HomeMy WebLinkAboutPermit EL11-0253 - ASHLEY FURNITUREASHLEY FURNITURE
17601 SOUTHCENTER PY
EL1 1 -0253
Parcel No.:
Address:
Tenant Name:
Citylif 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
3523049087
17601 SOUTHCENTER PY TUICW
ASHLEY FURNITURE
ELECTRICAL PERMIT
Permit Number: EL11 -0253
Issue Date: 03/17/2011
Permit Expires On: 09/13/2011
Owner:
Name: LEVITZ TUKWILA LLC
Address: 180 N STETSON AVE #324 -D , CHICAGO IL 80601
Contact Person:
Name: BRAD SHUPE
Address: 4826 B ST NW, STE 101 , AUBURN WA 98001
Contractor:
Name: KIRBY ELECTRIC INC
Address: 4826 B ST NW, STE 101 , AUBURN WA 98001
Contractor License No: KIRBYEI077BN
Phone: 253 859 -2000
Phone: 253 859 -2000
Expiration Date: 01/13/2013
DESCRIPTION OF WORK:
REPLACE (2) EXISTING 112 -1/2 KVA TRANSFORMERS WITH (2) NEW 112 -1/2 KVA WITH 200
AMP DISCONNECTS ON ROOF TO REFEED (4) EXISTING 200 AMP PANELS. WE ARE NOT
ADDING ANY LOADS.
Value of Electrical Work: NRES: $5,000.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signatur
I hereby certify that I have read a
governing this work will be comp
PUGET SOUND ENERGY
$178.50
National Electrical Code Edition: 2008
Date: 7
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does no
construction or the performance of
of this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit and agree to the conditions on the back
Date: CV/ ,
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 -9/09
EL11 -0253
Printed: 03 -17 -2011
PERMIT CONDITIONS
Permit No. EL11 -0253
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11-0253 Printed: 03 -17 -2011
CITY OF TUK LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. -Nl��
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 Pkwy
Tenant Name:
Ashley Furniture
King Co Assessor's Tax No.: 2i? -1,0611
Suite Number: Floor:
New Tenant: ❑ Yes ..No
Property Owners Name: Levitz Tukwila LLC.
Mailing Address: 1311 Mamaroneck Ave., Ste. 260
White Plains
NY
10605
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Brad Shupe
Mailing Address: 4826 B St. NW, Ste. 101
E -Mail Address: brad @kirbyelectric.com
Day Telephone: (253) 859 -2000
Auburn WA
98001
City State
Fax Number: (253) 859 -2363
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Brad Shupe
Mailing Address: 4826 B St. NW, Ste. 101
Contact Person: Brad Shupe
E -Mail Address: brad @kirbyelectric.com
Contractor Registration Number: KIRBYE1077BN
Auburn
WA
City State
Day Telephone: (253) 859 -2000
Fax Number: (253) 859 -2363
Expiration Date: 01/13/2011
98001
Zip
Valuation of Project (contractor's bid price): $ 5,000
Scope of Work (please provide detailed information): Replace (2) existing 112 -1 /2kva transformers with (2) new
112 -1 /2kva with 200amp disconnects on roof to refeed (4) existing 200a panels. We are not adding any new loads.
Will service be altered? m Yes ❑ No Adding more than 50 amps? ❑ Yes 21 No
Type of Use: Comercial
Type of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
❑ 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
bh
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
PERMIT 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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date Application Accepted:
Date: 12/20/2011
Day Telephone: (253) 859 -2000
Auburn 98001
City State Zip
Date Application Expires:
Staff Initials:
HAApplications\Forms•Applications On Line \2010 Applications \7 -2010 - 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
RECEIPT
Parcel No.: 3523049087 Permit Number: EL11 -0253
Address: 17601 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 03/17/2011
Applicant: ASHLEY FURNITURE Issue Date:
Receipt No.: R11 -00528
Payment Amount: $178.50
Initials: JEM Payment Date: 03/17/2011 03:05 PM
User ID: 1165 Balance: $0.00
Payee: KIRBY ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 512098 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
doc: Receiot -06 Printed: 03 -17 -2011
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
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Project: %, _ i•
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Type of Inspection:
Address:
176°1 S-C" Pi-
Date Called:
Special Instructions:
e, nIZtO
iA(,',' "� r
Date Wanted:
5 /
a.m.
P.
Requester:
Phone No:
10
Approved per applicable codes.
DCorrections required prior to approval. .
COMMENTS:
6
HAI tit/
Inspector:
r� �f
❑ REINSPECTION FEE REQUIRED. to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
- "."7" ".7fr ''''"'":#;:r.-FIF2°.,- • 'X':'
INSPECTION PECORI5
Retain a copy with permit
INSPECTION NO.
OZ53.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (2.. (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project: kn..e) d.w.
Type of Inspection:
a o2--
Address: oaoi 5 e • pf.
Date Called:
Special Instructions:
;.
()Ku Ffkt 0 1\
Date Wanted:
1/(7
con.a.n7
Requester:
Phone No:
JApproved per applicable codes. El Corrections required prior to approval. 1...8.N
COMMENTS:
WhethpAMAAN
Inspector:
Date: 011/91/11
Ale(
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
1---j paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
4
INSPECTION NO.
INSPECTION RECORD
Retain a:1copy with permit
PERMIT NO.
itfil
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: �/A`
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Type of I pection:
f 043
Address:
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Date Called:
-
Special Instructions:
Date Wante
jf/ - l/
a.m.
p.m.
Requester:
Phone No:
•
Approved per applicable codes.
ElCorrections required prior to approval. . •
COMMENTS:
.18/A
DK r , `) •1 Peal
Inspector: ( �1zr 'Date: l/
ri REINSPEC ON FEE REQUIRED. Prior to next inspection, fee must be
paid at 630b Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pry 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
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
1/13/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KIRBYE`101QE
KIRBY
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
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 1
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
19.28.101 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
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
EBIEA00522
9/3/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
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 03/17/2011