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HomeMy WebLinkAboutPermit EL19-0719 - KING LASIK - UNDERGROUND AND TEMPORARY POWER FOR NEW BUILDINGKING LASIK 6700 FORT DENT WAY EXPIRED 03/18/2020 ELI 9-0719 Parcel No: Address: Ci*xx of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 TukwIa, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438'9350 Web site: http://www.TukwilaWA.gov 2954900420 6700 FORT DENT WAY Project Name: KING LASIK ELECTRICAL OTC PERMIT Permit Number: EL19'0719 Issue Dat : 9/4/2019 Permit Expires On: 3/18/2020 Owner Name: Address: Contact Person: Name: Address: Contractor: Name: FORT DENT REAL ESTATE LLC 900 SW 16TH ST #200 , RENTON, WA, 98057 OLEG LEBED 4826 B ST NW SUITE 1Ol,AUBURN, WA, 98001 KIRBY ELECTRIC INC Address: 48Z6BST NVV#l01,AUBURN, WA, 98001 License No: KIRBYE1077BN Lender: Name: Address: ''' Phone: (253) 859-2000 Phone: (253) 859-2000 Expiration Date: 1/13/2021 DESCRIPTION OF WORK: INSTALL UNDERGROUND AND TEMPORARY POWER FOR NEW BUILDING *ADDED CONDUIT ONLY PORTION OF WORK TO PERMIT 09/25/19* Valuation ofsingle family: $0.00 Valuation of mf/comm: $300.00 Type of Work: TEMP SERVICE Fees Collected: $160:87 Electrical Service Provided by: PUGET 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 FueI 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: 2017 20172017 2015 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 ay. agree to the conditions attached to this permit. Signature: Print Name: 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 and the Washington Cities Electrical Code. 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 7001 UNDERGROUND/SLAB 7001 UNDERGROUND/SLAB 7001 UNDERGROUND/SLAB Parcel No: Addeo: Cit^�� 77 �v^"^U w~U~� ��n o��n�m��na 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 2954900420 6700 FORT DENT WAY Project Name: KING LASIK ELECTRICAL OTC PERMIT Permit Number: EL19'0719 Issue Date: 9/4/2019 Permit Expres On: 3/2/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: FORT DENT REAL ESTATE LLC BD0SVVl6TH5T#2OO'RENTON,WA, 98057 OLEG LEBED 4826 B ST NW - SUITE 101 , AUBURN, WA, 98001 KIRBY ELECTRIC INC Address: 4826DSTNYV44I01AUBURN, WA 98001 License No: KIRBYEI077BN Lender: Name: Address: ''' Phone: (253) 859-2000 Phone: (253) 859-2000 Expiration Date: 1/13/2021 DESCRIPTION OF WORK: INSTALL A UFER GROUND AND TEMPORARY POWER FOR NEW BUILDING Valuation of single family: $0.00 Valuation of mf/comm: $300.00 Type of Work: TEMP SERVICE Fees Collected: $160,87 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codeadopted by the City of Tukwila: International Building Code Edition: International Residential Code Editiori: Iriternational Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signatu 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: Date: 2017 2017 2015 |hearbycertify that have read and examlried 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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtain this development permit and .gree t.4he conditions attached to this permit. Signature: Print Name: 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: *.~ELE[TR|C4LPERMIT [ONO|T|ONS~~* 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 and the Washington Cities Electrical Code. 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: (2O6)43O'9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWIC.). Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No, 1-19 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** SITE LOCATION Site Address: King Co Assessor's Tax No.: 6700 Fort Dent Way Tukwila WA, 98188 Tenant Name: King Lasik PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Oleg Lebed Address: 4826 B St NW #101 City: Auburn State: WA Zip: 98001 Phone: (253) 859-2000 Fax: (253) 859-2363 Email: OlegL@kirbyelectric.com Suite Number: Floor: New Tenant: El Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Kirby Electric Inc. Address: 4826 B St. NW #101 City: Auburn State: WA Zip: 98001 Phone: Fax: (253) 859-2000 (253) 859-2363 Contr Reg No.: KIRBYEI077BN Exp Date: Tukwila Business License No,; BUS -0992935 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Ii(stallation of a ufer ground for a new King Lasik building. ks:7(91\- i)0 ()-v s‘.1c- ro,Y 1/41 km0 , Will service be altered? LJ Yes No Adding more than 50 amps? LJ Yes RD No Type of Use: Type of work: V New 0 Addition 0 Service Change El Remodel 0 Tenant Improvement 1=1 Low Voltage 0 Generator 1=1 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: [2] Puget Sound Energy 0 Seattle City Light WAPennit Center\ Applications4landouts \ Permit Applications \PDFalectrical Permit Application Revised 1 I -17.docz Revised: January 2017 bh PAO/. 1 nf RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $15:5.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES Temporary service (residential) $66.30 Temporary service (generator) $82.52 O Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELE '' CAL ONTRACTOR: Signature: Date: 09/04/2019 Print Name: Oleg Lebec Day Telephone: (253) 859-2000 Mailing Address: 4826 B St NW #101 Auburn WA 98001 City W:'ernut Center\Applications-HandoutstPennit Applications\PDF'slElectrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Pani .,f Receipt Number DESCRIPTIONS , 1 , ACCOUNT 1 QUANTITY PerrnitTRAK PAID $160.87 EL19-0719 Address: 6700 FORT DENT WAY Apn: 2954900420 $160.87 ELECTRICAL $153.21 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $70.69 PERMIT FEE MISCELLANEOUS R000.322.101.00.00 0.00 $82.52 TECHNOLOGY FEE $7.66 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18489 , R000.322.900.04.00 0.00 $7.66 $160.87 Date Paid: Wednesday, September 04, 2019 Paid By: KIRBY ELECTRIC INC Pay Method: CHECK 522231 Printed: Wednesday, September 04, 2019 4:15 1 of 1 PM CrAWYSTEM5 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: Type of Inspe Date Called: 'on: 061 L"41* Address: . 0 Special ns ruc ns: liCIP" 94)(j6C Date Wanted: a.m. p.m. Requester: Phone No: • • Approved per applicable codes. COMMENT Corrections required prior so approval. nspec Date: REINSPECT ON 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 PE` MIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: f � Type of inspection: Address:f,._ Date Called: Special Instructions: Date Wanted: aim± Requester: Phone No: ,„.5....3 45 7 1JApproved per applicable codes. Corrections required prior to approval. n s pecto Date: 07 06/17 REINSPECT! N 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 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 Permit inspection Request Line (206) 438-9350 Project; i(i t Type of Inspection: , C Address: F �•� ©ate Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. nsp bate: REINSPECTION` FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. k Washington State Department of / Labor & Industries Home l',9paii01 mtact Safety & Health Claims & Insurance h L&I AZ Index Help 1.&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; Certifications & Endorsements icense 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— 01/13/2021 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 01/1412009 Expiration date Until Canceled Savings Help us improve