HomeMy WebLinkAboutPermit EL19-0854 - QDOBA - CELLULAR COMMUNICATOR FOR SECURITY ALARM SYSTEMQDOBA
100 ANDOVER PARK W 130
ELI 9-0854
Parcel No:
Address:
City
of Tukwila
t 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
0223000020
100 ANDOVER PARK W 130
Project Name: QDOBA
Permit Number: EL19'0854
Issue Date: 10/18/2019
Permit Expires On: 4/15/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
OPEN FRAME LLC
923 POWELL AVE SW STE 101 C/O JSH
PROPERTIES INC, RENTON, WA98057
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADT|LL+881D0
Phone: (360) 945-2787
Phone: (561) 988-3600
Expiration Date: 3/I0/2020
DESCRIPTION OF WORK:
INSTALL CELLULAR COMMUNICATOR FOR EXISTING SECURITY ALARM SYSTEM
Valuation of single family: $0.0
Valuation of mf/comm: $15000
Type of Work: LOW VOLTAGE
Fees Collected: $69.62
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
Iriternational Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
2015
20152015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
Permit Center Authorized Signature:
,Date: ( 0 g ^x�
Avis
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:
Print Name: Wi [/(T&t. + v (4).-416.A
Date: /0//g/Fel
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 permanentplacement 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.gov
Electrical Permit No. EL 61- 0
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
(oo Amiover P
Site Address: ift""f1142C52Ce:
Tenant Name;QDOBA #2394
King Co Assessor's Tax No.W2.31006 OZ 230 0002-V
Suite Number: i3 Floor:
New Tenant:
PROPERTY OWNER
Name: QDOBA #2394
Address1,50-AnC(Q 440*--/- Strietifri
It --(30
Tukwila, 98188
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Covello/ NW PERMIT
9808 31st Ave SE
EVERETT WA
98208
3609452787 888-400-0383
JENNIFER@NWPERMIT.COM
0 Yes
..No
ELECTRICAL CONTRACTOR INFORMATION
Company
Name:ADT LLC
11824 NORTH CREEK PKWY N # 105
BOTHELL WA 98011
3609452787 8884000383
ADTLLL*881D0 03/20/2019
Valuation of Project (contractor's bid price): $150.00
Scope of Work (please provide detailed information):
Install cellular communicator for existing security alarm system.
Will service be altered? ED Yes PE No Adding more than 50 amps? CD Yes El No
Type enj„:COMMERCIAL
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
II Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy Seattle City Light
WAPerrnit Center \Applications-HanduutssPermit ApplicationsTDF's \Electriil Permit Application Revised I - 7-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 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
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
O 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%
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 TI -IAT 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 ELECTRICAL CONTRACTOR:
Signature:
Print Name:WILLIAM MILLHOLLIN
Mailing Address:9808 31ST AVE SE
W: \ Permit Cent erlApplications-I1 ando uts \Permit A ppli cationsWD Ps \Electrical Permit Application Revised I - 7-1 9.do
Date:10/18/2019
3609452787
Day Telephone:
EVERETT WA 98208
city State Zip
Page 2 of 2
DESCRIPTIONS
ACCOUNT I QUANTITY PAID
PermitTRAK
• ." •
EL1940853-"":::,"""Address:''i17185150..UTRCENTERPKW8(4!:::go,Apn: 2623049071 $69.62
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
8000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.32
EL19-0854 Address: 100 ANDOVER PARK W 130 Apn: 0223000020
$69.62
ELECTRICAL
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$66.30
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.32
, E,E VE,I'MEEEEEEEEE-fEEETEEESEVE111,E,EVEEEEME491EIEEEEPE'',E,EP E,E.E ^`,E,E,E,,E54E-ErE,E.0,EV '',E1,111r4410dEVEVEE'EEEOVE'-'131,(WEAE E'AYEIE'lr#E'rErEE-EE:01?4,YPE'
EL19-0855Addiei::'4708,SOUTHCENTER BLVD',OFFICE',,,",[3t1Apni",22230490
$92.66%
ELECTRICAL
$88.25
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$88.25
TECHNOLOGY FEE
$4.41
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.41
TOTAL FEES PAID BY RECEIPT: R18854
$231.90
Date Paid: Friday, October 18, 2019
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 3817
Printed: Friday, October 18, 2019 9:11 AM
1 of 1
CiraWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PRMIT 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 lnsp
on:
Address:
00
Date Called:
Special
s ructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
Er; Approved per applicable codes. 1 1 Corrections required prior to approval.
COMMENTS:
REINSPECTION EE REQUIRED. Prior to next inspection, fe- must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADT LLC
CoWashington State Department oi
Labor & Industries
[DT LLC
0 0
Home Espafiol Con Wet.
Safety & Health Claims & Insurance
Search L&I
Page 1 of 2
SARCH'
A- Z cidex 1 -kip My 11.&r
Workplace Rights Trades & Licensing
Owner or tradesperson
Principals
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)
Whall, Timothy J, PARTNER/MEMBER
(End: 08/16/2019)
Finney, Gray P, PARTNER/MEMBER
(End: 10/09/2019)
Doing business as
ADT LLC
WA UBI No.
603 190 246
PO BOX 310773 ATTN LICENSING DEPT
BOCA RATON, FL 33431-0773
509-496-0567
SPOKANE County
Business type
Limited Liability Company
Goveming persons
LLC
ADT
DANIEL M BRESINGHAM;
P GRAY FINNEY;
JEFFREY LIKOSAR;
TIMOTHY J WHALL;
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
0312012012— 03/20/2020
Designated administrator
Simmons, Otis D
License type
Electrical Administrator
Bond
Federal Ins Co
Bond account no.
Active
Meets current requirements.
Active
Meets current requirements.
License no.
SIMMOOD813N2
$4,000.00
TRT=AA1 1 WYMAR7T 11"=,.6,11lTT 11 *RR 1F1/1,4,C.
Help us improve
1 wi RmiQ