HomeMy WebLinkAboutPermit EL12-0934 - BIG LOTSBIG LOTS
17348 SOUThCENTER PY
EXPIRED 04-10-13
EL1 2-0934
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: 17348 SOUTHCENTER PY TUKW
Project Name: BIG LOTS
ELECTRICAL PERMIT
Permit Number: EL12 -0934
Issue Date: 10/04/2012
Permit Expires On: 04/02/2013
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042
Contact Person:
Name: HEATH WRIGHT
Address: 1022 130 ST S , TACOMA WA, 98444
Contractor:
Name: OFFICE AUTOMATION GROUP INC
Address: 1066 ELM ST , SAN JOSE CA 95126
Contractor License No: OFFICA881PB
Phone: 253 - 255 -2467
Phone:
Expiration Date: 10/02/2014
DESCRIPTION OF WORK:
INSTALL DATA CABLES
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:
L®_ H-12,
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 the perfo ance of work. I am authorized to sign and obtain this electrical permit.
Signature: /`r- .i
Ai Date: /0/V7/Z
L
Print Name: �o. 'r )til.�l
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 -0934 Printed: 10 -04 -2012
PERMIT CONDITIONS
Permit No. EL12 -0934
* *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 -0934 Printed: 10 -04 -2012
CITY OF TUKWI
Community Developm epartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.�ov
Electrical Perm Tf No.— _ L.
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.
\ ' King Co Assessor's Tax No.:
Site Address: 1 / J 0 S1 i V\ln1 / Suite Number: 11/c, Floor:
\5 �0�5
Tenant Name:
PROPERTY OWNER'
Name: ��ec_ .3 (') ��
Address: \ v a a ∎ 3 O tk-N SA-._
Name: c3; 5 1. O 1 `S
Phone: a53 - aSS ay‘7Fax: S72 -166 y- Oil Y
Email: I _
Wr 5 i' v 06,6t . [ro ✓%'l
-
Address: \-)‘-'\ Ci•
S o,,.
Cti4er P%v
City
k u `\ G,
State:
c_, Zip: 1 i(
CONTACT PERSON — person receiving all project
communication
Name: ��ec_ .3 (') ��
Address: \ v a a ∎ 3 O tk-N SA-._
City: ^.. State: r ^ 1 Zip: 10 111 y
Ci �L o� W G
Phone: a53 - aSS ay‘7Fax: S72 -166 y- Oil Y
Email: I _
Wr 5 i' v 06,6t . [ro ✓%'l
New Tenant: Yes n.. No
ELECTRICAL; CONTRACTOR .INFORMATION
Company Name: %f��
��lJ 1
Address: ()aa uw -A--, 5,}.-- 5
City:. State:
Zip:9 pi cr i
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4-c -� vv�o -. L) `�
Phone: 9‘5.3 "a S 5 -d ct(,`J Fax: .%% 6 6
'1 602 if %
Contr Reg No.: Exp Date:
Tukwila Business License No.; b 0 0 ( 0 $
Valuation of Project (contractor's bid price): $ 2.500 - 0 0
Scope of Work (please provide detailed information): 'nc., C c�'`C.
Will service be altered? ❑ Yes a No
Type of Use: 0 c■
Adding more than 50 amps? ❑ Yes Ey No
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forms - Applications On Line \2011 Applications\Electncal Permit Application Revised 8.9.11.docx
Revised: August 2011
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❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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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:
Print Name: es_ `�-
Mailing Address: \ 'NJ 5.\- S
H:Wpplications \Forms - Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9.11.docx
Revised: August 2011
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Day Telephone:
Cop
City
Date: /6 /y /�,
a53- ass -a�6T
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.: 2623049079 Permit Number: EL12 -0934
Address: 17348 SOUTHCENTER PY TUICW Status: PENDING
Suite No: Applied Date: 10/04/2012
Applicant: BIG LOTS Issue Date:
Receipt No.: R12 -02772
Payment Amount: $136.50
Initials: WER Payment Date: 10/04/2012 11:59 AM
User ID: 1655 Balance: $0.00
Payee: HEATH WRIGHT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 05586D
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 10 -04 -2012
Jirrr;Hagger ton,.11%fayor
�eptxrtment •of Community .Development Jack Pace, - Director
03 -05 -2013
HEATH WRIGHT
1022 130 ST S
TACOMA WA 98444
RE: Permit No. EL12 -0934
BIG LOTS
17348 SOUTHCENTER PY TUKW
Dear Permit Holder:
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 04/10/2013.
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 04/10/2013, 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.
Sincerely,
Jenni r Marshall
nu' Technician
File: Permit File No. EL12 -0934
6300'SoutliceriterBozilevard Suite #1;00.• Tukwila. Washington 9.8188 •;Phone. 06431-3670 Fu�2Q 431 3665
INSPECTION RECORD � Retain a copy with permit et(2- ��,,jj -i
INSPECTION NO. PERMIT NO. f
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd_, #100, Tukwila: WA 98188 .h.�' (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 �—
Project:
cAl Lis
Type of Inspection:
X00 3
Address: t
Date Called:
Special Instructions:
Dktr".*
Date Wanted:.
^�
-
(° (2.
a.m
p.m.
Requester:
r
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Ins pector: A J6n
Date:
(DfL(Z/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pf ter Friendly Page
•
Electrical Contractor
A business licensed by L81 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
i Business Type Corporation
Parent Company OFFICE AUTOMATION GROUP
OFFICE AUTOMATION GROUP INC
1066 Elm St
San Jose
CA
95126
Out Of State
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602765658
Active
OFFICAG881PB
Electrical Contractor
10/2/2012
10/2/2014
Telecommunications
Electrical Administrator INFORMATION
License DYER *MW8830R
Name DYER, MICHAEL WILLIAM
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DYER, MICHAEL
Agent
10/02/2012
DYER, MICHAEL W
President
10/02/2012
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
Platte River Ins Co
41262439
10/02/2012
Until Cancelled
$4,000.00
10/02/2012
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
1
Farmers Ins
Exchange
605062018
01/07/2012
Until Cancelled
$170,000.00
10/02/2012
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 No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/04/2012