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HomeMy WebLinkAboutPermit EL10-0474 - HOME DEPOTHOME DEPOT 6810 S 180 ST EL1 0-0474 City ATukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 3623049074 Address: 6810 S 180 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0474 Issue Date: 06/23/2010 Permit Expires On: 12/20/2010 Tenant: Name: HOME DEPOT Address: 6810 S 180 ST , TUIS;WILA WA Owner: Name: HD DEVELOPMENT OF MARYLAND Phone: Address: PROPERTY TAX DEPT #4705 , PO BOX 105842 Contact Person: Name: HEATHER WEIDMAN Phone: 503 255 -1818 Address: 6026 NE 112 AV , PORTLANE OR Contractor: Name: BERGELECTRIC CORP Phone: 310 337 -1377 Address: 5650 W CENTINELA AV , LOS ANGELES CA Contractor License No: BERGEC *021K6 Expiration Date: 05/26/2012 DESCRIPTION OF WORK: INSTALL (1) DEDICATED CIRCUIT FOR A PROPANE CYLANDER DISPENSING MACHINE AND (1) DEDICATED PHONE LINE Value of Electrical: NRES: $1,500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this per Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: ©le[ %A 0 amiied this permit and know the same to be true and correct. All provisions of law and ordinances ithwhether specified herein or not. oes not presume to giv - thority to violate or cancel the provisions of any other state or local laws regulating construction • the erf%� n work. : m au t • ed to sign and obtain this electrical permit. �. / P,--� Signature: Print Name: D/ 1 V t 0 e/27,4,4/L6/4/0 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 -4/07 ELI 0-0474 Printed: 06 -23 -2010 Parcel No.: Address: Suite No: Tenant: 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.ci.tukwila.wa.us 3623049074 6810 S 180 ST TUKW HOME DEPOT PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0474 ISSUED 06/23/2010 06/23/2010 1: ** *ELECTRICAL * ** 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulat. • • • nstruction or the performance of work. ■ f / Signature• A �/ i iAA/_ — Date: Print Name: 0/v_D 6/2-A/t/�U//9 doc: Cond -Elec EL10 -0474 Printed: 06 -23 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwilain.us Electrical Permit No. LAO Project No. (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.: • Le2.- Site Address: 1 UF,IO f-r_3 s1h`1 )aNih k. Tenant Name: nt Property Owners Name: hifsfrt., f pni- Mailing Address: 2.55 PiCn1 F I ry 1' (-)cIC1 ci-l— 9011-1 Suite Number: Floor: New Tenant: ❑ Yes ..No City F1' State 01 33 c) Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: . Mailing Address:_ Day Telephone: City State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: " (TIC IP CA-riL CLrp Lo(‘Z1 NE 112+1n Ave. Poo-Hand (e 77Z20 J-lead her We i C1 mn,o hLoeicinnane bxrcicler+rlc..orwrt Contractor Registration Number: Expiration Date: City State Day Telephone: 5153 -255-) Fax Number: 5)3-2.35 "I`i((7 Zip Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information):_ k\ C \(' CiCtI.1f.Ck air(' 1)1 t c pR C' ne s C t. I ancho 14 P n5o n rtx 5'11 if and C‘cci i_crvi 1Cl one . Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 14 No Type of Use: Type of work: ❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light n:\Applications \Forms - Applications On Line \2010 Applications \I -2010 - l loctrical Permit Apphcalon. doe bh Page 1 oft RESIDENTIA L NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CIIANGES ❑ 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 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 flee 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: /le Ahe✓ 1 .jeiclman Mailing Address: /p()ZI o WE: 1121'h Q lu }�UV�JQrz/ Day Telephone: Date: 49/22//O ,53- z�� - /ei Qy 9 7Z z() City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:WpplicationsWorms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh 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.ci.tukwila.wa.us Parcel No.: 3623049074 Address: 6810 S 180 ST TUKW Suite No: Applicant: HOME DEPOT RECEIPT Permit Number: EL10 -0474 Status: PENDING Applied Date: 06/23/2010 Issue Date: Receipt No.: R10 -01128 Payment Amount: $115.50 Initials: JEM Payment Date: 06/23/2010 12:09 PM User ID: 1165 Balance: $0.00 Payee: DAVE GRANLUND, BERGELECTRIC CORP -POR TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 793075 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 PAYMENT RFCFIVED doc: Receiot -06 Printed: 06 -23 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit [ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 1 i f Dt......6r— Type of Inspection: 2 Address: 67( v S. ( 8 5r, Date Called: Special Instructions: L$ 1 -s? y Date Wanted: a.m. Requester: Phone No: CKApproved per applicable codes. Corrections required prior to approval. COMMENTS: i Inspector: if 6.4k.c Date: Cnb 1c) n$60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Pifer Friendly Page • Electrical Contractor A business licensed by LEI 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 Bergelectric Corp 3103371377 5650 W Centinela Ave Los Angeles Ca 900450029 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601875985 Active BERGEC'021K6 Electrical Contractor 5/26/1998 5/26/2012 General Unused ADMINISTRATOR INFORMATION License ANDERTR023JD Name Anderson, Thomas R Status Active Business Owner Information Name Role Effective Date Expiration Date Drinkward, Robert W &Nbsp; 01/01/1980 Bond Amount C T Corporation System Agent 01/01/1980 8219 -65 -66 Briscoe, Donald L President 01/01/1980 Briscoe, John R Secretary 01/01/1980 HARTFORD FIRE INS CO Billig, Edward M Jr Vice President 01 /01 / 1980 05/01/2010 Anderson, Thomas R Vice President 01/01/1980 Wingerning, William M Vice President 01/01/1980 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 3 FEDERAL INS CO 8219 -65 -66 05/01/2010 Until Cancelled $4,000.00 05/06/2010 2 HARTFORD FIRE INS CO 72sun43137173 05/18/1998 Until Cancelled 05/01/2010 $4,000.0005/06/2010 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/23/2010