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Home My WebLink AboutPermit EL13-0984 - TOYS R US - TENANT IMPROVEMENTTOYS R US 17501 SOUTHCENTERPY EL1 3-0984 City oPI'ukwila • 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.: 2623049067 Address: 17501 SOUTHCENTER PY TUKW Project Name: TOYS R US ELECTRICAL PERMIT Permit Number: EL13-0984 Issue Date: 10/09/2013 Permit Expires On: 04/07/2014 Owner: Name: CLPF-TUKWILA LP Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #901 98004 Contact Person: Name: KATY COBB Address: 2050 MARCONI DR, SUITE 200 , ALPHARETTA GA, 30005 Phone: 770-772-3400 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: INSTALL UP TO 8 DUPLEX RECEPTACLES FOR LCD DISPLAYS IN END CAPS Value of Electrical: NRES: $1,800.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: l.) Fees Collected: $118.60 Washington Cities Electrical Code: 2011 Date: I, V 1— ( 3 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 thi permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t ' � a / o work. I am authorized to sign and obtain this electrical permit. Signature: Date: JO— 9 / 3 Print Name: '&CD t t 1.--6vCri 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 EL13-0984 Printed: 10-09-2013 • • PERMIT CONDITIONS Permit No. EL13-0984 **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 TO - 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 EL13-0984 Printed: 10-09-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. \ 1" 6 c3 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 fak. **Please Print** SITE LOCATION ," King Co Assessor's Tax No.: Site Address: i� 50t Si{h f[ PK(J. L4 . Suite Number: Floor: Tenant Name: �0( I l uS a New Tenant: ❑ Yes ..No PROPERTY OWNER Comp .2 ►ame: • • 6 i 4` t a •i,lie tb1. i Name:yla`� C Name: 1 _,_ Address:c^CC e`CZ /�...,.\,�a a t�L7Ji ` `Staatte:rn Contr Reg No.: aN.R.BtExp Date: ►-al - Is Address: • Phone:11115; ..1yM Fax; ,qq6. j City: State: Zip: CONTACT PERSON — person receiving all project communication Comp .2 ►ame: • • 6 i 4` t a •i,lie tb1. i Name:yla`� C State:/1 n Zi0.- _ _ _ l ri 1 _,_ Address:c^CC e`CZ /�...,.\,�a a t�L7Ji ` `Staatte:rn Contr Reg No.: aN.R.BtExp Date: ►-al - Is City: ‘t Zip: • Phone:11115; ..1yM Fax; ,qq6. j Email: Mat. kfogft_ c tC.. CGW, ELECTRICAL CONTRACTOR INFORMATION Comp .2 ►ame: • • 6 i 4` t a •i,lie tb1. i dress: . Dr.SUa 'k OM State:/1 n Zi0.- _ _ _ l ri Phuong`_ xiii 7r%%2oo Fax: Q�l. �clz 39 Contr Reg No.: aN.R.BtExp Date: ►-al - Is Tukwila Business License No.; _th$ ICI S' 1 t .0-17 Valuation of Project (contractor's bid price): $ 1 1 O O Scoe of Work (please provide detailed information): -cSY LCA d% ?Ick In P c� 5 � Will service be altered? ❑ Yes S'] No Type of Use: Ca'C(\Mcf C t Adding more than 50 amps? ❑ Yes ❑ No Type of work: D New 0 Addition 0 Service Change ❑ Low Voltage 0 Generator 0 Fire Alarm 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.docx Revised: July 2013 bh ❑ Remodel ❑ 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 ❑ 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 O Meter/mast repair $68.25 O 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 ❑ 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 ELEC $1CAL CONTRACTOR: Signature: Print Name: 1 Lr,\ r, Date: /`/3/13 Day Telephone: '716' 4-- 39(3C- Mailing Address:QbEes Moir iris Ori Doo A\Cpt GA 3coc5 City State Zip H:1ApplicationsWorms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 2 of 2 • • City of Tukwila ZDepartment 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.: 2623049067 Permit Number: EL13-0984 Address: 17501 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/09/2013 Applicant: TOYS R US Issue Date: Receipt No.: R13-02843 Initials: User ID: WER 1655 Payment Amount: $4.32 Payment Date: 10/09/2013 11:54 AM Balance: $0.00 Payee: SCOTT LAUTT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 066920 ACCOUNT ITEM LIST: Description 4.32 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 4.32 Total: $4.32 Prinfarl• 1(1_(19_2(118 • J�.��A wq� City of Tukwila Q fir' ~ �',n r.,F t 1908 • 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 RECEIPT Parcel No.: 2623049067 Permit Number: EL13-0984 Address: 17501 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/09/2013 Applicant: TOYS R US Issue Date: Receipt No.: R13-02842 Payment Amount: $114.28 Initials: WER Payment Date: 10/09/2013 11:54 AM User ID: 1655 Balance: $4.32 Payee: LIN R ROGERS ELECTRICAL CONTRACTORS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 146038 114.28 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 114.28 Total: $114.28 Printers• 10-09-2013 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451' INSPECTIONRECORD Retain a copy with permit 64.5 fir PERMIT. NO. f Project: 1-615 R ,los Type of Inspection: .---' / Address: 75b( -4 PT Date Called: Special Instructions: Date Wanted: ! :u+r .m: Requester: VCo l Phone No:67 g ?IC 55 Approved per applicable codes. Corrections required prior to approval. COMMENTS: frray, 01243 REINSPECTION FEE REQUI ED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: Contractors or Tradespeople Peter Friendly Page Electrical Contractor A business licensed by LEtI 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 1 WESTERN SURETY CO 929356576 01/14/2005 Until Cancelled Bond Amount $4,000.00 Received Date 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 EJ0NV01669 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0NV01671 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0NV01673 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 EOXFJ00287 1/27/2010 19.28.061 RCW ELECTRICAL CITATION Satisfied $250.00 EHRAL01006 5/14/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJONV01677 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01681 4/20/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0NV01679 4/20/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/09/2013