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Home My WebLink AboutPermit EL18-0908 - FIELDS RESIDENCE - INSTALL TELECOMMUNICATIONS WORK / WIRELESS ALARMFIELDS RESIDENCE 14445 42 AVE S CANCELLED 10/31/18 ELI 8-0908 Parcel No: Address: Project Name: c 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.gov ELECTRICAL OTC PERMIT 0040000234 Permit Number: EL18-0908 14445 42ND AVE S FIELDS RESIDENCE Issue Date: 10/19/2018 Permit Expires On: 4/17/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FIELDS TRACY 14445 42ND AVE S, TUKWILA, WA, 98168 JENNIFER COVELLO 9808 31 AVE SE , EVERETT, WA, 98208 ADT LLC 6102 N NINTH ST SUITE 700, TACOMA, WA, 98406 ADTLLL*881D0 11, Phone: (206) 774-9499 Phone: (561) 988-3600 Expiration Date: 3/20/2020 DESCRIPTION OF WORK: TELECOMMUNICATIONS WORK/WIRELESS ALARM INSTALLATION Valuation of single family: $250.00 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Fees Collected: $64.10 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 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: Date: 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 permit and agree to the conditions attached to this permit. Signature: Da Print Name: intiPikl✓1 Mita/A4 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 TUKWIC Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:/lwww.TukwilaWA.gov Electrical Permit No. ESI Pr D toy Project No. Date Application Accepted: Date Application Expires: (For ofce 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: 14445 42nd Ave S Tenant Name: Tracy Fields King Co Assessor's Tax No.: 0040000234 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No PROPERTY OWNER Name: Jennifer Covello/ jennifer@nwpermit.com Name: Tracy Fields City: Everett State: WA Zip: 98208 Address: 14445 42nd Ave S Email: 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: 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): $ 250 Scope of Work (please provide detailed information): telecommunications work/wireless alarm installation Will service be altered? ❑ Yes (ZJ No Adding more than 50 amps? ❑ Yes (ZI No Type of use: RESIDENTIAL Tvpe of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant improvement m Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H Applications\Forms-Applications On Line 't Applications\Filectrical Permit Application Revised I-1-14. 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 O 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) O 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 O 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. 1 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: Print Name: 111 [ 4I( (/' Day Telephone: (360) 945-2787 Mailing Address: 9808 31st Ave SE Everett WA 98208 State Zip Date:10 /Vied City H '.Appl ications\Forms-Applications On Linc1014 ApplicationstElecvical Permit Application Revised I.I-t4.docx Revised January 2014 hh Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R15670 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $128.20 EL18-0908 Address: 14445 42ND AVE S Apn: 0040000234 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.05 EL18-0909 Address: 12515 50TH PL S Apn: 0179002860 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 I $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15670 R000.322.900.04.00 0.00 $3.05 $128.20 Date Paid: Friday, October 19, 2018 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 3736 Printed: Friday, October 19, 2018 3:49 PM 1 of 1 SYSTEMS MEMORANDUM TO: Diane Jaber FROM: Bill Rambo DATE: November 2, 2018 SUBJECT: Refund for Electrical Permit EL18-0908 L--tecrkoc7 11 /j/3 Please draw a check in the amount of $51.28 (fifty-one dollars and twenty-eight cents) to be payable to ADT LLC at 6102 N Ninth St — Suite 700, in Tacoma, WA 98406. The permit has been cancelled and the applicant has requested a refund which the Building Official has granted at 80%. Please provide the refund as follows: Aurt, Amount 000.322.101.00.00 $48.84 000.322.900.04.00 $2.44 Total $51.28 Thank you! Bill Rambo From: Reyes, Julie Uee@adtzom> Sent: Tuesday, October 30, 2018 4:03 PM To: Brenda Holt Cc: Nickols, Timothy; Jennifer Covello; Bill Rambo; Rachelle Ripley Subject: Cancel/VVithdraw permit EL18-0908 for Tracy Fields. Good Aft8OlOOO, Please Cancel/\Nithdraw permit EL18-0908. Permit was not needed. Please mail any refund to: ADT LLC Attn: Tim Nickols 6102 N 9th St, Suite 700 Tacoma, WA 98406 NW #102602 Thank you, Request for Refun d H Approved for full refund [)( Approved for _] Denied (provide explanation) % refund of Julie A Reyes ProceoocAdmin 6102 N 9th St, Ste 700 Tacoma, WA 98406-2099 (o) 253.948.9108 This email, including attachments, may contain information that is private or confidential. If you received this communication in error, please delete it from your system without copying it and notify sender by reply communication. ADT Security Services and its affiliates reserve the right to monitor communications handled by its data communications systems to help ensure compliance with ADT's policies, confidentiality obligations, and applicable laws. CAUTION: This email originated from outside the City of Tukwila network. Please DO NOT open attachments or click Iinks from an unknown or suspicious origin. RECEIVED CITY OF TUKWILA PERMIT CENTER ADT LLC 1lome Espanol Contact Safety & Health Claims & Insurance Washington State Department of `,% Labor & Industries Page 1 of 2 A -Z Index 1lelp My L&I 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 Active. Meets current requirements. 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 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* 881 DO&SAW= 10/19/2018