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HomeMy WebLinkAboutPermit EL15-0211 - INTERURBAN CHIROPRACTIC - RECEPTACLES AND TROFFERSINTERURBAN CHIROPRACTIC 13028 INTERURBAN AVE S, #104 EL15-0211 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 ELECTRICAL OTC PERMIT Parcel No: 0004800017 Permit Number: EL15-0211 Address: 13028 INTERURBAN AVE S 104 Issue Date: 3/6/2015 Permit Expires On: 9/2/2015 Project Name: INTERURBAN CHIROPRACTIC Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900, SCOTTSDALE, WA, 85261 Contact Person: Name: REX COLLINS Phone: (253) 213-3255 Address: 4826 B ST NW, AUBURN, WA, 98001 Contractor: Name: KIRBY ELECTRIC INC Phone: (253) 859-2000 Address: 4826 B ST NW #101, AUBURN, WA, 98001 License No: KIRBYE1077BN Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: ADD 10 RECEPTACLES AND 4 TROFFERS Valuation of single family: $0.00 Valuation of mf/comm: $4,100.00 Type of Work: TENANT IMP Fees Collected: $192.57 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Y/1lk ��� Date: 6 r fU —1 J 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 permit and agree to the conclAions attached to this permit. Signature: i ��_ � -- Date: LS Print Name: e � �� � L& I1 A14 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 TUAM, rt , Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Electrical Permit No. ou I Project No. Date Application Accepted: % ' 1p - f Date Application Expires: ll i y 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" King Co Assessor's Tax No.: Site Address: 1—:3o El S —,C,J 7LFL24J R-(3 6 °.) �` J S Suite Numb off ^ / O �0 Floor: Tenant Name:�[ZT� n v Pe A rJ c,,-14 (�c0 4c-T New Tenant: ❑ Yes Q No PROPERTY OWNER Name:6-ATd Gj,4,r G4)r— P mK-47ci Lc jTc, < Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address:20 26 13 S % • nJ t-) /0 1 pciity: J J State: Zip: �Oc� 6i5-one: Z 13 3 2 S" Fax: eS Z� 3 Email: ® K-� ef3 C7 (ecT<L-� C , C1 ELECTRICAL CONTRACTOR INFORMATION Company Name: j� Le c.:-r ' Address: Y8 Z6 S I, N W I S J- /0 / City: v (? u f State: Zip, �gUv I PhongL y. � � � ��� Fax: 2 Contr Reg- T-L � -7 V V Date: Tukwila Business License No.;IS J S 09 1 2,q 3 5— Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): . —A 77 /J (&C-e p-r /ic IrS f --'2 d �S Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change a/Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Propea Served b : Erl"Puget Sound Energy ❑ Seattle City Light H:Wpplitations\FormsApplications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1.14.docx Revised: January 2014 bh Page t 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) PERMIT APPLICATION NOTES - 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*** 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: Print Name: Date: 3 ,- (pp � ( Day Telephone:` 5 3- 2( 3 3 Z S Mailing Address: Ifs 'Ztr 0 1 �->(j < s•1 eAJ p q 0 O0 I City state Zip HAApplicadmstForms-Applications On 1ine\2014 Apphcations\E1wrica1 Permit Application Rcvised 1-1-14Ad Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK PAID $192.57 EL15-0211 Address: 13028 INTERURBAN AVE S 104 Apn: 0004800017 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R4760 $9.17 $192.57 Date Paid: Friday, March 06, 2015 Paid By: KIRBY ELECTRIC INC Pay Method: CHECK 517112 Printed: Friday, March 06, 2015 12:50 PM 1 of 1 RWSY57EM5 INSPECTION RECORD Retain a copy with permit INSPE I TION NO. PERIVIR Na. CITY OF TUKWILA BUILDING DIVISION 6300 $outhcenter Blvd., #100, Tukwila, WA 98188 M6) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: N�116 Type of Inspection: Address: / 502Z Date Called: Special Instructions-, Date Wanteg.ta.rn.� Requeste;' Pgone No: MApproved per applicable codes. 1-1 Corrections required prior to approval. R L9 R REINSPECT104 FEE REQUI: ED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD . ... ...... . I Retain a copy with permit INSPECTION NO, PERMIT NO. CITY OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367.. Permit Inspection Request Line (206) 438-9350 Proj6ct-'-'- Type of Inspection.— Address: lAiP Date Called: 0 A lam' /i special instructions. Date Wanted:a. ? p.m. Requester: Phone No-, Approved per applicable codes. Corrections required prior to approval. COMMENTS: x) /_7 ... .... .. . . IL Re+ &J, 41 " paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 $outhcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 P roj ect. Type of Inspection: . ........... Address. Date Catied: Special Instructions'. Date Wante Requester'. Phone No - Approved per applicable codes. Corrections required prior to approval. COMMENTS: .......... REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Gait to schedule reinspection. INSPECTION RECORD Retain a copy with permit Cjj — f INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila, WA 98188 (206) 431-36706 Permit Inspection Request Line (206) 438-9350 Project: nlj Type of Inspection: A/ Address: Date Called: Special instructions: Date Wanted:�,a . rn C 1) C P� Requester'. IV "I N P one o: _7 ff -7)13 2-13 f3z5-'r. ElApproved per applicable codes. E] Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must tie paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. KIRBY ELECTRIC INC Page 1 of 3 Home Inicio en lscpanol Contact Safety Washington State Department of Lab©r & Industries KIRBY ELECTRIC INC Search L ! 4 » A-Z Index Help Nly secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 4826 B ST NW STE 101 KIRBY, DOUGLAS E AUBURN, WA98001 253-859-2000 Principals KING County KIRBY, DOUGLAS E, PRESIDENT Douglas, Kirby, AGENT KIRBY, SHANNON, AGENT (End: 01 /04/2012) KIRBY, SHANON E, AGENT (End: 01 /04/2012) Doing business as KIRBY ELECTRIC INC WA UBI No. Business type 601 433 048 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ................................................_..._.... Meets current requirements. License specialties GENERAL License no. KIRBYE1077BN Effective — expiration 01/15/1993— 01/13/2017 Designated administrator Active. kik0V, DOUGLAS E Meets current requirements. License type License no. Master Electrician KIRBYDE962LZ Bond ................ WESTERN SURETY CO $4,000.00 Bond account no. 70607132 Received by L&I Effective date 11/05/2008 01/14/2009 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EROJE00253 Satisfied Issue date RCWlWAC https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 3/6/2015 KIRBY ELECTRIC INC Page 2 of 3 11/03/2014 Violation city AUBURN Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-466-901. Infraction no. EALLM00349 Issue date 06/30/2014 Violation city AUBURN Type of violation ELECTRICAL CITATION Description Failing to request an Inspection within 3 business days after completion of the Installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46 B-901. 19.28.101 RCW Violation amount $1,000.00 Not Satisfied ...................................... RCW/WAC 19.28.101 RCW Violation amount $600.00 Infraction no. EALLM00348 Not Satisfied ...................................... Issue date RCW/WAC 06/30/2014 19.28.101 RCW Violation city Violation amount AUBURN $250.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electricalltelecommun!cations work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication Installation or alteration as referenced in WAC 296-466-901. Infraction no. EMURD00629 Satisfied .......................... Issue date RCW/WAC 02/07/2013 19.28.101 RCW Violation city Violation amount AUBURN $250.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 29646B-900(10)(a), effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no EBIEA00522 Satisfied Issue date RCW/WAC 09/03/2010 19.28.101 RCW Violation city Violation amount $260.00 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 3/6/2015