HomeMy WebLinkAboutPermit EL19-0294 - MAX'S RESTAURANT CHICKEN - WIRELESS ALARM INSTALLATIONMAX'S RESTAURANT PKWY
16800 SOUTHCENTER PKWY
ELI 9-0294
Parcel No:
0
City of Tukwila
Department of Community Development
6300 SouthcentsBou|evard, Suite #10
Tukwila, Washington U81O8
Phvne:3U6'431'367O
inspection Request Line: 206~438'9350
Web site: http://www.TukwilaWA.gov
2623049129
ELECTRICAL OTC PERMIT
Project Name: MAX'S RESTAURANT CHICKEN
Permit Number:
Issue Date:
Permit Expires On:
Owner:
Name:
Address:
Contact Person:
Name: ]ENN|FER[OVELLO Phone, (360)945'2787
Address: 98083lAVE SE, EVERETT WA, 98208
Contractor:
Name: ADTLLC Phone: (561)988'3600
Address; 61O2NNINTH STSUITE 70lTA[OMA,
WA, 98406
License No: ADTLLL^881DO
Lender:
Address:
'''
Expiration Date: 3/20/2020
DESCRIPTION OFWORK:
TELECOMMUNICATIONS WORK/WIRELESS ALARM INSTALLATION
Valuation ofsingle family: $0.00
Valuation ofmf/comm: $149.00
Type of Work: LOW VOLTAGE
Fees Collected: $69.62
Electrical Service Provided by: PUGETSOUND ENERGY
Water District: TUKVV|LA
Sewer District: TUKVV|LA
Current Codes adopted bythe 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:
VVACities Electrical Code:
VV4[Z96468�
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.
Signatu
Print Name: . (CA/4A 10
Date: /q/61
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,TukwilaWA.Roy
Electrical Permit No.
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
's ? 402 54K.4 t 2_ 5
9)0 LAAAACQ-41.-le.{ Number: Floor: Site Address: King co AssessorTax No.:
Tenant Name: Maxs Restaurant Chicken New Tenant: J Yes 0 ..No
PROPERTY OWNER
Name: Maxs Restaurant Chicken
Address: I b„7,0
citY:Tukwila
State: WA
ZIP: 98188
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Covello/ NW PERMIT
Address: 9808 31st Ave SE
City: EVERETT State: WA Zip: 98208
Phone: 206-371-2237 Fax: 888-400-0383
Email:JENNIFER@NWPERMIT.COM
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ADT LLC
Address: 11824 NORTH CREEK PKWY N # 105
City: BOTHELL State: WA Zip: 98011
Phone: 3609452787 Fax: 8884000383
Contr Reg No.: ADTLLL*881 DO Exp Date03/20/20 1 9
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 149
Scope of Work (please provide detailed information): telecommunications work/wireless alarm installation
Will service be altered? EJ Yes 0 No Adding more than 50 amps? ED Yes El No
Type of use. Commercial
Type of work:
Ell New 0 Addition 0 Service Change 0 Remodel El Tenant Improvement
II Low Voltage EI Generator 0 Fire Alarm El Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
WAPermit Center Applications \PDFs \Electrical Permit Application Revised I -I 7-19.doci;
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
• New single family dwellings $180,00
(including an attached garage)
Ei Garages, pools, spas and outbuildings .......... ...„$120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration ........ . ............... $120.00
(no added/altered circuits)
o Service change with added/altered circuits$100.00
number of added circuits $10.00 ea
El Circuits added/altered without service change $60.00
(up to 5 circuits)
o Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
o Meter/mast repair $80.00
o Low voltage systems $60.00
(alarm, fumace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
o Manufactured/mobile home service $100.00
(excluding garage or ostbuilding)
o Carnivals $100.00
Number of concessions ....... $11.00 ea
Each ride and generator truck $11.00 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 1 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 0
ELECTR.ICAL CONTRACTOR:
Signature:
Print Name: JENNIFER COVELLO
Mailing Address: 9808 31ST ST SE
Date: 04/05/2019
Day Telephone:
EVERETT WA 98208
City State Zip
W:\Fermfl Center\ Applications-HtuidoutsTerrnit Applications PDFs1Electrical Permit Appl ication Revised I -I 7- 1 9. docx
Page 2 of 2
fa
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$270,86
EL19-0293 Address: 17005 SOUTHCENTER PKWY BLDG 1 Apn: 2623049070
$74,22
ELECTRICAL
$70.69
PERMIT FEE MULTI-FAM/COMM R000,322,101.00.00 0,00
$70.69
TECHNOLOGY FEE
$3.53
TECHNOLOGY FEE R000.322.900.04.00 0.00
$3.53
EL 9-0294 Address: 16800 SOUTHCENTER PKWY Apn: 26 049129
$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 R000.322.900.04.00 0.00
$3.32
EL19-0295 Address: 1077 ANDOVER PARK E Apn: 262 049106
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE R000.322.900.04.00 0,00
TOTAL FEES PAID BY RECEIPT: R17343
$6.05
$270,86
Date Paid: Friday, April 05, 2019
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 3708
Drimi-nel* CriAnIJ A nr-71 nr 11iQ ANA
1 rtf 1
0•12114111
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 670
Permit Inspection Request Line (206) 438-9350
Project:
Type of nspect on:
Address:
Date Called:
Special Ins
uc ons:
Date Wanted:
. .
Requester:
Phone No:
Approved per applicable codes.
orrections required prior to approval.
ns pec
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fe11
e must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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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 VVHALL;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Active.
Meets current requirements.
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.
License type License no.
Electrical Administrator NICKOT*902DA
Bond
Federal Ins Co
Bond account no.
82295435
$4,000.00
Received by L&I Effective date
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03120/2012
03/01/2012
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
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 4 of Year 2018 "Greater than 100 Workers"
L&I account contact
T4 1 ALISON WOODWARD (360)902r4629 - Email: WOAL235@Ini.wa.gov
Track this contractor 0
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
Violatio
Wash
on
le Dept. of Labor 8 Industries. Use of this site is subject to the laws of the, state of Washington.
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