: , , ,
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2018
DESCRIPTION OF WORK:
ADD DEVICES TO EXISTING LOW VOLTAGE INTRUSION ALARM
Valuation of single family: $615.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $64.10
Electrical Service Provided by: PUGEST SOUND ENERGY
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 296-466:
WA State Energy Code:
Date:
2017
2017
2017
2015
I hearby certify that 1 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
Print Nam
Date:%moi IS
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 296-468 WAC and the Washington Cities Electrical Code.
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:i:v$v w.Tukwila\i'A.got
f 1
Electrical Permit No. e
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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: 14247 55th Ave S
Tenant Name: David Freeman
King Co Assessor's Tax No.: 076100-0185
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: Jennifer Covello/ jennifer@nwpermit.com
Address: 9808 31st Ave SE
Name: David Freeman
Phone: (360) 945-2787 Fax: (888) 400-0383
Email:
Address: 14247 55th Ave S
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: (360) 945-2787 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.: ADTLLL*881D0 Exp Date: 03/20/2018
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 615
Scope of Work (please provide detailed information):
add devices to existing low voltage intrusion alarm
Will service be altered? ❑ Yes ® No
Adding more than 50 amps? ❑ Yes ® No
Type of Use: RESIDENTIAL
Tope of work:
❑ New ❑ Addition 0 Service Change 0 Remodel ❑ Tenant Improvement
O Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
lApplications Worms -Applications on Line 2014 ApplicationslElectrical Permit Application Revised 1-1-14.docn
Revised: Jemmy 7014
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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
�t��Lq Low voltage systems
(alarm, f imace 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
❑ 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
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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 OR ELEC .ONTRACTOR:
Signature:
Date:
Print Nam=W STIN SMITH ' Day Telephone: (360) 945-2787
Mailing Address: 9808 31st Ave SE Everett WA 98208
City
H: ApplicetionslFanns-Applications On Line 2014 Applications\Electrical Permit Applicatun Revised 1-1-14.docx
Revised: January 2014
bh
State Zip
Page 2 of 2
ash Register Receipt
City of Tukwila
Receipt Number
R13355
?o -t
i
DESCRIPTIONS I
PermitTRAK
ACCOUNT
QUANTITY
PAID
$64,10
E118-0045 Address: 14247 55TH AVE S
Apn: 0761000185
$64.10
ELECTRICAL
$61.05
PERMIT FEE SINGLE FAMILY
R000 322.101.00.00
0.00
$61.05
TECHNOLOGY FEE
$3.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13355
R000.322.900.04.00
0.00
$3.05
$64.10
Date Paid: Friday, January 12, 2018
Paid By: NORTHWEST PERMIT
Pay Method: CHECK 3645
Printed: Friday, January 12, 2018 10:13 AM
1 of 1
YSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
41F-ooLt
Project: fitcs
Type of Inspection:
i
Ai Al./
Address:
i iiP.17 5-5-,4,
Date Called:
Special I structions:
Date Wanted:
240(
fri
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
Address` '
111V-17 5C. All
Special Instructions:
Aber
Type of Inspection:
Date Called:
Date Wanted:
Requester:
E1Approved per applicable codes.
Phone No: ;v1 cl
Corrections required prior to approval.
COMMENTS:
Aid bnk a.:p,it
- dJr1 Arec
Inspector: r
t
zr
Date:9
of I''
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
Ck Washington State Departnient of
/ Labor & Industries
Page 1 of 3
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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
Governing persons
LLC
ADT
DANIEL M BRESINGHAM;
P. GRAY FINNEY;
JEFFREY LIKOSAR;
TIMOTHY J WHALL;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements. Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?Uffl=603190246&LIC=ADTLLL*881DO&SAW= 1/12/2018
prove
ADT LLC
License specialties
LIMITED ENERGY
License no.
ADTLLL*881 DO
Effective — expiration
03/20/2012— 03/20/2018
Designated administrator
Nickols, Tim
License type
Electrical Administrator
Federal Ins Co
Bond account no.
82295435
Received by L&1
03/20/2012
Savings
Bond
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no.
NICKOT*902DA
$4,000.00
Effective date
03/01/2012
Expiration date
Until Canceled
Page 2 of 3
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
Account is current.
Doing business as
ADT LLC
Estimated workers reported
Quarter 3 of Year 2017 "Greater than 100 Workers"
L&I account contact
T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@Ini.wa.gov
Track this contractor a
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
Help us im
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL* 881 DO&SAW=
1/12/2018