HomeMy WebLinkAboutPermit EL12-1100 - LABOR & INDUSTRIESLABOR & INDUSTRIES
12806 GATEWAY DR
EXPIRED 06 -02 -13
ELi 2-1 100
City
Tukwila
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
Parcel No.: 2716000050
Address: 12806 GATEWAY DR TUKW
Project Name: LABOR & INDUSTRIES
ELECTRICAL PERMIT
Permit Number: EL12 -1100
Issue Date: 11/26/2012
Permit Expires On: 05/25/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: DOUGLAS KIRBY
Address: 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 WIRE FOR (7) SPEAKERS AND (3) VOLUME CONTROLS
Value of Electrical: NRES: $800.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
$88.20
2008
Date: 11
I hereby certify that I have read and ecami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied whether specified herein or not.
'th
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: /Yd /rc�
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.
Date:
doc: EL -4/10
EL12 -1100 Printed: 11 -26 -2012
PERMIT CONDITIONS •
Permit No. EL 12 -1100
* *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 -1100 Printed: 11 -26 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. L-� 00
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: 12806 Gateway Dr S
Tenant Name: Labor and Industries
PROPERTY OWNER
Name:
Name: ci
`O
trci/ m, t, ,
Address:
\/6
_4 l
City: G,
k 61,,,i
Statte:: l- Zip: Salt
CONTACT PERSON — person receiving all project
communication
Name:
DO li& ,c VA Vi
,v
Phone: (253) 859 -2000 Fax: (253) 859 -2363
Address:
Tukwila Business License No.: f},��^ 01'1 2-1 27s-
City:
State: Zip:
Phone:
Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes m ..No
ofo 00/51)
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric Inc
Address: 4826 B Street NW Suite #101
City: Auburn State: WA Zip: 98001
Phone: (253) 859 -2000 Fax: (253) 859 -2363
I Contr Reg No.: KIRBYE1077 BN Exp Date: 12/31/2012
Tukwila Business License No.: f},��^ 01'1 2-1 27s-
Valuation of Project (contractor's bid price): $ O a9
Scope of Work (please provide detailed information):
Install wire for 7 speakers 3 volume controls.
Will service be altered? ❑ Yes IJ No
Adding more than 50 amps? ❑ Yes ® No
Type of Use: Business
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
• Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:Wpplications\Forms- Applications On Line t2011 ApplicationssElectrical Permit Application Revised 8 -9 -1 I.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, 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 P l RY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O OR E :CAL O„ N
Signature:
Print Name: Doug 'E Kirby
Mailing Address: 4
26 B Street NW Suite #101
Date: 11/26/2012
Day Telephone: (253) 859 -2000
Auburn WA 98001
H:\ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City State Zip
Page 2 of 2
r •
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.: 2716000050 Permit Number: EL12 -1100
Address: 12806 GATEWAY DR TUKW Status: PENDING
Suite No: Applied Date: 11/26/2012
Applicant: LABOR & INDUSTRIES Issue Date:
Receipt No.: R12 -03182
Payment Amount: $88.20
Initials: JEM Payment Date: 11/26/2012 01:29 PM
User ID: 1165 Balance: $0.00
Payee: KIRBY ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 514520 88.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 88.20
Total: $88.20
rinn. RArAint -OR Printprl• 11 -26-2012
INSPECTION4;RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 jL. (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
th2-ncJ
Project: b.— + I
Type of Inspection:
2-too
Address: ,��0O alvitil
Date Called:
Special Instructions:
Date Wanted:.
(Zi�y
rr
p.m.
Requester:
(
Phone No:
DApproved per applicable codes.
cyrCorrections required prior to approval.
COMMENTS:
A i
Ara,c Roo? oc,C,019/
L f-R kS kinathtto
- Gv oQQt4A €,j r r Cot Jh=gAlef kcal
Inspector: .4:119614
I - AK\ .
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
05 -01 -2013
City• -
,of Tu -kwlla
Department of Community Development
•
DOUGLAS KIRBY
4826 B ST NW STE 101
AUBURN WA 98001
RE: Permit No. EL12 -1100
LABOR & INDUSTRIES
12806 GATEWAY DR TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, .Director
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 06/02/2013.
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 06/02/2013, 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,
Jenni er Marshall
rm t Technician
File: Permit File No. ELI2 -1100
6.300 Sosihcenter Boulevard, Suite #160* Tukwila, Washington 98188 ' Phone 206431 -3670 6 Fcte 206 -'431 -3665
Contractors or Tradespeople ri ter Friendly Page
Electrical Contractor
A business licensed by LEN 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
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KIRBYE'101QE
ELEC TRIC
ELEC
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
19.28.271 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
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
EBIEA00522
9/3/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
11/26/2012