HomeMy WebLinkAboutPermit EL12-1157 - XEROXXEROX
6400 SOUTHCENTER BL
EL12-1 157
City oikukwila
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.eov
Parcel No.: 0003200003
Address: 6400 SOUTHCENTER BL TIIKW
Project Name: XEROX
ELECTRICAL PERMIT
Permit Number: EL12 -1157
Issue Date: 12/12/2012
Permit Expires On: 06/10/2013
Owner:
Name: MSI 6400 TIIKWILA
Address: C/O MARTIN SMITH INC , 1932 1ST AVE STE 1000 98101
Contact Person:
Name: BOB WORLEY
Address: 287 SW 41 ST , RENTON WA, 98057
Contractor:
Name: CAPITAL LIGHTING COMPANY INC
Address: 287 SW 41 ST , RENTON WA 98055
Contractor License No: CAPITLC964RN
Phone: 425 - 251 -0244
Phone: 425 251 -0244
Expiration Date: 12/15/2012
DESCRIPTION OF WORK:
LIGHTING RETROFIT
Value of Electrical: NRES: $1,250.13
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: - 2008
Date: 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 pe
construction or the
Signature.
t Name:
dues not presume to
ormance of w•
autho
onzed t
to violate or cancel the provisions of any other state or local laws regulating
gn and obtain this electrical permit.
ob
Date: /c2
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 -1157
Printed: 12 -12 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -1157
* *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
EL12 -1157 Printed: 12 -12 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No. LA)-- (I 3-7
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.:
�p O� ca tl Ti e-eA iZri egL!/D
Tenant Name: Y OX
Suite Number: Floor:
PROPERTY OWNER
Name: log ai®0.G10.__4
Address: �� 7 5!„e' 9/ S i 5 j
City: R Nre7v State: Jp.-- Zip: 9765.-,/-
Name: MA',�T /A
Email: ewe tvaopirA.L. t /04 4/6fJj!',G
I99 /T/t
4yt/G•
Address: i9 3 2_
/
€;;7—/I__)/#g.
f4 /b00
City: `57
State:��
�p,/e I
CONTACT PERSON — person receiving all project
communication
Name: log ai®0.G10.__4
Address: �� 7 5!„e' 9/ S i 5 j
City: R Nre7v State: Jp.-- Zip: 9765.-,/-
Phone: 92J -- Z,5/—O 2+.1px: t a,� '- 51 -40 743
Email: ewe tvaopirA.L. t /04 4/6fJj!',G
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (�p, ,-ifL. //6 /,T.a%G
Address: Z 7 gist/ V/ 57- 57-.
City: otsgjiyi!.t/ State:.ti/¢ Zip :for,
Phone: S/Zs -- 2S'/ ,a gn/ Fax: - - -- -
ContrGq o, / ze. 9 4542A) Exp Date:
/z/iA
Tukwila Business License No.: e,1z4 zp
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
/6 /1 > / %iG o 7-4-e />
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ 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: <
K Puget Sound Energy ❑ Seattle City Light ; t S + J
H:\ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx \
Revised: August 2011
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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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE ELECTRIC L CO ' CTOR:
Signature:
Print Name:
01 ki)Ri° 4
Mailing Address: 2.577 5u
5 %s%
Date: / 2// v�7�
Day Telephone: !%6 7/f 5-7 `fl
H:\ Applications \ForntvApplications On Line \2011 Applications\Electrical Permit Application Revised 8-9- 11.docx
Revised: August 2011
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City state Zip
Page 2 of 2
•
\"'qs City of Tukwila
\yi 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 -1157
Status: PENDING
Applied Date: 12/12/2012
Issue Date:
Receipt No.: R12 -03307
Payment Amount: $115.50
Initials: WER Payment Date: 12/12/2012 11:10 AM
User ID: 1655 Balance: $0.00
Payee: ROBERT WORLEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 727412
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
ring. Raraint -f1R
PrintMri• 19-1 9-2f119
INSPECTION RECORD
Retain a copy with permit
(LIZ --1157
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: `/,
w
Type of Inspection: ZOO
1
Address/
Date Called:
Special Instructions:
Date Wanted:.
.m.
Requester:
Phone No:
0 Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
JeY�I jV 1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Insp " 1
ector:
Date: 211/
Contractors or Tradespeople titer Friendly Page
•
Electrical Contractor
A business licensed by LQI 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
CAPITAL LIGHTING COMPANY INC
4252510244
287 Sw 41St St
Renton
WA
98055
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601004603
Active
CAPITLC964RN
Electrical Contractor
12/15/2004
12/15/2014
Maintenance
Unused
Master Electrician INFORMATION
License LITTLD'963QP
Name LITTLE, DAVID
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CALDWELL, C. MICHAEL
Agent
12/15/2004
3/6/2009
CALDWELL, C. MICHAEL
President
12/15/2004
$250.00
WORLEY, ROBERT C
Secretary
12/15/2004
ELECTRICAL CITATION
WORLEY, ROBERT C
Vice President
12/15/2004
3/6/2009
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SF9198
12/08/2004
Until Cancelled
$4,000.00
12/15/2004
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
EJORP02763
3/6/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02761
3/6/2009
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP02762
3/6/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00642
11/15/2011
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$1,500.00
EBOES00644
11/15/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EBOES00645
11 /15/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EBOES00649
11/15/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP02878
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02874
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https:// fortress .wa.gov /lni/bbip/Print.aspx 12/12/2012