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