HomeMy WebLinkAboutPermit EL08-1404 - POINT TO POINTPOINT TO POINT
12610 INTERURBAN AV S
ELO8- 1404
CitAf Tukwila •
crrtment of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: htt•: / /www- ci.tukwila.wa.us
Parcel No.: 0004800003
Address: 12610 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1404
Issue Date: 11/03/2008
Permit Expires On: 05/02/2009
Tenant:
Name: POINT TO POINT
Address: 12610 INTERURBAN AV S , TUKWILA WA
Owner:
Name: CIO EPROPERTYTAX INC Phone:
Address: DEPT #207 , PO BOX 4900
Contact Person:
Name: ERIC OLSEN Phone: 253 - 561 -9146
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: 10/05/2009
DESCRIPTION OF WORK:
INSTALL WIRING FOR (1) 4X4 WRAP LIGHT, (1) GFI, (1) SWITCH AND (1) FAN
CONNECTION
Value of Electrical: $350.00 Fees Collected: $62.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date: t`_3 -og
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.
Signature: ~. Date: /7— 3 -°
Print Name:
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
EL08 -1404 Printed: 11-03-2008
Parcel No.: 0004800003
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.eidukwila.wa.us
12610 INTERURBAN AV S TUKW
POINT TO POINT
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1404
ISSUED
11/03/2008
11/03/2008
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: � Date: ! /— — C1'
Print Name:
K--e. -,% Q/S-c-,
doc: Cond -Elec EL08 -1404 Printed: 11 -03 -2008
w
CITY OF TUKWILIP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98189
http : //www. ci. tkwila. wa. us
Electrical Permit No. E LQ 0— ILO 11
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: W O 1 k0 — 066 3
Site Address: W6/0 5u ' 11)0 Ti lfz/ UIFZ.✓t Suite Number: 106 Floor:
Tenant Name: Poiit 4' to 2O, N New Tenant: ❑ Yes a.No
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 015e41 fka-rise i/'IL, l n't DlSen
Mailing Address: 7i' b t ✓'- A-VG.- 4a-1 S"
E -Mail Address: eel' G®OISe�t°ilerAri'L.r f'
Day Telephone: oZ 5 3 —c6/— 1/%4
- y►'Y4 M) WA_ ` c)-6)-
City State Zip
Fax Number: ,aS3- 1.6,43
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 01660 rieCci i C- it1G.
Mailing Address: 7a 6/", A✓'► Ave. 7t JT
Contact Person: Fiv1 G Qf €4/'L-
E -Mail Address: e.ri'c O0i ne,IcG41'G.Vivi--
Contractor Registration Number:
!%►1 uwi4law L��1 gavaa-
City State Zip
Day Telephone: ).<- 3 - S-Y /- 9 /1/6
Fax Number: a C -' ?-6 9- 4.1-t
Expiration Date:
Valuation of Project (contractor's bid price): $ 250. QO
Scope of Work (please provide detailed information): 1— 1 X`I t �Ap j 1- t!?a l 1 - S,.1t 1-e,k connC4atiw
Will service be altered? ❑ Yes gi No Adding more than 50 amps? ❑ Yes E( No
Type of Use:
Type of work:
❑ New rg Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:ApplicationsWotme- Application+ On Line 4-2007 - Electrical Petmil Applicanon.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ 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
El 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)
E l Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, fumace thermostat)
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
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: fri C. o(u�
Mailing Address: 7/ 8 6ri,1"- iF✓L # -15
Day Telephone:
ga.uwicia.w
City
as-3- 5C/-q /L/6
(.mli4 qeR,01''
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: ApplicationeWmme- Applications On Linew -2007 - Electrical Permit Application.doc
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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:/lwww.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0004800003 Permit Number: EL08 -1404
Address: 12610 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 11/03/2008
Applicant: POINT TO POINT Issue Date:
Receipt No.: R08 -03667
Payment Amount: $62.00
Initials: WER Payment Date: 11/03/2008 11:24 AM
User ID: 1655 Balance: $0.00
Payee: OLSEN ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1050 62.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 62.00
Total: $62.00
doc: Receiot -06 Printed: 11 -03 -2008
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISI ON
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
and LI °if
PERMIT NO
12+
(206)431 -3Q7
Project: n
&Apr 70 f ornlr
Type of Inspection:
0/00
Address:
I Z i0 io l
JR-. /l.
Date Called:
.-.
Special Instructions:
Date Wanted:
/al 3/
(/
a:m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector 6triA J
Date: i 2 ] 3 ( l 01/48
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:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
r 01
PERMIT NO.
(206)431 -3670
Protect: ,ot - rT ea ` Jr
n1
Type of Inspection:
^ 5
/ D 0
Address:
1241 1A)T. t2&.
Date Called:
Special Instructions:
Date Wanted:
1 / O�
a.r
p.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
601/6-c w 5 Ar
- goait 1.4
❑ $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
•
•
Page 1 of 1
Electrical Contractor
A business licensed by LEH 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.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
602696333
ACTIVE
OLSENEI931 PE
ELECTRICAL
CONTRACTOR
10/5/2007
10/5/2009
OLSENES961 OH
GENERAL
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
a 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 ?License= OLSENEI931 PE
11/03/2008