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Home My WebLink AboutPermit EL15-0963 - XEROX - CIRCUITS FOR COPIERXEROX 435 MIKIER BLVD EL15-0963 City of Tukwila ' Department of Community Development • 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone:206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 2623049118 Permit Number: EL15-0963 Address: 435 MINKLER BLVD Issue Date: 11/4/2015 Permit Expires On: 5/2/2016 Project Name: XEROX Owner: Name: ANDOVER WEST LLC % POWELL D Address: PO BOX 97070, KIRKLAND, WA, 98083 Contact Person: Name: REX CP;;OMS Phone: (253) 859-2000 Address: 4826 B ST NW, STE 101, AUBURN, WA, 98001 Contractor: Name: KIRBY ELECTRIC INC Phone: (253) 859-2000 Address: 4826 B ST NW #101, AUBURN, WA, 98001 License No: KIRBYE1077BN Expiration Date: 1/13/2017 Lender: Name: Address: DESCRIPTION OF WORK: ADD TWO 20 AMP CIRCUITS FOR COPIER Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,200.00 Type of Work: TENANT IMP Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: w Date: 110 w I hearby 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 performance of work. I am authorized to sign and obtain this development permit and a ree to the conditions attached to this permit. Signature: Date: ��-q- is - Print Name: Uad w, C'� i 1- This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT CONDITIONS' 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWt. A • Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. limit ' M V� Project No. Date Application Accepted: Date Application Expires: use 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 King Co Assessor's Tax No.: Site Address: 435 Minkler Blvd Tenant Name: Xerox PROPERTY OWNER Name: Xerox Address: 435 Minkler Blvd City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Rex Collins Address: 4826 B St NW Ste 101 City: Auburn State: WA Zip: 98001 Phone: (253) 859-2000 Fax: Email: Suite Number: Floor: New Tenant: ❑ .....Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Kirby Electric INC. Address: 4826 B St. NW Ste. 101 City: Auburn State: WA Zip: 98001 Phone: (253) 859-2000 Fax: Contr Reg No.: KIRBYEI077BN Exp Date: 01/13/2017 Tukwila Business License No.; BUS-0992935 Valuation of Project (contractor's bid price): $ 1,200 Scope of Work (please provide detailed information): Adding two 20amp circuits for copier. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m 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: ® Puget Sound Energy ❑ Seattle City Light H:\Applications\Fomis-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1.14.docx Revised: January 2014 bh 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) ................................. $65.00 ❑ Temporary service (generator) ................................... $80.90 ❑ Manufactured/mobile home service ........................... $86.25 (excluding garage or outbuilding) ❑ Carnivals.................................................................... $80.60 Number of concessions ......................... $10.80 ea Each ride and generator truck ............... $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 ELECTRICAL CONTRACTOR: l)-y-2p1s Print Name:_ V C J:.l I�c,1'),,'V.. Day Telephone: 253-� ' 2po0 Mailing Address: iABL(o M, /�J��rh \ /A ! W1 City state Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL15-0963 Address: 435 MINKLER BLVD Apn: 2623049118 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL'. :1 R000.322.900.04.00 0.00 $5.93 Date Paid: Wednesday, November 04, 2015 Paid By: VADIM KALCHIK Pay Method: CREDIT CARD 714043 Printed: Wednesday, November 04, 2015 3:36 PM 1 of 1 m'"SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: /„ Type of Inspection: �M Address: Date Called: Special Instructions: Date Wanted: 42, a.m. Requester: Phone No: WApproved per applicable codes. LJ Corrections required prior to approval. M ENTS: 5 IInspector: `--O�WN---WAk— IDate: IrIrZI1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD �! Retain a copy with permit 4� INSPECTION NO. PERMIT NO iq CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: � „ Type of Inspection: Address: Date Called: Special Instructions: c� � Date Wanted: P � a.m. Requester: DEMW-f 5 Phone No: ^ `5`3 Zr 2,3c3 Approved per applicable codes. " Corrections required prior to approval. COMMENTS: TD 4 S Date: I I REINSPECT1 N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. KIRBY ELECTRIC INC Page I of 3 Home; lnicio en L;cpafiol Contact. Safety Washington State Department of Labor & Industries KIRBY ELECTRIC INC Owner or tradesperson Principals KIRBY, DOUGLAS E, PRESIDENT Douglas, Kirby, AGENT KIRBY, SHANNON, AGENT (End: 01 /04/2012) KIRBY, SHANON E, AGENT (End: 01 /04/2012) Doing business as KIRBY ELECTRIC INC A-1 Index Help My Secure. L&I Claims & Insurance Workplace Rights Trades & Licensing 4826 B ST NW STE 101 AUBURN, WA98001 253-859-2000 KING County WA UBI No. Business type 601 433 048 Corporation Governing persons DOUGLAS EDGAR KIRBY SHANON ELAINE KIRBY; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ............. _... _........... _............................. Meets current requirements. License specialties GENERAL License no. KIRBYE1077BN Effective — expiration 01/15/1993— 01/13/2017 Designated administrator Active. KIRBY, DOUGLAS E Meets current requirements. License type License no. Master Electrician KIRBYDE962LZ Bond ................ WESTERN SURETY CO $4,000.00 Bond account no. 70607132 Received by L&I Effective date 11/05/2008 01/14/2009 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations ................... _ ........................... _ .... https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601433048&LIC=KIRBYEI077BN&SAW= 11/4/2015