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HomeMy WebLinkAboutPermit EL13-0234 - LOWE'S - REMODELLOWE'S 101 ANDOVER PK E EL1 3-0234 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.: 0223000030 Address: 101 ANDOVER PK E TUICW Project Name: LOWE'S ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL 13-0234 03/11/2013 09/07/2013 Owner: Name: Address: Contact Person: Name: Address: LOWE'S HIW INC ATTN: TAX DEPARTMENT , 101 ANDOVER PARK E #200 98188 HEATHER WEIDMAN Phone: 503 255-1818 13650 NE WHITAKER WY , PORTLAND OR, 97230 Contractor: Name: BERGELECTRIC CORP Address: 5650 W CENTINELA AV , LOS ANGELES CA 90045 Contractor License No: BERGEC*021K6 Phone: 310 337-1377 Expiration Date: 05/26/2014 DESCRIPTION OF WORK: ADD POWER TO (1) CORD REEL Value of Electrical: NRES: $1,030.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit does not pr construction or the perform Signature: Print Name: Fees Collected: National Electrical Code Edition: Date: $115.50 2008 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state orocal aws regulating am authoriz o sign and obtain this electrical permit. Date: 3 ►►113 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 EL13-0234 Printed: 03-11-2013 Ill PERMIT CONDITIONS • Permit No. EL13-0234 **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 EL13-0234 Printed: 03-11-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. eLt) - N.;i1 Project No. Date Application Accepted: t J 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.: e 6-2-1900""009)i7 Site Address: 101 Andover Park East Suite Number: Floor: Lowe's New Tenant: ❑ Yes ® .. No Tenant Name: PROPERTY OWNER Name: Heather Weidman Name: Lowe's Company Inc City: Portland State: OR Zip: 97230 Address: 1000 Lowe's Blvd Email: hweidman@bergelectric.com City: Mooresville State: NC Zip: 28117 CONTACT PERSON — person receiving all project communication Name: Heather Weidman Address: 13650 NE Whitaker Way City: Portland State: OR Zip: 97230 Phone: (503) 255-1818 Fax: (503) 255-1919 Email: hweidman@bergelectric.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Bergelectric Corp Address: 13650 NE Whitaker Way City: Portland State: OR Zip: 97230 Phone: (503) 255-1818 Fax: (503) 255-1919 Contr Reg No.: BERGEC*021K6 Exp Date: 05/26/2014 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 1,030 Scope of Work (please provide detailed information): Add power to (1) cord reel Will service be altered? ❑ Yes 0 No Type of Use: general Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ® Addition 0 Service Change 0 Remodel ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication Property Served by: Puget Sound Energy 0 Seattle City Light H:\Applicattons\Forms-Applications On Lme\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 0 Tenant Improvement ❑ Temporary Service 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: //n4 her lA )el Date: 2,Z.`i// 3 Day Telephone: 57Y •25 7NE) Mailing Address: / IO55() ni 23117 kQ ( i 0cty �ISZ/I i211(y / City H:\Apphcations\Forms-Applications On Line \2011 Applicattons\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Ore State c77z3() 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 Parcel No.: 0223000030 Address: 101 ANDOVER PK E TUKW Suite No: Applicant: LOWE'S RECEIPT Permit Number: EL13-0234 Status: PENDING Applied Date: 03/11/2013 Issue Date: Receipt No.: R13-01003 Initials: JEM User ID: 1165 Payment Amount: $115.50 Payment Date: 03/11/2013 12:05 PM Balance: $0.00 Payee: BERGELECTRIC CORP TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2060 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 Drinlcrl• m_1127n1z INSPECTION NO. INSPECTION RECORD Retain a copy with permit, C�a3= vZ3y PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670' Permit Inspection Request Line (206) 431-2451 Project: to i vie. Type of Inspection:; 090 Address:1 0 1 (� E /,�'�' Date Called: Special Instructions: `.(C u[ ``, •1� rtet�cdl � Date Wanted:- 3113 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 164Aler • n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must- be. paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:,= . Date:: :00Iii 3 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 BERGELECTRIC CORP UBI No. 3103371377 Status 5650 W Centinela Ave Los Angeles CA 900450029 Out Of State Corporation License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601875985 Active BERGEC'021K6 Electrical Contractor 5/26/1998 5/26/2014 General Unused Electrical Administrator INFORMATION License ANDERTR023JD Name ANDERSON, THOMAS R Status Active Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 05/26/1998 Bond Amount ANDERSON, THOMAS R President 05/26/1998 8219-65-66 WINGERNING, WILLIAM M Vice President 05/26/1998 ELECTRICAL CITATION BILLIG, EDWARD M JR Vice President 01/01/1980 FIRE INS HA2 CO DRINKWARD, ROBERT W 05/18/1998 01/01/1980 09/09/2011 BRISCOE, DONALD L President 01/01/1980 09/09/2011 BRISCOE, JOHN R Secretary 01/01/1980 09/09/2011 Bond Information Page 1 of 1 q�-Ogqq2aS Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FEDERAL INS CO 8219-65-66 05/01/2010 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0005/06/2010 $250.00 FIRE INS HA2 CO 72sun43137173 72sun43137173 05/18/1998 Until Cancelled 05/01/2010 $4,000.0005/06/2010 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 EJONB00899 7/31/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJONB00900 7/31/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 03/11/2013