HomeMy WebLinkAboutPermit EL12-0278 - COBALT MORTGAGECOBALT MORTAGE
16400 SOUTHCENTER PY
EL1 2-0278
City oftukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 2623049021
Address: 16400 SOUTHCENTER PY TUKW
Project Name: COBALT MORTGAGE
ELECTRICAL PERMIT
Permit Number: EL12 -0278
Issue Date: 03/23/2012
Permit Expires On: 09/19/2012
Owner:
Name: LEGACY PARTNERS COMMERCIAL
Address: 4000 E 3RD AVE #600 , FOSTER CITY CA
Contact Person:
Name: LEO KOT
Address: 718 GRIFFEN AV, SUITE 215 , ENUMCLAW WA
Contractor:
Name: OLSEN ELECTRIC INC
Address: 718 GRIFFEN AVE #215 , ENUMCLAW WA
Contractor License No: OLSENEI931PE
Phone: 253 - 266 -6263
Phone: 253 - 561 -9146
Expiration Date: 10/05/2013
DESCRIPTION OF WORK:
MISCELLANEAOUS POWER AND LIGHTING
Value of Electrical:
NRES: $9,446.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $264.50
National Electrical Code Edition: 2008
Date: J ^ ✓ .Z
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 thi 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t perfor gan e of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
LEc'(��
Date:
3—
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 -4/10
EL12 -0278 Printed: 03 -23 -2012
• PERMIT CONDITIONS
Permit No. EL 12 -0278
* *ELECTRICAL **
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 -4/10
EL12 -0278 Printed: 03 -23 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. EL\
Project No.
Date Application Accepted:
Date Application Expires:
(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
Site Address: 16400 Southcenter Parkway
Tenant Name: Cobalt Mortgage
PROPERTY OWNER
Name: Olsen ElectriVtem I(49f
Address: 718 Griffin Ave #215
Name: Cobalt Mortgage
Phone: (253) 266 -6263 Fax: (253) 269 -0268
Email: leok @olsenelectric.net
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Olsen ElectriVtem I(49f
Address: 718 Griffin Ave #215
City: Enumclaw State: WA Zip: 98022
Phone: (253) 266 -6263 Fax: (253) 269 -0268
Email: leok @olsenelectric.net
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Olsen ELectric
Address: 718 Griffin Ave #215
City: Enumclaw State: WA Zip: 98022
Phone: (253) 561 -9146 Fax: (253) 269 -0268
Contr Reg No.: Exp Date:
Tukwila Business License No.: BUS - 0992832
Valuation of Project (contractor's bid price): $ 9,446
Scope of Work (please provide detailed information):
Misc Power and Lighting.
Will service be altered? ❑ Yes 0 No
Adding more than 50 amps? MI Yes ❑ No
Type of Use: Office
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
• Puget Sound Energy ❑ Seattle City Light
c
H:'Applications\Forms- Applications On Line \2011 Applcations\Electrical Permit Application Revised 8- 9- 11.docx Lk
Revised: August 2011
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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 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 OWN R OR ELECTRICAL CONTRACTOR:
Signature:
Date: 03/23/2012
Print Name: �= et Day Telephone: (253) 266 -6263
Mailing Address: 718 Griffin Ave #215 Enumclaw WA 98022
City
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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State Zip
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.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049021 Permit Number: EL12 -0278
Address: 16400 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 03/23/2012
Applicant: COBALT MORTGAGE Issue Date:
Receipt No.: R12 -01128
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $264.50
Payment Date: 03/23/2012 01:52 PM
Balance: $0.00
ERIC SHANE OLSEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 51322G
ACCOUNT ITEM LIST:
Description
264.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
doc: Receiot -06 Printed: 03 -23 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL- (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 7
Type of Inspection:
Address:
it
%
Date Called:
Special Instructions:
Oa
Date Wanted:.
(0y
y
a
Requester:
Phone No:
•
I X',I Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
Ki‘
.o
Inspector: .
ii
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
INSPECTION RECORD
Retain a copy with permit
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:
Type of Inspection:
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-- 1j1 $Pe
Address:,6 l a jp..
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Date Called:
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Special Instru tions:
Date Wanted:.
5/ &
16111.
Requester:
r
Phone No:
E1Approved per applicable codes. VI Corrections required prior to approval.
COMMENTS:
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-- 1j1 $Pe
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copillet c-txdi tai
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Inspector:
Date: //6
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION - RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 C{ (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: ,0 „ _A
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/
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Type of Inspection:
7003
Address: 6 ao 5.(. P'I
Date Called:
Special Instructions: '
5 a l
Date Wanted: .m)
V/2.7
(apt
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
(?6k./0•161 ('/t
3w( I
n
Date: a r J
ri REINSPECTION FEE REQUIRED. Prior to next inspectio . fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1i=. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
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Project: Cas i
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Type of Inspection: 7 3
Address: uoos. toy_
Date Called:
Special Instructions:
*ti>ell
4 . 0 (
Date Wanted:.
l� ��
p.m
Requester:
Phone No:
ElApproved per applicable codes. 1 Corrections required prior to approval.
COMMENTS:
�J iftiL, CoC
Inspector:
1.1,77+6f-,k6\
'Date: try ? /2-.
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pf ter Friendly Page
II
Electrical Contractor
A business licensed by LEI 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
10/5/2013
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
S14815
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
S14815
01/24/2010
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.0012/28/2009
$500.00
1
STATE FARM FIRE 8
CAS CO
98 GU 5913 6
09/20/2007
Until Cancelled
01/24/2010
EBIEA00864
$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
EMABQ02866
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMABQ02867
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5500.00
EBIEA00864
5/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBIEA00863
5/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
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
ESTRL01009
12/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EMABQ03540
7/21/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/23/2012