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HomeMy WebLinkAboutPermit EL07-391 - JORGENSEN FORGEJORGENSEN FORGE 8531 EAST MARGINAL WAY S ELO7-391 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: City.../f 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 0001600023 8531 EAST MARGINAL WY S TUKW JORGENSEN FORGE 8531 EAST MARGINAL WAY S , TUKWILA WA JORGENSEN FORGE CORP C/O DOUG JAMES , 8531 E MARGINAL WAY S CHUCK LUCE 8531 EAST MARGINAL WAY S , TUKWILA WA OWNER AFFIDAVIT - PHILLIP GOSS Address: 8531 EAST MARGINAL WAY S , TUKVVILA WA Contractor License No: ELECTRICAL PERMIT Expiration Date: DESCRIPTION OF WORK: WIRING NEW FORGE FURNACE TO EXISTING PLANT, USING COMPANY ELECTRICAL DEPT Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: � C R■CiAl Print Name: w 1 i . P-k- doc: EL -4/07 Permit Number: ELO7 -391 Issue Date: 08/14/2007 Permit Expires On: 02/10/2008 Phone: Phone: 206 - 357 -1078 Phone: Value of Electrical: $3,650.00 Fees Collected: $144.00 Type of Fire Protection: National Electrical Code Edition: 2005 Date: 8 — 1 — �� 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. Date: off (y)o7 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 -391 Printed: 08 -14 -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 JORGENSEN FORGE 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. 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: V --� Jac I Date: © / 1 q / cc-7 �N N R. . - Tu ? \& PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -391 ISSUED 08/14/2007 08/14/2007 EL07 -391 Printed: 08-14 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httio://www.ci. tkwila. wa. us King Co Assessor's Tax No.: 0 O o 16 Cr" 007-3- 09 Site Address: 41 S3 1 f AST l.1AL (A) Ay S X J114 Suite Number. KVA Floor. N /A Tenant Name: Jo tar New Tenant: ❑ Yes lNo Property Owners Name:. to rho.1 < f" Q.. C r P. Mailing Address: 8531 tAT aml..c,,Q t.e., .N Y. Sc.. (A.A. i t(A - 4018 Name: Cin tic. k LO GQ- Day Telephone: ('7-,•)) 3S'7 - 1 Mailing Address: /1S3% E. AsT MARGUi At.- vu A7 Sc). 'Tu- kt..St wA. 91SIb$ - 4401% E-Mail Address: CA c)C J o c Q.+1Soxr \ Fo Q , corr.) ft; frith Company Name: SA 6E As A QO ‘)E, Mailing Address: SA E AS A 6:N E Contact Person: a r V l t■. Q.ScS` ) City Maw Zip Day Telephone:(z' 76Z-1100 E<T Z E -Mail Address: Yn (ill p c a Q . v e v N c S Q .C:SYY1Fax Number: ( c ) 67 — `t1 I 1 Contractor Registration Number: N.V.A. Valuation of Project (contractor's bid price): S 3C ° 5 Scope of Work (please provide detailed information): l.. 7 i r i � N �� � c't3Q- 1&-c L,QcZ T c lac I S A-D p lain+ i t4s:n C ric ) .4 Q.43+. Will service be altered? ❑ 'Yes • 71 No Adding more than 50 amps? ❑ Yes XI No Type of Use: Tvpc of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel /t--' Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light a lappliarimdFinas- App ions Oa Line 4 -tar/ - Electrical hook Appliestim.doe 6D 00 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** Qty State zip • Qty State zip Fax Number. (ZU 35 . 1 - 1015 Expiration Date: WA. Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/ahcred c 575.00 number of added circuits S10.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change 550.00 (6 or more circuits) 57.00 ea ❑ Meter/mast repair 565.00 ❑ Low voltage systems 555.00 (alarm, furnace thermostat) Signature: Print Name: 1n/ A H:LtpplicadoroWas s-Appliariooi On UreM -2007 - Electric [omitApplivuaadx blt Mailing Address: $3S 1 EAST AKA 0.v Ut UAL wAk{ Sc. — Tug.. -L) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 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 fcc 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 CERI1FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY 114E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR Date: 0 2/ 1 9/01 �t Day Telephone: (7-(=.6) 35`7 — 4J/4 911RsS — Vot city State Zip I Date Application Accepted: I Date Application Staff Initials: 1 Page 2 of 2 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: ELOT -391 Address: 8531 EAST MARGINAL WY 5 TUKW Status: PENDING Suite No: Applied Date: 08/14/2007 Applicant: JORGENSEN FORGE Issue Date: Receipt No.: R07-01702 Initials: WER User ID: 1655 Payee: JORGENSEN FORGE TRANSACTION LIST: Type Method Description Amount Payment Check 41311 144.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 144.00 Total: $144.00 Payment Amount: $144.00 Payment Date: 08/14/2007 02:37 PM Balance: 50.00 1550 08/14 9710 TOTAL. 4425.66 doc: Receiot -06 Printed: 08 -14 -2007 Project: � / � P A bliciAi T of Inspection: --2 Address: i _3i LA ,,W/Mt NYC ate Called: Special Instructions: Date Wanted: / �/ / a. m p.m. Requester: Phone No: Ei;o7 -a 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 -3670 COMMENTS: 7W (f M aga hA /f_ Gon/7ot P44/4/ x / 2 _ 66 , roved per applicable codes. Corrections required prior to approval. El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. InsP /GL £rf//-' I (Receipt No.: 'Date: 09/26/2007 12:55 FAX 360902 5296 L&I ELECTRICAL • FaX RECEIVED SEP 2 6 2007 COMMUNITY DEVELOPMENT Dept. of Labor and Industries (360) 902 -5210 FAX: 360- 902 -5595 To: Robert Benedicto From: Ron Fuller, Chief Electrical Inspector Fax: 206 - 431.3665 Date: September 26, 2007 Phone:( Re: Third Party Field Evaluation Company: TUV Rheinland of North America ❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recyde *Comments 07-472 Pages: including cover 3 E L07 - S9/ 09/26/2007 12:55 FAX 360 902 5296 L&I ELECTRICAL Department of Labor and Industries. Electrical Section PO Box 44460 Olympian WA 98504-4460 www.Lni.wa.gw /scs/ciccuical Testing Lab Performing Field Evaluation Company Name: TUV Rheinland of North America Address:7853 SW Cirrus Drive Beaverton Phone Number. 503 -469 -8880 Voltage and Ampere Rene: 3 / Pe AC480V;6011z,53K;89A Hazardous Location: Standards used for evaluating this product: NFPA 70, NFPA 79 State: OR F500. 062 -000 request to perform electrical product Add evaluation 10 leI uuz REQUEST TO PERFORM ELECTRICAL PRODUCT FIELD EVALUATION Fax Number. 503 - 469 -8881 For Department Use Only: Project ID #: Ca 1 " Contact Person: Marc Krugmana [ Reference*: Z1P + 4 97008 Customer Requesting Field Evaluation Name: TUV international GmbH' Address: Am Graven Stein City: Cologne State: Germany 1 zip .4. 4: 51105 Phone Number. +49 (221) 806 -26761 Fax Number. +49 (221) 806-139S Job Site/Equipment Location Facility Name: Jorgensen Forge Corporation I Building/Colunm #: Machine Shop/ TN2 -1N6 Street Address: 8531 East Marginal way South 1 State: WA 1 Zip + 4: 98108 -4018 City: Seattle Product Information Equipment Manufacture's Name: MAE Machine» Und Apparatcbeu Getzen GMBH & Co. KG Equipment Serial Number: 51215-06 Component Model Number. ASV 1000 fl YES L1V. Detailed description and purpose of electrical equipment or components being evaluated: COnneet existing 600 amp. service to service disconnect and trasnsformer, to supply operating power to ASV1000, 10000kN bar straightening press. RECEIVED SEP 2 5 2007 CHIEF ELECTRICAL INSPEC OS'S OFFICE Page 1 oft 09/26/2007 12:55 FAX 360 902 5296 The approval of this request to perform field evaluation(s) as listed above, will depend upon the submitter meeting the all requirements ofRCW 19.28. All requests for field evaluation services must be submitted to the department in writing at least 2 days (48 hour's) 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 evaluations 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 ofRequest 9/210007 Requester's Signature: Print Name: Mart Krugotann Title: Sr. Product Safety Engineer Company Name: TUV Rheinland of Nord) America Phone Number: 503.469.8880 x202 Fax Number. 503- 469 -$861 L&I ELECTRICAL , i 1 44 141.1g , 11 j • 'TI l9 '1 .' , I r��: I II 1 � • Dale of Approval: Signature of Chief Electrical ins Designee Local Mctnca! upervisorName: � o . eA r i €NCQ i cTo Office of inspection For Department Use Only: Project ID #: _ 11 - - � 1 a Telephone N bar: � o 6 — 1 +31 - 31 1 Fax Number. / e a_9L - 1+31 ^ 366.7 10003 F500-062 -000 request to perform electrical product field evaluation 10 -01 Page 2.of 2 01 -08 -2008 CHUCK LUCE 8531 EAST MARGINAL WAY S TUKWILA WA 98108 RE: Permit No. EL07 -391 8531 EAST MARGINAL WY S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 02/10/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, Xc: fer Marshall it Technician Pernrit File No. EL07 -391 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 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 19ffic.t.i P G. 6 states as follows: [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. I 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. t , 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. \applications' -2004 affidavit in lieu of contractor registration PERMIT NO.: APPLI ANT Signed and swom to before �m this day of '- v' U , 206 7. Ari 6-12- NOTARY PUBLIC in and for the State of Washington, Residing at k / • /L" , County. Name as commissioned: s?'et-e — m. L,vb6h L My commission expires: 0 3- a 7 o F