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HomeMy WebLinkAboutPermit EL11-1056 - XEROX CORPORATIONXEROX 435 MINKLER BL EL1 1 -1056 City olkukwila Department of Community Development 6300 Southcenter B oulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2623049118 Address: 435 MINKLER BL TUKW Project Name: XEROX CORPORATION ELECTRICAL PERMIT Permit Number: EL11 -1056 Issue Date: 11/23/2011 Permit Expires On: 05/21/2012 Owner: Name: ANDOVER WEST LLC % POWELL D Address: PO BOX 97070 , KIRKLAND WA Contact Person: Name: SCOTT JENNINGS Phone: 253 859 -2000 Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: 253 859 -2000 Expiration Date: 01/13/2013 DESCRIPTION OF WORK: ADD POWER FOR NEW COPIER/PRINTER. ADD 200A 208V 3 -PHASE PANEL AND 75KVA TRANSFORMER FOR ADDITIONAL BREAKER SPACE. DEMO 3 -4 POWER POLES TO ALLOW ROOM FOR NEW COPIER/PRINTER AND CONNECT POWER AS REQUIRED. RUN (2) 50A 208V 3 -PHASE BRANCH CIRCUITS AND (2 -3) 20A 120V BRANCH CIRCUITS. Value of Electrical: NRES: $4,200.00 Fees Collected: $178.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: I 1 mod- � I 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform e of work. I am authorized to sign and obtain this electrical permit. Signature: Date: 1 1-.23- 1 ( Print Name: V I'N t 4 6`^ (GL, (.- 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 -4/10 EL11 -1056 Printed: 11 -23 -2011 • PERMIT CONDITIONS Permit No. EL 11 -1056 * *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 E L 11 -1056 Printed: 11 -23 -2011 Parcel No.: Address: City okukwila 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 0003200003 6400 SOUTHCENTER BL TUKW Project Name: XEROX CORPORATION ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -1056 11/23/2011 05/21/2012 Owner: Name: Address: Contact Person: Name: Address: MSI 6400 TUKWILA C/O MARTIN SMITH INC , 1932 1ST AVE STE 1000 SCOTT JENNINGS 4826 B ST NW, STE 101 , AUBURN WA Contractor: Name: KIRBY ELECTRIC INC Address: 4826 B ST NW, STE 101 , AUBURN WA Contractor License No: KIRBYEI077BN Phone: 253 859 -2000 Phone: 253 859 -2000 Expiration Date: 01/13/2013 DESCRIPTION OF WORK: ADD POWER FOR NEW COPIER/PRINTER. ADD 200A 208V 3 -PHASE PANEL AND 75KVA TRANSFORMER FOR ADDITIONAL BREAKER SPACE. DEMO 3 -4 POWER POLES TO ALLOW ROOM FOR NEW COPIER/PRINTER AND CONNECT POWER AS REQUIRED. RUN (2) 50A 208V 3 -PHASE BRANCH CIRCUITS AND (2 -3) 20A 120V BRANCH CIRCUITS. Value of Electrical: NRES: $4,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: National Electrical Code Edition: $178.50 2008 Date: 11 091 It ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pr construction or the performance of wok. Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. 1144(t.1 IA(Lti'v__. Date: 'V(*) 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 -4/10 EL11 -1056 Printed: 11 -23 -2011 PERMIT CONDITIONS Permit No. EL 11 -1056 * *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 WAG. 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, arty 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 EL 11 -1056 Printed: 11 -23 -2011 a • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No.j Project No. r Date Application Accepted: ti_ (%ij ti 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: 6400 Southcenter Blvd. Tenant Name: Xerox Corporation King Co Assessor's Tax No.: 0003200003 Suite Number: Floor: PROPERTY OWNER Company Name: Kirby Electric Inc. Name: Scott Jennings Name: Martin Smith Inc. Address: 4826 B St. NW Suite 101 Contr Reg No.: KIRBYE1077BN Exp Date: 01/13/2013 Address: 1932 1st Ave Suite 1000 98001 Phone: 253- 859 -2000 Fax: 253- 859 -2363 City: Seattle State: WA Zip: 98101 CONTACT PERSON — person receiving all project communication Company Name: Kirby Electric Inc. Name: Scott Jennings City: Auburn State: WA Zip: 98001 Address: 4826 B St. NW Suite 101 Contr Reg No.: KIRBYE1077BN Exp Date: 01/13/2013 City: Auburn State: WA Zip: 98001 Phone: 253- 859 -2000 Fax: 253- 859 -2363 Email: scott@kirbyelectric.com New Tenant: ❑ Yes © ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Kirby Electric Inc. Address: 4826 B St. NW Suite 101 City: Auburn State: WA Zip: 98001 Phone: 253- 859 -2000 Fax: 253- 859 -2363 Contr Reg No.: KIRBYE1077BN Exp Date: 01/13/2013 Tukwila Business License No.: BUS- 0992935 Valuation of Project (contractor's bid price): $ 4,200 Scope of Work (please provide detailed information): Add power for new copier /printer. Add 200A 208V 3 -phase panel and 75kva transformer for additional breaker space. Demo 3-4 power poles to allow room for new copier /printer and connect power as required. Run (2) 50A 208V 3 -phase branch circuits and (2 -3) 20A 120V branch circuits. Will service be altered? © Yes ❑ No Type of Use: Commercial Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: El Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? Yes ❑ No ❑ Remodel ❑ Telecommunication ® Tenant Improvement ❑ Temporary Service 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 ❑ 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 11 -23 -2011 Print Name: Vitaly Kalchik Day Telephone: 253- 859 -2000 Mailing Address: 4826 B St. NW Suite 101 Auburn WA 98001 City State Zip Page 2 of 2 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.ov Parcel No.: 0003200003 Address: 6400 SOUTHCENTER BL TUKW Suite No: Applicant: XEROX CORPORATION RECEIPT Permit Number: EL11 -1056 Status: PENDING Applied Date: 11/23/2011 Issue Date: Receipt No.: RI 1 -02556 Payment Amount: $178.50 Initials: JEM Payment Date: 11/23/2011 09:17 AM User ID: 1165 Balance: $0.00 Payee: SHANON KIRBY, KIRBY ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01041G ACCOUNT ITEM LIST: Description 178.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 doc: Receiot -06 Printed: 11 -23 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6u( it$4 PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 F" (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: OX Type of Inspection: /400 Address: 35,..- �� i� �(, Date Called: Special Instctions. /0 • C�v r/ 11) 1 { . Pit d f Date Wanted:. 144 a.m Requester: Phone No: Approved per applicable codes. I XI Corrections required prior to approval. COMMENTS: ''1• .1 404 p b{Sc a "1i lec r A 0036._ (ir to6C 601-8(5 Inspector: 1Date: /21/04) r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. . _� _,.� �� ., _ _ .. - a_ , -_ .. _ - _ INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: 200 Address: Date Called: Special Instructions: Date Wanted:. , I r a�r," % v o p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ccEScv►c�Jti‘ Inspector: !Date: r7 REINSPECTION FEE REQUIRED. Pribr to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: //www.ci.tukwila.wa.us T REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: b-SIR Plan ChecWPermit Number: El(- (oso ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Xe roX Cot k -� o v\ Project Address: 65-00 C v-k-‘4. Ce ? k w y Contact Person: Sc.oc- Se vt ti 1 S Phone Number: g--5 S-8 S 9 - .1O00 Summary of Revision: Cto e c.r_LLAC.SS o y3 S )'4i v' IL.I er Rt./ cis AEC. I ED CITY OF TUKWIIA NOV 23 7n11 PERMrr CENTeR Sheet Number(s): "Cloud" or highlight all areas of revision including d Received at the City of Tukwila Permit Center by: 4711—Entered in Permits Plus on 1 ( L HMMpplicetiom\Fmms- AppIicstions On Line N2010 Applcuio,, \7 -2010 - Revision Snbmital.dx Crated: 8-13-2004 Revised: 7 -2010 Contractors or Tradespeople Piker Friendly Page • 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company KIRBY ELECTRIC INC 2538592000 4826 B St Nw Ste 101 Auburn WA 98001 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601433048 Active KI RBYEI077BN Electrical Contractor 1/15/1993 1/13/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status KIRBYE'101QEKIRBY ELECTRIC Electrical Contractor General Unused 11/5/1990 11/5/1994 Archived Master Electrician INFORMATION License KIRBYDE962LZ Name KIRBY, DOUGLAS E Status Active Business Owner Information Name Role Effective Date Expiration Date KIRBY, DOUGLASE Cancel Date 01/01/1980 Bond Amount KIRBY, SHANNON 5 01/01/1980 70607132 KIRBY, SHANON E Agent 12/22/1992 ELECTRICAL CITATION 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 5 WESTERN SURETY CO 70607132 01/14/2009 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 11 /05/2008 4 MERCHANTS BONDING CO (MUTUAL) WA 12415 01/14/2005 Until Cancelled 01/14/2009 $4,000.0011 /04/2004 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 EBIEA00522 9/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ENORW00271 1/27/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHIR00274 9/24/2007 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/23/2011