HomeMy WebLinkAboutPermit EL19-0898 - LOWE'S - RELOCATE POWER POLESLOWE'S
101 ANDOVER PARK E
ELI 9-0898
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 208~438'9350
Web site: htto://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0223000030 Permit Number: EL19-0898
101 ANDOVER PARK E
Project Name: LOWE'S
Issue Date: 10/31/2019
Permit Expires On: 4/28/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
LOWE'S HOME CENTERS LLC
lDO0LOVVE'SBLVD NBTA,
yNO0RE5V|LLE',Z81l7
PATTY FULLER
lZZOS3S6ST'SUITE x-5,FEDERAL
WAY„ WA
FULLER ELECTRIC INC
1220 356TH ST #A5, FEDERAL WAY
WA, 98003-7479
'''
Phone: (253) 661-7181
Phone:
Expiration Date: 1/12/2020
DESCRIPTION OF WORK:
MOVE 4 POWER POLES
Valuation of single family: $0.00
Valuation of mf/comm: $2,50l0
Type of Work: TENANT IMP
Fees Collected: $154.65
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of TukwiIa:
International Buliding Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2015International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
Date:
2017
2017
2015
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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtairi this
development permit and agree to the conditions attached to this permit.
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Signature: U —~^ /�_/
/�«^^^�' / `~ Date: , `' `^ ' /
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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, arid 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. ELi 0 9
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 Address: ) C / de." vQ/-
Tenant Name: LoLJeS
King Co Assessor's Tax No.:
Ct..gf
Suite Number: Floor:
New Tenant: D Yes Ej..No
PROPERTY OWNER
Company Name: aagr-47e '
Name: ficti-ys_i f i /,
City: re zit itti w c6,./ State: Lil",_ Zip: ys0,03
Name:
-
City: Federcis_ti,Ai State: t, j 4. Zip:
5-- _f
Phone:2_3 6 ( .7. .5
7/7/ Fax: 3 _66/ -c, 514'
Email: ect+tv 0 FJ/' -e -/e L,
Address: /
0
/
A,,_eht
/./.
if
City:(
State: IA
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: aagr-47e '
Name: ficti-ys_i f i /,
City: re zit itti w c6,./ State: Lil",_ Zip: ys0,03
Address; i 7....2_(2 . 3s6-' sy- f4
-
City: Federcis_ti,Ai State: t, j 4. Zip:
5-- _f
Phone:2_3 6 ( .7. .5
7/7/ Fax: 3 _66/ -c, 514'
Email: ect+tv 0 FJ/' -e -/e L,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: aagr-47e '
Address: /2i0 c. 3 ...fpy, ,'-f
City: re zit itti w c6,./ State: Lil",_ Zip: ys0,03
Phone:) c 3 _.6 ‘ "....778,/ Fax:
Contr Reg No.: f cA me,.01_2j1r-Exp Date: / _2_ 0 -2,2
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 0 0 ,
O1
Scope of Work (please provide detailed information): PI 0 VP_ci r0 wet- /'o/es
Will service be altered? fl Yes Adding more than 50 amps? ED Yes
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel riE6 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm El Telecommunication 0 Temporary Service
Pro'et Served b :
r41 Puget Sound Energy 0 Seattle City Light
WAPermit CenterlApplication-HndoutsWermit Applications \PDFs1Electrical Permit Application Revised 1-17- I Rdo
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)
$180.00
$120.00 ea
$60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ 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
❑ 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
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
❑ 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%
1ECHNOLOGY 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: I U-✓/ 7 - % / "u/ ` `""
Mailing Address:
W: Wennit Center\Applications-nandoutsWctnut Applications \PDF's\Electrical Permit Application Revised I-17.19,doce
Date:
0 -3 /1-1,
Day Telephone: ;-5 3 '- o 6(
Federici /P f y8003
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$154.65
EL19-0898 Address: 101 ANDOVER PARK E
Apn: 0223000030
$154.65
Credit Card Fee
$4.50
Credit Card Fee
R000.369.908.00.00
0.00
$4.50
ELECTRICAL
$143.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18961
R000.322.900.04.00
0.00
$7.15
$154.65
Date Paid: Thursday, October 31, 2019
Paid By: PATRICIA FULLER
Pay Method: CREDIT CARD 10852G
Printed: Thursday. October 31. 2019 12:05 PM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
286-433'1870
CITY OF TUKWILA
0017340000802374464500
Date: I0/31/20I9 12:05:00 PM
CREDIT CARD SALE
VISA
CARD NUMBER: *+**w*+**4126 K
TRAN AMOUNT: $154.65
APPROVAL CD: 108526
RECORD #: 000
CLERK ID: Bill
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. 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: / [ t
Type of Inspection:
Address: ,,
0
Date Called:
Special Instructions:
(
Date Wanted:
a.m.
p.m.
Requester:
"""'�����r�•
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENT
nspector:
REINSPECTIOFEE REQUIRED. Prior to next inspection. tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1.11)mc Espanol C�ntct
Safety & Health Claims & Insurance
414 4
Washington State Department of
Labor & Industries
Fa -J71 Lad
AZ Inclex Help My L&1
Workplace Rights Trades & Licensing
FULLER ELECTRIC INC
Owner or tradesperson
Principals
FULLER, PATRICIA ANN, PRESIDENT
AHLERS CRESSMAN PLLC, PAUL
CRE, AGENT
FULLER, GREGORY C, MEMBER
(End: 12/23/2011)
Doing business as
FULLER ELECTRIC INC
WA UBI No.
601 840 365
1220 S. 356th Street A-5
FEDERAL WAY, WA 98003
253-661-7181
KING County
Business type
Corporation
Governing persons
PATRICIA
ANN
FULLER
GREG C FULLER;
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.
FULLEEI027BK
Effective — expiration
01/12/1998— 01/12/2020
Designated administrator
FULLER, PATRICIA ANN
License type
Electrical Administrator
Bond
Federated Mutual Ins Co
Bond account no.
0773724
Active
Meets current requirements.
License no.
FULLEPA035NZ
$4,000.00
Received by L&I Effective date
01/03/2017 01/10/2017
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
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