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Home My WebLink AboutPermit EL09-0660 - ASHLEY FURNITUREASHLEY FURNITURE 17601 SOUTHCENTER PY ELO9-0660 Parcel No.: 3523049087 Address: Suite No: CRAM' 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 ELECTRICAL PERMIT Permit Number: EL09 -0660 Issue Date: 10/22/2009 Permit Expires On: 04/20/2010 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 RON SHACKELFORD 4826 B ST NW, STE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: Phone: 253 859 -2000 Phone: 253 859 -2000 Expiration Date: 01/13/2011 DESCRIPTION OF WORK: ADD NEW 120/208 PANEL AND TRANSFORMER 200 AMP Value of Electrical: Type of Fire Protection: NRES: $4,000.00 RES: $0.00 UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: $150.00 National Electrical Code Edition: 2008 , Date: t 0I /.2 1.17S d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres construction or the pe • rmance • work. Signature: to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Print Name: Date: lc. - /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 -0660 Printed: 10 -22 -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 TUKW ASHLEY FURNITURE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0660 ISSUED 10/22/2009 10/22/2009 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/-err//d99' Print Name: 7//i J1/1,+- / doc: Cond -Elec EL09 -0660 Printed: 10 -22 -2009 CITY OF TUKW A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.ci.tukwila.wa.us Electrical Pernik .N;o. 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. �+ ` / King Co Assessor's Tax No.: '>`�2 -' '1 ' Ob1 Site Address: / 760/ SD411► c ?.t6 2. f��v Suite Number. Floor: Tenant Name: % A l e �/ r---61/1411 0 +4•' ' / New Tenant: g Yes ❑ ..No Property Owners Name: I Mailing Address: City State Zip Mailing Address: Lt7 2 3 S`- All ' J lC /0 E -Mail Address: ge.0 kikayedeci c, CO Company Name: 0/4 3/ / f ( eC T/l C c .DA/ C Mailing Address: C `0 c7I L (? 51--71)A.1 S /d/ ,c .,, City Day Telephone: PI" 7— .9v O d' Fax Number: Expiration Date: 08// Day Telephone: c9 lfw City Fax Number: 3- j'j do dd 64:7 os State Zip Contact Person: Pa.) S4,4 LL &. - E -Mail Address: / .) 1 Contractor Registration Number: /2/63#70 fi aN 4PlQO State Zip Valuation of Project (contractor's bid price): $ LIIOd, OC) Scope of Work (please provide detailed information): An u /ii f4 6" p1- /FhYL Will service be altered? j] Yes ❑ No Adding more than 50 amps? Yes ❑ No Type of Use: Type of work: ,6 New lET Addition tg. Service Change ❑ Remodel Z. Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: f] Puget Sound Energy ❑ Seattle City Light H: ApplicationslFo msApplications On linel4 -2007. Electrical Permit Application.doc nh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $140.00 $75.00 ea $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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 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 CONTRACTOR: Signature: Print Name: T/217 Mailing Address: y0416 Q NCl/ J7z lo/' IDate Application Accepted: Date: /0"d 9 Day Telephone: aft KO-- 6/2V City ,et- 'V6 °l State Zip Date Application Expires: Staff Initi ..-----u--- - H: ApplicationlFamu- Application On Line M-2007 - Electrical Permit Application.doc bn 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.: 3523049087 Permit Number: EL09 -0660 Address: 17601 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/22/2009 Applicant: ASHLEY FURNITURE Issue Date: Receipt No.: R09 -01651 Initials: User ID: Payee: JEM 1165 Payment Amount: $150.00 Payment Date: 10/22/2009 10:52 AM Balance: $0.00 KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 510119 150.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 150.00 Total: $150.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 10 -22 -2009 INSPECTION RECORD (147466 Retain a copy with permit INSPECTION NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: M /�4 li�V' Type of Inspection: �/Ov Address !! 01 3,c. Pr. Date Called: Special Instructions: Date Wanted: Z /) a: m: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. la COMMENTS: 14(nod f Na�E �i Inspector: �¢ L3-l$Lk 17 -44‘ 2.1(/ /07 Date: � ri $60.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: i INSPECTION NO. INSPECTION RECORD Retain a copy with permit P MIT NO. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: j i.rig Type of Inspection: 00 / Address: ,74016 .c • PI. Date Called: Special Instructions: Date Wanted: '2 Q 1 Requester: - Pit ssWe\ .a . s 64t__f Jf- Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: — 40156411CA Lt g IIt€j 4.6c..10 Qod.iQI, fi t,-C. oD6 (A y) - FRottatiel R(QJ'Q 1g tOdiP. 4trititiP - t>i i VC foOtpi i9£T0V «QJ t Rcp rok 540IP gEk c®vt.. TAR � / VSCOAidter friln+ S&tS' 6., MJD Ci CJcr -f canJD ovtectiftR iik &J146 -5 ! -DDow - Pit ssWe\ .a . s 64t__f Jf- tAG(t- 5 Q, /tC( Dis(014 J cx3 AT ilD P Inspector: g6Nitsk Date: rZ 0 o7 7 $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: Untitled Page • fo Page 1 of 2 Electrical Contractor A business licensed by LItI 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 10/22/2009