HomeMy WebLinkAboutPermit EL12-0485 - NORDSTROM QUALITY CENTERNORDSTROM
QUALITY CENTER
1000 ANDOVER PK W
EL1 2-0485
City oikukwila •
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.: 2623049118
Address: 1000 ANDOVER PK W TUKW
Project Name: NORDSTROM QUALITY CENTER
ELECTRICAL PERMIT
Permit Number: EL12 -0485
Issue Date: 05/24/2012
Permit Expires On: 11/20/2012
Owner:
Name: ANDOVER WEST LLC % POWELL D
Address: PO BOX 97070 , KIRKLAND WA
Contact Person:
Name: SCOTT JENNINGS Phone: 253- 859 -2000
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: KIRBYEI077BN
Phone: 253 859 -2000
Expiration Date: 01/13/2013
DESCRIPTION OF WORK:
ADD (20) NEW 1X8 LIOGHT FIXTURES TO NEW AISLES AND ADD REFLECTORS TO (36)
EXISITNG 1X8 FIXTURES.
Value of Electrical: NRES: $3,800.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$157.50
2008
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:
Print Name:
U1 41 \erAc\ L-
Date:
s�atilla-
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 -0485 Printed: 05 -24 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0485
* *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: Arty 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 -0485 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. OS-
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
King Co Assessor's Tax No.:
Site Address: 1000 Andover Park West Suite Number:
New Tenant:
Tenant Name:
Nordstrom Quality Center
PROPERTY OWNER
Name: Scott Jennings
Name: Andover Park West, LLC
City: Auburn State: WA Zip: 98001
Address: PO Box 97070
Email: scott @kirbyelectric.com
City: Kirkland State: WA
Zip: 98083
CONTACT PERSON — person receiving all project
communication
Name: Scott Jennings
Address: 4826 B St. NW Suite 101
City: Auburn State: WA Zip: 98001
Phone: (253) 859 -2000 Fax: (253) 859 -2363
Email: scott @kirbyelectric.com
2623049118
Floor:
❑ 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): $ 3,800
Scope of Work (please provide detailed information):
Add (20) new 1x8 light fixtures to new isles and add reflectors to (36) existing 1x8 fixtures.
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes 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 :\Applications \Fours- Apphcalions On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised August 2011
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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, tiumace 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: 05/24/2012
Print Name: Vitaly Kalchik Day Telephone: (253) 859 -2000
Mailing Address: 4826 B St. NW Suite 101 Auburn WA 98001
City State Zip
H: \Applications \Forms - Applications On Line 2011 Apphcattons \Electrical Penmt Application Revised 8-9 -I l.docx
Revised: August 2011
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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.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049118 Permit Number: EL12 -0485
Address: 1000 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 05/24/2012
Applicant: NORDSTROM QUALITY CENTER Issue Date:
Receipt No.: R12 -01682 Payment Amount: $157.50
Initials: WER Payment Date: 05/24/2012 11:49 AM
User ID: 1655 Balance: $0.00
Payee: KIRBY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 513812 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receipt-06 Printed: 05 -24 -2012
.';INSPECTION RECORD
'Retain a copy with permit
INSPECTION NO. ' 11
PERMIT NO.
CITY 'OFTUKWILA BUILDING DIVISION
6300 SouthcenterBlvd., #100, Tukwila. WA 98188 1iz., (206) 431 -3670
permit- Inspection,.Rec uest Line (206) 431 -2451
Project ' '
°°
Type of Inspection: 24100
Address I.
vv
Called:
Special Instructions
4
:
Date Wanted:.
t
�afm.
P or
Requester:
Phone No:
Approved. per applicable codes. Corrections required prior to approval.
COMMENTS:
Date: aW ((( !'
REINSPECTION:FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P eer Friendly Page
•
Electrical Contractor
A business licensed by LEI 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 UBI No.
2538592000 Status
4826 B St Nw Ste 101 License No.
License Type
Auburn Effective Date
WA Expiration Date
98001 Suspend Date
King Specialty 1
Corporation 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'101QEELEC
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
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
$4,000.00
11/04/2004
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