HomeMy WebLinkAboutPermit EL13-0063 - WASWD - TENANT IMPROVEMENTWASWD
12720 GATEWAY DR
EL1 3-0063
City a*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.: 2716000070
Address: 12720 GATEWAY DR TUKW
Project Name: WASWD
ELECTRICAL PERMIT
Permit Number: EL13-0063
Issue Date: 01/18/2013
Permit Expires On: 07/17/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: DOUG KIRBY
Address: 4826 B ST NW , 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: 01/13/2015
DESCRIPTION OF WORK:
ELECTRICAL FOR TENANT IMPROVEMENT
Value of Electrical: NRES: $4,250.00
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:
$178.50
2008
Date: I�-t
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� . performance of work. I am authorized to sign and obtain this electrical permit.
Signature: \ i
Print Name: V i Trn 1 t
G1 ✓L �^-S
Date:
gA3
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
EL13-0063 Printed: 01-18-2013
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PERMIT CONDITIONS
Permit No. EL13-0063
**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
EL13-0063 Printed: 01-18-2013
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www. TukwilaWA. gov
•
Electrical Permit No. L —\ 3— 00 103
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.: 2716000070
Site Address: 12720 Gateway Dr. S, Tukwila, WA 98168 Suite Number: 204 Floor:
Tenant Name:
WASWD
PROPERTY OWNER
Name: Doug Kirby
Name: EPROPERTY TAX INC
City: Auburn State: WA Zip: 98001
Address: PO BOX 4900
Email: dougkirby@kirbyelectric.com
City: Scottsdale State: AZ
Zip: 85261
CONTACT PERSON — person receiving all project
communication
Name: Doug Kirby
Address: 4826 B Street NW
City: Auburn State: WA Zip: 98001
Phone: (253) 859-2000 Fax: (253) 859-2363
Email: dougkirby@kirbyelectric.com
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric Inc.
Address: 4826 B St. NW
City: Auburn State: WA
Zip: 98001
Phone: (253) 859-2000 Fax:
(253)
859-2363
Contr Reg No.: KIBYEI077BN
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 4,250
Scope of Work (please provide detailed information):
Electrical for tenant improvement
Will service be altered? ❑ Yes ❑✓ No
Type of Use: Office Building
Adding more than 50 amps? ❑ Yes Q No
Type of work:
0 New ❑ Addition ❑ Service Change
❑ Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
E Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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❑ Remodel
❑ Telecommunication
® Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
O Garages, pools, spas and outbuildings $81.90 ea
O 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
O Temporary service (generator) $78.75
O 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:
Print Name: Day Telephone:
Mailing Address: 4826 B Street NW Auburn WA 98001
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Page 2 of 2
• fb
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
Parcel No.: 2716000070
Address: 12720 GATEWAY DR TIIKW
Suite No:
Applicant: WASWD
RECEIPT
Permit Number: EL13-0063
Status: PENDING
Applied Date: 01/18/2013
Issue Date:
Receipt No.: R13-00448
Initials: WER.
Use? ID: 1655
Payment Amount: $178.50
Payment Date: 01/18/2013 09:46 AM
Balance: $0.00
Payee: KIRBY ELECTRIC INC
T1 ANSACTION LIST:
Type Method Descriptio Amount
Payment Check 514630 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
City cf Tukwila
6200 Southcenter Blvd, Tukwila, WA
1 Finance Department
1301801-1 01/18/2013 BR1 T121
Fri Jan18,2013 10:OOAM Trans#10-11
Name: KIRBY ELECTRIC INC KIRBY E
Addr: 4826 B ST NW AUBURN,WA 98001
10 $67.00 BUSLCN - Business Licenses
Customer#: 00057207
Activity#: 00009081
11 $178.50 DCDGEN - DCD Permits Plus
- General Fund
ID: KIRBY ELECTRIC PERMIT EL13 0063
2 ITEM(S): TOTAL: $245.50
Check (514630) PAID $245.50
www.tukwilawa.gov 206-433-1835
000.322.101.00.00 178.50
Total: $178.50
o.o.�sa. n1_1a_�n1n
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0.•. -:_ PERMIT NO.
CITY OF::TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.,#100, Tukwila. WA 98188 tz.. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
ti,f3-0473
Project:. W: _
/
Type of Inspection:
Z/00
Address:
aktekixot
Date Called:
Special Instructions,'..° _ .
.
Date Wanted:.
m.
Requester:
Phone No:
Approved per applicable codes.
•P
COMMENTS;
Corrections required prior to approval.
tip,/ 41,
Date: 0 1/41/11/3
•REINSPECTION F.EE REQUIRED.'Prior to next inspection, fee must be
paid'at 000 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188(206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
66 45
PERMIT NO.
Project: wili. 40
Type of Inspection:00 3
Address:j �,� r,�(Al
YV
Date Called:t
Special Instructions:
f
Date Wanted:.
j l
f l 24
a.m.,
/ r.m.
Requester:
l I
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENT
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Inspector:
/ AkIK
Date: l /l� f j
/3VV
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pfter Friendly Page
•
Electrical Contractor
A business licensed by LEtI 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
1/13/2015
General
Unused
nses
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
$4,000.00
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
ENORW00271
1/27/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBIEA00522
9/3/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHIR00274
9/24/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.eov/lni/bbin/Print.aspx 01/18/2013