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HomeMy WebLinkAboutPermit EL09-0592 - ASHLEY FURNITUREASHLEY FURNITLJRE 17601 SOUTHCENTERPY ELO9-0592 City* Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 3523049087 Address: 17601 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0592 Issue Date: 09/17/2009 Permit Expires On: 06/07/2010 Tenant: Name: ASHLEY FURNITURE Address: 17601 SOUTHCENTER PY , TUKWILA WA Owner: Name: LEVITZ TUKWILA LLC Phone: Address: 180 N STETSON AVE #324 -D , CHICAGO IL Contact Person: Name: TIM SCHMIDT Phone: 253 - 405 -6174 Address: 4826 B ST SUITE 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: EQUIPMENT CONNECTIONS REVISION #1: DEMOLITION OF (6) OUTLETS AND (1) SWITCH Value of Electrical: NRES: $8,000.00 RES: $0.00 Type of Fire Protection: UNKOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $219.20 National Electrical Code Edition: 2008 Date: al 1 l I hereby certify that I have read and xa 'ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wit whether specified herein or not. The granting of this permit does not pr a to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: /a)- 7Y -C1 5 Print Name: /7,1"- 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 -0592 Printed: 12 -14 -2009 Parcel No.: Address: Suite No: City.f Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite 4100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 3523049087 17601 SOUTHCENTER PY TUKW ELECTRICAL PERMIT Permit Number: EL09 -0592 Issue Date: 09/17/2009 Permit Expires On: 03/16/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: ASHLEY FURNITURE 17601 SOUTHCENTER PY , TUKWILA WA LEVITZ TUKWILA LLC 180 N STETSON AVE #324 -D , CHICAGO IL TIM SCHMIDT 4826 B ST SUITE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: Phone: 253 - 405 -6174 Phone: 253 859 -2000 Expiration Date: 01/13/2011 DESCRIPTION OF WORK: EQUIPMENT CONNECTIONS Value of Electrical: NRES: $7,500.00 RES: $0.00 Type of Fire Protection: UNKOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $219.20 National Electrical Code Edition: 2005 Date: q--(7-01 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 th rformance of rk. I am authorized to sign and obtain this electrical permit. Signature: Date: O Print Name: 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 -0592 Printed: 09 -17 -2009 Parcel No.: 3523049087 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 17601 SOUTHCENTER PY TURIN ASHLEY FURNITURE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0592 ISSUED 09/17/2009 09/17/2009 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: Date: Print Name: '"31 doc: Cond -Elec EL09 -0592 Printed: 09 -17 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. E 9-__Q Sql. Project No. (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to he accepted for plan review. Applications Will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: 3J )- { 7087 Site Address: (7 6 "1 90 /' c 4, f---61_ ta/z c✓/ Suite Number: Floor: Tenant Name: Asit 1 -ey F, 4/ /',t -C New Tenant: ❑ Yes ®..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: I N^ ELAimiAor Day Telephone: a f3- Ye) C (7 5/ Mailing Address: Zip E -Mail Address: City Fax Number: State ELECTRICAL CONTRACTOR INFORMATION Company Name: 12141,3Y E tec fiO t c iii'(_ Mailing Address: (?g C satrC 1 0) << 8 t • it Ac,f &tNN Gto err col // City State Zip Contact Person: �il"+ 5c 40,, or Day Telephone: c9f 3— %)---- C l ? y E -Mail Address: p Fax Number: Contractor Registration Number: Ow e' ®7 7 BO Expiration Date: (— ( 3 - 11 Valuation of Project (contractor's bid price): $ 7 J�6 4 oU Scope of Work (please provide detailed information): e Q(4 „all. . e/'( (e »/ti f Will service be altered? ❑ YcsNo 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 y: [ Puget Sound Energy ❑ Seattle City Light H:'Applications \Forms - Applications On Line \I -2009 - Electrical Permit Application.doc 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 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 OWNER OR ELECTRICAL C NTRACTOR: Signature: Print Name: cik' t /6% pv Mailing Address: 7its /c ' Skt1.e /61 P Date: 7-4-0 % Day Telephone: Pt' City 4t=301 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \rornn- Applications On I.ine'I -2009 - Fle trical Peirnit Application doe Page 2 of 2 Parcel No.: 3523049087 Address: Suite No: Applicant: ASHLEY FURNITURE 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 17601 SOUTHCENTER PY TUKW RECEIPT Permit Number: Status: Applied Date: Issue Date: EL09 -0592 ISSUED 09/17/2009 09/17/2009 Receipt No.: Initials: User ID: Payee: R09 -01990 JEM 1165 Payment Amount: $60.00 Payment Date: 12/14/2009 10:52 AM Balance: $0.00 KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 510434 60.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $60.00 60.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 12 -14 -2009 • 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.: 3523049087 Permit Number: EL09 -0592 Address: 17601 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/17/2009 Applicant: ASHLEY FURNITURE Issue Date: Receipt No.: R09 -01459 Initials: WER User ID: 1655 Payment Amount: $219.20 Payment Date: 09/17/2009 01:38 PM Balance: $0.00 Payee: KIRBY ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 510087 219.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 219.20 Total: $219.20 PAYMENT RE EIVED doc: Receiot -06 Printed: 09 -17 -2009 INSPECTION RECORD ,� Retain a copy with permit V PER IT LO NO. INSPECTION NO. / / CITY OF TUKWILA BUILDING DIVISION V 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -x'67 Project: flvee of Inspection: 2.100 � / •e 1 s °3rb(,49 It Address: 6ol 5 -t. . Date Called: - aon'U- ,, Special Instructions: Date Wanted: I 2 /2 S7 P-V. Requester: c■41,..--- Phone No: pApproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: � / •e 1 s °3rb(,49 It y A, D64,511611\ c1 r h VM/ - aon'U- - 0022X21 0-K_ - 0-oot di? or ILASTIC/ gAtivit> CAD Etobri2D c■41,..--- Inspector: .../##-1554etkik, Date: i 01 n $60.00 REINSI'ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: acocii- PE MIl NO. INSPEC ON NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: As r, rat Type of Inspection: poo Address:17 fro, 5.C. Date Called: Special Instructions: . Date Wanted: ��(4 p.m. C. Requester: // Phone No: DApproved per applicable codes. Corrections required prior to approval. J COMMENTS: " caAtlicxok5 #« Boi Q Raw. oP & To 12, - FIzolft ?QL%ffCI CJ r0c, c24��r3 of{ Rcmil6 - Fo D6451 FI dk PQe44.no Ta t( 3cA • P c- fOL,E co4rtfLot., C& 4e- 3r4 t L clap 6/&.�Tltdl...�Q - Ee, Jjrr w tJ' ofC C4-0144 1,6 NaleoD RNA. 1' (i) Inspector: Date: 12-118/0 II $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee mus! be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (to'- osyL� PERMIT NO. CITY OF TUKWILA BUILDING DIVISION e, 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: ) KRAiite �J Type of Inspection: 2/� p 451( i Address: 1 76o1 S.G. 7 Date Called: - D8r44PJ eEVI5143d arD� �fiefAkA LIRA e r�l- Special Instructions: Date Wanted: /� % [/ 7 a. m. . 1. Requester: Phone No: riApproved per applicable codes. Corrections required prior to approval. ;. COMMENTS: I — 314 P4.12-T1 Ftap ni4t. • Zr Ott raj p 451( i - SL cvftL 1 ti ova r Am. CvriPmled -rd - D8r44PJ eEVI5143d arD� �fiefAkA LIRA e /4 WA2.e govSt RtP44k to PQott<- ct-(oL bt4101(C) &JCL C tJ Ir5 ,Tr (eotir Rol j Si - sJePoru jRC~PioVc- Coi.orf caPth r - tW# C 5A C IIC ,,J wo( 44 /' Inspector: Date:12101 /07 II $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 67o2- PERMIT NO. (206)431 -3670 Project: 4 , kwovet Type of Inspection: oo r Address: Date Called: Special Instructions: Date Wanted: 'Zi�� .rn. p.m Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: t*xaKD JLf 10 0 Date: r /o7 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: 6 INSPECTION RECORD 6411 ' DS�Z Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION M 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:' 6.1 51-14V l Type of Inspection: �,00 Address: Date Called: Special Instructions: Date Wanted: /2 a OZ Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: - LAW- Cot ?RE 1)ISCo, Wnr uJ nl4 ,5DAck P CA Nir Ai a, LaP6 • 3r1 ci60 ('IM- failJiefp (oR Fob berh ck - ?3olv Coo J ` ` Date: a/02107 ❑ $60.00 REINS ECTION FEE R WIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: INSPECTION RECORD Retain a copy with permit £L4 05r. PERMIT NO. (206)431 -367 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: raZ4IT0126 Type of Inspection: 2.100 Address: ( ` • C - pl. Date Called: Special Instructions: Date Wanted: /D ©( p.m. Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 5cAlvtiti ovekCJx2e REi) gk TAWSFoitlific (JIF1t-h/r• btscodAtecr RefMi Ea,. " 11J kilW sr 6 S i3ox. 5veructitAir vitni Lt &O JA), Ror - JoLT &Mel c4li - O'D-r PJ s - ► egortiNT Fok fRpTe c n 4 Fa ot7 FILLf Inspector: `, ,, Dater /07 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to insp ction, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: - _s..W_:L• f:.._._ • " - -i 1i•., -'i' -- may. __Olt ._ • - -. _.,..-- • •- -LS_!1 s1.Y_2c�a: -cr 0 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: PISI1 Ne/ 1 & N (f e Project Address: /1U/ V 1 t 7O K '\ Contact Person: 17 !" Sc 4 N^ 07 ) Phone Number: Of-3- Vef -6f ? Summary of Revision: crrAggt DEC 14 2009 PERAirr cENTEli o f ) (D Uweie fS ��.✓1 l�1 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: s,r XEntered in Permits Plus on OvA \applications \forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Untitled Page • 0 Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 ELEC TRIC ELEC 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 $4,000.00 11 /05/2008 MERCHANTS https:// fortress .wa.gov /lni/bbip/Detail.aspx 09/17/2009