HomeMy WebLinkAboutPermit EL13-0067 - HOME DEPOT - REMODELHOME DEPOT
6810 S 180 ST
EL1 3-0067
City oPfukwila
•
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.: 3623049074
Address: 6810 S 180 ST TIIKW
Project Name: HOME DEPOT
ELECTRICAL PERMIT
Permit Number: EL13-0067
Issue Date: 01/18/2013
Permit Expires On: 07/17/2013
Owner:
Name: HD DEVELOPMENT OF MARYLAND
Address: PROPERTY TAX DEPT #4705 , PO BOX 105842 30339
Contact Person:
Name: CHRIS WALTERS (PROJECT MANAGER) Phone: (770)772-3472
Address: 2050 MARCONI DR SUITE 200 , ALPHARETTA GA, 30005
Contractor:
Name: LIN R ROGERS ELECTRICAL INC Phone: 770-772-3400
Address: 2050 MARCONI DR STE 200 , ALPHARETTA GA 30005
Contractor License No: LINRRRR956B1 Expiration Date: 01/29/2015
DESCRIPTION OF WORK:
REMOVE AND ADD LIGHTS IN THE BAYS FOR THE CROWN BOLT PRODUCTS.
Value of Electrical: NRES: $3,605.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$157.50
2008
Date: D/4143
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 d• $ n• •re e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or ty o c= of w• I am authorized to sign and obtain this electrical permit.
Signature: / �' ./ Date: /.K3
Print Name:
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
EL13-0067 Printed: 01-18-2013
•
PERMIT CONDITIONS
Permit No. EL 13-0067
**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
EL13-0067 Printed: 01-18-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98/88
http://www.TukwilaWA.gov
7_0
Electrical Permit No. G f- J-- 006
Project No.
Date Application Accepted:
/13
Date
Date Application Expires: 071/,(%/f3
(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
c 1 `' King Co Assessor's Tax No.: 3(e c1 qb r7c
Site Address: (An Z tt j ‘1,0-0.` �ie'h Suite Number:
Tenant Name: ,, csa e )e pc*
PROPERTY OWNER
Name. u OevelopY) wk-1-oT Mial ,!intr
Address: QoX 65$ 4
City: Ai t Qlvv.as_
State: n Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: (k t-,
t' \
Name: Cal i
1 n ,
v voicing
V w c_` oo:te ck
Address: ce _
0 �` Ace.
City: A\PhOLVC
State:n ^
Zip:
Phone:TEO-9
Z W5x.ISUrLlCW-1Isc39
Email:
Floor:
New Tenant: ❑ Yes E..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (k t-,
t' \
Address:
CCn: `Y ►V�
City: q\YICIV� E40- State:C ^ Zip:
Phone:,r CY r195-'3tEritl ti s .LiCiCt :115 n
Contr Reg No.: pr IJ RetQ Exp Date:' vac, 115
/d
Tukwila Business License No.: /ti,,.�,� t .tet _[ y
Valuation of Project (contractor's bid price): $ 40S .C2)0
Scope f Work (please provide detailed information):
Kernove- OX‘d otdd PA5
Will service be altered? ❑ Yes gi No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change A. Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
for CYOl.9ui\ ok4
Adding more than 50 amps? 0 Yes
No
Property Served by:
0 Puget Sound Energy 0 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
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
O 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)
O 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
O Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $ I0.50 ea
LPERMIT 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR EIS TRICAL CONTRACTOR:
Signature: ' J
Print Name: L" C}G`S
Mailing Address: a_6 1 CCAJ!
H:\Applications\Farms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Date:•
��-`I 15/1S
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55/ 1 S
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Day Telephone: I 10 i �l
A` `r f CMZ A ` c c x�
City State Zip
Page 2 of 2
t M
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.Qov
Parcel No.: 3623049074
Address: 6810 S 180 ST TUKW
Suite No:
Applicant: HOME DEPOT
RECEIPT
Permit Number: EL13-0067
Status: APPROVED
Applied Date: 01/18/2013
Issue Date:
Receipt No.: R13-00476
Payment Amount: $157.50
Initials: LAW Payment Date: 01/18/2013 02:32 PM
User ID: 1632 Balance: $0.00
Payee: LIN R ROGERS ELECTRICAL CONTRACTORS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2793 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
0.:..1...1. n1 4 0 ']n1 Q
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 V., (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:_ ,�
Type of Inspection:
le
Address: 3IgoDate
to
Called:
Special Instructions:
46I%
Date Wanted:.
/
3/
am.
p. •
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
fr
f
Inspector: 4......hy K / ISA / A
E
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 0f
Contractors or Tradespeople P 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
1/29/2015
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
4/20/2011
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
EJONV01713
4/20/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01709
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01711
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01655
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01653
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01657
4/20/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00291
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
httngl/fortress.wa.gov/Ini/bbin/Printasnx
01/18/2013