HomeMy WebLinkAboutPermit EL18-0828 - WHEEL MART SEATTLE - INSTALL INTRUSION ALARM AND CCTV SYSTEMSWHEEL MART SEATTLE
1163 ANDOVER PARK W
ELI 8-0828
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
3523049097
1163 ANDOVER PARK W
WHEEL MART SEATTLE
ELECTRICAL OTC PERMIT
Permit Number: EL18-0828
Issue Date: 9/26/2018
Permit Expires On: 3/25/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
ICON OWNER POOL 1 WEST LLC
2 N RIVERSIDE STE 2350 , CHICAGO,
WA, 60606
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
License No: ADTLLL*881D0
Lender:
Name:
Address:
JID
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2020
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE INTRUSION ALARM AND CCTV SYSTEMS
Valuation of single family: $0.00
Valuation of mf/comm: $570.00
Type of Work: LOW VOLTAGE
Fees Collected: $88.05
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
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
il. "lAn
Date:
2017
2017
2017
2015
lia
1W
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:
wII C Atabo//;,1
Date: e9f7217 j:r
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
:sr
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://vo.vw.TukwilaWA.gov
Electrical Permit No. alf/C1(60/2.***
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: 1163 Andover Park W
Tenant Name: Wheel Mart Seattle
King Co Assessor's Tax No.: 352304-9097
Suite Number:
New Tenant: 1 1 Yes
PROPERTY OWNER
Name: Jennifer Covello/ jennifer@nwperrnit.com
Address: 9808 31st Ave SE
Name: Wheel Mart Seattle
Phone: (360) 945-2787 Fax: (888) 400-0383
Email:
Address: 1163 Andover Park W
City: Tukwila State:
WA
Zip: 98188
CONTACT PERSON — person receiving all project
cominunication
Name: Jennifer Covello/ jennifer@nwperrnit.com
Address: 9808 31st Ave SE
City: Everett State: WA Zip: 98208
Phone: (360) 945-2787 Fax: (888) 400-0383
Email:
Floor:
..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: 03/20/2019
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 570
Scope of Work (please provide detailed information):
install low voltage intrusion alarm, and CCTV systems
Will service be altered? Ei Yes IJ No Adding more than 50 amps? 11 Yes Wij No
Type of Use: Commercial
Type of work:
0 New 0 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:
El Puget Sound Energy 0 Seattle City Light
iApplicationa arms -Applications On Linei2014 ApplicationsTlectrical Permit Application Revised H-14.docx
Revised: January 2014
bh
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
❑ 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
❑ 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 wTiting
and justifiable cause demonstrated.
[ 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 STA I E OF WASHINGTON. AND [ AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL C 1 NTRACTOR:
Signature:
Print Name: 1—. / l(fG11'V I I _ `i 1I1O (1 /1 Day Telephone: (360) 945-2787
Mailing Address: 9808 31St Ave SE Everett WA 98208
Date:
0q/zb/rA2
H. iApplications\Farms-Applications On Ltne12014 Applications\Electrical Permit Appiicat
Revised: January 2(H4
bh
Revised 1-1-14.docx
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R15490
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$238.20
E118-0827 Address: 1050 INDUSTRY DR Apn: 2523049071
$150.15
ELECTRICAL
$143.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
I
0.00
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$7.15
EL18-0828 Address: 1163 ANDOVER PARK W
Apn: 352 049097
$88.05
ELECTRICAL
$83.86
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
I
0.00
$83.86
TECHNOLOGY FEE
$4.19
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15490
R000.322.900.04.00
0,00
s
$4.19
$238.20
Date Paid: Wednesday, September 26, 2018
Paid By: ADT LLC
Pay Method: CHECK 3732
Printed: Wednesday, September 26, 2018 3:48 1 of 1
PM
YSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
a4E'-oSig
Project:
Type of Inspection:
�j
Address:� � o /
,SNJ
Date Called:
Special Instructions:
01 ,ie. ���� /� ill
Date Wanted:
, t}�
m
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
OM M ENTS:
0/1
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. feemustbe
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
Washington State Department of
Labor & Industries
Home Espanol Contact
Safety & Health
Page 1 of 3
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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= 9/26/2018
prove
ADT LLC
License specialties
LIMITED ENERGY
License no.
ADTLLL*881 DO
Effective — expiration
03/20/2012- 03/20/2020
Designated administrator
Nickols, Tim
License type
Electrical Administrator
Federal Ins Co
Bond account no.
82295435
Received by L&I
03/20/2012
s "Noir
Bond
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Adak
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 2 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
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=
9/26/2018
ADT LLC
Check for any past safety and health violations found on jobsites this business was rnsibIe for.
Inspection results date
04/04/2014 Violations
Inspection no.
316977750
Location
4206 200th St E
Spanaway, WA 98387
Page 3 of 3
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