HomeMy WebLinkAboutPermit EL12-0887 - HALLOWEEN CITYHALLOWEEN CITY
17500 SOUTHCENTER PY
EXPIRED
03-19-13
EL1 2-0887
City *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.: 2623049110
Address: 17500 SOUTHCENTER PY TUKW
Project Name: HALLOWEEN CITY
ELECTRICAL PERMIT
Permit Number: EL12 -0887
Issue Date: 09/20/2012
Permit Expires On: 03/19/2013
Owner: .
Name: KIR TUKWILA 050 LLC
Address: C/0 KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020 11042
Contact Person:
Name: SCOTT LAUTT
Address: PO BOX 1371 , GRAHAM WA, 98338
Phone: 678 -796 -5520
Contractor:
Name: LIN R ROGERS ELECTRICAL INC Phone: 770 -772 -3400
Address: 2050 MARCONI DR STE 200 , ALPHARETTA GA 30005
Contractor License No: LINRRRR956B 1 Expiration Date: 01/29/2013
DESCRIPTION OF WORK:
REPLACE EXISTING EMERGENCY LIGHTS
Value of Electrical: NRES: $2,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$136.50
National Electrical Code Edition: 2008
Date: ~� / 2.
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 t s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature
construction or a o ±s a thorized to sign and obtain this electrical permit.
L�7�
p_ce; Date:
Print Name: Sc,� 1-' //-
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 -0887 Printed: 09 -20 -2012
PERMIT CONDITIONS 1
Permit No. EL12 -0887
* *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 -0887 Printed: 09 -20 -2012
CITY OF TUKWI
Community Developmeh...Jepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.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: l7 SUZ) ..r -, j 1-I f W}
Tenant Name: 9tLn4.,Jci > C 1 T 4r'
afr }
ry� 1 k
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� 1i
tY i
Name: 1
Address:
City:
State:
Zip:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: Yes ❑.. No
Company Name: Lit,...) D
eCo6ezeS �t o,ei�iC
Address: l U 4c ,3_7
City: G rr7
State: Zip: S
3
Phone: Fax:
7e-7% -sr 2v
Contr Reg No.: xp Date:
�� z9 ��.3
�k'�s
Tukwila Business License i'4o.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): A-Pi fjC 6_ /7-702e6Nt..C. i� LJ 6 ti is
Will service be altered? ❑ Yes' No Adding more than 50 amps? ❑ Yes 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
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
Name:
Address:
o Q, t37 J
City: G,/�N, State: L
Zip:
�s�
SU
Phone: t,'5r- 29erSS2c% Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: Yes ❑.. No
Company Name: Lit,...) D
eCo6ezeS �t o,ei�iC
Address: l U 4c ,3_7
City: G rr7
State: Zip: S
3
Phone: Fax:
7e-7% -sr 2v
Contr Reg No.: xp Date:
�� z9 ��.3
�k'�s
Tukwila Business License i'4o.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): A-Pi fjC 6_ /7-702e6Nt..C. i� LJ 6 ti is
Will service be altered? ❑ Yes' No Adding more than 50 amps? ❑ Yes 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
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
(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 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: ._...)c—e-577- c�
Mailing Address:. /—) ID Ux ) 3 ��
H: Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised: August 2011
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Date: / — .? / Z
Day Telephone: b7 a -796- 'S 2c>
Ci -- ?gym /A--4 9 t&339
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.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049110 Permit Number: EL12 -0887
Address: 17500 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/20/2012
Applicant: HALLOWEEN CITY Issue Date:
Receipt No.: R12 -02663
Payment Amount: $136.50
Initials: WER Payment Date: 09/20/2012 01:54 PM
User ID: 1655 Balance: $0.00
Payee: SCOTT LAUTT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 025138
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receipt -06 Printed: 09 -20 -2012
02 -01 -2013
SCOTT LAUTT
PO BOX 1371
GRAHAM WA 98338
'Or
�s
epartment • Co °mmc ' ily�il
•
RE: Permit No. EL12 -0887
HALLOWEEN CITY
17500 SOUTHCENTER PY TUKW
Dear Permit Holder:
•
eve lopment,
Wilii Haggeii6.1 Q11%'ayor"
Jaek(Pxace; 4/1 e:ero'
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 03/19/2013.
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 03/19/2013, 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.
^tt�
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL12 -0887
(6300,,
Sou neenter'BOUICvar
`urte #100`• Tukwila Washington 916 :K8 - =010:1:ab- 431 3670 i.! a;t716° `4ir 3665
Contractors or Tradespeople ; ter 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
LIN R ROGERS ELECTRICAL INC
7707723400
2050 Marconi Dr, Ste 200
Alpharetta
GA
30005
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601825239
Active
LINRRRR956B1
Electrical Contractor
1/21/2005
1/29/2013
General
Unused
Electrical Administrator INFORMATION
License LAUTTSR919K6
Name LAUTT, SCOTT R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CORP SYSTEMS, C T
Agent
01/21/2005
1/27/2010
ROGERS, LIN R
President
01/21/2005
$250.00
WEBB, KEN
Secretary
01/21/2005
ELECTRICAL CITATION
FINNEL, MIKE
Vice President
01/21/2005
4/20/2011
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
WESTERN SURETY CO
929356576
01/14/2005
Until Cancelled
$4,000.00
01/21/2005
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
EOXFJ00287
1/27/2010
19.28.061 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01689
4/20/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01687
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01685
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01697
4/20/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01695
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01693
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00289
1/27/2010
19.28.061 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01669
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/20/2012