HomeMy WebLinkAboutPermit EL19-1062 - BRIDGESTONE RETAIL CORPORATION - DISCONNECT, EQUIPMENT CONNECTION, CIRCUIT AND SURFACE MOUNTED RECEPTACLESBRIDGESTONE RETAIL
CORP.
18191 SEGALE PARK B DR
ELI 9-1062
F//fhtlim
Parcel No:
Address:
Project Name:
City of Tukwila
a
ent of Community Development
6300 SouthcenterBoulevard, Suite #10U
Tukwila, Washington 98188
Phone: 206'431'3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
3523049119 Permit Number:
18191 SEGALE PARK B DR Issue Date:
Permit Expires On:
BRIDGESTONE RETAIL CORPORATION
ELl9'lOGl
12/23/2019
6/20/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
,,GA
AMANDA LEE
2050K44RCON|DRSTEI00'
ALPHARETTA, GA, 30005
LIN R ROGERS ELECTRICAL INC
Address: 2050 MARCONI DR STE 200
ALPHARETTA, GA, 30005-5202
License No: UNRRRR956B1
Lender:
Name:
Address:
Phone: (770) 772-5805
Phone: (770) 772-3400
Expiration Date: 1/29/2021
DESCRIPTION OF WORK:
FINISH AND INSTALL (10 100 AMP, (20) 40 AMP AND (10) 20 AMP DISCONNECT, EQUIPMENT CONNECTION AND CIRCUIT. FINISH AND INSTALL (7) SURFACE MOUNTED RECEPTACLES,Valuation of single family: $0.00
Valuation of mf/comm: $22,110.00
Type of Work: TENANT IMP
Fees Collected: $553.58
Electrical Service Provided by:
Water District:
Sewer District:
Current Codes adopted by the City of Tukwila:
International BuiIding Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National ElectricaCode:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
/^�
�°e\
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 cancelthe provisions of any other
state or local laws regulating construction or the performance ofwork. 1 am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name: F11_,,r-
Date: 0,a3-/,
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
lnspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Etectrical
Inspector.
4: All electrical worshall be in accordance with NFPA 70 NEC, and requirements for electrical ir,stallations,
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
CITY OF TUKWILA
Coinntunity Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
(OW.
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: IS q
Tenant Name:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
PROPERTY OWNER
Name:
Address:
Ci :
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:p(. Lee,
Address: visocov Oi 1sk ro
City: Ai _14, , mai, StateciA Zipc:ccic25
Phone:7 2 r. FaxLts 311— apaif
Email License ,ppaersEif,rke,n curl
Floor:
.....Yes
..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:MR.' .4kft-rs ElecArka I
Address '2_izop— Marcaii Th— Akt., 100
-) •
City: Statecji.
Phone: 770 -772--3Fax : ,,_ __
q73 -34-1-2-(f)
Contr Reg No.:Farm Exn Date:
gi-kARRSin(0531 1 igA /E i
••••
Tukwila Business License No.; n.N(1. 557s
Valuation of Project (contractor's bid price): $ 22)1 I C)
Scope of Work (please provide detailed information):
Will service be a
Type of Use:
Type of work:
ID New El Addition
0 Low Voltage 0 Generator
Property Served by:
D Puget Sound Energy
ed? El Yes 21 No
• ikii
o Service Change
Ei Fire Alarm
0 Seattle City Light
WAPermii CenteMpplications-liandoutsTermit Applications1PDFsElecirkal Permit Application Revised I -17-19.clocx
Adding more than 50 amps? Xi Yes El No
0 Remodel
0 Telecommunication
Se Tenant Improvement
0 Temporary Service
Paee 1 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
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120,00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
0 Circuits added/altered without service change......„$60.00
(up to 5 circuits)
o Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
D 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
D Temporary service (residentia1 $60.00
D Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals ...... ....... . ....... ...... ....... .1100.00
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 WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR TI -IIS PERMIT.
BUILDING OWNER R ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Day Telephone:
Date:LzA cj /1c1
W:Termii Cenicr \Applications -Handouts \ Permit Applications \ PDPsTlecir Rol Permit Application Revised I -17-19..decx
sty
otate Zip
Page 2 of 2
CITY OF TUKWILA
Community Development Department
Permit Center
6300 SouthcenterBlvd•, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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 LOCATIO,
King Co Assessor's Tax No.:
Site Address: %Chj A Suite Number: Floor:
)Tenant Name: ��11(�, PC r l %C 1S New Tenant: •.•..Yes ..No
\ I
PROPERTY OWNER
Name: Aim
Address:9�ttJJ0-as4Icc
5KT-06
Name:
Phone:7 72 Fax: - ,� M 2(
Email:LI:eaGacesEPi',&(Otr)
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Aim
Address:9�ttJJ0-as4Icc
5KT-06
City: State: A Zip:
I, ' Ja r :1.1)/
Phone:7 72 Fax: - ,� M 2(
Email:LI:eaGacesEPi',&(Otr)
ELECTRICAL CONTRACT OR INFORMATION ..
Company Name:/Lin R:t'S Ele66c21
s: {rsIr'i'.o
Address: ` I„!�l �,
15
City'�� State•. Zip:
Phone.77) 1.31 )3Fax: -5.31,_2(07
Conn RegNo.:r�ITJ,I rtExpDate•i/m / 1
Tukwila Business License No.; �r s„ 09,155 S
Valuation of Project (contractor's bid price): S22)1 1 Q 1 (�
Scope of Work (please provide detailed information): �jff U Ini\9\\ (0 �( A , CZ) li` /�f
id) " L. 1•UW.i r,11.. l wit :!Ii t • AMA
If 5 ti (-7) ,-ucFErte, m;
Will service be altered? ❑ Yes g No
Type of Use: t,Ai
Adding more than 50 amps? D Yes ❑ No
Type of work:
E] New 0 Addition 0 Service Change
[] Low Voltage 0 Generator 0 Fire Alarm
Property' Served by:
[] Puget Sound Energy 0 Seattle City Light
WSPemii� CeauAAppliotions•F6ndcw1Pen ii AppliuiioraDFAEledriealPemui AppliraiaoRevoed I.17.19.doex
0 Remodel
O Telecommunication
Eti Tenant Improvement
[] Temporary Service
Pare 1 of 2
,
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$553.58
EL19-1062 Address: 18191 SEGALE PARK B DR
Apn: 3523049119
,
$553.58
Credit Card Fee
$16.12
Credit Card Fee
R000.369.908.00.00
0.00
$16.12
ELECTRICAL
$511.87
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$511.87
TECHNOLOGY FEE
$25.59
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R19368
R000.322.900.04.00
0.00
$25.59
$553.58
Date Paid: Monday, December 23, 2019
Paid By: AARON KOOSER
Pay Method: CREDIT CARD 023072
Printpri• MnnriAv nPrPmhPr 7R. 7019 R:S1 AM
1 of 1
gra
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 12/23/2019 08:51:15 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********8587 K
TRAN AMOUNT: $553.58
APPROVAL CD: 023072
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. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206 431 -
Permit Inspection Request Line (206) 438-9350
Project:
9Ajr
Type of nspec ion:
A/kT
Addres :(g ictil
ate Called:
Special Instructions:
(9 00
Date Wanted:
a.m.
P.m.
Requester:
Phone N :
7
Approved per per applicable codes. 1 1 Corrections required prior to approval.
COMMENTS:
fl REINSPECTIpN FEE REQUIRED. Prior to next inspection. fed must be
paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection.
CO Labor IndusTrie:-. (1111,os,,Ylni.wa.vv.1
Contractors
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
01/21/2005— 01/29/2021
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
Infraction no.
EWICG00376
Issue date
10/25/2018
Violation city
Satisfied
.„ ..........
RCW/WAC
19.28.101(3) RCW
Violation amount
$2,000.00