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Home My WebLink AboutPermit EL12-0484 - ASHLEY FURNITUREASHLEY FURNITURE 17601 SOTJTHCENTERPY EL12-0484 City o- kukwila 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 Parcel No.: 3523049087 Address: 17601 SOUTHCENTER PY TUKW Project Name: ASHLEY FURNITURE ELECTRICAL PERMIT Permit Number: EL12 -0484 Issue Date: 05/24/2012 Permit Expires On: 11/20/2012 Owner: Name: LEVITZ TUKWILA LLC Address: 180 N STETSON AVE #324 -D , CHICAGO IL Contact Person: Name: DOUG KIRBY Address: 4826 B ST NW, SUITE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: IURBYEI077BN Phone: 253 - 859 -2000 Phone: 253 859 -2000 Expiration Date: 01/13/2013 DESCRIPTION OF WORK: INSTALL (4) POLE LIGHTS Value of Electrical: NRES: $10,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $264.50 2008 Date: 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 pe ormanc- of .� . I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: `T/0-1-(// oZ 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 -4/10 EL12 -0484 Printed: 05 -24 -2012 0 PERMIT CONDITIONS Permit No. EL 12 -0484 * *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 art 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 -4/10 EL12 -0484 Printed: 05 -24 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. � a--Q 4841 Project No. Date Application Accepted: Date Application Expires: (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.: 3523049087 Suite Number: PROPERTY OWNER Name: Levitz Tukwila LLC Address: 1311 Mamaroneck Ave., Ste. 260 City: White Plains State: NY Zip: 10605 CONTACT PERSON — person receiving all project communication Name: Doug Kirby Address: 4826 B St. NW Suite 101 City: Auburn State: WA Zip: 98001 Phone: (253) 859 -2000 Fax: (253) 859 -2363 Email: dougkirby @kirbyelectric.com Floor: New Tenant: ❑ Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Kirby Electric Inc. Address: 4826 B St. NW Suite 101 City: Auburn State: WA Zip: 98001 Phone: (253) 859 -2000 Fax: (253) 859 -2363 Contr Reg No.: KIRBYEI077BN Exp Date: 01/13/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 10,000 Scope of Work (please provide detailed information): Install (4) pole lights. Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Retail Type of work: ❑ New m Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applicatiuns \Forms- Applicatiuro On Luled011 Applications\Elearical Permit Application Revised 8- 9- 11.docx Revised: August 2011 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 (alarm, thrnace thermostat) $59.85 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 followmg 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: 05/24/2012 Print Name: Vitaly Kalchik Day Telephone: (253) 859 -2000 Mailing Address: 4826 B St. NW Suite 101 Auburn WA 98001 City State Zip H:\Applicatiots \Fora - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised August 2011 bit Page 2 of 2 • • C �J�`Ni�A wqs City of Tukwila J ca�f�� y 190a 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.: 3523049087 Permit Number: EL12 -0484 Address: 17601 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 05/24/2012 Applicant: ASHLEY FURNITURE Issue Date: Receipt No.: R12 -01681 Initials: WER User ID: 1655 Payment Amount: $264.50 Payment Date: 05/24/2012 11:42 AM Balance: $0.00 Payee: KIRBY ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 513811 264.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 264.50 Total: $264.50 doc: Receiot -06 Printed: 05 -24 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. ; ;PERMIT NO..' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 ate. -(206)43 1 =3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: Date Called: Date Wanted: Requester: Phone No: JJ Approved per applicable codes. 0 Corrections reuired priorto approval. COMMENTS: Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection : fee must paid at 6300 Southcenter Blvd., Suite 100. Call to schedule.reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ` (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: rDilt �}�}f, t TJ Type of Inspection: .��, / 7po t Address: C w Date Called: Special Instructions: Date Wanted:. arm p:m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: — \Q cJ! Gx.iwrt Inspector: Date: "130/, 2-- REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6UZ "0Yg PERMIT NO CITY OF TUKWILA BUILDING DIVISION U 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Address: l 760f Special Instructions: 4,4 Type of Inspection: Date Called: Date Wanted: Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval..., . COMMENTS: --ro4e.e-f &AIN t 449 2- (10Lk gA$t3 o Inspector: OS Date: 2 ! Z, n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 10 -01 -2012 City f Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DOUG KIRBY 4826 B ST NW, SUITE 101 AUBURN WA 98001 RE: Permit No. EL12 -0484 ASHLEY FURNITURE 17601 SOUTHCENTER PY TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/26/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 11/26/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, enni er Marshall P t Technician File: Permit File No. EL12 -0484 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople Prj ter 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 KIRBYE1077BN 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 DOUGLAS, KIRBY Agent 01/04/2012 Bond Amount KIRBY, DOUGLAS E President 01/01/1980 70607132 KIRBY, SHANNON Agent 01/01/1980 01/04/2012 KIRBY, SHANON E Agent 12/22/1992 01/04/2012 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 ECHIR00274 9/24/2007 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/24/2012