HomeMy WebLinkAboutPermit EL07-237 - XEROXXEROX
1091 ANDOVER PK E
ELO7-237
Parcel No.: 2623049106
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
1091 ANDOVER PK E TUKW
XEROX
1091 ANDOVER PK E , TUKWILA WA
RON DRYER
22010 SE 51 ST , ISSAQUAH WA
Contractor:
Name: SIEMENS BLDG TECHNOLOGIES INC
Address: 22010 SE 51 ST , ISSAQUAH WA
Contractor License No: SIEMEBT010KO
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE CONTROL ON (1) DOOR
Value of Electrical: $6,595.00 Fees Collected: $196.80
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PSE
Cityf Tukwila
ELECTRICAL PERMIT
Permit Center Authorized Signature: LAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
SECURITY CAPITAL INDUSTRIAL
C/O DELOITTE & TOUCHE LLP , 2235 FARADAY AVE STE 0
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 281 -6152
Phone: 425 507 -4300
Expiration Date: 05/27/2009
Print Name:
eCg�
EL07 -237
06/25/2007
12/22/2007
Date: (p.'g - - 7
I hereby 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 • su ne to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo .1. - ..�• _ .- I am authorized to sign and obtain this electrical permit.
Signature: Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/07 EL07 -237 Printed: 06-25 -2007
Parcel No.: 2623049106
Address: 1091 ANDOVER PK E TUKW
Suite No:
Tenant: XEROX
1: ** *ELECTRICAL * **
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number: EL07 -237
Status: ISSUED
Applied Date: 06/21/2007
Issue Date: 06/25/2007
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the ce of work.
Signature:
Print Name:
doc: Cond - Elec
Date:
EL07 - 237 Printed: 06-25 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www. ci. tkwila. wa. us
SITE LOCATION
A nn King Co Assessor's Tax No.: 2(2! /C — 10t0
Site Address: (fit AeAr lkir 1�.��- I"- �, 5 Suite Number: Floor:
Tenant Name: ?CER -C>)(
Property Owners Name:
Mailing Address:
CONTACT PERSON =Who do we contact when your permit is ready to be issued
Name: D S'
Mailing Address: 1- 2.01.0 Sti St S 5r 15Sec.$t..c.
E -Mail Address: Rant f 0- r St s +wM
ELECTRICAL CONTRACTOR INFORMATION
Company Name: S ∎ ev ,k . eS
Mailing Address: 2 -2s)t0 Si? IA S
Contact Person: 4 D ye-r
E -Mail Address: LA. . Dc Q1'
Contractor Registration Number: S i E.Q l^ $( S KO
Valuation of Project (contractor's bid price): $ 1 5.9c.
Scope of Work (please provide detailed information): •.5to,.1S lac,,, c (4 C con ) 04. 1
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Eg 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:
gi Puget Sound Energy
❑ Seattle City Light
H:1Applications\Fonns- Applications On Iine\4 -2007 - Electrical Permit Applicationdoc
bh
Electrical Permit No.
Project No:
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 **
City
New Tenant: ❑ Yes ❑ ..No
State
Expiration Date: G1211c i
Zip
Day Telephone: 42-'5 ? . (6t 5 -
t..-•q- D i v`
City State Zip
Fax Number: '126 5)7 k 5
Ci State Zip
Day Telephone: ZS # f $t5"2-.
Fax Number: 42 5z:z.2 L-13 '50
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, fumace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature
Print Name:
Mailing Address: . S) . 51 -
I Date Application Accepted:
.
ft
H: ApplicationsWorms- Applications On Line44-2007 - Electrical Permit Application.doc
bh
Nor
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTE
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 13Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: 6. -0?
Day Telephone: 4)-5' .2--&/ 615),
State
Date Application Expires:
Staff Initials:
Zip
Page 2 of 2
Parcel No.: 2623049106
Address: 1091 ANDOVER PK E TUKW
Suite No:
Applicant: XEROX
Receipt No.: R07 -01224
Payee: EVERETT HERNADEZ
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
City )f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Initials: WER Payment Date: 06/25/2007 03:43 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 196.80
Account Code Current Pmts
000.322.101.00.0 196.80
Total: $196.80
Permit Number: ELO7 -237
Status: APPROVED
Applied Date: 06/21/2007
Issue Date:
Payment Amount: $196.80
doc: Receipt -06 Printed: 06-25 -2007
Project:
Type of Inspection:
Address:
/OV AVA01/0 et 4
Date Called:
Special Instructions:
Date Wanted:
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 0
INSPECTION RECORD
Retain a copy with permit
PERM
riffproved per applicable codes. E1 Corrections required prior to approval.
COMMENTS:
67/ 2 cr/7 - /A/
scf/ ii
l insPectc r/L C— Wten/(C# r k
LI $58.03 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
- 'Date:
-'"?'-'=!if
Business Owner Information
Name
Role
Effective Date
Expiration Date
GRAD, JOHN J
01/01/1980
BURZA, EILEEN F
01/01/1980
BURICK, GEORGE T
01/01/1980
WINKEL, WALTER W
01/01/1980
KING, ROBERT
AGENT
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L&I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SIEMEBTOI OKO
SIEMENS BLDG TECHNOLOGIES INC
ELECTRICAL CONTRACTOR
601906563
CORPORATION
22010 SE 51ST ST
ISSAQUAH
KING
WA
98029
4255074300
ACTIVE
LIMITED ENERGY
HVAC/RFRG LTD ENERGY
5/20/1999
5/27/2009
SIEMECDOI ONZ
Bond Information
I Bond I Bond I
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SIEMEBT010KO 06/21/2007