HomeMy WebLinkAboutPermit EL19-0890 - HOME DEPOT - DISCONNECT/RECONNECT AND ADD POWER DROPSHOME DEPOT
68IOSI8OTHST
ELI 9-0890
Parcel No:
Address:
Project Name:
City of Tukwila
a
t 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
6810S18OTHST
HOME DEPOT
ELECTRICAL OTC PERMIT
Permit Number: EL19'0090
Issue Date: 10/30/2019
Permit Expires On: 4/27/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
HD DEVELOPMENT OF MARYLAND
POBOX 10584ZPROPERTY TAX DEPT
#4705, ATLANTA, GA, 30339
AMANDA LEE
2050MARCON|DKSTE100,
ALPHARETTA, GA, 30005
LIN R ROGERS ELECTRICAL INC
2050 MARCONI DR STE 200
ALPHARETTA, GA, 30005-5202
LINRRRR956B1
Phone: (770) 772-5805
Phone: (770) 772-3400
Expiration Date: 1/29/2021
DESCRIPTION OF WORK:
DISCONNECT/RECONNECT. INSTALL POWER DROPS UTILIZING 3/4 IN, EMT FROM THE CEILING BEMIND ThE END
CAP WITH A QUAD OUTLET.
Valuation of sirigle family: $0.00
Valuation of mf/comm: $I040.00
Type of Work: TENANT IMP
Fees Collected: $178.48
Electrical Service Provided by: PUGET 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:
Internatiorial Fuel Gas Code:
Permit Center Authorized Signa
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
-��
Date: b---0 ' �
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 violator cancel the provisions of any other
state or local laws regulating construction or the performance of work. 1 am authorized to sign and obtain this
development permit and agree to the conditions 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 ar 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 elecrica| 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 buliding, 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 TUKWC
mm
Counity Developmet epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permi
Project No.
Date Application Accepted: f0 30 CI
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: ,gtc
Tenant Name:
King Co Assessor's Tax No.:3102304C10-74
FROPERY OWNER
Name: Aryviri4:3 Lee
Name: :
rne i
City:AI, ,4_}.6 State: a Zip:Ltcm
Phone: Fax:
-7 7e-d5i)rj 3a5-391 - ' c".
Address:
Tukwila Business License No.;.R -Nei ..... 57q
City:A.1.0(14o Stat&a
Zip:
CONTACT PERSON - person receiving all project
communication
Name: Aryviri4:3 Lee
Arldress:200 1..4oRcrii .--,y; n46, i co
City:AI, ,4_}.6 State: a Zip:Ltcm
Phone: Fax:
-7 7e-d5i)rj 3a5-391 - ' c".
Email: 1.-;CenS6 , L-Pbrcei Eke
Suite Number: Floor:
New Tenant: [:::] Yes J ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ,k , , , I
Address:20 JtTh
; +e, a IOD
City:A*10.a State: Zip:
Phone: 70 72.,...3173 Fax; „t8 ... -1
Contr Reg No.:-caioe, Fiy23Fiate: 1//2•1
Tukwila Business License No.;.R -Nei ..... 57q
Valuation of Project (contractor's bid price): $ OA
Scope of Work (please provide detailed information):1)11- re/CoArte.
3/4 b-mr etirn e )n
coad
uktIA •
Will service be altered? EJ Yes 50 No Adding more than 50 amps? 1J Yes J No
Type of Use: (2nrivir‘eral a
Type of work:
0 New
r--1 Addition Q—Service-C-hange D Remodel Tenant lmprov
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by: •
0 Puget Sound Energy 0 Seattle City Light
WAPerrnit Cantor\ Applications-IlandoutaWennit Applications \PDFlalcctrical Pcrruit Application Rev1.17-19.cloca
Page, I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
❑ Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 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 WASI-IINGTON, AND I AM AUTHORIZED TO APPLY FOR TI -IIS PERMIT.
BUILDING OWNER. OR ELECTRICAL CONTRACTOR:
Signature:
/_/i' lJ� / /—�- -'" Date: 10/253/
Print Natne: ntin Day Telephone: -2-7-0---772----3-4a3
Mailing Address: C" 1rat(Cc�lt �� 0 t a �* tQ�% ) YC� C J . ,.2X05
City State Zip
W:\permit CanterlApplieations-Handouts\Permit Applications \PDI's\Electrical Pencil Application Revised 1-17-19.docx
Page 2 of 2
DESCRIPTIONS
1 ACCOUNT
I QUANTITY I
PAID
$380.78
PermitTRAK
EL 9-0890 Address: 6810 S 180TH ST
Apn: 3623049074
$178.48
Credit Card Fee
$5.20
Credit Card Fee
R000.369.908.00.00
0.00
$5.20
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101,00.00
0.00
$165,03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$8.25
EL19-0891 Address: 6810 S 180TH ST
Apn: 3623049074
$202.30
Credit Card Fee
$5.89
Credit Card Fee
R000.369.908.00.00
0.00
$5.89
ELECTRICAL
$187.06
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$187.06
TECHNOLOGY FEE
$9.35
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18944
R000.322.900.04.00
0.00
$9.35
$380.78
Date Paid: Wednesday, October 30, 2019
Paid By: AARON KOOSER
Pay Method: CREDIT CARD 030262
Printed: Wednesday, October 30, 2019 9:34 AM 1 of 1
CRWSYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
0017340000802374464500
Date: I8/30/2819 09:33:48 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********8587 K
TRAN AMOUNT: $380.78
APPROVAL CD: 030262
RECORD #: 000
CLERK ID: frankie
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. I1ERMIT Nti.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 3670
Permit Inspection Request Line (206) 438-9350
4/.09P
Project: ,.
�
't'ypeo' tnsp�e
on:
Address:
Date Called:
Special Instructions:
=Date
Wanted:
a.m.
Requester:
Phone No:
proved per applicable codes. Ei Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection. eetmust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
HOME DEPOT U.S.A., INC.
CMrtingvn, Nu, Drvalimei,lt et
i Labor & Industries (huDs://lni,wd.tiOV)
Contractors
HOME DEPOT U.S.A., INC.
Owner or tradesperson
Principals
MENEAR, CRAIG, PRESIDENT
CAMPBELL, ANN -MARIE, VICE PRESIDENT
ROSENBOROUGH, Teresa, SECRETARY
TOME, CAROL, TREASURER
Bramlett, James JR, MANAGER
Hourigan, Timothy, MANAGER
Muniz, Peter, MANAGER
Lamoree, Mary Beth, MANAGER
Carey, Matthew, MANAGER
Ingram, Stacy, MANAGER
Bomar, Scott, MANAGER
CORPORATION SERVICE
COMPANY, AGENT
Lennie, William, MEMBER
Hollifield, Mark, MEMBER
Dewalt, Karen, MEMBER
Barrett, Kelly, MEMBER
Howe, Courtney, MEMBER
Doing business as
HOME DEPOT USA., INC.
2455 Paces Ferry Rd
C-11 Hm Svcs Compliance
ATLANTA, GA 30339
770-433-8211
WA UBI No. Business type
601 262 719 Corporation
Governing persons
KELLY
H
BARRETT
FRANCIS S BLAKE;
ARTHUR M BLANK;
RONALD M BRILL;
JOHN COSTELLO;
FRANK L FERNANDEZ;
REBECCA I FLICK;
JAMES INGLIS;
BERNARD MARCUS;
ROBERT L NARDELLI;
STEVEN TAPLITS;
CAROL B TOME;
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.
HOMEDDU825KQ
Effective — expiration
05/1812018— 05/18/2020
Page 1 of 3
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