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HomeMy WebLinkAboutPermit EL11-0855 - EXECUTIVE SUPPORT CENTEREXECUTWE SUPPORT CENTER 14900 INTERURBAN AV S EL1 1 -0855 City o0Tukwila 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.: 0003200009 Address: 14900 INTERURBAN AV S TUKW Project Name: EXECUTIVE SUPPORT CENTER ELECTRICAL PERMIT Permit Number: EL11 -0855 Issue Date: 09/14/2011 Permit Expires On: 03/12/2012 Owner: Name: SCHNEIDER LYLE D Address: C/O JSH PROPERTIES INC , 14900 INTERURBAN AVE S # 130 Contact Person: Name: KEVIN OLSEN Address: 718 GRIFFEN AV, SUITE 215 , ENUMCLAW WA Contractor: Name: OLSEN ELECTRIC INC Address: 718 GRIFFEN AVE #215 , ENUMCLAW WA Contractor License No: OLSENEI931 PE Phone: 253 - 561 -9146 Phone: 253- 561 -9146 Expiration Date: 10/05/2011 DESCRIPTION OF WORK: RELOCATE LIGHTING, MISC POWER FOR NEW TENANT Value of Electrical: NRES: $4,960.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $178.50 National Electrical Code Edition: 2008 Date: -1- ( 14— ( ( 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 th performance of work. I am authorized to sign and obtain this electrical permit. Signature: v Print Name: ,e"- --__. 0 l l- Date: 7// L! // 1 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 -0855 Printed: 09 -14 -2011 111 PERMIT CONDITIONS Permit No. EL11 -0855 * *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 -0855 Printed: 09 -14 -2011 CITY OF TUKWIQ Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.qov Electrical Permit No. T u l-- ©B `J s 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 u King Co Assessor's Tax No.: Site Address: I ! '7� r1 ` (A 4-v-e s Suite Number: Z 5 Floor: a-- Tenant Name: F,xe G 1^1-i‘VC �;LA? b-r-f- New Tenant: Yes .. No Property Owners Name: 35 Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Kec/ `1"._ /Ces,■_ Day Telephone: Mailing Address: 7f» 67r T7�Y%-- ,4-v 1 1 S Vl r vt,,Ac ✓ City E -Mail Address: a:3/SP,1 , viz* State Zip Fax Number: 3- 9 -C j" ELECTRICAL CONTRACTOR INFORMATION Company Name: 2 f r -v1 it �C , (� .►C , Mailing Address: Ti? 6 C ' • " A/e _ fvl wvvl.G1nti 11 2-ra -- City State Zip Contact Person: &f' G O f -- Day Telephone: ?"-S_ 3 - St/ E -Mail Address: 1"C CV.5e41. °�I . , rtiP/� Fax Number: 7...6^3' —.),6ef oe `Cc� Contractor Registration Number: /5.e41 ' 3 / Expiration Date: iCl Valuation of Project (contractor's bid price): $ ` I J '7 'O • G Scope of Work (please provide detailed information): /, � '� v ._ I > / o1- yvi c. e Will service be altered? ❑ Yes ANo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel .,Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes 12(No Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 dad • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea ❑ Low voltage systems (alarm, furnace thermostat) 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) ❑ Carn ivals $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 ELECTRICAL CONTRACTOR: Signature: Print Name: h eta �^ 7✓� Day Telephone: Date: VI 41 4( S-- d-oo - 7791 Mailing Address: 7(F (71f i" %--- 44't d-(5- VYv Date Application Accepted: City State Zip Date Application Expires: Staff Initials: H:1Applications \Forms - Applications On Line12010 Applications\7-2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 2 of 2 Cit, 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. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R11 -02015 Initials: WER Payment Date: 09/14/2011 User ID: 1655 Total Payment: 488.00 Payee: ERIC OLSEN SET ID: 091311 SET NAME: OLSEN ELEC SET TRANSACTIONS: Set Member Amount EL11 -0855 EL11 -0856 EL11 -0857 TOTAL: 178.50 212.90 96.60 178.50 TRANSACTION LIST: Type Method Description Amount Payment Credit C MC 488.00 TOTAL: 488.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 488.00 TOTAL: 488.00 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 641-oF5C, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 0. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: .l wow n ' Type of Inspection: t00 Address. � oo /1100 f �� f Date Called: Special Instru tions: Date Wanted:. //_ W a:m p.m. Requester: Phone No: KApproved per applicable codes. El Corrections required prior to approval. 1 COMMENTS: U�l Inspector: 6".-764.16c rate: 63/(G/12— 1-1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .yam. 1.. © row ..._ — .,per.. �.. — - -- _ INSPECTION RECORD �j' �' Av5 Retain a copy with permit 1..i 1 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: ti 5JPPokr Type of Inspection: Type /a AH IA/02146re Address: 7 oNo WAS Date Called: aivf v - 0-0C-QC FotS -n4 *T 4E-D coC(A/ter) 494 o$-" C f (--A e442 n r Special Instru tions: Srf - 25 77 J Date Wanted: 4r. .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: iji .1(- afiA,J4 coveit AH IA/02146re aivf v - 0-0C-QC FotS -n4 *T 4E-D coC(A/ter) 494 o$-" C f (--A e442 n r Inspector: Date: /2// t REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • r . . . INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION (206) • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ) Permit Inspection Request Line (206) 431 -2451 /JZ �Cr� o�sS[ 431-3 PERMIT N0. PERMIT NO. Project: ��s {1.fJ S1JPpd'( Address: Vo0 fV SpecialInstructions: Type of Inspection: Date Called: 7oo5 Date Wanted: . Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: haw 4340-is (Inspector: Date: /O /2.-€)/t REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople er 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 OLSEN ELECTRIC INC 2535619146 718 Griffin Ave #215 Enumclaw WA 98022 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602696333 Active 0LSENEI931 PE Electrical Contractor 10/5/2007 10/5/2011 General Unused Electrical Administrator INFORMATION License OLSENES961OH Name OLSEN, ERIC S Status Active Business Owner Information Name Role Effective Date Expiration Date OLSEN, ERIC S Agent 10/05/2007 Bond Amount OLSEN, ERIC S President 10/05/2007 SI4815 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 2 CBIC SI4815 01/24/2010 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0012/28/2009 $500.00 1 STATE FARM FIRE & CAS CO 98 GU 5913 6 09/20/2007 Until Cancelled 01/24/2010 EOXFJ00663 $4,000.0010/05/2007 19.28.161 RCW 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 EMABQ03540 7/21/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EMABQ02866 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EMABQ02867 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EOXFJ00663 10/19/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ02863 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EMABQ02862 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBIEA00864 5/27/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBIEA00863 5/27/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/14/2011