HomeMy WebLinkAboutPermit EL18-0508 - KHA RESIDENCE - INSTALL CELL UNIT TO EXISTING INTRUSION ALARM SYSTEMKHA RESIDNCE
3555 S 116 ST
ELI 8-0508
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
0733000130
3555 S 116TH ST
KHA RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL18-0508
Issue Date: 6/5/2018
Permit Expires On: 12/2/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
HOANG KHA L+CHRISTY H TRAN
3555 5 116TH ST , SEATTLE, WA, 98176
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
//1
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2020
DESCRIPTION OF WORK:
INSTALL CELL UNIT TO EXISTING INTRUSION ALARM SYSTEM
Valuation of single family: $300.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $64.10
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: VALLEY VIEW
LCurrent 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:
2017.
2017
2017
2015
Date: vi
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:
Print Name: 1^)/ a C (/41 sA
Date: a'"05= tr
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.
S: 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
clCITY OF TUKTi
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Li U- 0 g
Project No.
Date Application Accepted:
Date Application Expires:
For of ice 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: 3555 S 116th St
Tenant Name: HOANG KHA
King Co Assessor's Tax No.: 0733000130
Suite Number: Floor:
New Tenant: fl Yes
PROPERTY OWNER
Name: Jennifer Covello/ jennifer@nwpermit.com
Address: 9808 31st Ave SE
Name: HOANG KHA
Phone: (360) 945-2787 Fax: (888) 400-0383
Email:
Address: 3555 S 116th St
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:
.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.: ADTLLL*881D0 Exp Date: 03/20/2018
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 300
Scope of Work (please provide detailed information):
Install cell unit to existing intrusion alarm system
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes I] No
Type of Use: SFR
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel D Tenant Improvement
• Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: Wpplications\Forms-Applications On Line\2014 Applications\ Electrical Penne Application Revised 1-1-14. docx
Revised: January 2014
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVI E
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
ok. Low voltage systems
(alarm, furnace 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
tit 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
***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: 06/05/2018
Print Name: William Millhollin Day Telephone: (360) 945-2787
Mailing Address: 9808 31st Ave SE Everett WA 98208
H: Appliwtions\Forms-Applicatwns On L
Revised: January 2014
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'2014 App licationslElectrical Permit Atmlicaeion Revised 1-1-14.docx
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT
PermitTRAK
QUANTITY
I PAID
$142.93
EL18-0508 Address: 3555 S 116TH ST Apn: 0733000130
$64.10
ELECTRICAL
$61.05
PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00
I
0.00
$61.05
TECHNOLOGY FEE
$3.05
TECHNOLOGY FEE R000.322.900.04.00
I
0.00
I $3.05
EL18-0509 Address: >14227:TUKWILA INTL BLVD 111 Apn: 1523049011
$78.83
ELECTRICAL
$75.08
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
I
$75.08
TECHNOLOGY FEE
$3.75
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R14638
0.00
$3.75
$142.93
Date Paid: Tuesday, June 05, 2018
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 11087
Printed: Tuesday, June 05, 2018 8:40 AM 1 of 1
SYSTEMS
AAA
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
I cs-- s--cyg
Project: 1 1
Type of I pection:
Ai
Addrem:
'-SS-S7 -S.
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
per applicable codes.
Approved0 Corrections required prior to approval.
COMMENTS:
ATP ec)44
inspeC
D
a
/
J
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
1 Washington State Department of
Labor & Industries
et)
Page 1 of 2
Espanol ContaLt earch L&I
Safety & Health Claims & Insurance
tadex
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
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
License specialties
LIMITED ENERGY
License no
ADTLLL•881D0
Effective -- expiration
03/20/2012— 03/20/2020
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
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haps ://secure. lni.wa. gov/verify/Detail. aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 6/5/2018
ADT LLC
Received by L&I
03/20/2012
MEW
Savings
No savings accoui s during the previous 6 year period.
License Violations
No license violaties during the previous 6 year period.
Effective date
03/01/2012
Expiration date
Until Canceled
Workers' c..mp
Do you know if the rtsiness has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has ,iultiple workerscomp accounts.
Active accounts
L&I Account ID
247,533-00
Account Is current.
Doing business as I
ADT LLC
Estimated workers reported
Quarter 1 of Year :.:118 "Greater than 100 Workers"
L&I account contact
T4 / ALISON W00..WARD (360)902-4629 - Email: WOAL235@lni.wa.gov
Track this contractor 0
Public Wor. s Strikes and Debarments
Verify the contractc is eligible to perform work on public works projects.
Contractor Striker.
No strikes have b._ 311 issued against this contractor.
Contractors not a. )wed to bid
No debarments tu. e been issued against this contractor.
Workplace .1afety and health
Check for any past afety and health violations found on jobsites this business was responsible for.
Inspection results date
04/04/2014 Violations
Inspection no
316977750
Location
4206 200th St E •
Spanaway, WA I $387
Page 2 of 2
Washington State Dept. of Labor & Industries. Use of Ihis site is subject to the laws of the state of Washinon.
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