Loading...
HomeMy WebLinkAboutPermit EL13-0755 - TCMS - REMODELTCMS 12646 INTERURBAN AV S ELi 3-0755 Parcel No.: Address: City oilkukwila 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 2716000030 12646 INTERURBAN AV S TUKW Project Name: TCMS ELECTRICAL PERMIT Permit Number: EL13-0755 Issue Date: 08/08/2013 Permit Expires On: 02/04/2014 Owner: Name: Address: Contact Person: Name: Address: EPROPERTYTAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE AZ 85261 JOHN BANNING 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: 01/13/2015 DESCRIPTION OF WORK: DEMO, 8-8 LAMP STRIP LIGHTS, RELOCATE 2X4 FIXTURE, (2) SWITCHES, (4) CEILING MOUNTED OCC SENSORS, (2) 3 -WAYS, (9) RECEPTACLES, (6) PHONE RINGS, (1) 3 -POLE 480V 20A BREAKER, REPLACE HVAC DISCONNECTS WITH NEW REINSTALL, AND (8) EGRESS FIXTURES. Value of Electrical: NRES: $11,499.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit does not pr construction or the performance of work. Signature: Print Name: Fees Collected: $307.20 Washington Cities Electrical Code: 2011 Date: ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: ^/3 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 -7/13 EL13-0755 Printed: 08-08-2013 PERMIT CONDITIONS Permit No. EL13-0755 **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 TO - 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 -7/13 EL13-0755 Printed: 08-08-2013 CITY OF TUK1111,4 Community DevelopaliftDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical P• it No. e.[ 'O Project No. 1 I Date Application Accepted: % vb t3 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.: l (.Q 0 0 — °°97ip Site Address: /o;� %lo /ar,a /3/11t 3 i :/(Suite Number: Floor: Tenant Name: Tc ins New Tenant: ❑ Yes pip.. No PROPERTY OWNER Company Name: L Name: -/, c7A �/ -f444:71 Name: Address: i,,V 8 0 AA/ SY-e /0/ Contr Reg No.:Exp Date: n;rbyrLo776N 1-13 -/� Address: / Phone: a S✓-/ 5-% 02a Fax: City: State: Zip: CONTACT PERSON - person receiving all project communication Company Name: L Name: -/, c7A �/ -f444:71 City: 4e,hujh State: i,.)( Zip: vco f Address: i,,V 8 0 AA/ SY-e /0/ Contr Reg No.:Exp Date: n;rbyrLo776N 1-13 -/� City: i, r.. coy" State: ("a 4 Zip: q , 0 / Phone: a S✓-/ 5-% 02a Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: L Address: gyr,26, r!)r. Sfi A/�. Sfe /Q/ City: 4e,hujh State: i,.)( Zip: vco f Phone: a 53 _ 75,,.,2„c, ,.,2Lt,01 Fax: Contr Reg No.:Exp Date: n;rbyrLo776N 1-13 -/� Tukwila Business License No.; 0 ci, R3 6 - Valuation Valuation of Project (contractor's bid price): $ 1/, 4119 - dd Scope of Work (please provide detailed information): C) cid o �' '5' " y/Amp Si 'ip f /5-, Yc/ctJC ayy : r,re SW'C11e-i `/C - J'1r ii, ,t 7Y &c -c SenSc'cs, �' "3... S cl Y45 c p iv l-3�r0/e Dov 2Oen bieAkei•-/ v fc:rr dw44 moo,,.. vc ;y.s}•a/l, r, 5-5 P` n'S Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes [ No Type of Use: Type of work: 0 New ❑ Addition 0 Service Change 0 Remodel qa Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: .ty? Puget Seu,id Energy Seattle City Light H:\Applications\Forms-Applications On Line\2013 Applications\Electncal Permit App 'cation Revised 7-I-13.docx Revised: July 2013 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 $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: Print N e: Mailing Address: 4'�'v2.6 r`6" S¢ iv Sf /CI Date: 1-"1:—/3 Day Telephone: o253— .2czoi City H:\Applications\Forms-Applications On Line 2013 Applcations\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh Uax 91?"01 State Zip 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 Parcel No.: 2716000030 Address: 12646 INTERURBAN AV S TUKW Suite No: Applicant: TCMS RECEIPT Permit Number: EL13-0755 Status: APPROVED Applied Date: 08/08/2013 Issue Date: Receipt No.: R13-02322 Initials: User ID: JEM 1165 Payment Amount: $307.20 Payment Date: 08/08/2013 12:38 PM Balance: $0.00 Payee: KIRBY ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 515461 307.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 307.20 Total: $307.20 Printar1• nR_nA_7m3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: , rt5Type of Inspection: TOO Address: _ (Z41(0. (AIT( 1 Date Called: Special Instructions: Date Wanted: r, m p. . Requester: Phone No: Approved per applicable codes. IBJ Corrections required prior to approval. COMMENTS: ti4 toix Date: 073/1,3 REINSPECTION FEE REQUIR D. Prior to next inspection, femust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit 6yq-07r INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98184„, (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Yw� Project: 1 ------co Type of Inspection: 200 - 44-1 KectP1 A-6. 3 For\ .' `` g4.031 Address: 1244 A/QQ Date Called: - SJPPokr tteec ikon) t..1-Sinii. btscoAin t. L.oc.e_ aur t.sp ,D i s456i..- Special' Instructions: Date Wanted:/ Z �...d Requester: ..---w Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: — C.DniDJ t i 54 MST- - 44-1 KectP1 A-6. 3 For\ .' `` g4.031 Goa istrEA-Nip Rf r&oo1) - gar, Hor co,D ,' w A /(-0I ,. - SJPPokr tteec ikon) t..1-Sinii. btscoAin t. L.oc.e_ aur t.sp ,D i s456i..- ..---w Inspector: "� Date: 0 7 65 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 CITY OF TUKWILA BUILDING DIVISION . . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431-3670 Permit Inspection Request. Line (206) 431-2451 Project: Type of Inspection: Address: � '�J�� Date Called: Special Instructions: Date Wanted: " .m. p. Requester: / Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 04444/ C0461\ Inspector: Date: 080 REINSPECTIOM FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople lifter Friendly Page • Page 1 of 2 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 KIRBY ELECTRIC INC UBI No. 601433048 Phone 2538592000 Status Active Address 4826 B St Nw Ste 101 License No. KIRBYEI077BN Suite/Apt. License Type Electrical Contractor City Auburn Effective Date 1/15/1993 State WA Expiration Date 1/13/2015 Zip 98001 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration DateKIRB Status KIRBYE'101QEELEC ELECTRICContractor Electrical 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 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 EMURD00529 2/7/2013 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHIR00274 9/24/2007 19.28.271 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 • 08/08/2013