HomeMy WebLinkAboutPermit EL12-0910 - BIG LOTSBIG LOTS
17348 SOUTHCENTER PY
EL12-0910
Parcel No.:
Address:
City o.„ Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
2623049079
17348 SOUTHCENTER PY TUKW
Project Name: BIG LOTS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0910
09/27/2012
03/26/2013
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042
Contact Person:
Name: GREG BJORNERUD
Address: PO BOX 3322 , VANCOUVER WA, 98668
Contractor:
Name: SIGNATURE SECURITY INC
Address: 2917 WASHINGTON ST STE 104 , VANCOUVER WA 98660
Contractor License No: SIGNASI99OBJ Expiration Date: 01/21/2013
Phone: 360 989 -6571
Phone: 360 - 750 -6000
DESCRIPTION OF WORK:
INSTALL SECURITY ALARM
Value of Electrical:
NRES: $2,500.00
RES: $0.00
Fees Collected: $136.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Autho
I hereby c
governin
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constru
Signatur
at I have read
thi w • k will be c
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plied with,
Ming o this • e t does not pr
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Date: VII 2' 11-
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any otherst
I am authorized to sign and obtain this electrical permit.
Print Name: 1 t 1 \ Iv v \S
cal laws regulating
Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/10
EL12 -0910 Printed: 09 -27 -2012
PERMIT CONDITIONS
Permit No. EL12 -0910
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -4/10
EL12 -0910 Printed: 09 -27 -2012
CITY OF TUKWI'4
Community Developme '' $epartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.Tukw ilaW A.gov
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 Address: I U`��i\�+ 1 It
Tenant Name: qI L.66 S
King Co Assessor's Tax No.:
Name: VA v, tilev D<-1) loV1/ty
Address: Th2i)j t , 1,1,E f rr w19 `w
City: t h ov 0 v. State: i\N Zip: t
�
3 W { h err -} 1
e*e*eg ei 'e l�' l
Name: - tyro, 0
Address:
City: State: Zip:
_ ( Fax:
Phone: 344 qs(� 661
11
Email:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): QW( \
cis
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
$.tam
Company Name: S c l 'Oar
Address: cpio f3117,
City: oAA (IN I }'py' State: t ]C0 Zip:
f �J
Phone:at 6 Ow Fax:
Contr Reg No.:Sl%i,\K 1 om 6,15 Exp Date: Ji 115
t/
Tukwila Business License No.; p)1. S _ D i 1 50
__. 2
(3.,\QVm LniQA
Will service be altered? ❑ Yes "—��No
Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work: \ —
❑ New ❑ Addition ❑ Service Change ❑ Remodel J Tenant Improvement
J�,ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H'. \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised August 2011
bh
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, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 _,L.171.A.V AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY THE LAWS 0 THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING
Signature:
Print Name:
ER OR E
ECTRIC CONT CTOR:
(12,4
vts4
%l) Day Telephone:
Mailing Address: v m. \/(100Cli,t■tr-
\ pp lications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
I Date:
3oO 1C)
10,79 ofROW
State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049079 Permit Number: EL12 -0910
Address: 17348 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/27/2012
Applicant: BIG LOTS Issue Date:
Receipt No.: R12 -02712
Payment Amount: $136.50
Initials: JEM Payment Date: 09/27/2012 08:38 AM
User ID: 1165 Balance: $0.00
Payee: SIGNATURE SECURITY INC, CONNIE R RUSSELL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 193580
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 09 -27 -2012
INSPECTION RECORD 64,010
Retain a copy with permit
INSPE. TION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
II
Project: jj.,
4)4 Gory
Type of Inspection: rO o
2
Address:' ��, icr, / A
pi •
Date Called:
Special Instructions:
Date Wanted:.
f��
/
P•
Requester:
Phone No:
)Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
1
Inspector:
FAhjec
Date:
0
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
NSPECTION RECORD
Retain a copy with permit
y:INSPECTION NO =.,; "•c
PERMIT • N0.
CITY OF=- TUKWILA BUILDING DIVISION
6300 Southcenter Blvd , #100, Tukwila. WA 98188 (206) 431 -3670
PermitInsppection.Request:Line (206) 431 -2451
Type of Inspection:
7o °3
Special Instructions:
Date Called:
Date Wanted:
Requester:
Phone No:
cgp
pproved'perapplicable codes.
❑ Corrections required prior to approval. 7,
COMMENTS:-
Inspector :.
Q4,1{ 694pcert
Coet,i to610 of titt,s44046t. 14
A&E* ANk. (�1
Date:
/o %LI L
REINSPECTIONFEE.REQUIRED. Prior to next inspection. fee must be
paid -at 6300'Southcenter Blvd.. Suite 100. Call to schedule reinspection.
z
INSPECTIONa`RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. �I
CITY OF TUKWILA BUILDING DIVISION 11\
6300 Southcenter Blvd., #100, Tukwila. WA 98188 vr.. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
CIAZ
Project: A i ��
Type of Inspection:
��0�
Address: t 7iia sz (/f
Date Called:
.
Special Instructions:
!' _ tR t
�(/
Date Wanted:.
m.
Requester:
Phone No:
Corrections required prior to approval.
COMMENTS:
Approved per applicable codes.
- 44 AiSAI-1%463 to/km e434.4141
Inspector:
Date: 0 d t /12,,,
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Y a. -ems
Retain a copy with permit
INSPECTION NO. PERMIT NO.
641-00i0
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ll
bus Low
Type of Inspection:
f p,
_
Address: 173 -1 0 3..e, Pi..
Date Called:
6;1.,
Special Instructions:
(-ccA i
!� !
Date Wanted:.
ilir
Requester:
Phone No:
ElApproved per applicable codes.
cgtCorrections required prior to approval. /3
COMMENTS:
A 1O% 6 AI N vJ(1
Inspector:
Date: 01/21/41.,
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
03 -05 -2013
Jim_Haggertoit
dygr
epzrtn ent of Community Development Jack Pace; bi ector
GREG BJORNERUD
PO BOX 3322
VANCOUVER WA 98668
RE: Permit No. EL12 -0910
BIG LOTS
17348 SOUTHCENTER PY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 04/01/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 04/01/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
J
Marshall
echnician
File: Permit File No. EL12 -0910
6300 S`outhcenter Boulevard, Suite #100: Tulcrvi a, asliingk n 9&188' Phone ,:2064J.67-0 • Fccx 206 =431 3665
Contractors or Tradespeople Pr ter Friendly Page
•
Electrical Contractor
A business licensed by L &1 to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
= Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SIGNATURE SECURITY INC
3607506000
Po Box 3322
Vancouver
WA
98668
Clark
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601989460
Active
SIGNAS199OBJ
Electrical Contractor
1/11/2001
1/21/2013
Limited Energy
Hvac /Rfrg Ltd Energy
Master Electrician INFORMATION
License RUSSEJC967M2
Name RUSSELL, JAMES C
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
RUSSELL, CONNIE R
Violation Amount
01/01/1980
2/10/2012
HAMBERT, JOHN
Agent
01/01/1980
$250.00
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
& INDEMNITY
845944C
01/11/2001
Until Cancelled
$4,000.00
01/11/2001
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EROMA00716
2/10/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMEHU01432
10/4/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/27/2012