HomeMy WebLinkAboutPermit EL09-0195 - DINING INTERIORSINING I
TERIO
S
1203 ANDOVER PK W
EL09O 195
Citylif Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 2C6-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 3523049092
Address: 1203 ANDOVER PK W TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0195
Issue Date: 03/18/2009
Permit Expires On: 09/14/2009
Tenant:
Name: DINING INTERIORS
Address: 1203 ANDOVER PK W , TUKWILA WA
Owner:
Name: WACO ENTERPRISE Phone:
Address: PO BOX 88216 , TUKWILA WA
Contact Person:
Name: RON SHACKLEFORD Phone: 253 - 405 -4567
Address: 4826 B ST NW SUITE 102 , 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:
HOOK UP (1) UNIT HEATER
Value of Electrical: NRES: $200.00 Fees Collected: $60.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
3 -ce -ot
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit do
construction or the pe V•rm
Signature:
Print Name:
of presume
of work. I
give authority to violate or cancel the provisions of arty other state or local laws regulating
authorized to sign and obtain this electrical permit.
Date: �— l �" 'o$
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.
doc: EL -4/07
EL09 -0195 Printed: 03 -18 -2009
Parcel No.: 3523049092
Address:
Suite No:
Tenant:
•
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: hap: / /www.ci.tukwila.wa.us
1203 ANDOVER PK W TUKW
DINING INTERIORS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0195
ISSUED
03/18/2009
03/18/2009
1: ** *ELECTRICAL * **
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 thq performance work.
Signature:
Print Name:
Date: 3 --e % ry S'
Jet fr i (7 ,
doc: Cond -Elec
EL09 -0195 Printed: 03 -18 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 South, center Blvd. Suite 100
Tukwila, WA 98188
http://www.ci tukwlla. wa. us
Electrical Permit.
Project No.
No. 6144— i 4 O
(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 LOCATION
f _ King Co Assessor's Tax No.: c)5 )L L)' ( [ 0 9
Site Address: 1 -O 77 4irko (4rtX ?c, Y G U _ Suite Number: Floor:
Tenant Name: V ,i le•Lt b,W
Property Owners Name: W C--c 0 I. Vt f r 61 ,S1--S
Mailing Address:
New Tenant: ❑ Yes F?.No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is 'ready to be issued
Name: 5-77 /" (/v1 -
Day Telephone:-1-5—
Mailing Address:
Zip
City
State
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: '(i 4 t f c '(2, /� n�
Mailing Address: <-l� 1(a 3 Sft- tsJ -� (al A�1 L vv- \.-� � \ f CZSb
II � ( City State Zip
Contact Person: a 1 SLcC E t 4 't t Day Telephone: 2S a. 6270
E -Mail Address: Fax Number:
Contractor Registration Number: k lQ a 1
Expiration Date:
( -13- t. I
Valuation of Project (contractor's bid price): $ ZCit1
Scope of Work (please provide detailed information): k
Will service be altered? ❑ Yes tp9No Adding more than 50 amps? ❑ Yes jJNo
Type of Use:
Type of work:
❑ New 'Addition ❑ Service Change ❑ Remodel jEj' Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H.1Apphcations\Forms- Applications On Linr11 -2009 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL 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/altered 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 $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
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
1 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.
1 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 STITE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELE 1f RICAL CONTRA OR:
Signature:
Print Name:
Mailing Address:
CAa ✓if
4- t3 `' sr r/LJ -s ,-f /o
Date: ��kw�j
Day Telephone: 25) y 4'56 .7
AU CO '-'l
City
w4
State
Sszo(
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H \Applications\Forms- Applications On Line! -1009 • Electrical Permit Application doc
bh
Page 2 of 2
•
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: h ttp://www. ci. tukwila. wa. us
Parcel No.: 3523049092
Address: 1207 ANDOVER PK W TUKW
Suite No:
Applicant: VINA SEWING
RECEIPT
Permit Number: EL09 -0196
Status: PENDING
Applied Date: 03/18/2009
Issue Date:
Receipt No.: R09 -00434 Payment Amount: $60.00
Initials: WER Payment Date: 03/18/2009 01:45 PM
User ID: 1655 Balance: $0.00
Payee: KIRBY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 60.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 60.00
Total: $60.00
PAYMENT
ECEIVED
doc: Receiot -06 Printed: 03 -18 -2009
6toq -0 KV__
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
Project144 0i / rtglo2 7
Type of Inspection: Z� 00
Address: 203 f-�i�� Jo J�
Date Called:
r----
Special Instructions:
Date Wanted:
03/ 2-3
a rr
.....
P.m.
Requester:
Phone No:
ItApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
0.K
Inspector:
Date: 03 23 /07
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
fReceipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by LELI 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
Name
Role
Effective Date
Expiration Date
KIRBY, DOUGLAS E
Cancel
Date
01/01/1980
Bond
Amount
KIRBY, SHANNON
5
01/01/1980
70607132
Bond Information
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
$4,000.0011
/05/2008
4
MERCHANTS
BONDING CO
(MUTUAL)
WA 12415
01/14/2005
Until
Cancelled
01/14/2009
$4,000.0011
/04/2004
CUMBERLAND
Until
https: // fortress. wa. gov /lni/bbip /Detail.aspx ?License= KIRBYEI077BN
03/18/2009