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Home My WebLink AboutPermit EL18-0843 - THE WORK CLINIC - ADD DEVICE TO INTRUSION ALARMTHE WORK CLINIC 13030 MILITARY RDS 100 ELI 8-0843 Parcel No: Address: 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 ELECTRICAL OTC PERMIT 1623049171 13030 MILITARY RD S 100 Project Name: THE WORK CLINIC Permit Number: EL18-0843 Issue Date: 10/1/2018 Permit Expires On: 3/30/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TARIANA PROPERTIES LLC 1122 E PIKE ST, #751, SEATTLE, WA, 98122 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: ADD DEVICE TO EXISTING LOW VOLTAGE INTRUSION ALARM Valuation of single family: $0.00 Valuation of mf/comm: $99.00 Type of Work: LOW VOLTAGE Fees Collected: $69.62 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 20,125 Sewer District: VALLEY VIEW 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: A) co 2017 2017 2017 2015 Date: to—1—( 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: Date: (O—I(`P Print Name: /714(!n,/ 4 A4)( ( G( & 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 INN CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gcv Electrical Permit No, Project No. Date Application Accepted: Date Application Expires: (For °lice 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: 13030 Military Rd S King Co Assessor's Tax No.: 1623049171 Suite Number: 100 Floor: Tenant Name: The Work Clinic PROPERTY OWNER Name: Jennifer Covello/ jennifer@nwpemiit.com Name: The Work Clinic City: Everett State: WA Zip: 98208 Address: 13030 Military Rd S Suite 100 Email: City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Jennifer Covello/ jennifer@nwpemiit.com Address: 9808 31st Ave SE City: Everett State: WA Zip: 98208 Phone: (360) 945-2787 Fax: (888) 400-0383 Email: New Tenant: Yes ..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): $ 99 Scope of Work (please provide detailed information): Add device to existing low voltage intrusion alarm Will service be altered? 1:3 Yes El No Adding more than 50 amps? El Yes IZJ No Type of Use: Commercial Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement VI Low Voltage 0 Generator Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light Fi.` Applicationaorms-Applications On Line is 2014 Applications1Electrical Permit Application Revised 1.1-14. discs Revised. January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $81.90 (no added/altered circuits) O Service change with added/altered circuits $81.90 number of added circuits SI 1.55 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 $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 O Temporary service (residential) $65.00 O Temporary service (generator) $80.90 El 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 STA I E OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Nil itvt-t Pill (iva I he, 9 Mailing Address: 9808 31st Ave SE Day Telephone: Everett Date: (360) 945-2787 WA 98208 City 11 \ ApplicationsTurms-ApplIcat tons On Line \2014 ApplicationsTlectrica I Permit Application Reyoed I-1 -I4.docx Rcycsed January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R15520 DESCRIPTIONS PermitTRAK ACCOUNT ( QUANTITY PAID $346.26 EL18-0839 Address: 3416 5 148TH ST Apn: 0040000822 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY 8000.322.101.00.00 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE I R000.322.900.04.00 0.00 $3.05 EL18-0840 Address: 4200-4481 S 148TH ST Apn: STRT-00374 $74.22 ELECTRICAL $70.69 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $70.69 TECHNOLOGY FEE $3.53 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.53 EL18-0841 Address: 13718 MACADAM RD S Apn: 0003000082 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 I 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.05 EL18-0842 Address: 4459 S 134TH PL Apn: 2613200084 $74.22 ELECTRICAL $70.69 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $70.69 TECHNOLOGY FEE $3.53 TECHNOLOGY FEE R000.322.900.04.00 0.00 I $3.53 EL18-0843 Address: 13030 MILITARY RD S 100 Apn: 1623049171 $69.62 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: R15520 R000.322.900.04.00 0.00 $3.32 $346.26 Date Paid: Monday, October 01, 2018 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 3733 Printed: Monday, October 01, 2018 3:57 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 - Project: 1 KhAVe,i/tAlk V Type of Inspection: A 4/Ai Address: 03 0 Date Called: Special Instructions: AlYr — I 0 Date Wanted: 0 a. .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: Date: LJREINSPECTIO FEE REQUIRED. Prior to next inspection. fee musi be 'I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection, ADT LLC Washington State Department of k Labor & Industries Horne Espanol Contact: Safety & Health Claims & Insurance [Search L&I Page 1 of 2 Index l kip My 1,&r1 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. ADTLLL•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 httos://secure.lni.wa.gov/verify/Detail.aspx?UBI-603190246&LIC=ADTLLL*881DO&SAW= 10/1/2018 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 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 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 Washington State Dept. of Labor & Industries. 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