HomeMy WebLinkAboutPermit EL11-0383 - PROLOGISPROLOGIS
1083 ANDOVER PK E
EL1 1 -0383
Parcel No.:
Address:
City Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
2623049106
1083 ANDOVER PK E TUKW
Tenant Name: PROLOGIS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0383
04/28/2011
10/25/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
PROLOGIS TLF ANDOVER LLC
2235 FARADAY AVE #O , CARLSBAD CA 92008
ANDREW LUDWICK
718 GRIFFEN AV #215 , ENUMCLAW WA 98022
OLSEN ELECTRIC INC
718 GRIFFEN AVE #215 , ENUMCLAW WA 98022
Contractor License No: OLSENEI931PE
Phone: 253 - 266 -6263
Phone: 253 - 561 -9146
Expiration Date: 10/05/2011
DESCRIPTION OF WORK:
REPLACE LIGHTING IN TENANT SPACE
Value of Electrical Work:
NRES: $4,088.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date: d- r 11
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 e performance •work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Date: 4— l
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 -9/09
ELI 1-0383 Printed: 04 -28 -2011
•
* *ELECTRICAL **
PERMIT CONDITIONS
Permit No. EL11 -0383
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL1 1-0383 Printed: 04 -28 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /Mrww. ci. tkwila. wa. us
Electrical Permit No. � t - o• 83,
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.: D)30 t q( W
Site Address: i0S3 AN ?fl`zx. EAT Suite Number: 10■3 Floor:
Tenant Name: A DOVE S' S' t 81JS/IU63S C.f ae_. New Tenant: ❑ Yes X.No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON = Who do we contact when your permit is ready to be issued
Name: Rig,/) 61/Y "f Day Telephone: (z53) Zt — 602103
Mailing Address: 7 t G� �l Fig tai AVE— # 2.1<— clUUMCI fft� W j .
n� City State Zip
E -Mail Address: {fr7 dV-C LO e 6/& [i f.� . net- Fax Number: (75-4
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 6.3)6600 -Fa`2_ /A,
Mailing Address:
APR Ni � r
1144._ _O
City
Contact Person: 1/V[i EEW !_Lct�AJ1 L.I Day Telephone:
E -Mail Address: 411CJ C1 " ' a 17 L?(ri, ?Gf It C.
Contractor Registration Number: a4€ ti 43/ PE Expiration Date: /
State
Zip
to -6,
Fax Number: ZS3� Z (o'? —Cat 4
.L
Valuation of Project (contractor's bid price): $ 4, 0815
Scope of Work (please provide detailed information):
-II PI
•
EQl litr.1
Will service be altered? ❑ Yes *No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change XRemodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ emporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
lt\Applications\Fo ms- Applications On Iine12010 Applications \7 -2010 - Electrical Permit Applicetion.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APJ ICATICIN;NO%ES -
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 0 R OR ELECT • CAL CO RACTOR:
Sign
Print
Mailing Address: i ! ic Gl /4 Fi9 /J T #Z (ts
Date:4f* 1
Day Telephone: 2S •.Co‘p (o zee,
6nhv ► cL4✓ bat- 1sazz.
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
MApplications\Forms- Applications On Line \ 2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
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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.: 2623049106
Address: 1083 ANDOVER PK E TUKW
Suite No:
Applicant: PROLOGIS
RECEIPT
•
Permit Number: EL11 -0383
Status: PENDING
Applied Date: 04/28/2011
Issue Date:
Receipt No.: R11 -00841
Initials: WER
User ID: 1655
Payment Amount: $178.50
Payment Date: 04/28/2011 11:04 AM
Balance: $0.00
Payee: OLSEN ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2423 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 04 -28 -2011
,,.y rs fl� •a+ �9 ..y.. �q{ s•=i" "1:-.7....`17.7-":2?-71r..:- F'-.47.V7 s
Retain a copy with permit
INSPECTION RECORD-, INSPEC ION NO. P 611-oV3
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451 .
Project:
Type of Inspection:
Address: �3 Aifbl1 E
to
Date Called:
Special Instructions:
/o - /0. 30
Date Wanted:
7
a m:
Requester:
.
Phone No:
Approved per applicable codes. Jj Corrections required prior to approval.
COMMENTS:
C)a.0--koNls 1,1oE
Inspector:
Date: ..
7/1/
ri REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedulerreinspection.
•
•
.r..i
INSPECTION RECORD
Retain a copy with permit
INSPE TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 9,,, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
(u!-o3
Project:IL�r0� 1
Type of Inspection:
roo
1
Address: '03 "oleic 6
Date Called:
Instructions:
Date Wanted:
✓ ]w
l .
Fr `Special
Requester:
Phone No:
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
LANyiku9
Inspector:
Date: 2 < It 1
61s,
��171
. n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
. 'J INSPECTION RECORD
Retain a copy with permit
elAt053 '
INSPECTION NO. PERMIT NO.
• CITY OF TUKWILA BUILDING DIVISION .'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: ?
GI5
Type of Inspection:
200
Address: l °Y3
_ -- I_„
�`•
Date Called:
Special Instructions!"
Date Wanted:
�'
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Or V(114-15 I go,,?
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rikce So+s r 6
OP -e P C�-t.. X J KPJ -6
Inspector:
Date: l'
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
a
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
thto3g3
tik
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: p
04,0415
Type of Inspection: D d 3
• •
Address: 108 3 f1iRJo
E
Date Called:
•
Special Instructions:
Date Wanted:
5/5
a.m
p.m
Requester:
Phone No:
-
Approved per applicable codes.
COMMENTS: -
Corrections required prior to approval. '
%iui4j Co1d,.
oi
•
Inspector: Jit/ AND"
Date: 05/8 jfJ •
a
.
. ` wy
- _ D
•
•
•
I.
REINSPECTION FEE REQUIRED. Prior to next inspection. . fee must be• •
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reins ection. ' '• •1
INSPECTION RECORD .a
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 367
Permit Inspection Request Line (206) 431 -2451
Project: t;
A010041 JOB/ , 5
Type of Inspection:
ap
73
Address:
1073
Date Called:
Special Instructions:
Date Wanted:
q
7
.m.
p��
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
PARDIA>5
Inspector:
Date: 0 9;44 I!
❑ REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pri Friendly Page
•
Electrical Contractor
A business licensed by L &I 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
Specialty 1
Specialty 2
602696333
Active
OLSENEI931 PE
Electrical Contractor
10/5/2007
10/5/2011
General
Unused
Electrical Administrator INFORMATION
License OLSENES961OH
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
SI4815
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
CBIC
SI4815
01/24/2010
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
12/28/2009
1
STATE FARM FIRE Et
CAS CO
98 GU 5913 6
09/20/2007
Until Cancelled
01/24/2010
EMABQ02866
$4,000.0010/05/2007
19.28.101 RCW
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EOXFJ00663
10/19/2010
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ02863
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMABQ02862
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMABQ02866
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMABQ02867
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/28/2011