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Permit EL13-0917 - BEST BUY - TENANT IMPROVEMENT
BEST BUY 17364 SOUTHCENTER PY EL13-0917 City ofitukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 2623049079 Address: 17364 SOUTHCENTER PY TUICW Project Name: BEST BUY ELECTRICAL PERMIT Permit Number: EL13-0917 Issue Date: 09/20/2013 Permit Expires On: 03/19/2014 Owner: Name: KIR TUKWILA 050 LLC/KIMCO Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042 Contact Person: Name: ALYSSA COURSEY Address: 2050 MARCONI DR, STE 200 , APLHARETTA GA, 30005 Phone: 770 772-3472 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: 01/29/2015 DESCRIPTION OF WORK: INSTALLATION OF (5) 120V, 20 AMP CIRCUITS FOR NEW PRODUCT DIPLAYS. UP TO 10 ELECTRICAL DISCONNECTS AND RECONNECTS TO RELOCATE EXISTING DISPLAYS. Value of Electrical: NRES: $15,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $360.30 Washington Cities Electrical Code: 2011 Date: 09d7701,13 13 I hereby certify that I have read and 4xamited this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with, whether specified herein or not. The granting of t construction or t Signature: permit does not •r ale to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Print Name: Date: 9- zO /3 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 -7/13 EL13-0917 Printed: 09-20-2013 • PERMIT CONDITIONS Permit No. EL13-0917 **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 -7/13 EL13-0917 Printed: 09-20-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: lJ l I 2- 7 1 (3 Date Application Expires: (For office use only) ELIC,-D°�I1 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 �J yJ King Co Assessor's Tax No.: 1.1,23701-1,— 1,011 Site Address: 173/011 `&1 P/; ,Q /7Ct% „(, Suite Number: / Floor: Tenant Name: &S7 %� iiJ ao] PROPERTY OWNER Name: TJts7y-/' /o,iyi-a,h-M Address: ?io/Vpmfhiei w SoulA City: g,!e/ State: inn, Zip:Srj a CONTACT PERSON — person receiving all project communication y� n /� Name: RIy a CaWe — /� m,t O Address:l/� p��, ff L� �ry 11111111 � %�% � c�l/d City:// Zip: 21 r State:64 ` ?l , /,� Phone/: 70" 7%p? -J77 ax:gL/IG�L_`7cb`7$39 Email: Lif!ris e� alets-PJ((i7 e. ea?? New Tenant: ❑ Yes 0.No ELECTRICAL CONTRACTOR INFORMATION Company Name: % ; .,, yJ Q s EC f�l/hi rL Address:�5O filar Ori t'e U o i City:/e�Jn State: bl� Zip: 2,y�, �/G. �Gl.(.0 Phone: _ ax: - - / 70 77� ��/%� f5� �II'v- 739 Contr Reg No.:Lin mQn 6)$ mate: /7,27_4s._ l Tukwila Business License No.; izti C gq,33/n Valuation of Project (contractor's bid price): $ /5j©0 Scope of Work (please provide detailed information): /fSif %iJOf7 07e ,� /20//Q/f li " v Gircuh/3 for newGLd a /d� /n /D eLet iiia/ disca1n i gL re.orincy IDr ale&raj displays' Will service be altered? l El Yes Type of Use: leek / Type of work: 0 New „Er Addition .." Low Voltage 0 Generator Property Served by: ..,Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications \Electrical Permit Application Revised 7-I-13.ducx Revised: July 2013 bh izi<o Adding more than 50 amps? .,171-. Yes ❑ No ❑ Service Change ❑ Fire Alarm ❑ Remodel 0 Telecommunication Tenant Improvement 0 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 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) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea O 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) $65.00 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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 4. ECTRICAL CONTRACTOR: Signature: Print Name: 4, Lei n p -R ers o Mailing Address:nasO %i/ /J% Sfe 9a) Al H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: Day Telephone: 770-77,7 -31-i60 City C� c3C9x/ 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: EL13-0917 Address: 17364 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/20/2013 Applicant: BEST BUY Issue Date: Receipt No.: R13-02696 Initials: JEM User ID: 1165 Payment Amount: $360.30 Payment Date: 09/20/2013 02:37 PM Balance: $0.00 Payee: LIN R ROGERS ELECTRICAL CONTRACTORS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3211 360.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 360.30 Total: $360.30 Printari• na-2n-2n1:1 INSPECTION RECORD Retain a copy with permit 'VP 7 NO. 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: ge t�% s 6 TYPe of Inspection:irt_ \ Address: %�% 3 c 3 /c ff Date Called: Special Instruction Date Wanted: Z -r(0 a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: r o Inspector: c<4446( l� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO: INSPECTION RECORD. Retain 'a copy with permit 6,11077 - 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: DOI Type of Inspection:. Address: 73Gy .c,Pr:_ Date Called: Special. Instructions: Date Wanted: (1/1r/11.. Requester: 6713 (0 5524 Phone No: . 770 7717151 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: ('504-(1).J(d6 Date:: REINSPECTION FEE REQUIRED. -Prior to next inspection, fee must be paid at 6300 Southcenter.Blvd.. Suite 100. Call to schedule. reinspection. izlt3 INSPECTION NO. INSPECTION.>RECORD Retain a copy with "permit t -t43 - 09(1 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: - 8if - SkedikT/$6CAkee- fie.- Type of Inspection: �1 o0 -- 160-11 t AC ? Address: f 7 34t.5 _ P • Date Called: - vtow,c i j c-4kJ 04 6rrE tf- IrJsPt ro0.jk. 3coIc of bio(1-1(~ Special Instructions: Date Wanted: /D �a P m: Requester: Phone No: LJApproved per applicable codes. inCorrections required prior to approval. COMMENTS: - SkedikT/$6CAkee- fie.- - Zo.kosAttu TIES FA. ti,h,-T' Loilitk C.K.T. -- 160-11 t AC ? Crir Tb iSt 5oPeoe ) EI Ly /0 I & �yq ri'' - aD PoirJE-t..Sc L -C- _ ci)cS-T P&&1(( - vtow,c i j c-4kJ 04 6rrE tf- IrJsPt ro0.jk. 3coIc of bio(1-1(~ Inspector: J Date: ,o i+ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • • Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > [1 Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About Electrical Contractor Page 1 of 3 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 LIN R ROGERS ELECTRICAL INC Phone No. (770) 772-3400 Address 2050 Marconi Dr, Ste 200 Suite/Apt. City Alpharetta State GA Zip 30005 County Out Of State Business Type Corporation Parent Company UBI No. j�p' 601825239 Status j, Active License No. LINRRRR956B1 License Type j Electrical Contractor Effective Date 1/21/2005 Expiration Date 1/29/2015 Suspend Date Specialty 1 .� General Specialty 2 Unused Electrical Administrator INFORMATION License LAUTTSR919K6 Name LAUTT, SCOTT R Status Active CI Business Owner Information d Hide All Name Role Effective Date Expiration Date CORP SYSTEMS, C T ROGERS, LIN R WEBB, KEN FINNEL, MIKE Bond Information °id Agent 1101/21/2005 President 01/21/2005 Secretary 01/21/2005 Vice President 01/21/2005 httns://fortress.wa.gov/lni/bbin/Result.aspx 09/20/2013