HomeMy WebLinkAboutPermit EL12-0855 - BIG LOTSBIG LOTS
17348 SOUTHCENTER PY
EL1 2-0855
City oikukwila
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 -0855
Issue Date: 09/12/2012
Permit Expires On: 03/11/2013
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042
Contact Person:
Name: MIKE HANNAH
Address: PO BOX 731227 , PUYALLUP WA, 98373
Contractor:
Name: E- SQUARED SYSTEMS, LLC
Address: PO BOX 731227 , PUYALLUP WA 98373
Contractor License No: ESQUASL963BR
Phone: (253)284 -2707
Phone: 253 284 -3707
Expiration Date: 01/26/2014
DESCRIPTION OF WORK:
INSTALLATION OF NEW FIRE ALARM SYSTEM. FIRE ALARM PANEL TRIM OUT ONLY.
INSTALLATION OF WIRING AND DEVICES BY OTHERS.
REVISION #1: 09 -27 -12 ADD INSTALLATION OF NEW POWER SUPPLY, HORN /STROBES AND
STROBES, INCLUDING WIRING NEW DEVICES TO SCOPE OF WORK.
Value of Electrical: NRES: $3,755.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Loid.
Fees Collected:
$157.50
National Electrical Code Edition: 2008
Date: 1�����
I hereby 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 tj}gyp4rform ce of work. I am authorized to sign and obtain this electrical permit.
Signature: / / /
Print Name: Mkt— /L4r1AiA/L
Date: 7-Z7--/Z_
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 -0855 Printed: 09 -27 -2012
•
PERMIT CONDITIONS •
Permit No. EL 12 -0855
* *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 -0855 Printed: 09 -27 -2012
City oiI'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.: 2623049079
Address: 17348 SOUTHCENTER PY TUKW
Project Name: BIG LOTS
ELECTRICAL PERMIT
Permit Number: EL12 -0855
Issue Date: 09/12/2012
Permit Expires On: 03/11/2013
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042
Contact Person:
Name: MIKE HANNAH
Address: PO BOX 731227 , PUYALLUP WA, 98373
Contractor:
Name: E- SQUARED SYSTEMS, LLC
Address: PO BOX 731227 , PUYALLUP WA 98373
Contractor License No: ESQUASL963BR
Phone: (253)284 -2707
Phone: 253 284 -3707
Expiration Date: 01/26/2014
DESCRIPTION OF WORK:
INSTALLATION OF NEW FIRE ALARM SYSTEM. FIRE ALARM PANEL TRIM OUT ONLY.
INSTALLATION OF WIRING AND DEVICES BY OTHERES.
Value of Electrical: NRES: $100.00
RES: $0.00
Fees Collected: $63.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: Z,C.L-i /(1.Y"--‹ Date: il7,2- // L
I hereby 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 t e perfo ce of work. I am authorized to sign and obtain this electrical permit.
Signature: Y' { Date:
Print Name: / l I kleNr-OfY4
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 -0855 Printed: 09 -12 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0855
* *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 -0855 Printed: 09 -12 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No.
ProJect No.
tss
Date Application Accepted:
Date Application Expires:, 03,I� / �.
(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.: 2623049110
Site Address: 17348 Southcenter Parkway Suite Number: Floor: 1
Tenant Name:
Big Lots
PROPERTY ,.OWNER ,`1,
Name: Mike Hannah
Address: P.O, Box 731227
Name: Big Lots
City: Puyallup State: WA
City: Puyallup State: WA
Address: 300 Phillipi Road
Phone: (253) 284 -3707 Fax: (253)
284 -3714
City: Columbus
State: Ohio
Zip: 43228
CONTACT- PERSON - person receiving all project -"
communication : " "
Name: Mike Hannah
Address: P.O, Box 731227
Address: P.O. Box 731227
City: Puyallup State: WA
City: Puyallup State: WA
Zip: 98373
Phone: (253) 284 -3707 Fax: (253)
284 -3714
Email: mikeh @e2systemsllc.com
New Tenant: ® Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: E- Squared Systems, LLC
Address: P.O, Box 731227
City: Puyallup State: WA
Zip: 98373
Phone: (253) 284 -3707 Fax: (253)
284 -3714
Contr Reg No.: ESQUASL963BR Exp Date: 01/26/2014
Tukwila Business License No.: 09 -1673
Valuation of Project (contractor's bid price): $ 100
Scope of Work (please provide detailed information):
Installation of new fire alarm system. Fire alarm panel trim out only. Installation of wiring and devices by others.
Will service be altered? ❑ Yes IU No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
m New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator 21 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
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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 $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 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 ELECTRICAL CONTRACTOR:
Signature: %14/--
Date:
09/11/2012
Print Name: Mike Hannah Day Telephone: (253) 284 -3707
Mailing Address: P.O. Box 731227 Puyallup WA 98373
City State Zip
H: Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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
Parcel No.: 2623049079
Address:
Suite No:
Applicant: BIG LOTS
17348 SOUTHCENTER PY TUKW
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL12 -0855
ISSUED
09/12/2012
09/12/2012
Receipt No.: R12 -02721
Initials:
User ID:
WER
1655
Payment Amount: $94.50
Payment Date: 09/27/2012 02:10 PM
Balance: $0.00
Payee:
BONNIE DOYLE
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd VISA
Authorization No. 00596B
ACCOUNT ITEM LIST:
Description
94.50
Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $94.50
94.50
doc: Receiot -06
Printed: 09 -27 -2012
•
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 -0855
Address: 17348 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/12/2012
Applicant: BIG LOTS Issue Date:
Receipt No.: R12 -02585
Payment Amount: $63.00
Initials: LAW Payment Date: 09/12/2012 11:59 AM
User ID: 1632 Balance: $0.00
Payee: E2 SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12021 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 09 -12 -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 -3670
EirZ -ogS�
Permit Inspection Request Line (206) 431 -2451
Project: 611 L orS
Type of Inspection:
Address: ii itty 3t. W
Date Called:
Special Instructions: I
Ft ('
Date Wanted:
/O 2-4)
a.m;:
Requester:
fff
Phone No:
pproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector: j
dc\
Date: r0 Zb 11-
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Cityef Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 9"2 7-20,12- Plan Check/Permit Number: 4-L-/ 2 -QF�<
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
1]- Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: 8I G- 4.0175
Project Address: / 7 3(t Sour Fr -rit12 ?4,1
Contact Person: / iKE 44I /A- Phone Number: 2 S 3 2 / 3707
Summary of Revision:
(051 W Tb,J of IJ4-w Powitsvpp L / iloR./kry.oXc3 A,✓b 57 5, iticwb/Ik- 1 / ? /,J
',JEW s 3, � � _
*TV OP TUKWILA
SEP 2720121
FIR MIT MNTER
Sheet Number(s):
CZ(
"Cloud" or highlight all areas of revision including rev' i
Received at the City of Tukwila Permit Center by:
IS— Entered in Permits Plus on
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
Contractors or Tradespeople Prii tter 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
E- SQUARED SYSTEMS, LLC
2532843707
P.O. Box 731227
Puyallup
WA
98373
Pierce
Limited Liability Company
DANARD ELECTRIC, INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602352748
Active
ESQUASL963BR
Electrical Contractor
1/19/2004
1/26/2014
Limited Energy
Unused
Master Electrician INFORMATION
License DOYLEML963RS
Name DOYLE, MICHAEL. L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DOYLE, MICHAEL
Partner /Member
01/19/2004
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
2
DEVELOPERS SURETY
Et INDEM CO
790530C
01/30/2008
Until Cancelled
$4,000.00
01/14/2008
1
USFBG CO
400SZ5396
01/30/2004
Until Cancelled
01/30/2008
$4,000.00
02/24/2004
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 09/12/2012