HomeMy WebLinkAboutPermit EL19-0479 - FRENCH GIRL - ADD CUSTOMER OWNED SECURITY PANEL, WIRELESS MOTION DETECTOR AND WIRELESS DOOR CONTACTSFRENCH GIRL
3315 S 116TH ST 141
ELI 9-0479
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
63006nuthcenterBoulevard, Suite #10V
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 2O6'43D'9]5O
Web site: http://www.Tukxvi|aVVA.xnx
0923049068
3315 S 116TH ST 141
Project Name: FRENCH GIRL
ELECTRICAL OTC PERMIT
Permit Number: EL19'0479
Issue Date: 6/4/2019
Permit Expires On: 12/1/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
EPROPERTY TAX INC DEPT 207
POBOX 49UO^S[OTTSDALE,WA,
85261
KRISTEEN GRIFFIN 'GRIMES
33155116TH STl41,TUKVV|U\WA,
98168
Contractor:
Name: VIVINT INC
Address: 493lN3U0VV,PROVO, UT, 846O4
License No: VIVINI*894BZ
Lender:
Name:
Address:
Phone:
Phone: (877) 4794670
Expiration Date: 2/1/2021
DESCRIPTION OF WORK:
INSTALL CUSTOMER OWNED SECURITY PANEL, WIRELESS MOTION DETECTOR AND WIRELESS DOOR CONTACTS
Valuation of sirigle family: $0l0
Valuation of mf/comm: $41.47
Type of Work: TENANT IMP
Fees Collected: $71.71
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
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 FueI Gas Code:
Permit Center Authorized Signatu e:
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 n ot presume to give authority to violate or cancel the provisions of any other
state or local Paws reguiating construction or the performance ofwork. 1 am authorized to sign and obtain this
development permit arid agree to the conditions attached to this permit.
Signature:
Print Name:
7rip
ROO 1,,y &
-.4_/9
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 CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
lnspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: API electrical work shall be in accordance with NFPA 70 NEC, and requirements for electrical nstallations,
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 Inspec|on 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.gov
Electrical Permit No. ./\ ". ing
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
Site Address: 331.5 So. iI6-nk ST
Tenant Name: Fzetzt-t
PROPERTY OWNER
Name: 1AZ. 1 ."T F;6" Giklc 0\1 Cy I VYNES
Address: 33 1, 1 611-k Sl- # 141 1
Name:
Zip:ci si 63
Phone: Fax:
2,O6- 14
Address:
Email:
Contr Reg No.:V IVINI*M.Zil• Exp Date:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: 1AZ. 1 ."T F;6" Giklc 0\1 Cy I VYNES
Address: 33 1, 1 611-k Sl- # 141 1
City: State:
uruk< vo i LA
Zip:ci si 63
Phone: Fax:
2,O6- 14
Phone: 80 i ....765_5,OG Fax:
Email:
Contr Reg No.:V IVINI*M.Zil• Exp Date:
King Co Assessor's Tax No.:
Suite Number: 1 14 1 Floor:
New Tenant: Yes fl ..No
ELECTRICAL
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ono- 1 N u
Address: ct NI IlD kt j
City:
VO State: u 1)44
Zip: gzi,c,d7
Phone: 80 i ....765_5,OG Fax:
Contr Reg No.:V IVINI*M.Zil• Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1 I:Ycb
LuiM ,-65S
Scope of Work (please provide detailed information): 1 tU-SAIL-1- C.4)S-1-b Pr\ ER. o& .S ECU R !TY PANE ^DTA)
1,erec,i'azswlf?4(-65", coIL ColvTACV5
Will service be altered? EJ Yes JXJ No Adding more than 50 amps? ED Yes No
Type of Use:
Type of work:
El New 0 Addition El Service Change CI Remodel Tenant Improvement
Y1 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy
Seattle City Light
WAPermit Center \Applications-HandoutsTermit Applications \ PDFsTlectrical Permit Application Revised I-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alann) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
El 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)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
0 Low voltage systems $60.00
(alarm, furnace 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 outbuilding)
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%
'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 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:
W D
Mailing Address: F 4' '31 Ow
Date:
6 if
Day Telephone: 425.- YZ.----0412—
PP-IA/o T 251-661
City
W:Wermit Center \ Applications•HandoutsTermit Applications \ PDFAElectrical Permit Application Revised 1. 17- 19.do cx
State
Page 2 of 2
Cash Register Receipt Receipt Number
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$71.71
EL19-0479 Address: 3315 S 116TH ST 141
Apn: 0923049068
$71.71
Credit Card Fee
$2.09
Credit Card Fee
R000.369.908.00.00
0.00
$2.09
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: R17807
R000.322.900.04.00
0.00
,
$3.32
$71.71
Date Paid: Tuesday, June 04, 2019
Paid By: FRED LYDA
Pay Method: CREDIT CARD 156618
Printed: Tuesday, June 04, 2019 4:04 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 06/04/2019 04:03:54 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********4344 K
TRAN AMOUNT: $71.71
APPROVAL CD: 156618
RECORD #: 000
CLERK ID: Rachelle
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
CO TUKWILA ETnAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
200'433'1870
CITY OF TUKWILA
Date: 06/04/2819 04:03:54 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: *~********4344 K
TRAN AMOUNT: $71.71
APPROVAL CD: 155618
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P... MIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431.367
Permit Inspection Request Line (206) 438-9350
Project-
T . - Q� peCtiQ . �
I
Address:to
,
Called:
Special Instructions:
�G�'' ,,a�
Date Wanted:
p.rn.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
pec
REINSPECTION FEE REQUIRED. Prior to next inspection. tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1.10111e Etipali01 Contact.
Safety & Health Claims & Insurance
Clik
k Washington State Department of
/ Labor & Industries
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Workplace Rights Trades & Licensing
Vivint Inc
Owner or tradesperson
Principals
Brenchley, Shawn, VICE PRESIDENT
Wilcox, Nathan, SECRETARY
Gerard, Dale R, SECRETARY
Black, Christopher A, TREASURER
Pedersen, Todd, CHIEF EXECUTIVE
OFFICER
Dunn, Alexander, CHIEF OPERATING
OFFICER
CT Corporation System, AGENT
Doing business as
Vivint Inc
WA UBI No.
602 561 784
4931 N 300 W
PROVO, UT 84604
877-479-1670
Business type
Corporation
Governing persons
TODD
R
PEDERSEN
KEITH WILLIAM NELLESEN;
ALEX DUNN;
SHAWN M BRENCHLEY;
JAMES CHRISTENSEN;
DALE R GERARD;
BRUCE MCENVOY;
NATHAN WILCOX;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
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.
VIVINI*894BZ
Effective — expiration
02/01/2011— 02/01/2021
Help us improve
Designated administrator
Active.
Baxter, Jonathan Earl Meets current requirements.
License type License no.
Electrical Administrator BAXTEJE825DA
Bond
Hartford Fire Ins Co
Bond account no.
34BSBHP3516
$4,000.00
Received by L&I Effective date
01/05/2018 01/31/2018
Expiration date
Until Canceled
WESTERN SURETY CO
Bond account no.
70040165
$4,000.00
Received by L&I Effective date
01/31/2011 01/10/2011
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
ESTSU00297
Issue date
08/15/2016
Violation city
ARIMO
Type of violation
ELECTRICAL CITATION
Description
Class B eligible work - Failing to obtain an
electrical/telecommunications work permit, or
post a provisional electrical work permit, or
valid Class B label prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-901.
Infraction no.
ECAEM00288
Issue date
11/15/2013
Violation city
ARIMO
Type of violation
ELECTRICAL CITATION
Description
Class B eligible work - The Class B work
permit is not valid as referenced in WAC 296-
46B-901 and WAC 296-46B-908. (VIVINT INC
AND NICK POVEY FAILED TO VALIDATE AND
POST PERMIT PRIOR TO PERFORMING
WORK) (CITATION IS COVERED IN MATRIX)
Infraction no.
ECAEM00293
Issue date
11/15/2013
Violation city
ARIMO
Type of violation
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$100.00
Satisfied
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Help us improve
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. (FAILED TO PROPERLY SUPERVISE
JUSTIN SNAAR) (CITATION IS COVERED IN
MATRIX)
Infraction no.
ECAEM00296
Issue date
11115/2013
Violation city
ARIMO
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work. (CITATION
COVERS MULTIPLE UNCERTIFIED
ELECTRICIANS AND 15 IN A MATRIX)
Satisfied
RCW/WAC
19.28.271 RCW
Violation amount
58,500.00
Workers' comp
Public Works Requirements
Workplace safety and health
Washinglon State Dept. of Labor & industries. Use of this site is subjecl to the taws of the state of Washington.
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