HomeMy WebLinkAboutPermit EL19-0348 - TENELSO RESIDENCE - TELECOMMUNICATIONS WORK AND ADD WIRELESS ALARMTENELSO RESIDENCE
4276 S 160TH ST
ELI 9-0348
Parcel No:
Address:
�~^�xx ^�� Tukwila
v~�~� uvn n ��nx��Uoa
Deportment of Community Development
63VOSouthcenterBoulevard, Suite #1OU
Tukwila, Washington 9O188
PhnnmI06-431,367O
Inspection Request Line: 206'438'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
8108600504 Permit Number: EL19'0348
Project Name: TENELSO RESIDENCE
Issue Date: 4/22/2019
Permit Expires On: 10/19/2019
Contact Person:
Name:
Contractor:
TEKLEMAR|AMA3RATK+TEMELSQ
4Z76S16DTHST'TUKVV|U\WA,
98188
]ENN|FERCOVELLO
Address: 6lOZNN|NTH STSUITE 7O0'TACUK8A,
WA, 98406
License No: ADTLLL*881DO
Lender:
Name:
''^
Phone; (206)371-2237
Phone: (561) 988-3600
Expiration Date: 3/20/2020
DESCRIPTION OF WORK:
TELECOMMUNICATIONS WORK/WIRELESS ALARM INSTALLATION
Valuation ufsingle family: $235.00
Valuation ofmf/comm: $0,00
Fees Collected: $64.89
Electrical Service Provided by: 5EAlTL[CITY LIGHT
Water District: H|GHL|NE
Sewer District: NONE
Codes adopted bythe City ufTukwila:
International Building Code Edition:
International Residential Code Edition:
international Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
20152015
2015
2015
National Electrical Code:
WA Cities Electrical [ode:
VVA[Z90-46B:
Code:
ermit Center Authorized Signature:
Date:
|henrbycertify that I have read and examined this permit and know the same to be true and correct. All
provisions oflaw and ordinances 8ovem|ngthis work will becomplied with, whether specified herein nrnot.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state o/local laws regulating construction orthe performance ofwork. |nmauthorized tosign and obtain this
development permit and agree tothe conditions attached tnthis permit.
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:
l: 'ELECTRICAL PERMIT CONDIT0NS~*~
Z: 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 be in accordance with NFPA7O- NEC, and requirements for electrical installations,
Chapter 296-46BVVACand the Washington Cities Electrical Code.
6: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
ofthe 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 orrelated
documentation that presumes togrant this authority are therefore not valid.
7: Any change inthe scope ofwork described bythe 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'|NELE[TR|[AL
7002 5Env|[E
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi I aW A .gov
Electrical Permit No. t—) I
63"/
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
King Co Assessor's Tax No.: 8108600504
Site Address: 4276 S 160th St Suite Number: Floor:
Tenant Name: Avrehet Tenelso Yes ..No
New Tenant:
PROPERTY OWNER
Name: Avrehet Tenelso
Address:4276 S 160th St
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*881D0 Exp Date03/20/2019
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 235.00
Scope of Work (please provide detailed information): telecommunications work/wireless alarm installation
Will service be altered? 0 Yes 0 No
Type ofUs. g52.Av2-(1
Type of work:
El New El Addition
CI Low Voltage EI Generator
Property Served by:
0 Puget Sound Energy
0 Service Change
ID Fire Alarm
Seattle City Light
Adding more than 50 amps? 0 Yes El No
0 Remodel
Ej Telecommunication
0 Tenant Improvement
Temporary Service
WAPerm it Center \ Applications -Handouts\ Permit ApplicaLi skElectrical Permit Application Revised 1- 17-1 9.docz
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑■ Low voltage systems
(alarm)
$180.00
$120.00 ea
$60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, fumace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
❑ 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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELEC •1 CAL i'. CTOR:
Signature: "" �...... Date: 12Zh
Print Name: l �'1 `� 2kA Y b Day Telephone: /O l ( 22 ✓)
Mailing Address: 9808 31 ST ST SE
EVERETT
City
WA
State
98208
Zip
W:\Permit CenterWpplicatiens-Handouts\Pennit Applications \PDFs\Electrical Permit Application Revised 1-17-19.docx
Page 2 of 2
Cash Register Receipt Receipt Number
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$64.89
EL19-0348 Address: 4276 S 16OTH ST
Apn: 8108600504
$64.89
Credit Card Fee
$1.89
Credit Card Fee
R000.369.908.00.00
0.00
$1.89
ELECTRICAL
$60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00,00
0,00
$60.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
R000:322.900.04.00
0.00
$3.00
TOTAL FEES PAID BY RECEIPT: R17462.
$64.89
Date Paid: Monday, April 22, 2019
Paid By: NORTHWEST PERMIT INC
Pay Method: CREDIT CARD 18387G
Printed: Monday, April 22, 2019 2:55 PM 1 of 1
SYSTEMS
CO TUKWILx ETRAxIT
6200 S0UTH[EmTER BLVD
TUKWILA, W4 98188
206'433-1878
CITY OF TVKWIL4
Date: 04/22/2019 02:55:09 PM
CREDIT [xKD SALE
VISA
[4oD NUMBER: *********4587 K
TRAN AMOUNT: $04.89
APPROVAL [D: 18387Q
RECORD #: 000
CLERK ID: Laurie
Thank you!
Customer Copy
5P
INSPECTION RECORD
Retain wi
th rr a copy w th permit
CTION NO. P'R# 1t NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 4:38-9350
lProject:
Type nspection:
Address: .,
� �
Date Called:
Special In tructions:
'Date
Wanted:
Requester:
Phone No:
qZfic Ili? 0
Approved per applicable codes.
'COMMENT
Corrections required prior to approval.
Inspector:
Date:
i 1 REINSPECT FEE REQUIRED. Prior to next inspection. fee east be
paid at 6300 Sauthcenter Blvd.. Suite 100. Call to schedule reinspection.
ADT LLC
Page 1 of 2
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Washington State Department of
Labor & Industries
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
Active.
Meets current requirements.
License type License no.
Electrical Administrator NICKOT*902DA
Bond
Federal Ins Co
Bond account no.
82295435
$4,000.00
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ove
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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
03101/2012
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 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 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
(e.,.) Washington State Dept ol Labor & iIldustries. Use of this site is subject to the laws of the state of Washington.
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