HomeMy WebLinkAboutPermit EL16-0917 - UBER - LIGHTING AND MISCELLANEOUS POWER6450SOUTHCENTER BLVD
SUITE 102
EL16-0917
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: 0003200011 Permit Number: EL16-0917
Address: 6450 SOUTHCENTER BLVD 102 Issue Date: 10/7/2016
Permit Expires On: 4/5/2017
Project Name: UBER
Owner:
Name: SOUTHCENTER 6450 BLDG LLC
Address: 415 BAKER BL #200, TUKWILA, WA,
98188
Contact Person:
Name: JUSTIN GRONBERG
Phone: (253) 872-1905
Address: 325 WASHINGTON AVE S #91, KENT,
WA, 98032
Contractor:
Name: OLSEN ELECTRIC INC
Phone: (253) 872-1905
Address: 325 WASHINGTON AVE S #91, KENT,
WA, 98032
License No: OLSENE1931PE
Expiration Date: 10/5/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL LIGHTING AND MISC POWER
Valuation of single family: $0.00
Fees Collected: $169.89
Valuation of mf/comm: $3,500.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition: 2015 National Electrical Code: 2014
International Residential Code Edition: 2015 WA Cities Electrical Code: 2014
International Mechanical Code Edition: 2015 WAC 296-466: 2014
Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015
International Fuel Gas Code: 2015
Permit Center Authorized Sign
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 nd agree to the conditions attached to this permit.
Signature: / Date: LU —_7l/j _ —
Print Name: ►2�
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.
S: 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 TUKWILA
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. fl* -MM
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 &o &oukhc einA-er Suite Number: (Oa Floor:
1 _
Tenant Name: Cat° r New Tenant: ['.....Yes ❑ ..No
PROPERTY OWNER
Name:
L L
Address:
City: end State: WA Zip: u057
CONTACT PERSON — person receiving all project
communication
Name:
b tin rs�ran i
Address:
S W-tyhlwkw, S
City: �^} state*
A Zip: Vo M
Phone:�s n _`SGS Fax:
Email: /
5� o1s{n tom.
v d
ELECTRICAL CONTRACTOR INFORMATION
Company Name: O l4 erg `ems r ;
Address: d S 6s h at en A v4-- S Gt k
City:n tate: & Zip: IgLpi o
PhoneaS3_� �_ ��5 Fax:
Contr Reg No.: U.> -011, 31Exp Date:
Tukwila Business License No.;
:SC-:sv Ek0i3t fr
L4-�4t
Valuation of Project (contractor's bid price): $ 5, cS U 0
Scope of Work (please provide detailed information): I(1547z-k` \aal�:nu 1( 1 S C— ra.,v-e r
Will service be altered? ❑ Yes Ef"'No Adding more than 50 amps? ❑ Yes UT10
Type of Use: CDMtr`t-rC : c.. �,
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
'r Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsWectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page I 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.
1 HEREBY CERTIFY THAT 1 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:
Date:
r —C
Print Name: &rGnL9 Day Telephone:
Mailing Address: S WL' 5 h ;n 5 n Ave, s4 ei 1'6ui1 �
City
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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/A -7BO3-�
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT
PermitTRAK
PAID
$169.89
EL16-0917 Address: 6450 SOUTHCENTER BLVD 102 Apn: 0003200011
$169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$161.80
TECHNOLOGY FEE
$8.09
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES ' R9586
$8.09
$169.89
Date Paid: Friday, October 07, 2016
Paid By: OLSEN ELECTRIC INC
Pay Method: CREDIT CARD 043330
Printed: Friday, October 07, 2016 11:59 AM 1 of 1
1FULw7 SYSTEMS
INSPECTION RECORD
Retain a copy with permit 1646—
INSPECTION
NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
U 'A y
Type of Inspection:
V M/ --7
Address:
Date Called:
Special Instructions:
Date Wanted:
a.
p.m.
Requester:
Phone No:
�J
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit k C
INSPECTION NO. P RMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: CA
Type of Inspection:
Address: -
Date Called:
Special Instructions:
Date Wanted: / a.m
/ O I2-- p.m.
Requester:
Phone No:
I__I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
OLSEN ELECTRIC INC
Home. Espanol Convict
Safety & Health
Washington State Department of
ki Labor & Industries
OLSEN ELECTRIC INC
Owner or tradesperson
Principals
OLSEN, ERIC S, PRESIDENT
OLSEN, ERIC S, AGENT
Doing business as
OLSEN ELECTRIC INC
Page 1 of 5
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Claims & Insurance Workplace Rights Trades & Licensing
325 WASHINGTON AVE S #91
KENT, WA 98032
253-872-1905
KING County
WA UBI No. Business type
602 696 333 Corporation
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.
OLSENE1931PE
Effective — expiration
10/05/2007-10/05/2017
Designated administrator
.S............................. .
Active.
OLSEN, ERIC
Meets current requirements.
License type
License no.
Electrical Administrator
OLSENES9610H
Bond
__....._.....
Satisfied
..................... d
CBIC
$4,000.00
Bond account no.
19.28.161 RCW
SI4815
Violation amount
Received by L&I
Effective date
12/28/2009
01/24/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
..................... _................. _..............
Infraction no.
EJACH00946
Satisfied
..................... d
Issue date
RCW/WAC
08/02/2016
19.28.161 RCW
Violation city
Violation amount
KENT
$500.00
Type of violation
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931 PE&SAW=
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10/7/2016