HomeMy WebLinkAboutPermit EL18-0267 - ENVISTA FORENSICS - ADD KEYPAD TO SECURITY SYSTEMENVISTA FORENSICS
12694 GATEWAY DR
ELI 8-0267
Parcel No:
Address:
Project Name:
0
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.eov
2716000020
12694 GATEWAY DR
ENVISTA FORENSICS
ELECTRICAL OTC PERMIT
Permit Number: EL18-0267
Issue Date: 3/19/2018
Permit Expires On: 9/15/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BOEING EMPLOYEES' CREDIT UN
12770 GATEWAY DR , TUKWILA, WA,
98168
TIM NICKOLS
6102 N NINTH ST STE 700 , TACOMA,
WA, 98406
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
Phone: (253) 948-9103
Phone: (561) 988-3600
Expiration Date: 3/20/2018
DESCRIPTION OF WORK:
ADDING KEYPAD TO EXISTING SECURITY SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $50.00
Type of Work: LOW VOLTAGE
Fees Collected: $69.62
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
n
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
V
2017
2017
2017
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 attached to this permit.
Signature: S
Print Name:
Date:5 /I - /C
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 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://www.TukwilaWA.gov
Electrical Permit No.
Project No.
0240 7
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
King Co Assessor's Tax No.: Z7 I (, 0c) 002- 0
Site Address: &cctelu- , 5 Suite Number: Floor:
Tenant Name: New Tenant: Li Yes CI -No
PROPERTY OWNER
Name:66 . /d 7
Address: 14-7 tr tcd-ti,„tuf .0 r 5 ,
City: --ruk [it, State: km. Zip:?? 6 8,
CONTACT PERSON — person receiving all project
communication
Name: _r -\v ‘ a ..--ic-• ; - -'1' et9A-1A-ri cirl ela_
Address: 1 a 0 6 ,_ .f_ e i,tJt
citrfokuv\cL State: A zipw
Phone:2_0b q [7 q gai Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A
Address: id 0.-2._ 14 q S. sf sf c 700
City: .—r, State: v/4 Zir../VO 6
phone:2_-7 iq 0-7),/-7 Fax: 2, , et 11 g i
Contr Reg No.: v/ ii- N 14,1 t_ Exp Date: 07 1 ci
Tukwila Business License No.; &t 5 ..... 101 3 G 5L.,
Valuation of Project (contractor's bid price): $
Adfitiv15 kiletA
Scope of Work (please provide detailed information):
4- ecih&s c" o-' sy.*K,
Will service be altered? n Yes Er No
Type of Use:
Adding more than 50 amps? [J Yes a -No
Type of work:
0 New 0 Addition
.47g,i Low Voltage EJ Generator
Property Served by:
g Puget Sound Energy El Seattle City Light
HAApplicationaorms-Applicat ions On Line12014 Applicationalectrical Permit Application Revised 1-1-14.docx
Revised: Yanuary 2014
bh
CI Service Change
0 Fire Alarm
ID Remodel
0 Telecommunication
0 Tenant Improvement
0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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)
O 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 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:
Date: (% 7 /(
Print Name: ( j I`1 IV (C Day Telephone: Z Dfo t `'T 3
Mailing Address:
i
1 2 A/ -74-A Pe 70.0er 1)A G1 * 6
City State Zip
I4:1ApplicationslFornts-Applications On Line12014 Applications\Electrical Permit Application Revised 1-1-14.dow
Revised: January 2014
blt
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitT
EL18-0267
Address: ;12694:GATEAIAY
16
ELECTRICAL
66.30;.
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3,32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14029
R000.322.900.04.00
0.00
$3.32
$69.62
Date Paid: Monday, March 19, 2018
Paid By: ADT LLC
Pay Method: CHECK 126240
Printed: Monday, March 19, 2018 11:25 AM 1 of 1
IRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-367
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project:
a\A sr -A -
Address: fzioc,4
Special Instruction
O't
Type of Inspection:
Date Called:
Date Wanted:
Requester:
Phone No:
pi
Approved per applicable codes. 0 Corrections required prior to approval.
COM MENTS:
Inspector:
6N.r19\
Date:
1REINSPECTION FEE REQUIRED. Prior to next inspecti n. fee must be
I paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
0 Washington State Departrnent of
Labor & Industries
I lorne Espanol Contact
Safety & Health Claims & Insurance
Eearch L&F
A -Z 1 ndtx 11 elp My
Page 1 of 2
SEARCH
Workplace Rights Trades & Licensing
ADT LLC
Owner or tradesperson
Principals
VVhall, 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.
License specialties
LIMITED ENERGY
License no.
A DILLL*881D0
Effective — expiration
03/20/2012— 03/20/2020
Designated administrator
Nickols, Tim
Active.
Meets current requirements.
License type License no.
Electrical Administrator NICKOT•902DA
Bond
Federal Ins Co
Bond account no
82295435
$4,000.00
Help us improve
https://secureini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 3/19/2018
ADT LLC
Received by L&I
03/20/2012
%or
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Effective date
03/01/2012
Expiration date
Until Canceled
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 4 of Year 2017 "Greater than 100 Workers"
L&I account contact
T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@lnima.gov
Track this contractor 0
Account Is current.
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
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
cf): Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Heip us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 3/19/2018