HomeMy WebLinkAboutPermit EL14-0894 - HALLOWEEN CITY - CIRCUIT FOR CASH REGISTERSHALLOWEEN CITY
17500 SOUTHCENTER PKWY
EL1 4-0894
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2623049110 Permit Number: EL14-0894
17500 SOUTHCENTER PKWY
Project Name: HALLOWEEN CITY
Issue Date: 9/16/2014
Permit Expires On: 3/15/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC
3333 NEW HYDE PARK RD #100 PO
C/O KIMCO REALTY CORP, NEW HYDE
PK, GA, 11042
CHRISTOPHER KOOSER
2050 MARCONI DR , ALPHRETTA, GA,
30005
LIN R ROGERS ELECTRICAL CONTRA
2050 MARCONI DR STE 200,
ALPHARETTA, GA, 30005-5202
LINRRRR956B1
1 I 1
Phone: (415) 720-6736
Phone: (770) 772-3400
Expiration Date:
DESCRIPTION OF WORK:
EXTEND (1) CIRCUIT DOWN WALL FOR CASH REGISTERS
Valuation of single family: $0.00
Valuation of mf/comm: $1,200.00
Type of Work: REMODEL
Fees Collected: $124.53
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE,TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: 9%—(6/.
I hearby 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 pr-su - t give authority to violate or cancel the provisions of any other
state or local laws regulatti onst,/ i. o • the performance of work. I am authorized to sign and obtain this
development permit aagree; • t c• ditions attached to this permit.
Signature:
Print Name:
Date:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LI i\— 0
Project No.
Date Application Accepted: 01 1 l' j l q
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
Q King Co Assessor's Tax No.: 2l' 2�L4 11 t'°
Site Address: t1'� o �xY 3- Z �J,V`�� �_ 'k Y'( Suite Number: Floor:
Tenant Name: ,k--\ New Tenant: ❑ Yes ❑ ..No
PROPERTY OWNER
Name: \ f v i (Apt041)
Address: ,.)/th p tv3tate ? VV
-iptCity:
� �J3 .e ()AAt5tatty Zip:
i 1
2
CONTACT PERSON —person receiving all project
communication
Name: 0—i-1/4(1\C91\r—e-- \ER---.
Address: ?cfm rYNt i_r.,5)5\ \
City lmft- •ceci), State: 6,R. Zip:50E5.65
Phone:015) 20 3,Fax:
Email:
C-k e t r'o %e—t-Se-\ec r c_ , ca v
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Ltt��� Fi���
Address: 1C5�o Mpve.c t,,` ��
City: State: Zip:
Fax:
Phone:�� 1S (013
Contr Reg No.: CA I, r Q l4 I/1 ui T Jute: 61 1v' III9 a I it�
Tukwila Business License No.; ir I ' 511
lit ,l9 0 --- c3 = I�-I • S 3
Valuation of Project (contractor's bid price): $ (Z D . 00
Scope of Work (please provide detailed information): fj(ZeJ.. C_A -( (C CoAZ-
P-E�avS;U-S
Will service be altered? ❑ Yes Z1 No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel riK Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
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) $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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature
Date: 9 (12J 2;>14
Print Name: etk-P—t tc 'R _ t-cOSE-32-, Day Telephone: `t-I'5) ? 2O - (r,"3,3t0
Mailing Address: fASD IV\A (L- Y.,V
P.P CA, ca A- 5
City State Zip
H-\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised, January 2014
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
PermitTRAK
124
.4-08?
ddress: 17500.SOUTHCENTER PKWY
n: 2623049110
12453
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3052
R000.322.900.04.00
0.00
$5.93
$124.53
Date Paid: Tuesday, September 16, 2014
Paid By: CHRISTOPHER KOOSER
Pay Method: CREDIT CARD 054693
Printed: Tuesday, September 16, 2014 7:20 AM 1 of 1
CRWSYSTEMS
Z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
6111- onY
PERMIT NO. I
Project: r / jet 6 ry
Type of inspection: fi` ,
Alift-
Address: I 7��0 5
�
j�
t.
Date Called:
Special Instructions:
Date Wanted:
9/r 7
�p`
Requester: r
Phone No: 7l� 72
6
73 ,
Approved per applicable codes. E Corrections required prior to approval.
f
COMMENTS:
rl f/ rfriAJAA,
t1
Inspector: /-t 4 Jq
Date: tq f 7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
trAii- 'Of
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
(206) 431-3670
Project: /441A-0
"v Vf
Type of Inspection: hA
Address:
/7c605-
P _
Date Called:
Special Instructions:
Date Wanted: /
r
a.m:
Requester: I�!
t
Phone No: Oft) 70 /
7
%
JApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
"'-
A,�t1 A-1'1 a I ! • 2-0 A - r't
/1414-1`0 AJJrt r\ ,'/&O✓0i)
Aix>
/. T linrec P r-a4Q-l. r
fi
Inspector:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 01 (7 ( I
LIN R ROGERS ELECTRICAL INC
Page 1 of 15
0 Washington State Department of
Labor & Industries
LIN R ROGERS ELECTRICAL INC
Owner or tradesperson
Rogers, Lin R
Principals
Rogers, Lin R, PRESIDENT
FINNEL, MIKE, VICE PRESIDENT
WEBB, KEN, SECRETARY
CORP SYSTEMS, C T, AGENT
Doing business as
LIN R ROGERS ELECTRICAL INC
WA UBI No.
601 825 239
2050 MARCONI DR, STE 200
ALPHARETTA, GA30005
770-772-3400
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
LINRRRR956B1
Effective — expiration
01/21/2005— 01/29/2015
Designated administrator
KOOSER, CHRISTOPHER L
License type
Electrical Administrator
Bond
WESTERN SURETY CO
Bond account no.
929356576
Received by L&I
01/21/2005
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
KOOSECLOO6LC
$4,000.00
Effective date
01/14/2005
Expiration date
Until Canceled
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601825239&LIC=LINRRRR956B1&SAW= 09/15/2014