HomeMy WebLinkAboutPermit EL16-1008 - DENNIS UNIFORM - RECEPTACLE CIRCUITSDENNIS UNIFORM MFG
12600 INTERURBAN AVE S
SUITE 110
EL16-1008
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.gov
ELECTRICAL OTC PERMIT
Parcel No: 0004800003 Permit Number: EL16-1008
Address: 12600 INTERURBAN AVE S 110 Issue Date: 11/3/2016
Permit Expires On: 5/2/2017
Project Name: DENNIS UNIFORM MFG
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207, SCOTTSDALE, WA,
85261
Contact Person:
Name: REX COLLINS Phone: (253) 859-2000
Address: 4826 B ST NW STE 101, 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: 1/13/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADDING (6) DEDICATED RECEPTACLE CIRCUITS
Valuation of single family: $0.00 Fees Collected: $248.22
Valuation of mf/comm: $7,500.00
Type of Work: TENANT IMP Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2015 National Electrical Code:
2014
International Residential Code Edition:
2015 WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015 WAC 296-466:
2014
Uniform Plumbing Code Edition:
2015 WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature: J-
J&-
Date:
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 conditions attached to this permit.
Signature: Date:
Print Name: I 10Z, C ti rL�_
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 TUKWI_
AftAPM •
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.TukwilaWA.gov
Electrical Permit No. L L-1 l60 U
Project No.
Date Application Accepted:
Date Application Expires:
use
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.:
Site Address:
12600 Interurban Ave S
Suite Number: 00
Floor:
Tenant Name:
Dennis School Uniforms
New Tenant:
❑ .....Yes ®..No
PROPERTY OWNER
Name: Dennis School Uniforms
Address: 12600 Interurban Ave S
City: Tukwila State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Rex Collins
Address: 4826 B St NW #101
City: Auburn State: WA Zip: 98001
Phone: (253) 263-2064 Fax: (253) 859-2363
Email:
rex e k.A,4 ci.eC1,1c, co
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kirby Electric Inc
Address: 4826 B St. NW #101
City: Auburn State: WA Zip: 98001
Phone: (253) 859-2000 Fax: (253) 859-2363
Contr Reg No.: KIRBYEI077BN Exp Date:
Tukwila Business License No.; BUS -0992935
Valuation of Project (contractor's bid price): $ 7,500
Scope of Work (please provide detailed information): Adding (6) dedicated receptacle circuits.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
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:\ApplicationslForms-Applications On Line,2014 Applications Icctrical Pcrmit Application Revised 1.1-14.docx
Revised: January 2014
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Page] 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: Vadim Kalchik
Mailing Address: 4826 B St NW #101
H:1ApplicationslForms-Applications On Line12014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Date: 11/03/2016
Day Telephone: (253) 859-2000
Auburn WA 98001
City State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$248.22
EL16-1008 Address: 12600 INTERURBAN AVE S 110 Apn: 0004800003
$248.22
ELECTRICAL
$236.40
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$236.40
TECHNOLOGY FEE
$11.82
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL ' R9786
$11.82
Date Paid: Thursday, November 03, 2016
Paid By: KIRBY ELECTRIC INC
Pay Method: CHECK 519093
Printed: Thursday, November 03, 2016 8:39 AM 1 of 1
rpw- SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Proiect: 01 n f V r ITvoe of Inspection: r -.IV
®C7
Date
Reouester:
o:
Approved per applicable codes. L3 Corrections required prior to approval.
-
pector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee rftust be
paid at 6300 Southcenter Blvd., Suite 100. Gall to schedule reinspection.
/ INSPECTION RECORD
r Retain a copy with permit �v
INSPECTION NO. PEWIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ww''
15,
Ail
Type of Inspection:
Address:
- `
V
� �
Date Called:
Special instructions:
Date Wanted: .
tj
Requester:
Phone No:
ElApproved per applicable codes. a Corrections required prior to approval.
-No
WOM
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
KIRBY ELECTRIC INC
Washington State Department of
J Labor & Industries
KIRBY ELECTRIC INC
Owner or tradesperson
Principals
KIRBY, DOUGLAS E, PRESIDENT
Kirby, Douglas, AGENT
KIRBY, SHANNON, AGENT
(End: 01/04/2012)
KIRBY, SHANON E, AGENT
(End: 01/04/2012)
Doing business as
KIRBY ELECTRIC INC
Home Espanol Contact
Safety & Health Claims & Insurance
4826 B ST NW STE 101
AUBURN, WA 98001
253-859-2000
KING County
WA UBI No. Business type
601 433 048 Corporation
Governing persons
DOUGLAS
EDGAR
KIRBY
SHANON ELAINE KIRBY;
License
Page 1 of 3
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Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
ElectricalContractor Active.
............................................................
Meets current requirements.
License specialties
GENERAL
License no.
KIRBYE1077BN
Effective — expiration
01/15/1993— 01/13/2017
Designated administrator
KIRBY, DOUGLAS E
License type
Master Electrician
Bond
..._.........
WESTERN SURETY CO
Bond account no.
70607132
Received by L&I
11/05/2008
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
License no.
KIRBYDE962LZ
$4,000.00
Effective date
01/14/2009
Expiration date
Until Canceled
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