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Home My WebLink AboutPermit EL11-0775 - KEY BANKKEY BANK 275 ANDOVER PK W EL1 1 -0775 City ofkukwila • Departme- -1 of Community Development 6300 Southc _ar Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3 (Th Fax: 206-431-36i Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 275 ANDOVER PK W TUKW Project Name: KEY BANK ELECTRICAL PERMIT Permit Number: EL11 -0775 Issue Date: 08/18/2011 Permit Expires On: 02/14/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: DAVID TSO Address: 6811 S 204 ST, SUITE 350 , KENT WA Contractor: Name: DIEBOLD INCORPORATED Address: PO BOX 3077 C/0 9 -C -26 , NORTH CANTON OH Contractor License No: DIEBOI* 179J5 Phone: 206 - 510 -5121 Phone: 206 510 -2558 Expiration Date: 07/02/2012 DESCRIPTION OF WORK: LOW VOLTAGE - RELOCATE ALARM PANEL, UPGRADE ALARM DEVICES, UPGRADE VIDEO CAMERAS Value of Electrical: NRES: $6,500.00 Fees Collected: $212.90 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 UJX— Date: A- I V^ I 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 permi '• es not presume to gi e authority to violate or cancel the provisions of any other state or local laws regulating construction or the • -rf•y ance of work. I am - horized to sign and obtain this electrical permit. Signature: Print Name: U Date: 0 id — / / 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 clays from the last inspection. doc: EL -4/10 EL11 -0775 Printed: 08 -18 -2011 • PERMIT CONDITIONS e Permit No. EL11 -0775 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL11 -0775 Printed: 08 -18 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. TukwilaWA.gov Electrical Permit No. E..1.-1 1- 6-77S_ Project No. (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: 275 ANDOVER PARK W Tenant Name: KEY BANK Property Owners Name: Mailing Address: King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes ..No City State Zip CONTACT. PERSON — Who do we contact when your permit is ready to be issued Name: DAVID TSO Mailing Address: 6811 204th STREET Suite 350 E -Mail Address: tsod @diebold.com Day Telephone: (206) 510 -5121 KENT WA 98032 City State Fax Number: (253) 234 -6351 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: DIEBOLD INC 6811 204th STREET Contact Person: JEFF SELLERS E -Mail Address: jeff.sellers @diebold.com Contractor Registration Number: dieboi * *179j5 KENT City Day Telephone: Fax Number: (253) 234 -6351 WA State 98032 Zip Expiration Date: Valuation of Project (contractor's bid price): $ 6,500 Scope of Work (please provide detailed information): LOW VOLTAGE - RELOCATE ALARM PANEL, UPGRADE ALARM DEVICES. UPGRADE VIDEO CAMERAS Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change O Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: m Puget Sound Energy ❑ Seattle City Light H:Wpplications\Fottns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicationdoc bh Page 1 of 2 ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea 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 ELECTRIC RACTOR: Signature: Print Name: i%-t/� N %S0 Mailing Address: TTTT 6'f/ �. 20 V "4- S -C Day Telephone: //'' City Date: i8 " 2 v / / 20b- 570 -fiat w 9103 a State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicationdoc bh Page 2 of 2 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.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0775 Address: 275 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 08/18/2011 Applicant: KEY BANK Issue Date: Receipt No.: R11 -01794 Payment Amount: $212.90 Initials: WER Payment Date: 08/18/2011 10:38 AM User ID: 1655 Balance: $0.00 Payee: DAVID TSO TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01897C ACCOUNT ITEM LIST: Description 212.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doc: Receiot -06 Printed: 08 -18 -2011 a r• e. • , ;y - INSPECTION RECORD Retain a copy with permit 1INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION .6300 Southcenter Blvd., #100, Tukwila. WA 98188 Inspection Request Line (206) 431 -2451 641-0TIC R. (206) 431 -3670 Project: Type of Inspection: 4.100 Address:' ATINV 01/4 f Date Called: Special •Instructions: ( &� NI Date Wanted: . 1 26 Requester: Phone No: Approved vet 'applicable codes. Corrections required prior to approval. COMMENTS: Ou,e. s itiwE 9// irAJA Date: 011240.- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. *M. INSPECTION RECORD .‘ Retain a copy with permit (LI ('d ( I INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ri, (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: g r Type of Inspection: Address: i Date Called: Special Instructions: AVekliCArifi"e5 Date Wanted:. .-- 1/ � a :m m. Requester: Phone No: Approved per applicable codes. JICorrections required prior to approval. COMMENTS: ,JMD r? J4t asi,e .SJPPokr +4-r ( 6ri VPAIS±i) Sau&i A413 Ail fkk CIS 1 Rfo/t9 - aiSJ 01) a■ 3fc'I&trf CALLS ,Al G Lint Inspector: 'Date: c it ri REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter Friendly Page • Electrical Contractor A business licensed by Lai 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company DIEBOLD INCORPORATED 4255081451 Po Box 3077 C/O 9 -C -26 North Canton OH 44720 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 409004313 Active DIEB01`179.15 Electrical Contractor 4/25/1983 7/2/2012 Limited Energy Unused Electrical Administrator INFORMATION License SELLEJW930DL Name SELLERS, JEFF W Status Active Business Owner Information Name Role Effective Date Expiration Date O'DELL, WALSEN W Violation Amount 01/01/1980 9/13/2007 GESWEIN, GREGORY T ELECTRICAL CITATION 01/01/1980 $1,000.00 WARF, ALBEN W 1/5/2009 01/01/1980 ELECTRICAL CITATION BUCCI, DAVID $250.00 01/01/1980 3/18/2009 C T CORPORATION SYSTEM Agent 01/01/1980 $250.00 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FEDERAL INS CO 81446163 01/01/1997 Until Cancelled $4,000.00 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EHOLX00311 9/13/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ESTJB00292 1/5/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMUTR00379 3/18/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EMOSR00251 7/12/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBERA00229 2/25/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/18/2011