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HomeMy WebLinkAboutPermit EL12-0809 - BIG LOTSBIG LOTS 17348 SOUTHCENTER PY EL12-08O9 City ol.fukwila • 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 Parcel No.: 2623049079 Address: 17348 SOUTHCENTER PY TUKW Project Name: BIG LOTS ELECTRICAL PERMIT Permit Number: EL12 -0809 Issue Date: 08/27/2012 Permit Expires On: 02/23/2013 Owner: Name: KIR TUKWILA 050 LLC /KIMCO Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042 Contact Person: Name: KEVIN LEWIS Phone: Address: 804 W MEEKER ST STE 102 , KENT WA , 98032 Contractor: Name: A C ELECTRIC SERVICE INC Address: 804 W MEEKER ST STE 102 , KENT WA 98032 Contractor License No: ACELESI025DF Phone: 253 852 -0225 Expiration Date: 03/06/2014 DESCRIPTION OF WORK: REMOVE & INSTALL LIGHTS, REWIRE OFFICES. TI Value of Electrical: NRES: $42,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ERGY Permit Center Authorized Signature: I hereby certify that I have read and examin-d this • t and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether pecified 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 these ance of wo . am authorized to sign and obtain this electrical permit. Signature: Y'^ ��— Date: e-227 ' Z Fees Collected: National Electrical Code Edition: $814.90 2008 Date: ci-e-7--( Print Name: r--%-l-V+0 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 -0809 Printed: 08 -27 -2012 PERMIT CONDITIONS Permit No. EL12 -0809 * *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 -0809 Printed: 08 -27 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA,gov Electrical Permit No. C/J� _42/ 61 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: Tenant Name: t King Co Assessor's Tax No.: f 1 3 4 5c1). cecit r 03XV-WCI-LA Suite Number: \e.LCL:AC °181 New Tenant: PROPERTY OWNER Name:eV1Y1 L-eL,L) S Name: c___1 Lii TS City: K„ .* State: Zip: 9 i Address: i 1 Lo s) c.,..„3L.t:-k- vC er py City: 46-i \ 0.. State: A Zip. g CONTACT PERSON — person receiving all project communication Name:eV1Y1 L-eL,L) S Address: e" W ,i_y\x_saic jar. St st e 1022 City: K„ .* State: Zip: 9 i Phone:c ss) — U Email: DEG _ eAe_C_. ., -r -124. \ . CcyiYl Floor: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: c. e.e.c.: C c. Serve (sLs 1-.4_ Address: U\) 1-kCeA. -Q.Y' s.'' . Si--e. 1 O'L City: F— 1,• e �. .. State: ckA Zip: Ph one( D�5,3) - 04,y,5 Contr Reg No. C Gt_e_sl (y2. i2 pate: 3 i to 1 i 3 Tukwila Business License No.: 0 3C; %,5 .7 Valuation of Project (contractor's bid price): $ `1 i C Scope of Work (please provide detailed information): („61. vv. t v E a- L Ca.-5 T S , q`, Will service be altered? ❑ Yes L No Adding more than 50 amps? ❑ Yes Erco Type of Use: i, Nk Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light H: \Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh ❑ Remodel ❑ Telecommunication E" Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL 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 CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added /altered circuits $81.90 number of added circuits $1L55 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ECTRICAL CONTRACTOR: 7 Signature: Print Name: - V on • E't X13 Mailing Address:ESv4 U VIA-C2-S2ta — St H: \Applications\Fortns- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Date: el<3 Day Telephone( ` .53)erDa- S� 3 V- -end- t 3P °I City 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.Tukwila WA. &ov RECEIPT Parcel No.: 2623049079 Permit Number: EL12 -0809 Address: 17348 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 08/27/2012 Applicant: BIG LOTS Issue Date: Receipt No.: R12 -02452 Initials: User ID: Payee: TLS 1670 Payment Amount: $814.90 Payment Date: 08/27/2012 09:02 AM Balance: $0.00 AC ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 16897 814.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 814.90 Total: $814.90 doc: Receiot -06 Printed: 08 -27 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING: DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: i Type of Inspection: OU Address: I Date Called: Special Instructions: /a,�,�, % r� fie( (.i( t/t/ �/ I t' t ( i Date Wanted:. / ` a.rn Requester: Phone No: ® Approved per applicable codes. COMMENTS: ' n Corrections required, prior to approval. f Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee.must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:. ?: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 '' (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ik 1,ors Type of Inspection: /Coi Address: Lew Date Called: Special Ins ruciions: Date Wanted:. ff Z /b/ r a.m Requester: ' Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. � o 1l4•4 CrvJt Raltii4 eaiabrt Inspector: a , Date: it /2 r2„, n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. SPECTION RECORD `Retain a copy with permit 6,(2-dgcl INSPECTION :NO. ":_' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 °Southcenter Blvd=: #100, Tukwila. WA 98188 (206) 431 -3670 PercnitInspection4Request Line (206) 431 -2451 Approved ,per _.applicable codes. COMMENTS:;, Inspector: Type of Inspection: Date Called: 70°5 Date Wanted: . Requester: 10 /o( a.m. p.m. Phone No: Corrections required prior to approval. P-14-11.4,46k kaA)4 CCJ' 4-ra IPzr4 Date: ►a/0I/12 1 f REINSPECTION'-FEE REQUIRED. Prior to next inspection, fee must be _paid: at 6300'S'outhcenter Blvd., Suite 100. Call to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3674 INSPECTION RECORD 61-4481 Retain a copy with permit INSPECTION N0. PERMIT N. , CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 t` Project: /� Type of Inspection: 77 3 Address: 034 3 3. _ P1'. Date Called: Special Instructions: i Date Wanted:. P mJ Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. ie COMMENTS: nf � H%i1'(it4 /FrVji laAlebL0 Inspector: 7 111 Itiird62\ Date: 0Q/ zit t s ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri. Friendly Page • Electrical Contractor A business licensed by L &I 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 A C ELECTRIC SERVICE INC 2538520225 804 W Meeker St Ste 102 Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601858837 Active ACELESI025DF Electrical Contractor 3/6/1998 3/6/2014 General Unused Master Electrician INFORMATION License CHUTIAM960L8 Name CHUTICH, ALAN M Status Active Business Owner Information Name Role Effective Date Expiration Date CHUTICH, ALAN 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 NATIONWIDE MUTUAL INS CO 7900313590 03/05/2007 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION 54,000.0002/02/2007 5250.00 2 MERCHANTS BONDING CO (MUTUAL) WA 12906 03/05/2005 Until Cancelled 03/05/2007 $4,000.0002/01/2005 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 EHRAL00977 3/2/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 EJORP01701 9/5/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 EREEB00387 8/6/2009 19.28.010 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/27/2012