HomeMy WebLinkAboutPermit EL09-0400 - BAYVIEW LIMOUSINEBAYVIEW LIMOUSINE
15701 NELSON PL
ELO9-0400
Cityif 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.: 0005800026
Address: 15701 NELSON PL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0400
Issue Date: 06/30/2009
Permit Expires On: 12/27/2009
Tenant:
Name: BAYVIEW LIMOUSINE
Address: 15701 NELSON PL , TUKWILA WA
Owner:
Name: HANSEN GROUP LLC Phone:
Address: 14405 25TH AVE SW , BURIEN WA
Contact Person:
Name: BRAD SHOUPE Phone: 253 - 859 -2000
Address: 4826 B ST NW 3101 , 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
61
DESCRIPTION OF WORK:
WIRE HVAC UNIT, INSTALL NEW PANEL 20 SPACE
Value of Electrical: NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$92.00
National Electrical Code Edition: 2005
Date: (Q - 3 O- 5
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 grantin
construct
Signatu
of t
nort
permit
perfor
Print Name:
Qu cGS
not presume to give authority to violate or cancel the provisions of any other state or ocal aws regulating
of work. I am authorized to sign and obtain this electrical permit.
4--W9v\-
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.
doc: EL -4/07
EL09 -0400 Printed: 06 -30 -2009
Parcel No.: 0005800026
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: http: / /www.ci.tukwila.wa.us
15701 NELSON PL TUKW
BAYVIEW LIMOUSINE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0400
ISSUED
06/30/2009
06/30/2009
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 •t presume to give authority to violate or cancel the provision of any other work or local
laws regulating c _ ruction or t pes • rmance of work.
Signature:
Print Name:
Date:
doc: Cond -Elec
EL09 -0400
Printed: 06 -30 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Electrical 6oilit. No.
Project No. '
)9- O2-Db
(For office Ilse 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
Site Address:
(S�oI AJ tSt� f(4e{
King Co Assessor's Tax No.: ODD S3
Tenant Name: ►3ct� Vi C� ( 1 k..0 Soh{ �ev�(C -G
Property Owners Name: (s q �ti -c.—++
Mailing Address: 5,-4-10-10t. 1) 4 hdrr•C
Suite Number: Floor:
New Tenant: ❑ Yes jr..No
City
CONTACT PERSON - Who do we contact when your'permit is'reiidy,to bii fined •
Name:
Mailing Address: 51 tO loe,+o,/
E -Mail Address:
State
Zip
Day Telephone: 25-3 .s, Za(7
City state Zip
Fax Number: Is-) $y* 2`Vs*
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 41/1
Mailing Address: « Z(v B NW 44' 1 Ay".‘ tA) I'QO
City State Zip
Contact Person: S �l�le— Day Telephone: 2S3 SS, 2-O60
E -Mail Address: -411°''''' sk fi 47 G4dfrrte • c Fax Number: 243 BS9 24633
Contractor Registration Number: 1(110. b.1 (: rl� O7? BA Expiration Date: /1374
Valuation of Project (contractor's bid price): $ /0" f
Scope of Work (plc a provide detailed information): l�)It/e t-t VAC �tla� +t �vl$ �� t.- j..) ��e.l
20 sfac>G
Will service be altered? I - Yes ❑ No Adding more than 50 amps? ❑ Yes ❑- No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel gl Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H.Upplications \Forms - Applications On Line \I-2009 - Electrical Permit Application.doc
bh
Page 1 oft
1 Date Application Accepted:
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, fumace 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.
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.
BUILDING !JS'NER OR E , C V CAL CONTRACTOR:
Signat e•
Print Name:
Mailing Address:
Mt 5 14 `
r 2G
g sit Ai/4/ !of
Date:
Day Telephone: Z53
City
Z0aC3
5 800 /
State Zip
Staff Initials:
Date Application Expires:
HWpplrcatrons\Farms-Applications On Lne11 -2009 • Electrical Permit Applicanon dot
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: http://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0005800026 Permit Number: EL09 -0400
Address: 15701 NELSON PL TUKW Status: PENDING
Suite No: Applied Date: 06/30/2009
Applicant: BAYVIEW LIMOUSINE Issue Date:
Receipt No.: R09 -01002
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $92.00
Payment Date: 06/30/2009 10:58 AM
Balance: $0.00
JAMES TUMELSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 21035C
ACCOUNT ITEM LIST:
Description
92.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 92.00
Total: $92.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 06 -30 -2009
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a
copy R py permit
-D900
PERMIT NO.
N
(206)431 -3 7
Project gsl V( ! i l
`
Type of Inspection: 1-(OO
V
Address:
15/0i N
/
Date Called:
Special Instructions:
Date Wanted:
o? ,3
a.m.
p.m.
Requester:
Phone No:
IgApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Cokek,flopi5 MBE
Inspector: /}�60. INSPECTION FE
Date. 07/(3/01
ri $60.00 RE EQUIRED. Prior to inspection, fee st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
f
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION 8-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: V IrL'1A/ LIil°
Type of Inspection:
4o
Address: �7DI 465 t � ,
[Instructions: 7°(
Date Called:
---..,s,
Special
Date Wanted:
07/01
Requester:
Phone No:
❑ Approved per applicable codes. Il Corrections required prior to approval.
COMMENTS:
R
Off. - Ta 6\100 Ou,P�61r
- NGasr(C9 P,uC- +.lain, tAr3Ev
ti too-4 tAwl �'TfA�+FEsi
Inspector:
Date: 01102.101
ri $60.00 REINSIECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by LDI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
KIRBY ELECTRIC INC
2538592000
4826 B ST NW STE 101
AUBURN
WA
98001
KING
Corporation
UBI No. 601433048
Status ACTIVE
License No. KIRBYEI077BN
License Type ELECTRICAL CONTRACTOR
Effective Date 1/15/1993
Expiration Date 1/13/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
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 /Detai1.aspx
06/30/2009