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Home My WebLink AboutPermit EL12-1138 - XEROXThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL12 -1138 Xerox 6400 Southcenter Boulevard RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 11 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. XEROX 6400 SOUTHCENTER BL EL12 -1138 City oPI'ukwila • 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 Parcel No.: 0003200003 Address: 6400 SOUTHCENTER BL TUKW Project Name: XEROX ELECTRICAL PERMIT Permit Number: EL12 -1138 Issue Date: 12/05/2012 Permit Expires On: 06/03/2013 Owner: Name: MSI 6400 TUKWILA Address: C/O MARTIN SMITH INC , 1932 1ST AVE STE 1000 98101 Contact Person: Name: MARK ASTER Address: 1932 FIRST AV, SUITE 1000 , SEATTLE WA, 98104 Contractor: Name: ADROIT ELECTRICAL SERVICES INC Address: PO BOX 0741 , REDMOND WA 98073 Contractor License No: ADROIES886MU Phone: 206 - 682 -3300 Phone: 425 - 698 -8068 Expiration Date: 07/31/2014 DESCRIPTION OF WORK: 2ND FLOOR RESTROOMS: RELOCATE (12) RECESSED FLOURESCENT CAN LIGHTS, RELOCATE (2) SWITCHES AND INSTALL (1) SWITCH Value of Electrical: NRES: $1,800.00 Fees Collected: $115.50 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 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 d construction or the perform Signature: Print Name: s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating e of work. I am authorized to sign and obtain this electrical permit. Dat 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 EL12 -1138 Printed: 12 -05 -2012 • • PERMIT CONDITIONS Permit No. EL12 -1138 * *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 TO - 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 EL12 -1138 Printed: 12 -05 -2012 CITY OF TUKWI Community Developmenrepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.Tukwi la W A.gov Electrical Pet 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 6- Site Address: Tenant Name: 6400 c_5omcc t7t King Co Assessor's Tax No.: / �y Suite Number: Floor: Z,r4 Tloo...- New Tenant: Yes ❑.. No PROPERTY OWNER' Name: L i6 %la /' — " 7 ,- Name: / G¢OD��-- /044 i 4- G L C Address: /f.32. „/ / dye- / /�-� Email: 7& >� firQ9 "�� tea•' �S�s covc-... City: �5 //� State: Zip: l`g/Ol CONTACT PERSON - person receiving all project communication Name: L i6 %la /' — " 7 ,- Address: /772 Ri-s /" / c C ur awo City: 5Co`1-7"(L State: 0<i Zip: / Phone: 24 68Z 3T� Fax: 2.O T4o /2f3T Email: 7& >� firQ9 "�� tea•' �S�s covc-... ELECTRICAL. CONTRACTOR- INFORMATION Company Name: ff ,1 1 / / & y'oc lectY,c c..- ( vices �,�c Address: / V f1 ,lL �d .i.4 01C City: i2eati..ton ciL State: YV.t Zip: 450173 Phoneeg,) loci 68ls Fax: 42Si 49,0 F6Ti. Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ / 4PO. £7 // // /j Scope of Work (please provide provide detailed information): /occe7c. - 74eZe._ /ecesocce 1-4,o,'S'cc,77 lar-c �9�1 /- Oca74. 74,0 .sa./A-%r � /q57 // 02,!e Sl�f/ihft Will service be altered? ❑ Yes No Type of Use: � wt.rvj efc/6i / Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes No ❑ Service Change ❑ Fire Alarm HAApplications\Forms- Applications On Line \2011 Applications'Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh ❑ 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) PERMIT - APPLICATION NOTES, 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 $10.50 ea Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR TRICAL CONTRACTOR: Signature: Print Name: eau.+ Mailing Address: .9 • box �4 / Datc4 c,44 -1 c, Day Telephone: ($ City 81 \Applications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9 -1 I. docx Revised. August 2011 bh State Zip Page 2of2 • 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 Parcel No.: 0003200003 Address: 6400 SOUTHCENTER BL TUKW Suite No: Applicant: XEROX RECEIPT Permit Number: EL12 -1138 Status: PENDING Applied Date: 12/05/2012 Issue Date: Receipt No.: R12 -03260 Initials: User ID: Payee: WER 1655 Payment Amount: $115.50 Payment Date: 12/05/2012 02:49 PM Balance: $0.00 ADROIT ELECTRICAL SRVC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 114988 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 (inn. RPnpint -f1R Printot1 17 -n6 -91119 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 � (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 Project: xaox Ty pe of Inspection: Address.. (011W •-.). k • St • Date Called: - Special Instructions: Date Wanted:. -n a. .m. Requester: Phone No: Approved per applicable codes. D Corrections required; prior to approval. COMMENTS: 0-Q-/ 0,45 tielof 1 • f—rNq� Inspector: Date: 22 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection..,.' 1 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 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: toc�7 Address: 4)(tike.x. l,vO �`� _ A� ' 7 Date Called: : ; Special Instructions: Date Wanted: . 07 a.m- .m. Requester: r Phone No: Approved per applicable codes. pCorrections required prior to approval. COMMENTS: g--taiptc4,6 /467- v.) 44.1117 rtt SSt do t J Putt 60 /4 tI a o 64`5 Inspector: er) Date: ®. 2,0"3. n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTIONVRECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206).43.1 -3670 Permit Inspection Request Line (206) 431 -2451 6,11-113Y Project: 6' Type of Inspection: 005 Address: Io° 5 -6 , ,I3 L - Date Called: Special Ins rutdons: Date Wanted:. 77 I QQ lZ i. .: m. Requester: Phone No: ElApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: 9 1 4 IALoniv Cati6K // Inspector: _° Jp Ei n REINSPECTION FEE REQUIRED. Prior to next inspection,. fee -'must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectionr -' Contractors or Tradespeople Pir Friendly Page • Electrical Contractor A business licensed by LW 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 ADROIT ELECTRICAL SERVICES INC 4256988068 P.O. Box 0741 Redmond WA 98073 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603226412 Active ADROIES886MU Electrical Contractor 7/31/2012 7/31/2014 General Unused Electrical Administrator INFORMATION License ARZOLJM914LW Name ARZOLA, JESUS MIGUEL Status Active Business Owner Information Name Role Effective Date Expiration Date ARZOLA, JESUS Agent 07/31/2012 PENATE ARREGOITIA, LUIS R President 07/31/2012 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 SavingslAssignment of Savings Account Number 2 Effective Date Release Date Assignment Type Impaired Date Amount Received Date 7/31/2012 Until Released Bond $4,000.00 7/31/2012 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 No records found for the previous 6 year period https:// fortress .wa.gov /lni/bbip/Print.aspx 12/05/2012