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HomeMy WebLinkAboutPermit EL19-0295 - BROKEN ARROW COMMUNICATIONS - WIRELESS ALARM AND CCTV INSTALLATIONBROKEN ARROW COMMUNICATIONS 1077 ANDOVER PARK E ELI 9-0295 Parcel No: Address: Project Name: �~^�xx °�� Tukwila *~�^� ��u v K�nv�m�oa Department ofCommunity Development G300SouthcpnterBoulevard, Suite #1OU Tukwila, Washington 9O188 Phone: 206'431-3670 Inspection Request Line: 206'438'9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2623049106 lU77ANDOVERPARK E BROKEN ARROW COMMUNICATIONS Permit Number: Issue Date: Permit Expires On: ELl9'OZ95 4/6/Z019 10/2/2019 Owner: Contact Person: Name: Address: CBRE|N[ 2O4157INDAVE S#210C/O STO[K8R|DGECAPITAL GP, KENT'WA, 9@03Z J[NN|FER[OVELLO Contractor: Name: ADTLL[ Address: 6102 N NINTH 5TSU|TE 700TA[OyWA, WA, 98406 License No: ADTLLL*881DO Lender. ''' Phone: (360)945-2787 Phone: (561)988'3600 Expiration Date: 3/20/2020 DESCRIPTION OF WORK: TELECOMMUNICATIONS WOKK/ WIRELESS ALARM & CCTV INSTALLATION Valuation cfsingle family: $0.00 Valuation ofmf/comm: $1,45E00 Fees Collected: $127l2 Electrical Service Provided by: PWGETSOUND ENERGY Water District: TUKVV|L4 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: ized Signature: National Electrical Code: VVACities Electrical Code: VVACZ95'46:: Code: �� |hearbycertify 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 ofthis permit does not presume togive authority toviolate nrcancel the provisions ofany other state orlocal laws regulating construction orthe performance ofwork. |amauthorized tosign and obtain this deve|opnnentpermitandagreetntIJrz6gu1ti�ionsettachedtothispermiC Signatu Print Name: Date: 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 OOND|T|ONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector ateach 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 bpinaccordance with NFPA7O NEC, and requirements for electrical installations, Chapter J96-468VVA[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. G: 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 orrelated documentation that presumes tngrant 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 tothe plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206)438-9350 I100 ELECTRICAL FINAL 7003 ROUGH'|NELECTR|[4i 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 ' http://www.TukwilaWA.gov Electrical Permit No. El ( "I - 4 Z - I S Project No. u Date Application Accepted: - 1 ~ t 1 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: (�'AvOckeir P Tenant Name: `%lrDV.A.An . bcA) PROPERTY OWNER NameT,Anr , vzie.2lX �f+�turvrt l auk r / Address: 1 01—) 4Y��\ ^' �'� T g 1V�sttatte::+U4 Ci _ 1 [N - J1 Zip _L©1M CONTACT PERSON — person receiving all project communication Name `v.l Ock frk i 10 Address c7 % (S \ $ vg'' ,l City:iz p.,Q -_ State: (A) Zip: Ot ��' + Phone::J�,�" : �i 7-Z49 Emair e_vi a 1 i,, IV10 ,„V1'0i ,,AM v King Co Assessor's Tax No.:210 2 T) 0 Suite Number: Floor: C04-1045 New Tenant: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ANyc- tj c , Address: PK- o A/ J i z4 1 1 City: J State: c JA Zip 4- t l l Phone t� Sr?-7 ` f• E� G Contr Reg No.;,tl '1`ti r r r y _ ei Date: 2c� Ji 9 Tukwila Business LicenseseNo.; Valuation of Project (contractor's bid price): Scope of Work (please provide detailed} ss Will service be teryred? ❑ Yes Type of Use: (, OV vMa( al( Adding more than 50 amps? Q Yes Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light WAPermit CcnterlApplications-Handouts\Permit ApplicationAPDFsEkctrical Permit Application Revised I-17-I9.doce Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings El Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 O Circuits added/altered without service change $60.00 (up to 5 circuits) El Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea El Meter/mast repair ,,,,,, ....... . ...... ......... $80.00 El Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $60.00 El Temporary service (generator) $90.00 El Manufactured/mobile home service $100.00 (excluding garage or outbuilding) CI 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% 1 ECHNOLOGY 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 PERTURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT, BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Na Mailing Address: City Date: Day Day Telephone2a7/ZZ /LAM- rZOS) Zip State WAPartnit Center Applications-HanciontsTermit Application0F\Elec1riI Permit Application Revised 1-17-19, doca Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY :, PAID $270.86 EL19-0293 Address: 17005 SOUTHCENTER PKWY B DG 1 Apm 262 049070 $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 EL19-0294 Address: 16800 SOUTHCENTER PKWY Apm 2623049129 $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: 2623049106 $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 TOTAL FEES PAID BY RECEIPT: R17343 R000.322,900.04.00 0.00 56.05 $270.86 Date Paid: Friday, April 05, 2019 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 3708 DrinAnel• CriAnt, Ar,-11 r riO cl•-) ANA 1 of INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: �- � Type of inspection: is N Address: r . -Date Called: Special tnstructi ns: A-6 firt-Jarl w Date Wanted: Requester Phone No: Approved per applicable codes. COMMENTS; Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries A-Z Index Help My L&I 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 License specialties LIMITED ENERGY License no. ADTLLL*881D0 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. Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Received by L&I Effective date Help us improve 03/20/2012 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 ALISON WOODWARD (360)902-4629 - Email: WOAL235@lni.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,notallowed to bid No debarments have been Issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsiles this business was responsible for. Inspection results date 04/04/2014 Inspection no. 316977750 Location 4206 200th St E Spanaway, WA 98387 violations r." Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve