HomeMy WebLinkAboutPermit EL07-233 - JORGENSEN FORGEJORGENSEN FORGE
8531 EAST MARGINAL
WAY S
EL07 -233
Parcel No.: 0001600023
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor License No:
City.if 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
8531 EAST MARGINAL WY 5 TUKW
JORGENSON FORGE CORP
8531 EAST MARGINAL WAY S , TUKWILA WA
JORGENSEN FORGE CORP
C/O DOUG JAMES , 8531 E MARGINAL WAY S
WAYNE TURK
8531 EAST MARGINAL WAY S , TUKWILA WA
OWNER AFFIDAVIT - MARVIN TORGESON
8531 EAST MARGINAL WAY S , TUKWILA WA
ELECTRICAL PERMIT
Expiration Date:
DESCRIPTION OF WORK:
WIRING MACHINE TO EXISTING PLANT WIRING, USING COMPANIES ELECTRICAL DEPT
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
$840.00
Permit Center Authorized Signature:
doc: EL -4/07
(,)
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 -357 -1076
Phone:
ELM-233
06/19/2007
12/16/2007
Fees Collected: $82.00
National Electrical Code Edition: 2005
Date: t0`( 0 7
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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: k. .l t -_r -- �-� Date: ( L / G7
Print Name: � N R . T
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.
EL07 -233 Printed: 06-19 -2007
Parcel No.: 0001600023
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Print Name:
doc: Cond -Elec
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.ci.tukwila.wa.us
8531 EAST MARGINAL WY S TUKW
JORGENSON FORGE CORP
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELO7 -233
ISSUED
06/19/2007
06/19/2007
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.
6: 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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
Signature: L.301 Date: e ‘ n/ �
W
EL07 -233 Printed: 06-19 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http:i/www. ci. tkwila. wa. us
.. . . . ki:t4- v t : c '-
Company Name: SA ,taE AS Q l
Mailing Address: S •L&*.. AS A BO OG
Contact Person: / s I,a'ry 1 I\ To r Q.S cm
E -Mail Address: n"s+ , e1, Porg¢.eorba_ .G0r1
Contractor Registration Number: NI/4
Valuation of Project (contractor's bid price): S U o0
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**
King Co Assessor's Tax No.: 00 0 I ( 0 • O 0Z3 -- o
Site Address: S S3 1 E . M A RG t b4 A.L. WY. c. Suite Number: kVA Floor: N /A
Tenant Name: J d 12.66 t.1 SE NI c - 0 0 . 4 , F , Cp r -P New Tenant:
❑ Yes J21
Property Owners Name: jO R. � E0 S C O Po R-(.5e GO R.
Mailing Address: SS 51 E . N&ARGItJ WY. So. `Ti....kt...s 1a wA. 9 Frio -4ola
City s •
c ontaet; , enOtte:pennit s fQ rl sae
Name: \A1/AY f i E TURK Day Telephone: (Z 357 -1 O 7 (
Mailing Address: SS31 E..M 4R 'JY. SO• `T�,,ICwi fie, WA. 98108 - 4018
W �L-tr. k J ay state
E-Mail Address: `) 0 t'9Q.r�� -rl E'a r� Q, . e om Fax Number. (ZA 6 ) 357.. 1015
City state Zip
Day Telephone: (Z-O 7 G.2• I I oo E x-r 2' 1
Fax Number. (to G74.-9/.11
Expiration Date: N.)//
Scope of Work (please provide detailed information): Ll.) i ,w .+t- T o C,..tti}
w r i rt3 u..S i nq C om pan 1 QS (2-I 1 Cr d e"P+.
Will service be altered? 0 Yes • No Adding more than SO amps? ❑ Yes / 1Z(No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodelenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
p perry Served by:
S ❑ uget Sound Energy
eattle City Light
a3,avptrc'omiWaos -ami aoonc o" L:se%a'um - maaid wry Appliatica.doc Page 1 of 2
to
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
5140.00
575.00 ea
555.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration 575.00
(no added/altered circuits)
❑ Service change with added/ahered circuits $75.00
number of added circuits S10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) 87.00 ea
❑ Meter /mast repair 865.00
❑ Low voltage systems 855.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) 858.00
❑ Temporary service (generator) 875.00
❑ Manufactured/mobile home service 580.00
(excluding garage or outbuilding)
❑ Carnivals 875.00
Number of concessions 810.00 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 issue! within I80 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: LAD2.- Y-- ---- -C
Print Name: WAV
Date:
Day Telephone:
Mailing Address: 8531 E. /USA r_C51 t L AL W`t . lc.
Date Application Accepted:
Date Application Expires:
H: Appiic im $Fam+- AppG0000c On raeM -2007 . EJoctr d Foss Applicntinadot
bh
Wa. q %IO2 — ` FOI&
Cay State Zip
Staff Initials:
Page 2 of 2
1
Receipt No.: R07 -01178
Payee: WAYNE TURK
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0001600023 Permit Number: ELO7-233
Address: 8531 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 06/19/2007
Applicant: JORGENSON FORGE CORP Issue Date:
Initials: WER Payment Date: 06/19/2007 03:24 PM
User ID: 1655 Balance: 60.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 82.00
Account Code Current Pmts
000.322.101.00.0 82.00
Total: $82.00
Payment .Amount: 682.00
9495 06/19 0716 TOTAL 82.00
doc: Receiot -06 Printed: 06-19 -2007
Project:
Ta1- GEn0Sf.,) feAG .
Type of Inspection:
2 / 0
Address:
pate Called:
Special Instructions:
Date Wanted: �!,
a •
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. •
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
J pproved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS: f /EGAt J V4LU09 S
7u (,/ / " “ - V U — NC/ 7 0
I /L f , , `I 77 6 /f I
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
09/26/2007 12:55 FAX 360 902 5296
Fax
To: Robert Benedicto
Fax: 206- 431 -3665
Phone: (
*Comments 07-472
RECEIVED
COMMUNITY
D VELOPIVENT
) '-
L&I ELECTRICAL C uul
Dept. of Labor
and Industries
(360) 902 -5210
FAX: 360- 902 -5595
From: Ron Fuller, Chief Electrical Inspector
Date: September 26,2007
Pages: including cover 3
Re: Third Party Field Evaluation Company: TUV Rheinland of North America
❑ Urgent 0 For Review ❑ Please Comment Q Please Reply ❑ Please Recyde
E Lo - 233
09/26/2007 12:55 FAX 360 902 5296
Department of Labor and industries
Electrical Section
PO Box 44460
Olympian WA 985041460
www.l.ni.wa.govha/ciectricel
Testing Lab Performing Field Evaluation
Company Name: TVV Rheinland of North America
Address: 7853 SW Cirrus Drive
Ci, : Beaverton
Phone Number: 503- 469 -8880
Customer Requestin Field Evaluation
Name: TUV international CmbH
Address: Am Queen Stein
City: Cologne
Phone Number: +49 (221) 806-26761
Equipment Seriat Number. 5121546
Voltage stud Ampere Ratings: 31 pe AC6180V;6011z 53i 89A
Standards used for evaluating this product:
NFPA 70, NFPA 79
L& 1 ELELTKI LAL
State: OR
For Department Use Only:
Project iD #: Cr, 'f i
REQUEST TO PERFORM
ELECTRICAL PRODUCT FIELD
EVALUATION
Contact Person: Marc KrugmanD
Referenced:
21P +4: 97008
fax Number. 503 469 - 8881
State: Germany 1 zip + 4: 31105
Fax Number. 449 (221) 806-1398
Job Site/E ul + rnent Location
Facility Name: Jorgensen Forge Corporation
i Building/Colomn #: Machine Sbop/ 1N2 -IN6
Street Address: 8531 East Marginal Way South
I state: W A
City: Seattle
1 Zip + 4: 98108-4016
Product Information
Equipment Manufacture's Name: MAE Mines Und Apparateban Goccen GM:BH & Co. KG
1 Component Model Number: ASV 1000
Hazardous Location: f l YES ONO
Detailed description end purpose of electrical equipment or components being evaluated:
Connect existing 600 amp. service to service disconnect and tresnsformer, to supply operating power to ASV1000,10000kN
bar straightening press.
F500-062-000 request to perform electrical product field cvaluntion 10
RECEIVED
SEP 2 5 2007
CHIEF ELECTRICAL
INSPECI"()S'S QFFICF.
Page 1 on
09/26/2007 12:55 FAX 380 902 5298
r.
The approval of this request to perform field evaluatioo(s) as listed above, will depend upon the submitter
meeting the all requirements ofRCW 19.28.
AU requests for field evaluation services must be submitted to the department in writing at least 2 days
(48 bouts) prior to the project inspection date. The product evaluation process may not begin until approval
is granted by the State of Washington.
All certified product evacuations must result in a Field Evaluation Label being placed on the equipment
receiving the review. Copies of the final report must be provided to the Chief Electrical Inspector, Electrical
Field Supervisor/Local Jurisdiction Electrical Inspector for the area where the equipment will be installed, and
the client requesting the review.
If you have any questions regarding this application or need additional information please direct your inquires
to the Chief Electrical inspectors Office.
Date orRequestr
9/21/2007
Requester's Signature:
Print Name:
Mare Krugmaan
Title:
Sr. Product Safety Engineer
Company Name:
TUV Rheinland orNortlt America
Phone Number.
503- 469 - 8880 x202
Fax Number.
503 - 469 -8861
Iasi ELECTKICAL
F500- 062.000 request to perform electrical product read evaluation 10-01
ISJuuJ
For Department Use Only:
Project ID #: on- itl a
Date of Approval:
--g 4-0?
Signature of Chkf Electrical Ins
Local r{ijctrka! : upervisorName:
•
ki pe►
Office of mspectioa:
Designee
Telephone N be?:
10 y-3)-3/1
Fax Number
aoL- 1 +3 -3063
Page 2.of 2
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
CITY OF TUKWIL4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 - 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
WAYNE. Q. K
[please print)
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
Washington, a copy of which is printed on the reverse side of this Affidavit. 1 have read or am familiar with RCW
18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. 14 . and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
\appiications\8 -2004 affidavit in lieu of contractor registration
Signed and swom to before me this
/ r' day of V v✓1 e _ , 20 01.
0((/.
T Y P BLIC in and for the State of
Washington,
ashington,
Residing at Ki/to
r
Name as commissioned:
My commission expires:
PERMIT NO.:
, states as follows:
iabi.v1 f A4 G(Je'' /t_
County.
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Govemment, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications\8 -2004 affidavit in lieu of contractor registration
contracts of amounts Tess than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages as his sole_ compensation;
17. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.