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HomeMy WebLinkAboutPermit EL10-0480 - HYDRO SLICEHYDRO SLICE 15616 WEST VALLEY HY EL1O-0480 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.: 0005800011 Address: 15616 WEST VALLEY HY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0480 Issue Date: 06/24/2010 Permit Expires On: 12/21/2010 Tenant: Name: HYDRO SLICE Address: 15616 WEST VALLEY HY , TUKWILA WA Owner: Name: 15616 WEST VALLEY LLC Phone: Address: PO BOX 24687 , SEATTLE WA Contact Person: Name: BRAD SHUPP Phone: 253- 859 -2000 Address: 4826 B ST NE #101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: 253 859 -2000 Expiration Date: 01/13/2011 DESCRIPTION OF WORK: REPLACE 200 AMP PANEL 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: $96.60 National Electrical Code Edition: 2008 J- Date: 14Q—c2- 2+-10 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 or of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: b ' LO 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 0-0480 Printed: 06 -24 -2010 • City of Tukwila ti 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.: 0005800011 Address: 15616 WEST VALLEY HY TUKW Suite No: Tenant: HYDRO SLICE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0480 ISSUED 06/24/2010 06/24/2010 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: ! Zl-(^ doc: Cond -Elec EL10 -0480 Printed: 06 -24 -2010 Site Address: CITY OF TUKWIMP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://Www.ci.tukwila.wa.us Tenant Name: 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 ** }..56.14 L4/.14.16 1-1,-1, cktro � SI` Property Owners Name: S 1, re Mailing Address: 1 616 King Co Assessor's Tax No.: COO 510 t/ — 0011 Suite Number: u. New Tenant: Floor: ❑ Yes Io City State Zip 'CONTACT PERSON Who do we.contaet when your permit is ready_to be issued Name: Mailing Address: X6 S1= NIL i5 4-I ,n E -Mail Address: ' Company Name: K;:12( 12ez r Mailing Address: '''7 �p /I S Y N � Day Telephone: 3^ g S-9 -. 2o0�0, /�v�v rh (..■-6c �C'o City State Zip Fax Number: 2--S3^ S.S'1 — 2"›6 3 46-101 Contact Person: r S E -Mail Address: \I, cteA_ Q ; /K i•t of eikr , e° P`'i_ Contractor Registration Number: k I R rgva 10 71 ad City State Zip Day Telephone: 253 — &S1 ?-c:c� Fax Number: 25 C3 Expiration Date: 1 I — 11 Valuation of Project (contractor's bid price): $ /06' 0 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition vv ervice Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Adding more than 50 amps? ❑ Yes Elf—No Property Served by: Tr—Puget Sound Energy ❑ Seattle City Light KWpplications\Forms- Applications On Linao4 -20e7 - Electrical Permit Application doc en ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 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: �aA✓� / /�'" " Print Name: Mailing Address: itS21 P S7' 2 t" -It- lot IDate Application Accepted: Date: "`T"'to Day Telephone: '2– S ") — — --?.b0 City State el Zip Date Application Expires: Stab Initials: H: Applieations\Fonns- Applications On tine\4.2007 - Electrical Permit Application.doc bh Page 2 of 2 1 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.: 0005800011 Address: 15616 WEST VALLEY HY TUKW Suite No: Applicant: HYDRO SLICE RECEIPT Permit Number: EL10 -0480 Status: PENDING Applied Date: 06/24/2010 Issue Date: Receipt No.: R10 -01142 Payment Amount: $96.60 Initials: WER Payment Date: 06/24/2010 10:16 AM User ID: 1655 Balance: $0.00 Payee: KIRBY ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 511383 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 PAYMENT R doc: Receiot -06 Printed: 06 -24 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,i 0-010 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. i�. (206)431 -36Th Project: II 0 CO 54,6 Type of Inspection: Z(00 Address: < «� - v Date Called: �. Special Instructions: Date Wanted: (U a.m: p.m Requester: ((( Phone No: Approved per applicable codes. Corrections required prior to approval. OM M ENTS: Inspector: Date: 06127/iot ri $60.00 REINS F�ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: m�8i�X.,rea* = $.. v.�sera Contractors or Tradespeople Prjy er Friendly Page • 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 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 ciated 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 &Nbsp; 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 $4,000.00 11/05/2008 4 MERCHANTS BONDING CO (MUTUAL) WA 12415 01/14/2005 Until Cancelled 01/14/2009 $4,000.00 11 /04/2004 3 CUMBERLAND CAS & SURETY CO MB009000727 01/14/2000 Until Cancelled 01/14/2005 $4,000.00 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 $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 06/24/2010