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Permit EL17-0491 - FOOTACTION - RECEPTACLES, LIGHTING AND HVAC UNIT CONNECTION
FOOTACTION 1051 SOUTHCENTER MALL EL1 7-0491 Parcel No: Address: 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 9202470010 Permit Number: 1051 SOUTHCENTER MALL Issue Date: Permit Expires On: Project Name: FOOTACTION EL17-0491 6/23/2017 12/20/2017 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 Contact Person: Name: RICK MORRISON Address: Contractor: Name: 4826 B ST NW #101 , AUBURN, WA, 98001 KIRBY ELECTRIC INC Address: 4826 B ST NW #101, AUBURN, WA, 98001 License No: KIRBYEI077BN Lender: Name: Address: Phone: (253) 263-2064 Phone: (253) 859-2000 Expiration Date: 1/13/2019 DESCRIPTION OF WORK: TENANT IMPROVEMENT INCLUDING EXISTING SERVICE, RECONFIGURE RECEPTACLES, LIGHTING AND HVAC UNIT CONNECTION. Valuation of single family: $0.00 Valuation of mf/comm: $60,000.00 Type of Work: TENANT IMP Fees Collected: $1,186.85 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 kiDate: 0 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 agree4 the conditions attached to this permit. Signature: ,,// Print Name: UCw( 4,4 K( -4,7G Date: 6-z3-%� 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 TUKWILV1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: f-,11- 04411 (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 Site Address: IoI -3Southcenter Mall Tenant Name: Foot Action King Co Assessor's Tax No.: Suite Number: 416 Floor: New Tenant: ® Yes ❑..No PROPERTY OWNER Name: Rick Morrison Address: 4826 B St NW #101 Name: Westfield Southcenter Phone: (253) 263-2064 Fax: (253) 859-2363 Email: Address: 2800 Southcenter Mall City: Seattle State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Rick Morrison Address: 4826 B St NW #101 City: Auburn State: WA Zip: 98001 Phone: (253) 263-2064 Fax: (253) 859-2363 Email: 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): $ 60,000 Scope of Work (please provide detailed information): Tenant improvement including existing service, reconfigure receptacles, lighting, and HVAC unit connection. Will service be altered? ❑ Yes m No Adding more than 50 amps? CI Yes m No Type of Use: Type of work: ❑ New ❑ Addition D Service Change ❑ Remodel ® Tenant Improvement ❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: 2 Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I.14.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 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 O 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) O 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 ELECTRICAL CONTRACTOR: Signature: 1/(/ ,/ Date: 06/23/2017 Print Name: Vadin/alchik Day Telephone: (253) 859-2000 Mailing Address: 4826 B St NW #101 Auburn WA 98001 City H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.docx Revised: January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK ;186.8! EL17-0491 Address: 1051 SOUTHCENTER MALL Apn: 9202470010 ,186.8! ELECTRICAL $1,130.33 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $1,130.33 TECHNOLOGY FEE $56.52 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11799 R000.322.900.04.00 0.00 $56.52 $1,186.85 Date Paid: Friday, June 23, 2017 Paid By: KIRBY ELECTRIC INC Pay Method: CHECK 519850 Printed: Friday, June 23, 2017 12:28 PM 1 of 1 C( SYSTEMS INSPECTION RECORD1.-01(Retain a copy with permitINSPE 'TION N0. PMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3674, Project: 4 -Type of Inspection: / Address: /0 ) I rintA Date Called: — Special Instructions: I Date Wanted: /ra m. p. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: oRucx-idd5 1114pc Inspector: Date: 60 (17 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 Project: 40 Typeof Inspection: fi- i �,..,'i�0 Address: o5-' I' Date Called: 40rES Y T PA-Nk.50,4‹-m.,6.5 i3 Qt-eG- p/ /'Tt L $ -- C,Kr. dort6z5 p k Poo! Tb! LA-oc-L, Special Instructions: Date Wanted:a.m 30 P• • Requester: Phone No: 3 5 167 23 Approved per applicable codes. Corrections required prior to approval. COMMENTS: fk 0 - --- grb sTA-FP Z. 40rES Y T PA-Nk.50,4‹-m.,6.5 i3 Qt-eG- p/ /'Tt L $ -- C,Kr. dort6z5 p k Poo! Tb! LA-oc-L, Inspector: l% Date: ©i 3x(17 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECT N0. PE MIT NI. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: 60 ipd T f jhs ection: Address:�0 �� itt.t. Date Called: Special InstFuctions: Date Wanted: /2pa.m. ) 2/ Y . Requester: Phone No: LIApproved per applicable codes. ['Corrections required prior to approval. COMMENTS: CANlawcr-7 Inspector: Date: G c REINSPECTI7N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 , outhcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: z'T r�/ ,r -V Type of Inspection: i Addre$_ ski ,c_.. / ", , f V Date Called: Special Instructions: Date Wanted: ,� a.m. p.m. Requester: -5Th VC Phone 141 ys 7 Z 33 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: C 44)7MC11/ ,1)T .s/ -re /*/ di A L-7--ea/f) Date: REINS " CTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. a Retain a copy with permit "`,1 ��' CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD INSPECTION NO. PE MIT NO. 6300 Southcenter Blvd., #100, Tukwila. WA 981.88 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project.131%�i TyA ryspectian: Address: /0 5. ( Date Called: ®ca Special Instructions: Date Wanted: y/ Ca. Requester:gy-cr Phone No: -, l n 23 �r Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: O E Z3 REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSP tTI0N NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: / � / �(iJ�•vn N/ Type of InspectionZ. �ry CC// l Address: to 7 Date Called: Special Instructions Date Wanted:m. 31(C P.m Requester: Phone No: , 72-357, ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: fir - 6211). Fo�,facr[o Inspector: el\ Date: eg f( tl1 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PEMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: O Od Type of Inspection: 9 t tt r Ai Address: 0 5-j ifr Date Called: Special Instructions: Date Wanted: fO p Requester: Phone No: 33 tiS7 235-6 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: - C,D Jet\ ST500.94, Inspector: I Date: O$ Pit 7 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 cui.-04.17/P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 6 O `O� �� f Type of Inspection:/) jail -r4 Address: // / 5—/ Date Called: Special Instructions: Date Wanted:a.m. ��p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: - (AA,- Covift 111-44 11-6'°7-7—°c4c`\ KAP 6.1 ZoAleS) — (JAM A-f•LO nTIA-143on� Inspector: -- &ivi t /�ry ek Date: 074417 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3674INSPECTION RECORD 51,173111( Retain a copy with permit INSPECTION NO. PMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 TheriDA O to `Project: Type of Inspection: f t' NI Address: /l� ti Date Called: Special Instructilns: Date Wanted:VI/ m. (11:•m_.„. Requester: Phone No: vc-3 14S-7 3‘2 23‘2* Approved per applicable codes. Corrections required prior to approval. COMMENTS: C dA14./evv, 4041%,5 ri_or /040p...1411 6oJr i kJ/ Inspector: Jee, 07/4 l`1 67 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. KIRBY ELECTRIC INC Home ] spaiiol Contact Safety & Health Claims & Insurance Washington State Department of 4. Labor & Industries Search L&I Page 1 of 3 SEARCH A -Z Index Help My 1.ti&I Workplace Rights Trades & Licensing 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 WA UBI No. 601 433 048 4826 B ST NW STE 101 AUBURN, WA 98001 253-859-2000 KING County Business type Corporation Governing persons DOUGLAS EDGAR KIRBY SHANON ELAINE 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— 01/13/2019 Designated administrator KIRBY, DOUGLAS E Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician KIRBYDE962LZ Bond WESTERN SURETY CO Bond account no. 70607132 $4,000.00 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. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 6/23/2017