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Home My WebLink AboutPermit EL07-564 - WASHINGTON CITIES INSURANCE AUTHORITY (WCIA)WCIA 320 ANDOVER PK E ELO7-564 Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: Citf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Tenant: Name: WCIA Address: 320 ANDOVER PK E, STE 320 , TUKWILA WA Owner: Name: WA CITIES INSURANCE AUTHOR! Address: 14900 INTERURBAN AVE S #210 , SEATTLE WA Contact Person: Name: DOUG KIRBY Address: 48262 B ST NW,STE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN DESCRIPTION OF WORK: INSTALL (2) OUTLETS AND LIGHT SWITCH Value of Electrical: $500.00 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signatur I hereby certify that I have read an governing this work will be complie doc: EL -4/07 ELECTRICAL PERMIT Fees Collected: Permit Number: EL07 -564 Issue Date: 10/04/2007 Permit Expires On: 04/01/2008 Phone: Phone: 253 859 -2000 Phone: 253 859 -2000 Expiration Date: 01/13/2009 Type of Fire Protection: National Electrical Code Edition: 2005 $70.00 A v /� Date: 1 0 104 1 ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 wor . I am authorized to sign and obtain this electrical permit. Signature: Date: 1 0 /V0 7 Print Name: 1/14a ( bi (Wlt This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. EL07 -564 Printed: 10 -04 -2007 Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: Tenant: WCIA 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 1/11 ..a � k 1 614 1` k PERMIT CONDITIONS Permit Number: ELO7 -564 Status: ISSUED Applied Date: 10/04/2007 Issue Date: 10/04/2007 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Date: it L I(0/ EL07 -564 Printed: 10 -04 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us ,, / � o . �) Co Assessor's Tax No.: G 14) r ' c�a 0 Site Address: 3 a 0 OAct'170 Paa- v Suite Number: Floor: Tenant Name: ^ 4 New Tenant: ❑ Yes V..No Property Owners Name: J t�l Pr } - GGQ Mailing Address: � l�(I/VU1 ✓b�� Al C ND► ��— Uo� City S tate tip CONTACT. PERSON -Who do are: contact when your-permit is ready to be bsn Name: Mailing Address: E-Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: f S ALA, niA LC4 -' Mailing Address: LI O ct O fr tt - r [ . ')J Contact Person: 0\4 o E-Mail Address: / n ,� Contractor Registration Number: l 41 1414 e 1 01 1 1A/ Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): t% 5 I t ti., 4-c1.1 Will service be altered? ❑ Yes %I No Type of Use: Type of work: ❑ New Addition ❑ Service Change ❑ Fire Alarm ❑ Low Voltage ❑ Generator Puget Sound Energy Seattle City Light 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 ** HAApplicationaorm- Applications On LineAl.wm. Electrical Permit Appticaaon.doc bh (0 ) Day Telephone: City Expiration Date: State tip Fax Number: N/1n W A `t $ti j City 3 e a tip Day Telephone: ` 7 Fax Number: 1 113101 o - 4 ' c, ►�t� `l Adding more than 50 amps? ❑ Yes le No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $ 140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTE - 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 ent 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 T I HAVE READ AND EXAMINED PENALTY OF P' • • THE LAWS OF THE STA iF D • :! J ' • _ a! .alt_ •osc I Date Application Accepted: Ia (o R\AppticIiu1s1Tonnn.AppIication, On line\1 -2007 . Statical Permit Applieaaomdoc bh PLICATION AND KNOW THE SAME TO BE TRUE UNDER N, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Signature: Mir _ Date: Print Name: 1 0 phul/l • (�� , <4 L "ld I Day Telephone: Mailing Address: �i a iV St _ N\,i Sk t (7 t 5-Lt in 4 joo 1 city State Staff Initials: ZIP Date Application Expires: Page 2 oft Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: Applicant: WCIA Receipt No.: R07 -02178 Payee: KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www.ci.tukwila.wa.us RECEIPT Initials: JEM Payment Date: 10/04/2007 04:08 PM User ID: 1165 Balance: $0.00 Amount Payment Check 506559 70.00 Account Code Current Pmts 000.322.101.00.0 70.00 Total: $ 70.00 Permit Number: ELO7 - 564 Status: PENDING Applied Date: 10/04/2007 Issue Date: Payment Amount: $70.00 3 ?;57 10/0S' 9710 : -n• • 70.0 doc: Receiot -06 Printed: 10-04 -2007 Project: tic/ Type of Inspection: ,t7 /19 Address: 3 ANDO ✓IrJ2 Pit F Date Called: i O 9 li 7 Special Instructions: Date Wanted: /0-.? 9. D7 r a.m. p.m. Requester: q 9 / Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 / PERMIT NO. /9( (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: I lnspecto f r, ?Y Date: - 7 I /O �9• a J $58. EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: sd. f�7e y' .Y�rt�: Project: Type of Inspectionz / Address " A 4-- Date Called: Special Instructions: Date Wanted: / /0// 7_ a.m. p.m. Requester: Phone No: INSPECTION RECORD 'Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F.- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 COMMENTS: 16X .00 / ///- Approved per applicable codes. Ilns ctor: ,7r/4611(6/ ' Date: • • 1. c 7- Si rrections required prior to approval. El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: Date: , —Nib _.;.•ei • z Project: WC / R Type of Ins ection: - 7dc Address: 3. 1/AM/4.2. fi Date Cal Special Instructions: Date Wanted: / d At (5; Requester: Phone No: 1 SGT INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit COMMENTS: 0y6Y- //ti proved per applicable codes. El Corrections required prior to approval. IlsP72:GL 6/ / - ,6f U / ,t, IDat %0/f /O) $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: IC •,��rf. —. -. z .: : $F"S -. F;.6 q<„ r ar 15Y•fs:._vs -�_y.. _. .r."� „ .�...�s- �s- :�l.�r•.v"� _...t::''•” `t-.l: License Information License KIRBYEI077BN Licensee Name KIRBY ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601433048 Ind. Ins. Account Id Business Type CORPORATION Address 1 4826 B ST NW STE 101 Address 2 City AUBURN County KING State WA Zip 98001 Phone 2538592000 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/15/1993 Expiration Date 1/13/2009 Suspend Date Separation Date Parent Company Previous License KIRBYE' 101 QE Next License Associated License KIRBYDE962LZ Business Owner Information Name Role Effective Date Expiration Date KIRBY, DOUGLAS E 01/01/1980 KIRBY, SHANNON 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Sow Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Master Electrician Information License Name Status KIRBYDE962LZ KIRBY, DOUGLAS E ACTIVE Bond Information https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= KIRBYEI077BN 10/04/2007