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HomeMy WebLinkAboutPermit EL09-0615 - IFLOORSIFLOORS 1187 ANDOVER PK W ELO9O6 15 Parcel No.: Address: Suite No: Cityif 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 1187 ANDOVER PK W TUKW ELECTRICAL PERMIT Permit Number: EL09 -0615 Issue Date: 09/29/2009 Permit Expires On: 03/28/2010 Tenant: Name: IFLOORS Address: 1187 ANDOVER PK W , TUKWILA WA Owner: Name: Address: Contact Person: Name: ERIC OLSEN Address: 718 GRIFFIN AV #215 , ENUMCLAW WA Contractor: Name: OLSEN ELECTRIC INC Address: 718 GRIFFEN AVE #215 , ENUMCLAW WA Contractor License No: OLSENEI931PE Phone: Phone: 253 561 -9146 Phone: 253 -561 -9146 Expiration Date: 10/05/2009 DESCRIPTION OF WORK: INSTALL MISCELLANEOUS RECEPTACLES IN WAREHOUSE AND OFFICE Value of Electrical: NRES: $7,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $202.80 National Electrical Code Edition: 2005 Date: MI 7,411 )S ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pre construction or the performance of work. Signature: 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: ?_Zq- OQ Print Name: G % t L L 6 5 5 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 -4/07 EL09 -0615 Printed: 09 -29 -2009 Parcel No.: Address: Suite No: Tenant: • 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 1187 ANDOVER PK W TUKW IFLOORS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0615 ISSUED 09/29/2009 09/29/2009 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 performance of work. Signature: Print Name: FJ. /L SLo 5 5 Date: 9- ZQ -OBI doc: Cond -Elec EL09 -0615 Printed: 09 -29 -2009 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Electrical Permit No. a 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 �^ f II ,,'' King Co Assessor's Tax No.: Site Address: I V 7 1 Qov & P -' L .W rrsT Suite Number: 31106 A Floor: 1 Tenant Name: 1 F1Ct72 5 Property Owners Name: Z c /AO/C...S Mailing Address: UV AMR ► /Gib. pAek_ �.✓�S'T New New Tenant: ❑ Yes 71..No City WA State 4 g /88 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: - Cre. jL SEN Day Telephone: t' 3 - 6‘1 - q /1,6 Mailing Address: 718 6ritZn Ave" 4 2 l5 E -Mail Address: t- JC OLSCA/ 61.6C/it/L /VET e iivJrtLt..At..., vvos 61436 ZC City State Zip Fax Number: ZSZ `2Gq- OZ‘$ ELECTRICAL CONTRACTOR INFORMATION Company Name: '!, 5 tCN C ELTZ I L Mailing Address: 71 IS at' i--- AVF ? Z IS Contact Person: 62 /L OLS &A. ( E -Mail Address: F_,e'C t t)LSEN '/ • a/ET- Contractor Registration Number: 0 LS f:N lit 31 pt ,JU�v c v./ A City State Day Telephone: 76 3 - 56 I Fax Number: Z53 ` 2 L Q QQQZZ Zip Vel e Expiration Date: /0 — j 20 1/ Valuation of Project (contractor's bid price): $ 026. c°v Scope of Work (please provide detailed information): M IS C.-. ,(,GLe-prftcct e-S iK 4)yrrErwvse- a ',LA aF�icE ,'1gLM Will service be altered? ❑ Yes [rNo Adding more than 50 amps? ❑ Yes EF—Tslo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ErRemodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H \Applications\ Forms - Applications On Lrne \I -2009 - Electrical Permit Application.doc bb Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND] AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: 1� Date: 9- ?ef—Oe/ Print Name: 6:2 IL SLOB S Mailing Address: 71$ I Date Application Accepted: 6 /p tt Avc #Z /5 Day Telephone: 253 737 - 3/(0 UM C I—A C.) city IN/4 State 61P07 Zip Atm -I Date Application Expires: H: \Applications \Forms- Applications On Line\I -2009 - rlectncal Permit Application doc bh 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 Parcel No.: Address: 1187 ANDOVER PK W TUKW Suite No: Applicant: IFLOORS RECEIPT Permit Number: EL09 -0615 Status: PENDING Applied Date: 09/29/2009 Issue Date: Receipt No.: R09-01517 Payment Amount: $202.80 Initials: JEM Payment Date: 09/29/2009 08:42 AM User ID: 1165 Balance: $0.00 Payee: OLSEN ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 079365 ACCOUNT ITEM LIST: Description 202.80 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 202.80 Total: $202.80 PAYMENT RECEIVED doe- Receipt -06 Printed: 09 -29 -2009 INSPECTION RECORD �� ,0��� Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: / nook5 Type of Inspection: 240 Address: 117 iwV ^ . , Date Called: Special Instructions: Date Wanted: 15..-- ;41. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. /Q COMMENTS: Jilt/ Inspector: Date: El $60.00 REINSIECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD 1:.U° (_ ALL Retain a copy with permit 1:.U° INSPECTION NO. PERMIT NO. CITY OF TUKWILA -BUILDING DIVISION 4=- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 1 F1 „ Type of Inspection: .." 3 /00 Address: (1 fin /M� Date Called: Special Instructions: Date Wanted: /2.3 m: Requester: Phone No: ElApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: 1� •h• f�odL� '�N1iSi�� ma/ Inspector: 6C41%1LiSi Date: r' /2 07 7 0 $60.00 REINSFECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ? °611 PERMIT NO. (206)431 -3670 Project: ! r ook5 Type of Inspection: 7003 Address: I t 41.400462\u Date Called: Special Instructions: Date Wanted: (IjI m. p. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: /,vdc--(c, niekl�y FRp41 Gp oMoV gena-64 SNou/Roo A•19 (Ain-2F an IJ — Limit Cecil R T Fa57i-, ()AI -s,i Inspector: /r 664 Date: /1/13/07 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page I • Page 1 of 2 Electrical Contractor A business licensed by LW 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. 602696333 ACTIVE OLSENEI931 PE License Type ELECTRICAL CONTRACTOR Effective Date 10/5/2007 Expiration Date 10/5/2011 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED ADMINISTRATOR INFORMATION License OLSENES9610H 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 98 GU 5913 6 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 STATE FARM FIRE Et CAS CO 98 GU 5913 6 09/20/2007 Until Cancelled $4,000.00 10/05/2007 https: // fortress .wa.gov /lni/bbip /Detail.aspx 09/29/2009