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Home My WebLink AboutPermit EL09-0341 - WSSRMPWSSRMP 320 ANDOVER PK E EL09M34 1 CitAlf Tukwila 0 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 Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0341 Issue Date: 06/01/2009 Permit Expires On: 11/28/2009 Tenant: Name: WSSRMP 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: DEREK MCCOY Phone: 253 - 859 -2000 Address: 4826 'B' ST NW, #101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: 253 859 -2000 Expiration Date: 01/13/2011 DESCRIPTION OF WORK: INSTALL ELEVEN PHONE AND DATA LOCATIONS. Value of Electrical: NRES: $1,500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $110.00 National Electrical Code Edition: 2005 Date: 6-/ 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or performance of work. I authorized to sign and obtain this electrical permit. Signature: Print Name: Sgel/ _ L1- MfbeSH/t�L Date: 6///d 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 -0341 Printed: 06-01-2009 Parcel No.: 0223200060 Address: Suite No: Tenant: WSSRMP • 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 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0341 ISSUED 06/01/2009 06/01/2009 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 the performance of work. Signature: igC 7weC Print Name: D f'/ /V�1/t 6 . Date: 42/ //a doc: Cond -Elec EL09 -0341 Printed: 06 -01 -2009 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. koq-012141 Project No. (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 J King Co Assessor's Tax No.: 02232000o0 Site Address: 32-6 I- Suite Number: )'?O Floor: Tenant Name: OVS1t M r New Tenant: 1:1 Yes ..No Property Owners Name:WA C c r, S - Ii' 4.ce A.A1.6 -1K S Mailing Address:8400 TJIt eArl aft Avc- S. /21b 3C, J IIc. I i bg City Statc 't Z.ip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Derck._ Ate..."../ Day Telephone: 2C3 ' i-g ` 2.000 Mailing Address: 426 13 - Sic. 101 City State Zip E -Mail Address: c -z.L �C t�..{t c.c r-L . Fax Number: 2§1— $f9 1 ELECTRICAL CONTRACTOR INFORMATION Company Name: 1Gtr-Lj G1c- Nc Mailing Address: 4%2b 3 41. (`1. t.J- e Contact Person: �•cl� E -Mail Address: r�a.,�tL ®k�k'�..� d J-k4 � • coo-- Contractor Registration Number: kt eai E1077 (3 N a Q l City State Zip Day Telephone: 2s-3— &cct^ .2 o Fax Number: Jc 3^ 236 3 Expiration Date: 1— i1 Valuation of Project (contractor's bid price): $ DO-°3 Scope of Work (please provide detailed information): a-n ( A. 11 �c.�/tn. A._ 4- do t o �pGpt�lcws . Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H \Applications\Forms- Applications On L.rne \I -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 ca ❑ 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 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 TRITE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR TIIIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 1 Mailing Address: (tic/ 1 S; - �� W . * 10i I Date Application Accepted: 4 1,19q Date: - 1 H .2e 9 Day Telephone: 2,C3 ,Aa L � Ar.• LJ Q4 Ci y State Zip Date Application Expires: /2. Fr) 1 Staff Initials: 11 \Apphcanons\Forms- Applications (M Line' - Electrical Permit Appl¢ation.doc bh 7 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: http: / /www.ci.tukwila.wa.us Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUKW Suite No: Applicant: WSSRMP RECEIPT Permit Number: EL09 -0341 Status: APPROVED Applied Date: 06/01/2009 Issue Date: Receipt No.: R09 -00808 Initials: BLH User ID: ADMIN Payment Amount: $110.00 Payment Date: 06/01/2009 12:58 PM Balance: $0.00 Payee: KIRBY ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 509595 110.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 110.00 Total: $110.00 ¥ENT CEWE doc: Receiot -06 Printed: 06 -01 -2009 INSPECTION RECORD Retain a copy with permit 0311 INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43) -36 Project: t!`+ ` . ti r J ¢'( Type of Inspection: 7oo,3/Z'ob- Date Called: Address: .320 �JekE Special Instructions: rr Date Wanted: . Nop.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ' IA) Inspector: ir 6.4)61/ El $60.00 R EINS ECTION FEE paid at 6300 Southcenter Blvd Date: 06/02/ O7 QUIRED. Prior to inspection, fee must be ., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by LEt1 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 Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status KIRBYE`101QE KIRBY ELECTRIC ELECTRICAL CONTRACTOR GENERAL UNUSED 11/5/1990 11/5/1994 ARCHIVED 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 MERCHANTS https: // fortress .wa.gov /lni/bbip/Detail.aspx 06/01/2009