HomeMy WebLinkAboutPermit EL09-0713 - DSV INCDSV INC
16040 CHRISTENSEN RD
SUITE 212
ELO9-0713
Cityef 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.: 2523049039
Address: 16040 CHRISTENSEN RD TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0713
Issue Date: 11/12/2009
Permit Expires On: 05/11/2010
Tenant:
Name: DSV INC
Address: 16040 CHRISTENSEN RD SUITE 212 , TUKWILA WA
Owner:
Name: BRCP RIVERVIEW PLAZA LLC Phone:
Address: 248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: ERIC SLOSS Phone: 253 - 737 -3110
Address: 718 GRIFFEN AVE #215 , ENUMCLAW WA
Contractor:
Name: OLSEN ELECTRIC INC Phone: 253 - 561 -9146
Address: 718 GRIFFEN AVE #215 , ENUMCLAW WA
Contractor License No: OLSENEI931PE Expiration Date: 10/05/2011
DESCRIPTION OF WORK:
RELOCATE 2X4 LIGHT FIXTURES THROUGHOUT SPACE AND ADD MISCELLANEOUS RECEPTACLES
Value of Electrical: NRES: $3,274.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $150.00
National Electrical Code Edition: 2008
Date: 6 k"1)% 09
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 th- •erformance of work. I am authorized to sign and obtain this electrical permit.
Signature: / iI - Date:
Print Name:
7
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 -0713
Printed: 11 -12 -2009
Parcel No.: 2523049039
Address:
Suite No:
Tenant: DSV INC
•
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
16040 CHRISTENSEN RD TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied :Date:
Issue Dale:
EL09 -0713
ISSUED
11/12/2009
11/12/2009
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:
Date: C // Z O
doc: Cond -Elec
EL09 -0713 Printed: 11 -12 -2009
CITY OF TUKWVIL�
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. FLoq- D 7 13
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
King Co Assessor's Tax No.: g2S�30`1— gnct
Site Address: I (0O L O C 1121 STEM S EN 2OA O Suite Number: 41 L Floor: 1
Tenant Name: OW) V) TA/ C. New Tenant: Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 62/ C `57-05'
Day Telephone: 453- 73-7 - X110
Mailing Address: 71P 6r r\. Ave 141 2 TN)/ - CL..4' WA Iwo Z7
City State Zip
E -Mail Address: C 2 t C S LOSS tzdt NET Fax Number: Z5 Z 0M - nt48
ELECTRICAL CONTRACTOR INFORMATION
Company Name: CL 5 EN Et C( re, L
Mailing Address: 7 I e) Carr ity.
A .W Z
Contact Person: EE t c_ 0/5 r
E_ -Mail Address: 6izt c_( c/ ..- CLCCT,Z ;c . NET
Contractor Registration Number: 015 FAJ ei q3 /4C
CNLrlCc_"w
City
Day Telephone:
wa 915c51-Z-
State Zip
t65- 60' 91 { 6
Fax Number: 253- Z`K - CZ6$
Expiration Date: /0- 5 - r 41
Valuation of Project (contractor's bid price): $ 3, Z 7Li. °O
Scope of Work (please provide detailed information): R4_lo,,t a P 4 t t /, )-t- 44 },,re
512 Art' ( vt cr-dtA ►N.&rSC, ECrncACLE.5
Will service be altered? ❑ Yes IR No Adding more than 50 amps? ❑ Yes ��No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro.e 'erved b :
Puget Sound Energy
❑ Seattle City Light
H \Applications \Forms- Apphcatrons On Line \I -21NP) - Electncal Permit Application doc
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Page 1 of 2
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ 1.ow 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 $1 1.00 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 IN 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 I[F.REBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: -C-4/ G 5( OS S
Mailing Address: 71 $ 14". 4v( 2/5
Date: //aAq
Day Telephone: f 53- 737 - 31/O
City
(Al
State
Zip
IDate Application Accepted:
Date Application Expires: Staff Initials:
H:\Apphcalions \Forms - Applications on tine\I -20(N - Electrical 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
RECEIPT
Parcel No.: 2523049039 Permit Number: EL09 -0713
Address: 16040 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 11/12/2009
Applicant: DSV INC Issue Date:
Receipt No.: R09 -01795
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $150.00
Payment Date: 11/12/2009 10:46 AM
Balance: $0.00
OLSEN ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 059009
ACCOUNT ITEM LIST:
Description
150.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 150.00
Total: $150.00
PAYMENT
RECEIVED
doc: Receipt-06 Printed: 11 -12 -2009
INSPECTION RECORD
Retain a copy with permit
61110
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project: Did 14, _
Type of Inspection:
,� •�
44
Addre /► �, !
I p O '(O l ls'c4
Date Called:
.--_
Special Instructions:
Date Wanted:
/
a.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
OK1/
IAJA4
Inspector:
els
Date:
21107
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:
. �.. - - - -.,._
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Fwq -o7+3
PERMIT 72.1.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: D5 Y we/.
Type of Inspection:
7
e7
Address: O O C1i1�5
iw�
5e4
fi�ate Called:
1
Special Instructions:
Date Wanted:
((
30
a.m.
Requester:
Phone No:
ElApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
. - CEawJ�coJc� C c,N'f Rod ig-Tik
Inspector:
645.416c
Date: 1 1 I....0(
U7
El $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:
INSPECTION RECORD O�(
Retain a copy with permit
INSPE ION NO. PERMIT N .
CITY OF TUKWILA BUILDING DIVISION K-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project :t4 14�
Type of Inspection:
7 a9 3
Address: 14 j0 n
G
IS
S
Date Called:
Special Instructions:
Date Wanted:
/ 1 i
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
PA
r r
Inspector: s 6E744
Date: 1/13/0,7,
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by L&t1 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
&t CAS CO
98 GU
5913 6
09/20/2007
Until
Cancelled
$4,000.00
10/05/2007
https: / /fortre ss. wa. gov /l n i/bbip /Detail. aspx
11/12/2009