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Permit EL11-0304 - SHASTA BEVERAGES
SHASTA BEVERAGES 1227 ANDOVER PK E EL1 1 -0304 Parcel No.: Address: Tenant Name: Cityif 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 3523049072 1227 ANDOVER PK E TUKW SHASTA BEVERAGES ELECTRICAL PERMIT Permit Number: EL11 -0304 Issue Date: 04/05/2011 Permit Expires On: 10/02/2011 Owner: Name: NATIONAL BEVERAGE CORP Address: 8100 SW 10TH ST STE 4000 , PLANTATION FL 33324 Contact Person: Name: BRAD SHUPE Address: 4826 B ST NW #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: WIRE SHIPPING OFFICE IN WAREHOUSE Value of Electrical Work: NRES: $2,269.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be compli The granting of this permit does not pi construction or the performance of work. of this permit. Signature: Co l l ►) S 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. ok& Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. ne to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Date: doc: EL -9/09 EL11 -0304 Printed: 04 -05 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0304 * *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 EL 11 -0304 Printed: 04 -05 -2011 t. • 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. Project No. LI,II- DW- (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: 1 X21 Ava., m r P�kk.y r. j Tenant Name: S '‘..a1S \a e- v-cr---F-2 Property Owners Name: Mailing Address: King Co Assessor's Tax No.: ?-2 t tj oil_ Suite Number: Floor: ❑ Yes 1 22'1 ,4 Lper tarie.../ a. New Tenant: Ar. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: 4' 2.( t2 S' h Iv kr Jo- to E -Mail Address: dlr��G.. ){: r-1�r e lec...$r�� Day Telephone: ,4 LJ rn City I CO 1.4%. State Zip Fax Number: 2S 3— %SI — 2 3 K-3 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: v ,, / Contractor Registration Number: Krrb fj . D 1 '1r3 j Krr- y ex. .z. I-I -16 St---s urn L. City aQoaf State Zip Day Telephone: -2S- 3- Y,S'e=1 2O o o Fax Number: x-53 -- gS 9 2-3) "3 Expiration Date: 1— 1 3'" / 3 Valuation of Project (contractor's bid price): $ 2269 Scope of Work (please provide detailed information): NA, . s l p�or wc� �`�' i4�� P lam+ S e Will service be altered? ❑ Yes .o Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ArTenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service orsio Property Served by: Puget Sound Energy ❑ Seattle City Light H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Apphcation.doc bh Page 1 of 2 itt 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: r �' Print Name: rw T ��.. Mailing Address: 4c4 .2 r S7` : Af -At- ) Date Application Accepted: 4 t cc( ( 1 Day Telephone: ,4u City Date: 41- 1 State gS — and 9$6eJ Zip Date Application Expires: �— Staff Initials_ H:Wpplications \Forms - Applications On Line\2010 Applications \7 -2010 - 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.: 3523049072 Address: 1227 ANDOVER PK E TUKW Suite No: Applicant: SHASTA BEVERAGES RECEIPT Permit Number: EL11 -0304 Status: PENDING Applied Date: 04/05/2011 Issue Date: Receipt No.: R11 -00645 Initials: User ID: Payee: JEM 1165 Payment Amount: $136.50 Payment Date: 04/05/2011 11:18 AM Balance: $0.00 KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 512441 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 04 -05 -2011 INSPECTION RECORD tuf 4)3ot! Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 5v45f4 / Type of Inspection: 21•00 Address: ail 44,0 4e1 . bb Date Called: Special Instructio s: Date Wanted: q elf . . p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: Og g /11 ❑ REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: • -r -, .• ;.MST .v.- ....�:.. -, -•!i -- Y�`°'. -•,.: v''': - - -. '.�'y,�.�"?':43r ;- 'w'�°' =»-; .•- �"G?S'f- +prNr °.i INSPECTION ,RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ' r CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ,,��vv �+NA,S -i} K7cv Afar Type of Ins ection: 7D,23 Address: ,/A0/7./iiv i/rvc 6 r Date Called: Special Instructions: . Date Wantte�d: l -40 , a.m. P.m. Requester: Phone No: �j Approved per applicable codes. Corrections required prior to approval. COMMENTS: r4 /e A./ALL -5 El ea'ic -�/vi M7 — // - / ? �0 2 7J 7 :.dn .� i ~ f,/7 /`f1# ,4 /4 /ir 9' ev�vbmc. -m.4S "2 Pr' I ✓ /t ✓ //lQtir Inspector: � �Y &Jonivxa Date: REIN$ ECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. j INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1 h) 349 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 3670 \�(. Project: SNA.1 r.A- 6 CVm, 44 cr Type of Inspection: 7003 .41/54 A0 C A "roO 4 )07 An/ IN *4n r Address: / '7 ,¢-4 D, / nt . 4 r- Date Called: e211 0"r7A ∎,v7 .ci'X7 ✓„ /Y... Ale -' .C.C,r e'rofee.,f i Special Instructions: Date Wanted: / k" I a.m. p.m. Requester: IlM 1 1 l4 ✓ ) JL7.'�� Phone No: r Javy, 5;_7art At-31 (Lr9 At I4,IPi« Approved per applicable codes. Corrections required prior to approval. COMMENTS: " /),JIr— Albitn/> ...,72.. i- C7',, I c.at (19.//AelC7b; .41/54 A0 C A "roO 4 )07 An/ IN *4n r „.14 .2,,e.>..../t. .; /VP- lit lir,I /e,% - ..11�rAvcYio.v 150k .��cA -r� .1604,v" e211 0"r7A ∎,v7 .ci'X7 ✓„ /Y... Ale -' .C.C,r e'rofee.,f i A/v2"es T A7 hi IC' r Cr035 ./404-,.rr_s % - \% .dax fl.�.4.w.9., ,e‘ir- 2e AN 311 d, u,AK.E, r'/?..4/.J4. /Ail. ©AJ 'cam /[/.v.., t //S/,- (2,4—,L, ,'i f ./ 1 /4: /deb 1 114/4/0 re". IlM 1 1 l4 ✓ ) JL7.'�� / (/L/ibr— a,.a, a: m 7". ,- .. : , , ('toner r Javy, 5;_7art At-31 (Lr9 At I4,IPi« 14Ji -17, / " er'il e ,/['A ./,LI- Atatvil Jro Inspector E77 Y 4trw aa-r 0 EINSPECTION FEE REQUIRED. Prior $60.0 r to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: .....s. .s Contractors or Tradespeople Paer Friendly Page 1 Page 1 of 2 Electrical Contractor A business licensed by L8 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 *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 Cancel Date 01/01/1980 Bond Amount KIRBY, SHANNON 5 01/01 /1980 70607132 KIRBY, SHANON E Agent 12/22/1992 Bond Information 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 $4,000.0011 /05/2008 4 MERCHANTS BONDING CO (MUTUAL) WA 12415 01/14/2005 Until Cancelled 01/14/2009 $4,000.0011 /04/2004 https: // fortress .wa.gov /lni/bbip /Print.aspx 04/05/2011