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Permit EL09-0158 - HI DEF CUTS
HI DEF CUTS 4021 S 144 ST ELO9-O 158 Parcel No.: 0040000191 Address: 4021 S 144 ST TUKW Suite No: Tenant: Name: HI DEF CUTS Address: 4021 S 144 ST , TUKVIIILA WA City.f Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web s:te: http: / /www.ci.tukwila.wa.us Owner: Name: TUKWILA CITY OF Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: BRAD SHOPE Phone: 253 859 -2000 Address: 4826 B ST NW #101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Phone: 253 859 -2000 Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Expiration Date: 01/13/2011 DESCRIPTION OF WORK: ADD CIRCUIT FOR FA PANEL Value of Electrical: NRES: $300.00 RES: $0.00 Type of Fire Protection: N/A Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: The grantin• t permit constructi •. or t - pe Signatur Print Name: doc: EL -4/07 ELECTRICAL PERMIT Permit Number: EL09 -0158 Issue Date: 02/26/2009 Permit Expires On: 08/25/2009 Fees Collected: $64.00 National Electrical Code Edition: 2005 Date: 02-12-Le 1 O� I hereby certify that I have read and e ar4ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied it whether specified herein or not. not presume to give authority to violate or cancel the provisions of any other state o ' ocal : ws regulating of work. I am authorized to sign and obtain this electrical permit. Date: 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. EL09 -0158 Printed: 02 -26 -2009 Parcel No.: Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond -Elec 0040000191 4021 S 144 ST TUKW III DEF CUTS 411 • City of Tukwila Department of Community Development 6300 Soithcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: //www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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 maintainer. 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 of r work or local laws regulatin• • tructio • he performance of work. Signature: y Date: Print Name: jaViAt—C_, U t'te EL09 -0158 ISSUED 02/26/2009 02/26/2009 Dy EL09 -0158 Printed: 02 -26 -2009 :SITE:. Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us • HMpplieations1Pomn- Applications On Line4-2007 - Elechical Permit Applicehon.doc bh 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: 4% 1 S (44 ✓1 Tenant Name: 13V C kA`1.t'1 p Property Owners Name: 14 (u TS Mailing Address: 19- 3 /1-t 5 f. .lre Mailing Address: 412- V st. PJ *to/ E -Mail Address: 6/a4 2 J+ r s4 y eec* e ' Co Company Name: Is; (L/ F � Mailing Address: iti) t St- Nirk/ /0/ Contact Person: C6 ''■-'e- ct A ✓2 E -Mail Address: ' ` Contractor Registration Number: �Y l 1077 1� Valuation of Project (contractor's bid price): $ ..30a Scope of Work (please provide detailed information): d c c City Suite Number: Floor: W C t State krk State Expiration Date: /— 1 3 — /1 C41' ' j . P Zip Day Telephone: "2 Zip King Co Assessor's Tax No.: OO 000 r 0 lq New Tenant: CO Yes ❑ .. No ,., L r K lv<k, W62taj City State Fax Number. 2S3^ cg,S9— 2.2C /4/ 4 v,nn City Day Telephone: Fax Number: c igi © o Zip Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes --EiTh No Type of Use: Type of work: ❑ New ❑ Addit on ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ...4Er Puget Sound Energy ❑ Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAI, SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altcrcd circuits) ❑ Service change with added /altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change 552.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 557.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES - MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE ...AWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN ! NER OR cJ' E TRICAL CONTRACTOR: Signatu Print Name: Mailing Address: H.\Apphcations\Fonns- Applications On Line \I -2009 - Etretrical Permit Application dot bh 3 s+ NW 4- 1 0 1 City ay Telephone: vvt4 Date: 2 w � State 2evU Q SUU / Zip Date Application Accepted: Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 0040000191 Address: 4021 S 144 ST TUKW Suite No: Applicant: HI DEF CUTS Receipt No.: R09 -00332 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: //ivww.ci.tukwila.wa.us RECEIPT Initials: JEM Payment Date: 02/26/2009 01:35 PM User ID: 1165 Balance: $0.00 Payee: KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Payment Check 509128 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Amount 64.00 Account Code Current Pmts 000.322.101.00.0 64.00 Total: $64.00 0905801-1 0009 02/27/2009 001 101 DCD Permit_ Plus - General Fund $64.00 Permit Number: EL09 -0158 Status: PENDING Applied Date: 02/26/2009 Issue Date: Payment Amount: $64.00 doc: Receipt -06 Printed: 02 -26 -2009 Project: 14 i ' _ (01-5 ► Type of Inspection: �/O 0 Address. 07j ! s. Ply sr. Date Called: ......., Special I tructions: A (� `_k �: I r� Date Wanted: � w 02 /a.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit PE MIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Approved per applicable codes. D Corrections required prior to approval. txq COMMENTS: di1 &Ala ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: 02127 f°i Receipt No.: 'Date: . . ."""... Name Role Effective Date Expiration Date KIRBY, DOUGLAS E Cancel Date 01/01/1980 Bond Amount KIRBY, SHANNON 5 01/01/1980 70607132 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 WESTERN SURETY CO 70607132 01/14/2009 Until Cancelled $4,000.00 11 /05/2008 4 MERCHANTS BONDING CO (MUTUAL) WA 12415 01/14/2005 Until Cancelled 01/14/2009 $4,000.0011 /04/2004 CUMBERLAND Until Untitled Page • • Electrical Contractor A business licensed by L£tI 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. Business and Licensing Information Name KIRBY ELECTRIC INC UBI No. 601433048 Phone 2538592000 Status ACTIVE Address 4826 B ST NW STE 101 License No. KIRBYEI077BN Suite /Apt. License Type ELECTRICAL CONTRACTOR City AUBURN Effective Date 1/15/1993 State WA Expiration Date 1/13/2011 Zip 98001 Suspend Date County KING Previous License KIRBYE *101QE Business Type Corporation Next License Parent Company Associated License KIRBYDE962LZ Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License KIRBYDE962LZ Name KIRBY, DOUGLAS E Status ACTIVE Business Owner Information Bond Information Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= KIRBYEI077BN 02/26/2009