HomeMy WebLinkAboutPermit EL18-0380 - WASHINGTON CITIES INSURANCE AUTHORITY - INSTALL SECURITY SYSTEM WITH PARTITIONS AND CCTVWASHINGTON CITIES
INSURANCE AUTHORITY
320 ANDOVER PARK E
ELI 8-0380
Parcel No:
Address:
Project Name:
City of Tukwila
0
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.Rov
ELECTRICAL OTC PERMIT
0223200060 Permit Number:
320 ANDOVER PARK E COMPLEX
Issue Date:
Permit Expires On:
WSASHINGTON CITIES INSURANCE AUTHORITY
EL18-0380
4/23/2018
10/20/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WA CITIES INSURANCE AUTHORI
901 POWELL AVE SW #101 C/O JSH
PROPERTIES INC, RENTON, WA, 98057
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2020
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE SECURITY SYSTEM WITH PARTITIONS AND CCTV
Valuation of single family: $0.00
Valuation of mf/comm: $3,075.00
Type of Work: LOW VOLTAGE
Fees Collected: $173.28
Electrical Service Provided by: PUGET 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
�P
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
G�(
Date: "T �3� L
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 `t��ns attached to this permit.
Signature
Print Nam
Dater I z-5/f�
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
Into: "www.Tukwi la W A. i4ov
Electrical Permit No. E 0-0 0
Project No,
Date Application Accepted:
Date Application Expires:
(For office use nl)'
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.: 0223200060
Site Address: 320 ANDOVER PARK E, STE 104 Suite Number: Floor:
Tenant Name: WASHINGTON CITIES INSURANCE AUTHORITY New Tenant: Yes 0 ..No
PROPERTY OWNER
Name: WASHINGTON CITIES INSURANCE AU1
Address: 320 ANDOVER PARK E, STE 104
City: Tukwila State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Covelloljennifer@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*881 DO Exp Date: 03/20/2018
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 3,075
Scope of Work (please provide detailed information):
INSTALL LOW VOLTAGE SECURITY SYSTEM WITH PARTITIONS AND CCTV
Will service be altered? El Yes gj No Adding more than 50 amps? [J Yes m No
Type of Use: commercial
Tvpe of work:
O New El Addition 0 Service Change 0 Remodel 0 Tenant Improvement
21 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy El Seattle City Light
litApplications`forms-Applicutions On Line \ 2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised. January 2014
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
[21 New single family dwellings $152.85
(including an attached garage)
0 Garages, pools, spas and outbuildings $81.90 ea
0 Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $81.90
(no added/altered circuits)
O Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
O Circuits added/altered without service change $54.60
(up to 5 circuits)
O Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
O Meter/mast repair S68.25
O Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $65.00
O Temporary service (generator) $80.90
O 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 ECTRICAL CO TOR:
Date: 04/23/2018
Print Name:ifi Covello Day Telephone: (206) 371-2237
Mailing Address: 9808 31st Ave SE Everett WA 98208
City
1-1:1Applicat ionsTorms-Applicat ions On Line12014 ApplicationsTlectrical Permit Application Revised 1-1-14 doe',
Revssed. January 2014
tth
Suite Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAI
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY
PAID
395.04.
EL18-0379 Address: 1820a OLYMPICAVE S
n: 7888900162
78.83'
ELECTRICAL
$75.08
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$75.08
TECHNOLOGY FEE
$3.75
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.75
EL18-0380. Address: 320 ANDOVER PARK E COMPLEX Apn: 022320006
73
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$165.03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
EL18-038
ressg630 INDUSTR
R000.322 900.04 00 J 0.00
n( 2523049008
$8.25
ELECTRICAL
75.08
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$75.08
TECHNOLOGY FEE
$3.75
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.75
EL18-0382 Address: 13030 35TH AVE S. Apn: 7359600825
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: R14308
R000.322.900.04.00
0.00
$3.05
$395.04
Date Paid: Monday, April 23, 2018
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 3696
Printed: Monday, April 23, 2018 10:10 AM 1 of 1
I?WSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Ckg-t380
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
, 6 1 1 ,'r
..) .
Type of Inspection:
Address:
32-t) ..,
Mc
Date Called:
Special Instructions:
1-- ce„...n/
566,104ri
Date Wanted:—
ort,.
Requester:
i i
1-ff-r i
Phone No:
G -):
lo 7
Approved per applicable codes.
EJCorrections required prior to approval.
OMMENTS:
Inspector:
Date:
REINSPECTIO FEE REQUIRED. rior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ADT LLC
Washington State Department of
)Labor & Industries
Horne Espanol COT thet
Search L&I
Page 1 of 2
iiiSEARCH
A -Z latex Help My 1.,,X1
Safety & Health Claims & Insurance 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 l..1B1 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.
ADTLLL*88100
Effective — expiration
03/20/2012— 03/20/2020
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
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 4/23/2018
ADT LLC
Received by L&I
03/20/2012
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@Ini.wa.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 jobsjtes 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://secureini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881 DO&SAW= 4/23/2018