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Permit EL17-1051 - HOME DEPOT - CHARGING STATION ON POLE
HOME DEPOT 6810 S 180T" ST EL1 7-1051 Parcel No: Address: Project Name: 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 3623049074 6810 S 180TH ST HOME DEPOT ELECTRICAL OTC PERMIT Permit Number: EL17-1051 Issue Date: 12/28/2017 Permit Expires On: 6/26/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: HD DEVELOPMENT OF MARYLAND PO BOX 105842 PROPERTY TAX DEPT #4705, ATLANTA, GA, 30339 JACQUELYN GROETHE 2050 MARCONI DR M- SUITE 200 , ALPHARETTA, GA, 30005 LIN R ROGERS ELECTRICAL INC 2050 MARCONI DR STE 200, ALPHARETTA, GA, 30005-5202 LINRRRR956B1 Phone: (770) 772-3491 Phone: (770) 772-3400 Expiration Date: 1/29/2019 DESCRIPTION OF WORK: INSTALL EQUIPMENT CHARGING STATION ON POLE IN HOME DEPOT PARKING LOT Valuation of single family: $0.00 Valuation of mf/comm: $5,997.00 Type of Work: TENANT IMP Fees Collected: $221.73 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature:4_ Date: l 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating co.' truction or the performance of work. I am authorized to sign and obtain this development permit nd :re to the conditions attached to this permit. Signature: � Print Name: z;t%j ? Date: /02/v /7 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 and the Washington Cities Electrical Code. 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. L\ f 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 fax. **Please Print** SITE LOCATION Site Address: 6810 South 180th Street Tenant Name: The Home Depot 4705 PROPERTY OWNER Name: Jacquelyn Groethe Name: The Home Depot 4705 City: Alpharetta State: GA zip: 30005 Address: 6810 South 180th Street Email: license@lrogerselectric.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Jacquelyn Groethe Address: 2050 Marconi Drive, Suite 200 City: Alpharetta State: GA zip: 30005 Phone: (770) 772-3491 Fax: (305) 397-2655 Email: license@lrogerselectric.com King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: 0 Yes O..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Lin R Rogers Electrical Contractors Address: 2050 Marconi Drive Suite 200 City: Alpharetta State: GA zip: 30005 Phone: Fax: Contr Reg No.: LT[NfRRRR956B 1 Exp Date: 01/29/2019 Tukwila Business License No.; BUS -0995579 Valuation of Project (contractor's bid price): $ 5,997 Scope of Work (please provide detailed information): Installing equipment charging station on pole in Home Depot parking lot. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes EJ No Type of Use: Commercial Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel Qj Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-HaodaumlPermit Applications\PDFs1Eleetzical Permit Application Revised 1-1-17.docx Revised Jemmy 2017 bb Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $83.54 (no added/altered circuits) 0 Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Christopher Kooser Date: /)//2// Day Telephone: Mailing Address: City State Zip W:1Petmit CenteclAppl cationadiandouts\Pe'mit Applications\PDF',Wlectrical Permit Application Revised 1-1-17.ducx Revised: January 2017 66 Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY PAID $462.98 E117-1051 Address: 6810 5 180TH ST Apn: 3623049074 $221.73 Credit Card Fee $6.46 Credit Card Fee R000.369.908.00.00 0.00 $6.46 ELECTRICAL $205.02 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 $205.02 TECHNOLOGY FEE $10.25 TECHNOLOGY FEE 1 R000.322.900.04.00 0.00 $10.25 EL17-1052 Address: 17364 SOUTHCENTER PKWY Apn: 2623049110 $241.25 Credit Card Fee $7.03 Credit Card Fee R000.369.908.00.00 0.00 I $7.03 ELECTRICAL $223.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $223.07 TECHNOLOGY FEE $11.15 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R13113 0.00 $11.15 $462.98 Date Paid: Thursday, December 28, 2017 Paid By: BRANDON KEATING Pay Method: CREDIT CARD 028858 Printed: Thursday, December 28, 2017 10:29 AM 1 of 1 SYSTEMS z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project:11 �\ n� i Type of Inspection: /CAL- Address:��' 6'1O S.,rXC S9r: Date Called: Special Instructions: Date Wanted: %; ca7.45.,n. Requester: „....-- / Phone No: 770 sy $f57/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6}W,exifotki> 0 17, Inspector: Date: 06 a REINSPECTION FEE REQUIRED. Prior to next inspection. fee niust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPEC ION NO. INSPECTION RECORD Retain a copy with permit 64TPC1 PO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: f Type of Inspection: w Address: Q5.ac) sir Date Called: p V)i5c,o Special Instructions: r ,,p. a Date Wanted: Requester:„---- I Phone No: 770 C 7379 Approved per applicable codes. OCorrections required prior to approval. COMMENTS: x©51 oJi&f aJ t j JSDE p V)i5c,o -- if ulnivi--- 41Lxr"lb I) rit� icrtik ,./4.00,,),, PL -0 kr tAI loms/a.,-- - i° P1-- eA t f ') c 5 V6- .„, Inspector: tJAftc Date: 18 REINSPECTION FSE REQUIRED. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 5/1/2018 c� o City of Tukwila Department of Community Development JACQUELYN GROETHE 2050 MARCONI DR M- SUITE 200 ALPHARETTA, GA 30005 RE: Permit No. EL17-1051 HOME DEPOT 6810 S 180 ST Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 6/26/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 6/26/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL17-1051 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 LIN R ROGERS ELECTRICAL II\ Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 6 SiAttCli A -Z Index Help My I.CI Workplace Rights Trades & Licensing LIN R ROGERS ELECTRICAL INC Owner or tradesperson 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, GA 30005 770-772-3473 Business type Corporation Governing persons LINDY R ROGERS MIKE FINNELL; KENNETH F WEBB; JOHN R GUDGER; BETTE R MCMANUS; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. LINRRRR956B1 Effective — expiration 01/2112005— 01/29/2019 Designated administrator KOOSER, CHRISTOPHER L License type Electrical Administrator Bond WESTERN SURETY CO Bond account no. 929356576 Active. Meets current requirements. License no. KOOSECLOO6LC $4,000.00 Received by L&I Effective date 01/21/2005 01/14/2005 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601825239&LIC=LINRRRR956B 1 &SAW= 12/28/2017 LIN R ROGERS ELECTRICAL It Infraction no. EJORJ00734 Issue date 10/06/2017 Violation city ALPHARETTA Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. ETUCP00446 Issue date 06/22/2017 Violation city ALPHARETTA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. ECHAP01941 Issue date 05/04/2017 Violation city ALPHARETTA Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. ECHAP01939 Issue date 05/04/2017 Violation city ALPHARETTA Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. ECHAP01937 Issue date 05/03/2017 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $500.00 Satisfied RCWIWAC 19.28.101 RCW Violation amount $500.00 Satisfied RC W/WAC 19.28.101 RCW Page 2 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601825239&LIC=LINRRRR956B 1 &SAW= 12/28/2017