HomeMy WebLinkAboutPermit EL10-0124 - NORDSTROMNORDSTROM
1040 ANDOVER PK W
EL10 -0124
Parcel No.:
Address:
Suite No:
Citytf 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
2623049118
1040 ANDOVER PK W TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0124
02/22/2010
08/21/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
NORDSTROM
1040 ANDOVER PK W , TUKWILA WA
ANDOVER WEST LLC % POWELL D
PO BOX 97070 , KIRKLAND WA
SCOTT JENNINGS
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:
LIGHTING UPGRADE
Value of Electrical:
Type of Fire Protection:
NRES: $42,890.00
RES: $0.00
UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xa
wit
The granting of this permit does not pre
construction or the performance f work.
Signature:
Print Name:
h,
oss
Fees Collected: $832.10
National Electrical Code Edition: 2008
Date: 02[ 22—i C0
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e 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.
7-i,z-k -CW/24,
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
ELI 0-0124 Printed: 02 -22 -2010
Parcel No.: 2623049118
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
1040 ANDOVER PK W TUKW
NORDSTROM
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0124
ISSUED
02/22/2010
02/22/2010
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:
Print Name:
Date: d `(717
doc: Cond -Elec
ELI 0-0124 Printed: 02 -22 -2010
CITY OF TUKWILL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Electrical Permit No.
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 **
King Co Assessor's Tax No.: Q.—Lc 9.9)04— 'It 11
Site Address: /D VO ,/ Mul t t".._ I/ & Suite Number: Floor:
Tenant Name: /CDC- char/'' ' New Tenant: ❑ Yes [p..No
Property Owners Name: tti/sl"
Mailing Address:
CONTACT PERSON, Who`do we contact when your permit is ready;to be > sued
State
tip
Name: S ` Day Telephone: i-1 70S "'tO 3 r
Mailing Address:
City Zip
E-Mail Address:
State
Fax Number:
ELECTRICAL CONTRACTOR '.INFORMATIO
Company Name: ,� ✓-�'Z ( Mailing A'v.► i r _
Address: ! V s7� C'
4iv.
Contact Person:
E -Mail Address:
1/414 %
State Zip
�} 1 Day Telephone: %S �� g613
w Kti a "ft- • (,O V►". Fax Number: 2 S ' 951 — 2 3 to;
Contractor Registration Number: 1/ t g (, j y e x07 2 6 Expiration Date:
Valuation ofTroject (contractor's bid price): $ G Ze 13CtO / - 46
Scope of Work (please provide detailed information): ve9ande
Will service be altered? ❑ Yes [o Adding more than 50 amps? ❑ Yes f'"1 0-
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
[ get Sound Energy
❑ Seattle City Light
H:Upplications\Fomu- Applications On line41-2007 - Electrical Permit Application.doc
eh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $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
b
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: / /7,1
Mailing Address: (1 -i 6 ✓/ /d ( I J7f a'
IDate Application Accepted:
Date: 62 ) /D
��llDay Telephone: G9 f 3 s c - od d
A
City
State Zip
221�,�
Date Application Expires:
Staff Initials:
H: ApplieationsWorms- Applications On Line14 -2007 - 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: http: / /www.ci.tukwila.wa.us
Parcel No.: 2623049118
Address: 1040 ANDOVER PK W TUKW
Suite No:
Applicant: NORDSTROM
RECEIPT
Permit Number: EL10 -0124
Status: PENDING
Applied Date: 02/22/2010
Issue Date:
Receipt No.: R10 -00296
Payment Amount: $832.10
Initials: JEM Payment Date: 02/22/2010 09:01 AM
User ID: 1165 Balance: $0.00
Payee: KIRBY ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 510786 832.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 832.10
Total: $832.10
PAYMENT
RECEIvED
doc: Receiot -06 Printed: 02 -22 -2010
INSPECTIORECORD
Retain a copy with permit 0A0-tnil
INSPECTION NO. PERMIT NO. I
9'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Project: �0�`
v �
1\100
Type of Inspection:
,fir
\
Address:
Date Called:
r-.
Special Instructions:
t16 - kM-6
1�
1
Date Wanted:
5/0y
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1 kV
Inspector: Date: b( /
°I /10
1
$60.00 REINSPE TION FEE REQUII ED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
• 1. s+,.,.,.. .....r....h.._.ltwyS.r- e- _-•+,. r.......`.,.., _- ,i1:s- n.:. �s.. x_.,..- a�cr.. r.•: b>J:. A. n. w., s-,-,+............, ..1^.- .n,:•s..c:s�- rirei,•..�,c. .,z:
Contractors or Tradespeople liter Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by L &I 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.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601433048
Active
KIRBYEI077BN
Electrical Contractor
1/15/1993
1/13/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KIRBYE *101QEElect
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
&Nbsp;
01/01/1980
Bond
Amount
Kirby, Shannon
&Nbsp;
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
4
MERCHANTS
BONDING CO
(MUTUAL)
WA 12415
01/14/2005
Until
Cancelled
01/14/2009
$4,000.0011
/04/2004
3
CUMBERLAND
CAS & SURETY
MB009000727
01/14/2000
Until
01/14/2005
$4,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx
02/22/2010