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Permit EL17-0556 - GEOLINE - SWITCHING, THERMOSTATS AND OUTLET
GEOLINE 12658 INTERURBAN AVE S ELI 7-0556 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 2716000030 Permit Number: EL17-0556 12658 INTERURBAN AVE S Project Name: GEOLINE Issue Date: 7/19/2017 Permit Expires On: 1/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: EPROPERTYTAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 JEFF FOSTER 4826 B ST NW #101, AUBURN, WA, 98001 KIRBY ELECTRIC INC 4826 B ST NW #101, AUBURN, WA, 98001 KIRBYEI077BN Phone: (253) 457-2201 Phone: (253) 859-2000 Expiration Date: 1/13/2019 DESCRIPTION OF WORK: REVISE SWITCHING, RELOCATE (2) THERMOSTATS, (1) TV OUTLET Valuation of single family: $0.00 Valuation of mf/comm: $7,500.00 Type of Work: TENANT IMP Fees Collected: $253.18 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: 1 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, o the conditions attached to this permit. Signature: Print Name: j 32- ef-P Date: 167 — / 7 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 TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 09Electrical Permit No. 97( T� I Project No. Date Application Accepted: 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** SITELOCATION Site Address: 12658 Interurban Ave S Tenant Name: Geoline King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No PROPERTY OWNER Name: Jeff Foster Name: Geoline City: Auburn State: WA Zip: 98001 Address: 12658 Interurban Ave S Email: City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Jeff Foster 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): $ 7,500 Scope of Work (please provide detailed information): Revise switching, relocate (2) thermostats, (1) TV outlet. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Commercial 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:\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 ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 ELECTRICAL CONTRACTOR: Signature: Print Name: Jeff Foster Date: 07/19/2017 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-1-14.docx Revised: January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $253.18 EL17-0556 Address: 12658 INTERURBAN AVE S Apn: 2716000030 $253.18 ELECTRICAL $241.12 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $241.12 TECHNOLOGY FEE $12.06 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11949 R000.322.900.04.00 0.00 $12.06 $253.18 Date Paid: Wednesday, July 19, 2017 Paid By: KIRBY ELECTRIC INC Pay Method: CHECK 519997 Printed: Wednesday, July 19, 2017 10:04 AM 1 of 1 SYSTEMS 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: /'CV�JE [••l, Type of Inspection: /- '�`j Address: �r / 131t Q Date Called: Special Instructions: Date Wanted: rri. Requester: Phone No: ;c3'1r7 P.- I:1r v Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: eidkik-64_5 tiAA)( Inspector: Date: /0/1(p/1 7 REINSPECTION FSE 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 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 6„.„ L4ir Type of Inspection:�'�'`Address: . _ P -o i ©'J ; J e, , ����� /,JrF Date Called: pi—If-Gott— Special Instructions: Date Wanted: n �. /y % p m. Requester: y`,_ _ / C.rr Phone No: Z-51 tcI �� „ i 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: . _ P -o i ©'J ; J e, C_5/1414-5 / di kir-ea-6W frfkli) 13A ck k! 64 (u 6E4 ant...( -10 /n%)APV pi—If-Gott— Fo5r P 641 ii--- _..- .. Inspector: 6,149, 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 CII) Washington State Department of Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Search L&I A -Z index Help Page 1 of 3 SEARCH" `A My .L&l 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 Active. Meets current requirements. License specialties GENERAL License no. KIRBYEI077BN Effective — expiration 01/15/1993— 01/13/2019 Designated administrator KIRBY, DOUGLAS E 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 Savin 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= 7/19/2017 KIRBY ELECTRIC INC License Violations Infraction no. EROJE00253 Satisfied ................... Issue date RCW/WAC 11/03/2014 19.28.101 RCW Violation city Violation amount AUBURN $1,000.00 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 296-46B-901. Infraction no. EALLM00348 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 electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-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 296-46B-901. Infraction no. EMURD00529 Issue date 02/07/2013 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 -46B -900(10)(a), effective after 12/30/2008 see WAC 296 -46B -901(10)(a). Satisfied ............ _...._.. RCW/WAC 19.28.101 RCW Violation amount $500.00 Satisfied ..................._... RCW/WAC 19.28.101 RCW Violation amount $250.00 Workers' comp Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 7/19/2017 KIRBY ELECTRIC INC , Do you know if the business has employees? If rify the business is up-to-date on workers' comp premiLfillikk L&I Account ID 592,302-01 .............................. Doing business as KIRBY ELECTRIC INC Estimated workers reported Quarter 1 of Year 2017 "Greater than 100 Workers" L&I account contact T2 / KATHY ULRICH (360)902-4829 - Email: WITE235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes .............................._................. No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 05/07/2015 Inspection no. 317936072 Location 14810 Puyallup Street Sumner, WA 98390 Inspection results date 03/26/2014 Inspection no. 316968411 Location 4123 142nd Ave. East Sumner, WA 98390 Violations Violations Page 3 of 3 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 7/19/2017