HomeMy WebLinkAboutPermit EL12-0635 - ASHLEY FURNITUREASHLEY FURNITURE
17601 SOUTHCENTER PY
EL1 2-0635
City oM'ukwila
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Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -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 -0635
Issue Date: 07/09/2012
Permit Expires On: 01/05/2013
Owner:
Name: LEVITZ TUKWILA LLC
Address: 180 N STETSON AVE #324 -D , CHICAGO IL 80601
Contact Person:
Name: SCOTT JENNINGS Phone: 253 859 -2000
Address: 4826 B ST NE 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
Expiration Date: 01/13/2013
DESCRIPTION OF WORK:
REPLACE EXTERIOR WALL PACKS ON SOUTH SIDE OF BUILDING
Value of Electrical:
NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
ftA
xa
wit
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: V ` 0°11 I
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 not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of vrork. I am authorized to sign and obtain this electrical permit.
Signature:
1.
Date: 7/9? d2vZ
Print Name: 6.07794/-
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 -0635 Printed: 07 -09 -2012
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PERMIT CONDITIONS
Permit No. EL12 -0635
* *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 -4/10
EL12 -0635 Printed: 07 -09 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. L-'2_ " `-1Y
Project No.
Date Application Accepted: 01 0°1 L
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
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: 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
King Co Assessor's Tax No.: 3G 'Z 1901i - otozi2i
Suite Number: 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.: /Itit(.,_ optO 2 3
Valuation of Project (contractor's bid price): $ 2,000
Scope of Work (please provide detailed information):
Replace exterior wall packs on south side of building.
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes ® No
Type of Use: Retail
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
VI Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forms - Applications On Line \20I I Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
bh
Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date: 07/09/2012
Print Name: Vitaly Kalchik Day Telephone: (253) 859 -2000
Mailing Address: 4826 B St. NW Suite 101 Auburn WA 98001
City
H:\Applications\Forms- Applications On Line\2011 Applications'Electrical Permit Application Revised 6- 9- 11.docx
Revised: August 2011
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State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.aov
RECEIPT
Parcel No.: 3523049087 Permit Number: EL12 -0635
Address: 17601 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 07/09/2012
Applicant: ASHLEY FURNITURE Issue Date:
Receipt No.: R12 -02064
Initials: JEM
User ID: 1165
Payment Amount: $115.50
Payment Date: 07/09/2012 07:57 AM
Balance: $0.00
Payee: SHANON KIRBY, KIRBY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 08888G
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 07 -09 -2012
INSPECTION- °RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 r-- (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
kikid
Type of Inspection:
Address:
/ 7601 s'c -py-
Date Called:
..,
Special Instructions:
Date Wanted:.
a:m:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: in Jt'S
Date: Q ? I ��
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Dili.
tjWashington State Department of
Labor & Industries
Contractors or Tradespeople Detail
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About Electrical Contractor
Page 1 of 2
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 KIRBY ELECTRIC INC
Phone No. (253) 859 -2000
Address 4826 B St Nw Ste 101
Suite /Apt.
City Auburn
State WA
Zip 98001
County King
Business Type Corporation
Parent Company
UBI No. 601433048
Status Active
License No. KIRBYEI077BN
License Type Electrical Contractor
Effective Date 1/15/1993
Expiration Date 1/13/2013
Suspend Date
Specialty 1 General
Specialty 2 Unused
71 Other Associated Licenses
License
Name Type
Specialty 1 Specialty 2 Effective Date Expiration Date Status
KIRBYE "101 QE KIRBY ELECTRIC Electrical Contractor General Unused 11/5/1990 11/5/1994 Archived
Master Electrician INFORMATION
License KIRBYDE962LZ
Name KIRBY, DOUGLAS E
Status Active
=t Business Owner Information = Hide All
Name
Role
Effective Date
Expiration Date
DOUGLAS, KIRBY
KIRBY, DOUGLAS E
Agent
01/04/2012
President 01/01/1980
https: // fortress .wa.gov /Ini/bbip /Result.aspx
07/09/2012