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Permit EL14-0287 - NORDSTROM - BALER
NORDSTROM 1000 ANDOVER PARK W EL14-0287 City of Tukwila Department of Community Development = 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 �$ Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov Parcel No: Address: 2623049118 1000 ANDOVER PARK W Project Name: NORDSTROM ELECTRICAL OTC PERMIT Permit Number: EL14-0287 Issue Date: 4/3/2014 Permit Expires On: 9/30/2014 Owner: Name: Address: ANDOVER WEST LLC % POWELL D PO BOX 97070 , KIRKLAND, WA, 98083 Contact Person: Name: VLADIMIR MIKITYUK Address: Contractor: Name: Address: License No: Lender: Name: Address: 4826 B ST NW STE 101, AUBURN, WA, 98001 KIRBY ELECTRIC INC 4826 B ST NW, STE 101, AUBURN, WA, 98001 KIRBYEI077BN Phone: (253) 405-7505 Phone: (253) 859-2000 Expiration Date: 1/13/2015 DESCRIPTION OF WORK: RELOCATE BALER - DEMO AND REFEED Valuation of single family: $0.00 Valuation of mf/comm: $4,300.00 Type of Work: REMODEL Fees Collected: $192.57 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: 02j 14 I hearby 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 development per ;j, anagree to the conditions attached to this permit. Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L14— O201 Project No. Date Application Accepted: Date Application Expires: (For office use only) og /oJ 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: /c2 Lid Tenant Name: � % j% King Co Assessor's Tax No.: )-J /_7i(%L " 1 l / ' �'l 3 3 (%jj� / Yl� W Suite Number: Floor: a cis 4 mom PROPERTY OWNER Name: Y l O c, tvifc� L w C Address:, P O Pip ( On o fl City: VA. vi , Lrt ,�r1 pState: k✓ jp Zip: c,10 t; CONTACT PERSON — person receiving all project communication Name: Vitt_ dikini �l It CA Address: cfcsoz 6 g 5,4— N (,c// -1 i= lD / City: �� nu �� State: , / Zip: Qy� Phone: aos Email: / V - i,ryi f ✓ @. K-c'vh,1 r ice ih (C_ 4,7 New Tenant: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: y • i - /=' j ^ Address: 6/k (V/EJ RC /C2 / City: AI kif `„;,-, State: bli6 Zip: 7cfdo Phone:02 fl v x: S 3 - y,-`c/ _ 2 5 67 Contr Reg No.tt,p le 1 xp Date: o11 j, (`c Tukwila Business License No.; FbtA�r D g i Z 2� Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): I Will service be altered? ❑ YesNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Adding more than 50 amps? ❑ Yes No Property Served by: "uget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-I4.docx Revised: January 2014 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 ❑ 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 ***EFFECTIVE JANUARY 1, 2014.EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 EIZ RICAL CONTRACTOR: Signature: Print Name: J/ Q/ / r77 f f ►" zil It Day Telephone: Date: -(3 - 2J� L/o f_ 7res- Mailing Address: q If 026 Ai -" .51f /T /() j 4-t k, -L' City State cidoo Zip H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY PAID $533.72 EL14-0287 . Address: 1000 ANDOVER PARK W Apn: 2623049118 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE R000.322.900.04.00 $9.17 EL14-0288 Address: 3215 S 116 ST 121 Apn: 0923049066 $341.15 ELECTRICAL $324.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $324.90 TECHNOLOGY FEE $16.25 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R1679 ' $16.25 $533.72 Date Paid: Thursday, April 03, 2014 Paid By: KIRBY ELECTRIC, INC. Pay Method: CHECK 515733 Printed: Thursday, April 03, 2014 8:12 AM 1 of 1 cre SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit fif411)211 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: Address: �© OkiDate Called: Special Instructions: Date Wanted: b Z 3"tii Requester:` J Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: eakfc11045 nA( o ,t ktv Ins I Inspector: of ). f 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit a/I1(02,57 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: ,,��y,�-p A Type of Inspection: Address: {{0 0,A1 Date Called: Special Instructions: Date Wanted: f7 a.m. Requester: Phone No: Approved per applicable codes. n Corrections required prior to approval COMMENTS: S, t Sc4✓ / o e Ii'fS /5f4 TNT. Iq-TA 5 ' z; t /Sd rC.t' 6-fret-nit Date: D4tvl REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. KIRBY ELECTRIC INC Page 1 of 3 Washington State Department of Labor & Industries KIRBY ELECTRIC INC Owner or tradesperson KIRBY, DOUGLAS E Principals KIRBY, DOUGLAS E Douglas, Kirby KIRBY, SHANNON (End: 01/04/2012) KIRBY, SHANON E (End: 01/04/2012) Doing business as KIRBY ELECTRIC INC WA UBI No. 601 433 048 4826 B ST NW STE 101 AUBURN, WA98001 253-859-2000 KING County Business type Corporation Governing persons DOUGLAS EDGAR KIRBY License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. KIRBYEI077BN Effective — expiration 01/15/1993 — 01/13/2015 Designated administrator KIRBY, DOUGLAS E License type Master Electrician Bond WESTERN SURETY CO Bond account no. 70607132 Received by L&I 11/05/2008 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. KIRBYDE962LZ $4, 000.00 Effective date 01/14/2009 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 04/03/2014