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Home My WebLink AboutPermit EL09-0004 - JORGENSEN FORGE CORPJORGENSON FORGE 8531 EAST MARGINAL WAY S ELO9-0004 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Cityihf 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 CORP 8531 EAST MARGINAL WY S , TUKWILA WA JORGENSEN FORGE CORP C/O DOUG JAMES , 8531 E MARGINAL WAY S DAN STEVENS 6409 MCDOUGALL AV , EVERETT WA Contractor: Name: DAHL ELECTRIC INC Address: 521 E VICTORIA , BURLINGTON WA Contractor License No: DAHLEEI926QD ELECTRICAL PERMIT DESCRIPTION OF WORK: PROVIDE 3 - 20 AMP, 120 V CIRCUITS TO NEW BACICFLOW PREVENTION ENCLOSURES Value of Electrical: NRES: $14,150.00 RES: $0.00 Type of Fire Protection: YES Electrical Service provided by: PUGET SOUND ENERGY I hereby certify that I have read and governing this work will be complie The granting of this permit does not pre construction or the perform- ork. Signature: Print Name: doc: EL -4/07 • Permit Number: Issue Date: Permit Expires On: Expiration Date: 11/04/2010 EL09 -0004 01/06/2009 07/05/2009 Phone: Phone: 425 252 -1700 X 3 Phone: 360 755 -1145 Fees Collected: $334.00 National Electrical Code Edition: 2005 Permit Center Authorized Signature: Date: 011 l O l ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: ` CSC -o 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. EL09 -0004 Printed: 01 -06 -2009 Parcel No.: 0001600023 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 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 pe • • mance of work. Signature: c � `•' / _ Date: at `p -of doc: Cond -Elec • City of Tukwila Department of Community Development 6300 Southccnter 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 CORP Print Name: E(/(. c --70 fick C._. PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0004 ISSUED 01/06/2009 01/06/2009 EL09 -0004 Printed: 01 -06 -2009 r Site Address: Tenant Name: Name: E -Mail Address: Company Name: Mailing Address Contact Person: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.ci.tukwila.wa.us SITE LOCATION 153 i _ k- Mpi261mr4(_ J'OY (, vSvA1 Fo�2 -F_ Property Owners Name: Mailing Address: VS 3 t C /4144.64 t A'r 60(47 CONTACT PERSON - Who do we contact when your permit is ready to be issued a4 N -STEV6iV-s Mailing Address: 3 A4LlOpL Ave d s/euGrn o '4 (CCiL✓� _ CD�^'l ELECTRICAL CONTRACTOR INFORMATION Property Served by: ® Puget Sound Energy ❑ Seattle City Light L A f L ELE_ .fQ I C., N L a „„ t TeLic- N E -Mail Address: e .5 Tev sLit le / J,-•c. - C:pwt Contractor Registration Number: OA NL g6l 4 1.26Q0 e. Valuation of Project (contractor's bid price): $ 1 i t ISO Scope of Work (please provide detailed information): Novi 3. - To /tJFt./ 13AcK(Liiki PRJ Vh` rIDP. - CLOauQg - Will service be altered? ❑ Yes (t No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service H 'ApplicanonsTo ms- Applications On Line \4 -2007 - Electrical Perm t Application doc hh Electrical Permit No. O 000L1 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 ** King Co Assessor's Tax No.: (9(70 UiO ^ 002--S Suite Number: New Tenant: City Day Telephone: kv6LC City Fax Number: cit Day Telephone: Fax Number: Floor: ❑ Yes n..No L4 State �tSly� Zip 4 s asa -1 7p,� i r. 3 �^ 0 '20 State Zip 4,25- S.2 - 2111 State Lip I OC - asa -1 ha s Ta Expiration Date: -1914, , 1 JP Cmacmt Adding more than 50 amps? ❑ Yes No ❑ Remodel ❑ Tenant Improvement Page I of 2 i RESIDENTIAL NEW RESIDENTIAL SERVICE El New single family dwellings - $140.00 (including an attached garage) ❑ Garages: pools. spas and outbuildings - $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) - $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 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) $7 .00 ea ❑ Mete /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES — Value of Construction — In all cases, a value of construction amount should he 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: 0 SrFvi i Mailing Address: 3tID 1 nG rook t,AL t_. AUf Date Application Accepted: ail I, otil,n H' \Apphcatrons\orms- Applications On Lineal -2007 - Electrical Permit Application doc bh • MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals - $75.00 Number of concessions - $10.00 ea Date: /-- LT' o ? Day Telephone: 51 3 'ate :2 ' % %DU %T J Iir it (-t /i1 ' li/10 I City State Date Application Expires: Staff Initials: Zip Page 2 of 2 Receipt No.: R09 -00018 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: EL09 -0004 Address: 8531 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 01/06/2009 Applicant: JORGENSEN FORGE CORP Issue Date: Initials: JEM Payment Date: 01/06/2009 12:55 PM User ID: 1165 Balance: $0.00 Payee: DAHL'S VALLEY ELECTRIC INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 35628 334.00 Account Code Current Pmts 000.322.101.00.0 334.00 Total: $334.00 Payment Amount: $334.00 1172 01/06 9707 TOTAL 334.00 doc: Receiot -06 Printed: 01 -06 -2009 Project: C ?J� kkt u1 Type of Inspection: 2- f / 7 DO Addre£ s� 3 I E , 4 � . `I - w Date Called: , Special Instructions: Date Wanted: T. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 6o9 -aoo11 PERMIT NO. (206)431 -3670 l%1 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: , (AAA- z K 1 -1 In) Inspector: 6 6 4 4 t ick L i t - Date: 01 I (u ri $60.00 REINS'PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Name Role Effective Date Expiration Date DAHL, ROD AGENT 11/04/2008 Bond Amount Dahl, Rod PRESIDENT 11/04/2008 510969 Dahl, Susan SECRETARY 11/04/2008 Dahl, Chris VICE PRESIDENT 11/04/2008 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC 510969 11/03/2008 Until Cancelled $4,000.00 11/04/2008 Untitled Page Electrical Contractor A business licensed by Lai 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 Dahl Electric Inc 3607551145 521 E Victoria BURLINGTON WA 98233 SKAGIT CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600453012 ACTIVE DAHLEEI926QD ELECTRICAL CONTRACTOR 11/4/2008 11/4/2010 DAHLSVE101 KU DAHL*RD9700N GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License DAHL*RD9700N Name DAHL, ROD D Status ACTIVE Business Owner Information Bond Information • https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= DAHLEEI926QD • Page 1 of 1 01/06/2009