HomeMy WebLinkAboutPermit EL11-0473 - SAVERS/VALUE VILLAGESAVERS/VALUE VILLAGE
16700 SOUTEICENTER PY
EL1 1 -0473
Parcel No.:
Address:
Tenant Name:
Cityef Tukwila
O
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: / /wwwci.tukwila.wa.us
2623049128
16700 SOUTHCENTER PY TUKW
SAVERS/VALUE VILLAGE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0473
05/24/2011
11/20/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
PARKWAY SQUARE
C/0 ROSEN PROPERTIES , PO BOX 5003 98009
DEREK MCCOY
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:
INSTALL NEW FIRE ALARM SYSTEM IN THE EXISTING BUILDING
Value of Electrical Work: NRES: $9,850.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: tt V
Fees Collected: $264.50
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read an• ex. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli • with whether specified herein or not.
The granting of this permit does not p e 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 and agree to the conditions on the back
of this permit.
Signature: /i /tea l f - Date: «/- L1 f I i
Print Name: U 1 / 2910,J, V ---
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
EL1 1-0473
Printed: 05 -24 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0473
* *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 -0473 Printed: 05 -24 -2011
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 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: 16700 Southcenter Parkway
Tenant Name: Savers
Property Owners Name: Parkway Square
Mailing Address: PO Box 5003
King Co Assessor's Tax No.: 262304 -9128
Suite Number: Floor:
New Tenant: m Yes ❑ ..No
Bellevue
WA 98009
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Derek McCoy
Mailing Address: 4826 B St. NW Suite 101
E -Mail Address: derek @kirbyelectric.com
Day Telephone: (253) 859 -2000
Auburn WA 98001
City State
Fax Number: (253) 859 -2363
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric Inc.
Mailing Address: 4826 B St. NW Suite 101
Contact Person: Kirby Electric Inc.
E -Mail Address: derek @kirbyelectric.com
Contractor Registration Number: KIRBYE1077BN
Auburn WA
City State
Day Telephone: (253) 859 -2000
Fax Number: (253) 859 -2363
Expiration Date: 01/13/2013
98001
Zip
Valuation of Project (contractor's bid price): $ 9,850
Scope of Work (please provide detailed information): Install a new fire alarm system in the existing building.
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
❑ Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pronertv Served bv:
Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Porms- Applications On Line\2010 Applications \7 -2010 - Electncal Permit Application.doc
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Page 1 of 2
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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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: 05/20/2011
Print Name: Vitaly Kalchik Day Telephone: (253) 859 -2000
Auburn
Mailing Address: 4826 B St. NW Suite 101
City
WA 98001
State
Zip
Date Application Accepted: Date Application Expires:
Staff Initials:
H:Wpplications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
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City of Tukwila
0
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049128 Permit Number: EL11 -0473
Address: 16700 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 05/24/2011
Applicant: SAVERS/VALUE VILLAGE Issue Date:
Receipt No.: R11-01056
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $264.50
Payment Date: 05/24/2011 12:50 PM
Balance: $0.00
KIRBY ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 512639 264.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
doc: Receiot -06 Printed: 05 -24 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
afrott1)
P
IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Projects _ �
"Wl�►iid .. VI t
Type of Inspection:
poo
Address:
Woo 5.c. PI -
Called:
Special Instructions:
Date Wanted:.
g 1.7
6
Requester:
Phone No:
•
n Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
0 -
Inspector:
n
{Atel (Date: OT /chi
p7�
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
V fk• . ...y,yy. vi.�_ . STvwak• •tia.R l - .- .rk..+;.•r _ _ • - .. -. .. . _ •
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 va.. (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
bri3
Project:50 `05
JAu qf
Type of Inspection:
7005
Address: /67
5-C.- •
Date Called:
,.
Special Instructions:
r'4
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
- covefc
Rou4a here
Inspector: a
t,
Date: o7 a (' i
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
0
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'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
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 05/24/2011