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Home My WebLink AboutPermit EL12-0845 - BIG LOTSBIG LOTS 17686 SOUTHCENTER PY ELl 2-0845 City ofii'ukwila 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.: 3523049005 Address: 17686 SOUTHCENTER PY TUKW Project Name: BIG LOTS ELECTRICAL PERMIT Permit Number: EL12 -0845 Issue Date: 09/10/2012 Permit Expires On: 03/09/2013 Owner: Name: KIR TUKWILA 050 LLC /KIMCO Address: PROPERTY TAX DEPARTMENT , 3333 NEW HYDE PARK STE 100 11042 Contact Person: Name: JIM MINAR Address: 727 S 96 ST , SEATTLE WA , 98108 Contractor: Name: HEATH NW INC Address: 727 S 96 ST , SEATTLE WA 98108 Contractor License No: HEATHNI981JZ Phone: 206 - 623 -3100 Phone: 800 - 613 -4559 Expiration Date: 04/09/2014 DESCRIPTION OF WORK: INSTALL (1) EXTERIOR WALL SIGN (S12 -066) Value of Electrical: NRES: $75.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND RGY Fees Collected: National Electrical Code Edition: $63.00 2008 Permit Center Authorized Signature: Date: I hereby certify that I have read and exa ed this pe mit 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 granti • of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construct 'o o the p• : e •f work. I am authorized to sign and obtain this electrical permit. .e /`% perfor //.4.1Ad, Signatu Print N: me: 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 -0845 Printed: 09 -10 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0845 * *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 -0845 Printed: 09 -10 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. 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 ** King Co Assessor's Tax No.: Site Address: `7 - kirrt yP.� p Tenant Name: B /,Gj Let- Property Owners Name:!! kliAl JePcv' Mailing Address: /�t��t� SOy11tcp4.4•F.43-- "" Suite Number: New Tenant: Floor: • Yes ❑..No CAS State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 37-17 1AI 9 ck.V Mailing Address: 9 5. (76141� E -Mail Q dress M( "19kEvt�q Imo✓- (4-,PSle.co'i Day Telephoneig-o— 6.2 C j� or._ City State Zip Fax Number: - LECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: 7 ) 7 S VW Contact Person' V"I Q'I c E- _ail Address: Contractor Registration Number: HEX tit /0 / City Cw444 c?R/69 State Zip Day Telephone: 6 — 62 3e b Fax Number: Expiration Date: 1//9//1/ Valuation of Project (contractor's bid price): $ '2s Scope of Work (please provide detailed information): - 77 �C_ 8 E 2✓16./ Will service be altere 9 ❑ Yes 'No Adding more than 50 amps? ❑ Yes Type of Use: -e-7fe4 (`C. Type of work: ❑ New ❑ Addition ❑ Service Change l.C• Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Ponns- Applications On Line \I -2009 - Electrical Permit Application.doc bh • [5(No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added /altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 560.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. 1 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 NER OR ELECTRICAL CONTRACTOR: Signature: Print Na . 0-71,41 14/1 1 ■ux c9'P . 5)C Mailing Address: Y. 7 5. Q Date: 3/3/ / 0� Day Telephone:- — 6a 3 316 U City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H:Wpplications\Eortm- Applications On Line 1 -2009 - Electrical Permit Appltcationdoc bh Page 2 of 2 City of Tukwila �`lyZ 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.: 3523049005 Permit Number: EL12 -0845 Address: 17686 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/10/2012 Applicant: BIG LOTS Issue Date: Receipt No.: R12 -02566 Initials: TLS User ID: 1670 Payment Amount: $63.00 Payment Date: 09/10/2012 02:23 PM Balance: $0.00 Payee: HEATH NORTHWEST TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1941 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt -06 Printed: 09 -10 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY .OF`;TUKWILA BUILDING DIVISION 6300 SouthcenterBlvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit' Inspection' Request Line (206) 431 -2451 Project: r) --bib .. Type of Inspection: ;too Address _' { ` Date Called: Special Instructions: , :._ Date Wanted:. j/ .m. • Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector:= >il f — 1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: to 4://, Contractors or Tradespeople Prr 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 HEATH NW INC 2066233100 727 S 96Th St Seattle WA 98108 King Corporation Parent Company JJ a D SIGNS INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602195548 Active HEATHNI981JZ Electrical Contractor 4/9/2002 4/9/2014 Sign Unused Electrical Administrator INFORMATION License GIBSOJ'971R9 Name GIBSON, JOE Status Active Business Owner Information Name Role Effective Date Expiration Date GIBSON, WENDY Agent 08/09/2011 10/25/2011 GIBSON, WENDY D President 08/09/2011 $250.00 GIBSON, JOE Vice President 08/09/2011 ELECTRICAL CITATION PAULSEN, DARRYL Agent 04/09/2002 08/09/2011 PAULSEN, DARRYL President 04/09/2002 08/09/2011 GIBSON, JOSEPH President 04/09/2002 08/09/2011 GIBSON, JOE Treasurer 04/09/2002 08/09/2011 OLDS, JOHN Vice President 04/09/2002 08/09/2011 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 E INDEM CO 849414C 04/08/2002 Until Cancelled $4,000.00 04/09/2002 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 EBOES00611 10/25/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBIEA00268 4/8/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBIEA00267 4/8/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02668 2/3/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip/Print.aspx 09/10/2012