HomeMy WebLinkAboutPermit EL10-0620 - ASHLEY FURNITUREASHLEY FURNITURE
17601 SOUTHCENTER PY
EL1 0-0620
City oikukwila
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 -0620
Issue Date: 08/03/2010
Permit Expires On: 01/30/2011
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: DEREK 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:
ROUGH -IN WIRE ONLY FOR SECURITY SYSTEM
Value of Electrical: NRES: $4,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date: U - ' V
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 performance of work. I am authorized to sign and obtain this electrical permit.
Signature: - >C—/ Date: 6-3-to
Print Name: v 1 -(-r.A H "` lc- (A 64_
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 -0620 Printed: 08 -03 -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: http: / /www.ci.tukwila.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 -0620
ISSUED
08/03/2010
08/03/2010
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:
4C—
Date: e'_3 0
doc: Cond -Elec
EL10 -0620 Printed: 08 -03 -2010
•
CITY OF TUKWILA
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 o
L10- O )i9
>7ice 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
I_ King Co Assessor's Tax No.: 52.3 04
Site Address: I7601 S�,,t� Cottcr" FArk0a.t Suite Number:
Tenant Name: Ask ley ttotrA. ; FwY
Property Owners Name:LLV j r 2 4 km) t
Mailing Address:
Zip
ly�/4 Floor: id/A
New Tenant:
Yes
❑ .. No
City
State
CONTACT PERSON — Who do we contact when your permit is ready to be issued
c
Name:Dri. -,a.L MCD
Mailing Address: 14 ir2L. s . N 101
Day Telephone:2S3 ` TC 1 - 2.000
ilvisoLrA cm-vox
City State Zip
Fax Number: 2C1 — 23L. 3
E -Mail Address: c - IG:rt, y ;, 4 . c o,'•
ELECTRICAL CONTRACTOR INFORMATION
Company Name: t■ r �y
Mailing Address: 1 r2 6
Contact Person: � a •wt.-
t St. /3.u)- -t1101
City
Day Telephone:
Wn
State
Zip
E -Mail Address: Fax Number:
Contractor Registration Number: le...; r40 V e.-1 D 7 7 6k) Expiration Date:O) - 2;01 it
Valuation of Project (contractor's bid price): $ 9, 7 Op.
pr
Scope of Work (please provide detailed information): ►�.bLL)L l n� titi�l,v DA l Y '1of S c cl rdt-I`
efc,.vt. -
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
jgf Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line \2010 Applications \7 -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
4IP,ERMIT APPL'ICATION-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 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:
GwL
Print Name: 1----
,,11 ,, ll
Mailing Address: 9 x 2 6 I3 S- N -W - ti-10%
Date: '. 3 - _2-0 )d
Day Telephone: 23 - S-S- l -2,00D
ui:,%•vt■ WA (ger,1
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -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 -0620
Address: 17601 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/03/2010
Applicant: ASHLEY FURNITURE Issue Date:
Receipt No.: R10 -01473
Payment Amount: $178.50
Initials: WER Payment Date: 08/03/2010 11:57 AM
User ID: 1655 Balance: $0.00
Payee: KIRBY ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 511458 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
PAYMENT
RECFI\1E0
doc: Receiot -06 Printed: 08 -03 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION '
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: Aci � n
L
Type of Inspection:
®®
Address:
/
nf,® L ].6-, Py
Date Called:
Special Instructions:
-
5)iy
//ff
Date Wanted:
i�3
'.
g.
Requester:
Phone No:
PK1
Approved per applicable codes. El Corrections required prior to approval. 1'
COMMENTS:
rt;114-tv
Inspector:
Date: A�
V /v3 tv
ri REINSPECTION EE REQUIRED. Prior to next inspection.-fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prjiter 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
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'101QE
ELEC
ELEC TRIC
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
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
$4,000.0011
/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
08/03/2010