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