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HomeMy WebLinkAboutPermit EL07-644 - WASHINGTON STATE SCHOOLS RISK MANAGEMENT CORPWA STATE SCHOOLS RISK MNGMT CORD 320 ANDOVER PK E ELO7-644 Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: Cityf 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: WA STATE SCHOOLS RISK MNGMT CORP Address: 320 ANDOVER PK E , TUKWILA WA Owner: Name: WA CITIES INSURANCE AUTHORI Phone: Address: 14900 INTERURBAN AVE S #210 , SEATTLE WA Contact Person: Name: BRAD SHUPE Phone: 253 859 -2000 Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYE1077BN DESCRIPTION OF WORK: WIRE HVAC Value of Electrical: $1,000.00 Fees Collected: $90.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: doc: EL -4/07 ELECTRICAL PERMIT Permit Number: ELO7 -644 Issue Date: 11/02/2007 Permit Expires On: 04/30/2008 Phone: 253 859 -2000 Expiration Date: 01/13/2009 Date: 11 I MY" ` I hereby certify that I have read and = ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 electrical permit. Signature: ' /L /7 i�' /-2 Date: /4-a - Print Name: ./(/ - f/ /4// 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 -644 Printed: 11 -02 -2007 Parcel No.: 0223200060 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: 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 320 ANDOVER PK E TUKW WA STATE SCHOOLS RISK MNGMT CORP PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -644 ISSUED 11/02/2007 11/02/2007 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. 1y-G" 27 Print Name: /2-e (V/ /A il( Date: /j - 7 EL07 -644 Printed: 11 -02 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littal/www.citukwila.wa.us CONTACT PERSON » Wbo do we contact whe yourpermit is ready to be issue Name: Mailing Address: L"$ 2-e e s " , A, t E-Mail Address: (a..41 t'1 tlya e..e... AZ i Cc, Valuation of Project (contractor's bid price): $ G4)O0 Scope of Work (please provide detailed information): L-tsv< ff VA-L Ii :Upplications\Forms- Applications On line144007 - Electrical Permit Appliation.doc bit 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 Prints* d King Co Assessor's Tax No.: Site Address: 3 2-0 A 0r€4 1 Suite Number: Tenant Name: VIA. 5 t4k - -U4S R■k t� Qdewawi� Calf- New Tenant: ❑ Yes Property Owners Name: B Mailing Address: Zip City DZ� - t ch, D State Floor. ":No Day Telephone: 2 S 3^ SS-9- 2000 Qty Fax Number: 2-5-,. %S'Ok ?C3 ELECTRICAL CONTRACTOR INFORMATION Company Name: ker / t e, n`,_ 2-.1.c. Mailing Address: ill /� 6 S g el' S I6 / illy i, rn L ,, City State Zip I� ' - Contact Person: V � & f vJe( Day Telephone: AS3 ^$S -c ( - 7 02,0 E-Mail Address: iJ✓� lerb C 2 � e Fax Fax Number: Contractor Registration Number: iltilgr. O71 P N Expiration Date: ` ^ 13 ^ © g Will service be altered? ❑ Yes 41-No Adding more than 50 amps? ❑ Yes -kNo Type of Use: Type of work: ❑ New ddition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: �puget Sound Energy ` Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings S140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits 575.00 number of added circuits 510.00 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) 57.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) $UILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Mailing Address: 4Z / /3 .57VN w #-/0/ I Date Application Accepted: Print Name: n: t \xorms-epat On rneuaam - Electrical amt Appiieation.doe bh MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions $10.00 ea Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days, The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Day Telephone: City Date: /l .Z —a `7 2$ 3-. ' ' -2'e state tip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 0223200060 Permit Number: ELO7 -644 Address: 320 ANDOVER PK E TUKW Status: APPROVED Suite No: Applied Date: 11/02/2007 Applicant: WA STATE SCHOOLS RISK MNGMT CORP Issue Date: Receipt No.: R07 -02401 Initials: JEM Payment Date: 11/02/2007 08:44 AM User ID: 1165 Balance: $0.00 Payee: KIRBY ELECTRIC, INC. 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 TRANSACTION LIST: Type Method Description Amount Payment Check 506764 90.00 Account Code Current Pmts 000.322.101.00.0 90.00 Total: $90.00 Payment Amount: $90.00 jinn! Ranaint -116 Printed: 11 -n2 -2007 Project: w S SA r ,v x got Type of Inspect' CC U A ress: / � /n� Z ,t)I ✓ U i9 4 fK /= Date Called: Special Instructions: Date Wanted: �� 7 a.m. p.m. Requester: Phone No: 1 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 -3670 roved per applicable codes. Corrections required prior to approval. COMMENTS: - 11/1//9 Ilnspecto ` 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: // L'4/ 77Ien//6 / 'Date:// / 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, Electric; an or Plumber License Detail Page 1 of 2 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 i https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= KIRBYEI077BN 11/02/2007