HomeMy WebLinkAboutPermit EL10-0478 - ASHLEY FURNITUREASHLEY FURNITURE
17601 SOUTHCENTER PY
EL 10-0478
City oftukwila
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: EL10 -0478
Issue Date: 06/23/2010
Permit Expires On: 12/20/2010
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: DERECK MCCOY Phone: 253- 859 -2000
Address: 4826 B ST NW #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:
INSTALL FIRE ALARM SYSTEM
Value of Electrical: NRES: $11,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
W
Fees Collected: $298.90
National Electrical Code Edition: 2008
Date:
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 the performa e of work. I am authorized to sign and obtain this electrical permit.
Signature: ° `� ! Date: 6P -3/l0
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
EL10 -0478 Printed: 06 -23 -2010
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: lutp://www.ci.tukwi la. wa. us
Parcel No.: 3523049087
Address:
Suite No:
Tenant:
17601 SOUTHCENTER PY TUKW
ASHLEY FURNITURE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0478
ISSUED
06/23/2010
06/23/2010
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:
v `y
Date: tOI °L I to
doc: Cond -Elec
EL10 -0478 Printed: 06 -23 -2010
•
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. ELI D— 0 tt 7 r
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
Site Address: 17601 SouthCenter Parkway
Tenant Name: Ashley Furniture
Property Owners Name: Ashley Furniture
Mailing Address: 17601 SouthCenter Parkway
King Co Assessor's Tax No.: 352304 -9087
Suite Number: N/A
Floor: N/A
New Tenant: ❑ Yes J .. No
Tukwila
City
WA 98188
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Derek McCoy
Mailing Address: 4826 B St. Nw, #101
E -Mail Address: derek @kirbyelectric.com
Day Telephone:
Auburn
(253) 859 -2000
WA 98001
City State
Fax Number: (253) 859 -2363
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric
Mailing Address: 4826 B St. Nw, #101
Contact Person: Derek McCoy
E -Mail Address: derek @kirbyelectric.com
Contractor Registration Number: kirbyei077bn
Auburn
City
WA 98001
State
Day Telephone: (253) 859 -2000
Fax Number: (253) 859 -2363
Expiration Date: 01/13/2011
Zip
Valuation of Project (contractor's bid price): $ 11,500
Scope of Work (please provide detailed information): Install Fire Alarm System
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\Pomts- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
IT 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Derek McCoy
Mailing Address: 4826 B St. Nw #101
Date:
Day Telephone: (253) 859 -2000
Auburn
City
WA 98001
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H; Applications\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
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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: EL10 -0478
Address: 17601 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 06/23/2010
Applicant: ASHLEY FURNITURE Issue Date:
Receipt No.: R10 -01136
Initials: WER
User ID: 1655
Payment Amount: $298.90
Payment Date: 06/23/2010 03:25 PM
Balance: $0.00
Payee: KIRBY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 511296 298.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 298.90
Total: $298.90
PAYMENT
RECFIVED
doc: Receiot -06 Printed: 06 -23 -2010
INSPECTION RECORD
Retain a copy v'irith permit
INSP ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 2'
etio-oto?
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670 lit
Project: b !
•
Type of Inspection:
Address:
Date Called:
Special Ins/76
uctions: I
rfr=i-
Date Wanted:
9
®�
m.
p.m.
Requester:
Phone No:
114
Approved per applicable codes.
Corrections required -prior to approval.
COMMENTS:
Inspector:
Ak-c
F-7 REINSPECTION'FEE REQUIRED. Orior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
003(f0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
61/(0-64T8
Project:
I a
It
ype of Inspection:
21'00
Address:
l'7(01)(
1
5.L. a
ate Called:
Special Instructions:
fri
Date Wanted:
th
��a..rmmk
Requester:
Phone No:
Approved per applicable codes. • Corrections required prior to approval.
COMMENTS:
g),(fAtk., f t6Rrerrit"f lU
Inspector:
Date: ® f (Io
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with perm!
PERM! NO.
(206)431 -3670
p O, C��6V Fif6111
Type of Inspection: 7(X 7
JU
Address:
1760/ �C- /2/// /
Date Called:
Special Instructions:
Date Wanted:
(01/.
a.m.
P.m.
Requester:
Phone No:
Iroved per applicable codes. Corrections required prior to approval.
OM M ENTS: 1.7,
OX- 6/11) //11
n 4/2e/f5
/GL.- ,41/1"//--,41F01
Date r / / //()
ri $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:
Contractors or Tradespeople P ter Friendly Page
•
Electrical Contractor
A business licensed by Lal 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
er Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KIRBYE'101QEKirby
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
aNbsp;
01/01/1980
70607132
Kirby, Shanon E
Agent
12/22/1992
ELECTRICAL CITATION
Bond Information
Page 1 of 2
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
19.28.271 RCW
ELECTRICAL CITATION
54,000.00
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 a
SURETY CO
MB009000727
01/14/2000
Until Cancelled
01/14/2005
54,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ENORW00271
1/27/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHIR00274
9/24/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
06/23/2010