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HomeMy WebLinkAboutPermit EL18-0566 - FITNESS OUTLET - INSTALL LOW VOLTAGE INTRUSION ALARMFITNESS OUTLET 1091 INDUSTRY DR ELI 8-0566 Parcel No: Address: Project Name: c 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.TukwllaWA.Qov 2523049071 1091 INDUSTRY DR FITNESS OUTLET ELECTRICAL OTC PERMIT Permit Number: EL18-0566 Issue Date: 6/21/2018 Permit Expires On: 12/18/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BKM TUKWILA 1701 QUAIL ST STE 100 , NEWPORT BEACH, WA, 92660 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 LOW VOLTAGE INTRUSION ALARM Valuation of single family: $0.00 Valuation of mf/comm: $721.00 Type of Work: LOW VOLTAGE Fees Collected: $95.44 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 Signatu 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Da 2017 2017 2017 2015 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 . ermit and agree to titions attached to this permit. Signature: _ ___ Print Nam Y1 i� 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.Tukwila\b' A.gov Electrical Permit No. IA C 0.9V0 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: 1091 Industry Dr Tenant Name: Fitness Outlet King Co Assessor's Tax No.: 252304-9071 Suite Number: Floor: New Tenant: ❑ Yes PROPERTY OWNER Name: Jennifer Covello/ jennifer@nwpermit.com Address: 9808 31st Ave SE Name: Fitness Outlet Phone: (360) 945-2787 Fax: (888) 400-0383 Email: Address: 1091 Industry Dr City: Tukwila State: WA Zip: 98188 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): $ 721 Scope of Work (please provide detailed information): install low voltage intrusion alarm Will service be altered? ❑ Yes m No Type of Use: COMMERCIAL Type of work: ❑ New 0 Addition 0 Service Change O Low Voltage 0 Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes m No H.\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1.14. docx Revised. January 2014 hh ❑ Remodel O Telecommunication O Tenant Improvement O Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea ❑ 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 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 ❑ Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 O Manufactured/mobile hone 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 he 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 shalt 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 C Signatu Print Name: JENNIFER COVELLO Date: 06/21/2018 Day Telephone: (360) 945-2787 Mailing Address: 9808 31st Ave SE Everett WA 98208 City H.',.Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14. docx Revised. January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $167.15 EL18-0566 Address: 1091 INDUSTRY DR Apn: 2523049071 $95.44 Credit Card Fee $2.78 Credit Card Fee R000.369.908.00.00 I 0.00 I $2.78 ELECTRICAL $88.25 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $88.25 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.41 EL18-0567 Address: 14570 INTERURBAN AVE S 150 Apn: 3604000020 $71.71' Credit Card Fee $2.09 Credit Card Fee 1 R000.369.908.00.00 I 0.00 I $2.09 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14770 R000.322.900.04.00 0.00 $3.32 $167.15 Date Paid: Thursday, June 21, 2018 Paid By: JENNIFER COVELLO Pay Method: CREDIT CARD 48509G Printed: Thursday, June 21, 2018 1:10 PM 1 of 1 CANWSYSTEMS e CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/21/2018 01:10:03 PM CREDIT CARD SALE VISA CARD NUMBER: **********4587 K TRAN AMOUNT: $167.15 APPROVAL CD: 48509G RECORD #: 000 CLERK ID: Rachelle X {CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTr... 06/21/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 06/21/2018 01:10:03 PM CREDIT CARD SALE VISA CARD NUMBER: **********4587 K TRAN AMOUNT: $167.15 APPROVAL CD: 48509G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.com/VirtualMerehant/transaction.do?dispatchMethod=printTr... 06/21/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: ,"-- i MrAit-55 (Alai? pe of Inspection: ll A i Address: _ 101 1 i I 4S1 Date Called: Date Special Instructions: A -or Date Wanted: ged p.m. Requester: Phone No: yoApproved per applicable codes. DCorrections 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. ADT LLC 0 Washington State Department of Labor & Industries Horne Espanol Contact Safety & Health Page 1 of 3 Search L&I A -Z Index. Claims & Insurance Workplace Rights 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?UBI=603190246&LIC=ADTLLL*881DO&SAW= 06/21/2018 prove ADT LLC License specialties LIMITED ENERGY License no. ADTLLL*881 DO Effective — expiration 03/20/2012— 03/20/2020 Designated administrator Nic ols, Tim License type Electrical Administrator Federal Ins Co Bond account no. 82295435 Received by L&I 03/20/2012 Bond Savings 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 1 of Year 2018 "Greater than 100 Workers" L&I account contact T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235©Ini.wa.gov Track this contractor 0 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= 06/21/2018