HomeMy WebLinkAboutPermit EL12-0762 - SEARSSEARS
18350 OLYMPIC AV S
EL1 2-0762
Parcel No.:
Address:
•
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
7888900155
18350 OLYMPIC AV S TUKW
Project Name: SEARS
ELECTRICAL PERMIT
Permit Number: EL12 -0762
Issue Date: 08/13/2012
Permit Expires On: 02/09/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
C/O EPROPERTYTAX INC
DEPT #207 , PO BOX 4900 85261
KEITH OSTLUND
1006 A ST SE , AUBURN WA, 98002
Contractor:
Name: OSTLUND ELECTRIC INC
Address: 1006 A ST SE , AUBURN WA 98002
Contractor License No: OSTLUEI318DS
Phone: 253 833 -5282
Phone: 253 833 -5282
Expiration Date: 05/08/2013
DESCRIPTION OF WORK:
REMOVE AND REPLACE FIXTURES
Value of Electrical: NRES: $48,000.00
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 an
governing this work will be compli
The granting of this permit does not pr
construction or the p rfo , ance •
Signature:
Print Name: (0.%1// Cit-f/Ufra
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.
Fees Collected: $918.10
National Electrical Code Edition: 2008
Date: Ott (.11(1—
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
ork. I am authorized to sign and obtain this electrical permit.
Date:
doc: EL -4/10
EL12 -0762 Printed: 08 -13 -2012
PERMIT CONDITIONS
Permit No. EL12 -0762
* *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 -0762 Printed: 08 -13 -2012
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, W4 98188
http: / /www.Tukwi la W A.gov
Electrical Permit No. an ��.
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
King Co Assessor's Tax No.: l U D1 01/
Site Address: 18350 Olympic Ave? Tukwila, 98168 Suite Number: Floor:
Sears New Tenant: m Yes ❑..No
o
Tenant Name:
PROPERTY OWNER
Name: Keith Ostlund
Name: Gateway Olympia
City: Auburn State: WA Zip: 98002
Address: 20415 72nd Ave S, Ste 210
Email: keith@ostlundelectric.com
City: Kent State: WA
Zip: 98032
CONTACT PERSON — person receiving all project
communication
Name: Keith Ostlund
Address: 1006 A St SE
City: Auburn State: WA Zip: 98002
Phone: (253) 833 -5282 Fax:
Email: keith@ostlundelectric.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Ostlund Electric, Inc.
Address: 1006 A St SE
City: Auburn State: WA Zip: 98002
Phone: (253) 833 -5282 Fax: (253) 735 -2583
Contr Reg No.: OSTLUEI318DS Exp Date: 05/08/2013
Tukwila Business License No.: BUS- 0993715
Valuation of Project (contractor's bid price): $ O De0 (�(i
Scope of Work (please provide detailed information):
f.e.."0Ye • fit-- y69\G'.ce )ckwi-e-s
Will service be altered? ❑ Yes Y--' No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
( Puget Sound Energy ❑ Seattle City Light
H:'Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 6- 9- 11.docx
Revised: August 2011
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❑ Remodel
❑ Telecommunication
pTenant Improvement
❑ Temporary Service
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 OWNER 1 ELECTRIC • L C 1 • CTOR:
dr/ /fAr01:010
Signatuj :
Print Name: /?O e/e 7n t?s'7Za,2.- C►
' 517:-;.E•
Mailing Address: /a4
H:\ Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Date:
Day Telephone: c, r:,
'9 %i9/1 � �, q. 9g -
City
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
Parcel No.: 7888900155
Address: 18350 OLYMPIC AV S TUKW
Suite No:
Applicant: SEARS
RECEIPT
Permit Number: EL12 -0762
Status: PENDING
Applied Date: 08/13/2012
Issue Date:
Receipt No.: R12 -02337
Payment Amount: $918.10
Initials: JEM Payment Date: 08/13/2012 12:41 PM
User ID: 1165 Balance: $0.00
Payee: OSTLUND ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 19562 918.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 918.10
Total: $918.10
doc: Receipt -06 Printed: 08 -13 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO..
CITY OF TUKWILA BUILDING DIVISION.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
612 =o7oZ
Project:
Type of Inspection:
Address:
3
Don Pic
Date Called:
Special Instructions:
'
Date Wanted:
m.
Requester:
Phone No:
JApproved per applicable codes. ❑ Corrections required to approval..
COMMENTS:
/ 4 ►s gig
Inspector:
Date:' /0511z..„....
REINSPECTION FEE REQUIRED. Prior to next inspection,-.fee. must be.
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
2_.-0747
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12_ (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: A....
Type of Inspection:
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TPA
Address:
Date Called:
W4P sP4
Special Instructions:
Date Wanted:.
9
2!
m.
m
Requester:
(
►
Phone No:
Approved per applicable codes.
Corrections required prior to approval. 7
COMMENTS:
— t lV ii
&AA-fp u a To Re-rim
TPA
t
ci uctorTat\ e...,2w1r 5
W4P sP4
Date: 0S /
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
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
E 1-12
Project:
Type of Inspection:
_
Address:
(g 5v OLyf)Pi(
773)s
Date Called:
Special Instructions: j
PI. tt;ctI ��ti 1
Date Wa ted:.
`2L`: -. /.
-
Vim.'
-. pm,
Requester:
Phone No:
e253 -- a 3 3
S--2'
,'Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
_t)cLr ; k l h G/ I1)or+L . PIA
2i o b PAD'
.1063 R Z flt-CSPL.
Inspector: / J_
/I - `mot/ 1.
F1 REINSPECTION FEE REQUIRED. Prior to
paid at 6300 Southcenter Blvd., Suite 100.
Date:. _a
SC- 21/
next inspection. fee must be-'..
Call to_schedule reinspecfion.' ;,
Contractors or Tradespeople P>er Friendly Page
1
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
OSTLUND ELECTRIC INC
2538335282
1006 A St Se
Auburn
WA
98002
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600055689
Active
OSTLUEI318DS
Electrical Contractor
3/10/1969
5/8/2013
General
Unused
Master Electrician INFORMATION
License OSTLUR *962R1
Name OSTLUND, ROBERT A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
OSTLUND, KEITH E
Violation Amount
01/01/1980
9/18/2009
OSTLUND, ARLIS .1
ELECTRICAL CITATION
01/01/1980
$250.00
OSTLUND, KIML
9/18/2009
01/01/1980
ELECTRICAL CITATION
OSTLUND, KEITH E
Agent
01/01/1980
4/30/2012
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
8
CBIC
608234
11/28/1980
Until Cancelled
$4,000.00
09/14/2008
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
EMABQ03121
9/18/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03122
9/18/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EDUNY00231
4/30/2012
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03125
9/18/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03126
9/18/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 08/13/2012