HomeMy WebLinkAboutPermit EL18-0046 - INTERURBAN CHIROPRACTIC - ADD RECEPTACLES FOR DRYER, WASHER AND CONVENIENCEINTERURBAN
CHIROPRACTIC
13028 INTERURBAN AVE S
ELI 8-0046
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: htto://www.TukwilaWA.eov
ELECTRICAL OTC PERMIT
0004800017 Permit Number: EL18-0046
13028 INTERURBAN AVE S 106 Issue Date: 1/12/2018
Permit Expires On: 7/11/2018
Project Name: INTERURBAN CHIROPRACTIC
Owner:
Name:
Address:
Contact Person:
Name:
EPROPERTY TAX INC DEPT #207
PO BOX 4900 , SCOTTSDALE, WA,
85261
JEFF FOSTER
Address: 4826 B ST NW #101 , AUBURN, WA,
98001
Contractor:
Name:
KIRBY ELECTRIC INC
Address: 4826 B ST NW #101, AUBURN, WA,
98001
License No: KIRBYEI077BN
Lender:
Name:
Address:
//1
Phone: (253) 457-2201
Phone: (253) 859-2000
Expiration Date: 1/13/2019
DESCRIPTION OF WORK:
ADD RECEPTACLES FOR DRYER, WASHER, AND CONVENIENCE
Valuation of single family: $0.00
Valuation of mf/comm: $2,500.00
Type of Work: TENANT IMP
Fees Collected: $150.15
Electrical Service Provided by: SEATTLE CITY LIGHT
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:
Date
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 construction or the performance of work. I am authorized to sign and obtain this
development permit and agree the conditions attached to this permit.
Signature:
Print Name: t,1 ,w-,
Date: I —1 Z '/ Q
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 TUKWIL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. e tA ci?„ 00 440
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 thc mail or by fax.
**Please Print**
SITE LOCATION
Site Address: 13028 Interurban Ave S
Tenant Name: Interurban Chiropractic
PROPERTY OWNER
Name: Jeff Foster
Name: Interurban Chiropractic
City: Auburn State: WA Zip: 98001
Address: 13028 Interurban Ave S
Email:
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Jeff Foster
Address: 4826 B St NW #101
City: Auburn State: WA Zip: 98001
Phone: 4244.24.3_24964- Fax: (253) 859-2363
Email:
King Co Assessor's Tax No.:
Suite Number: 106 Floor:
New Tenant: Yes V..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric Inc
Address: 4826 B St. NW #101
City: Auburn State: WA Zip: 98001
Phone: (253) 859-2000Fax: (253) 859-2363
Contr Reg No.: KIRBYEIO77BN Exp Date:
Tukwila Business License No.;
BUS -0992935
Valuation of Project (contractor's bid price): $ 2,500
Scope of Work (please provide detailed information): Add receptacles for dryer, washer, and convenience.
Will service be altered? LJ Yes IJ No
Adding more than 50 amps? [:] Yes [Z] No
Type of Use: Commercial
Type of work:
0 New 11 Addition El Service Change 0 Remodel j Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm El Telecommunication 0 Temporary Service
Property Served by:
[-k:?1 Puget Sound Energy 0 Seattle City Light
FI: Applications Forins-Applications On Line 2014 Applications Electrical Permit Application Revised 1-1- 14.does
Revised: January 2014
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Pagc 1 of 2
/
/
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings
(including an attached garage)
El Garages, pools, spas and outbuildings
E Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
MULTI -FAMILY ANI) COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
LI l Temporary service (residentlal) 565.00
El Temporary service (generator) $80.90
L I Manufactured/mobile home service $86.25
Service change or alteration $81.90 (excluding garage or outbuilding)
(no added/altered circuits)
0 Service change with added/altered circuits 581.90
number of added circuits $11.55 ea
El Circuits added/altered without service change $54.60
(up to 5 circuits)
0 Circuits added/altered without service change 554.60
(6 or more circuits) 57.65 ea
▪ Meterlmast repair $68.25
O Low voltage systems 559.85
(alarm, furnace thermostat)
O Carnivals 580.60
Number of concessions 510.80 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 Penni( 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: Dar:: 01 /1 2/201 8
Vadim Kalchik (253) 859-2000
Print Name: Day Telephone:
Mailing Address: 4826 B St NW #101 Auburn WA 98001
City
11: Applications Forms -Applications Un Line 2014 Applications Electrical Permit Application Revised 1- 1-14.docx
Revised: January 2014
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Statc Zip
Page 2 of 2
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DESCRIPTIONS I, ACCOUNT QUANTITY
i
PermitTRAK
PAID
$150.15
E118-0046 Address: 13028 INTERURBAN AVE S 106 Apn: 0004800017
$150.15
ELECTRICAL
$143.00
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R13356
0.00
MIIIIM13111111
$150.15
Date Paid: Friday, January 12, 2018
Paid By: KIRBY ELECTRIC INC
Pay Method: CHECK 520341
Printed: Friday, January 12, 2018 10:27 AM
1 of 1
YSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-36
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project: //7
/ diufri
Type of Inspection:
��
Address: pDate
C)
/
r
Called:
Special Instructions:
Date Wanted:.
4,)
.
L1.fU.
Requester:
Phone No:
pApproved
per applicable codes. Corrections required prior to approval.
COMMENTS:
r
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD 61/6-00fic,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: f
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Type of Inspection:
Addre s:
ff tiI���
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Date Called:
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Special Instructions:
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Date Wanted:
6;1?
Requester:
Phone No: 2-c3
1(5-7
22-01
EJApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:
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Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
4 J (€
Fo&\ rikion tJtQ C CA'%C_JIT" 2-,.4/
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Inspector:
tri
Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
KIRBY ELECTRIC INC
limn Espanol Contact
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Washington State Department of
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Workplace Rights Trades & Licensing
KIRBY ELECTRIC INC
Owner or tradesperson
Principals
KIRBY, DOUGLAS E, PRESIDENT
Kirby, Douglas, AGENT
KIRBY, SHANNON, AGENT
(End: 01/04/2012)
KIRBY, SHANON E, AGENT
(End: 01/04/2012)
Doing business as
KIRBY ELECTRIC INC
WA UBI No.
601 433 048
4826 B ST NW STE 101
AUBURN, WA 98001
253-859-2000
KING County
Business type
Corporation
Governing persons
DOUGLAS
EDGAR
KIRBY
SHANON ELAINE KIRBY;
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.
KIRBYEI077BN
Effective — expiration
01/15/1993— 01/13/2019
Designated administrator
KIRBY, DOUGLAS E
Active.
Meets current requirements.
License type License no.
Master Electrician KIRBYDE962LZ
Bond
WESTERN SURETY CO
Bond account no.
70607132
$4,000.00
Received by L&I Effective date
11/05/2008 01/14/2009
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period. Help us improve
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KIRBY ELECTRIC INC
License Violations
Infraction no.
EROJE00253 Satisfied
Issue date RCW/WAC
11/03/2014 19.28.101 RCW
Violation city Violation amount
AUBURN $1,000.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
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.
EALLM00348
Issue date
06/30/2014
Violation city
AUBURN
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
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.
EALLM00349
Issue date
06/30/2014
Violation city
AUBURN
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
296-466-901.
Infraction no.
EMURD00529
Issue date
02/07/2013
Violation city
AUBURN
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 -900(10)(a), effective after 12/30/2008
see WAC 296 -46B -901(10)(a).
Satisfied
RCW/NAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$500.00
Satisfied
R CWANAC
19.28.101 RCW
Violation amount
$250.00
Workers' comp
Page 2 of 3
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