HomeMy WebLinkAboutPermit EL13-0634 - LEGACY PARTNERS - REMODELLEGACY PARTNERS
16400 SOUTHCENTER PY
ELi 3-0634
City AT ukwila
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: LEGACY PARTNERS
ELECTRICAL PERMIT
Permit Number: EL13-0634
Issue Date: 06/27/2013
Permit Expires On: 12/24/2013
Owner:
Name: LEGACY PARTNERS COMMERCIAL
Address: PO BOX 130639 , CARLSBAD CA 92013
Contact Person:
Name: LEO KOT
Address: 325 WASHINGTON AVE S #91 , KENT WA, 98032
Phone: (253) 266-6263
Contractor:
Name: OLSEN ELECTRIC INC Phone: 253-872-1905
Address: 325 WASHINGTON AVE SOUTH #91 , KENT WA 98032
Contractor License No: OLSENEI931PE Expiration Date: 10/05/2013
DESCRIPTION OF WORK:
INSTALL DEDICATED OUTLET, BREAKER, AND DIALER
Value of Electrical: NRES: $588.00 Fees Collected: $79.80
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: U,/, 7/3
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 's permit • •es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction • e p - - • ance of work. I am authorized to sign and obtain this electrical permit.
Signature. Date: 7(2 7/ 3
1
Print Name: ` V
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
ELI 3-0p4 Printed: 06-27-2013
• PERMIT CONDITIONS •
Permit No. EL13-0634
**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
EL13-0634 Printed: 06-27-2013
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical -Permit No. FA 13-06 3 V
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: 1(A00 SO' -Nce.V ivef
?eq. -11.05
Tenant Name: LefiCtC)
King Co Assessor's Tax No.:
T4 kmi , Suite Number: Floor:
PROPERTY OWNER
Name: Leo ko1 r -
Address: 32,c Wqc.Nt`` {Ai 4V( S 491
Mate:
Name: Leec c
Po.(�1(LCS
Email: Leo k & o1 elec-crlc . 11e+
Address: (1765
i\i e
t s+
1_
stifle z I Z
City: & l tie,
State: W A
Zip: 98w./
CONTACT PERSON — person receiving all project
communication
Name: Leo ko1 r -
Address: 32,c Wqc.Nt`` {Ai 4V( S 491
Mate:
City: �/ WA Zip: q go32
Phone: ZS'266' / Fax. -2s3 -Z‘ 9- 02 62
Email: Leo k & o1 elec-crlc . 11e+
New Tenant: ❑ Yes N..No
ELECTRIC,AL CONTRACTOR INFORMATION
Company Name: Ot e F1c4 f 1'C Inc
AddressCa \m4414,11..00 Au F S -9 1
City: keVIk State: W A Zip: 9803'2.
Phone: *ZS_VS72. )905Fax: 2S3-2 ,Q - oZ6tz
Contr Reg No.: OLSEN E i.g3I FEExp Date:1O(os 113
Tukwila Business License No.: QVc _ oq qp$ 32
Valuation of Project (contractor's bid price): $ O' - 0 0
Scope of Work (please provide detailed info ation):
I11544 CO4e ot-dle, bozckkerf con Vt0,ler
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes E. No
Type of Use:
Type of work:
❑ New It Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service
Property Served by:
. Puget Sound Energy 0 Seattle City Light
H:'Applications\Forms-Applications On Line \ 2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
El 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)
El 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
El 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
El 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 0' \ I R EL _.::. i AL CONTRACTOR:
Signature:
Print Name: 1. e0 (moo
Mailing Address:) kki5Sr11 Ay-k,n JE S It 9 1
Date: 'Z%/ i3
Day Telephone: ?_S"- Z66 ^ 6Z63
Kern— WA 98032
H:Upplications\Fomu-Applications On Line \2011 Apphcations\Electncal Permit Application Revised 8.9-I I.docx
Revised: August 2011
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City State Zip
Page 2 of 2
r
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: EL13-0634
Address: 16400 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 06/27/2013
Applicant: LEGACY PARTNERS Issue Date:
Receipt No.: R13-02011
Initials:
User ID:
LAW
1632
Payment Amount: $79.80
Payment Date: 06/27/2013 02:24 PM
Balance: $0.00
Payee: OLSEN ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 004970
ACCOUNT ITEM LIST:
Description
79.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
a....• oe..ei..f_na
Printad• ns -77-9n13
INSPECTION RECORD Retain a copy with permit64/431INSPECTION NO. - PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: I/two(p
nI�Aft5
Type of Inspection:
240
Address:/foo A
foo
. Pi .
Date Called:
Special Instructions:
Date Wanted:
t P•r; a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Ai4iv
Inspector:
r
Date: 06/45
// I5
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 Per Friendly Page
s
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
2538721905
325 Washington Ave South #91
Kent
WA
98032
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 OLSEN ES96101-i
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 2
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 &
CAS CO
98 GU 5913 6
09/20/2007
Until Cancelled
01/24/2010
EOXFJ00663
$4,000.00
10/05/2007
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
ESTRL01009
12/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
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
EOXFJ00663
10/19/2010
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHOUD00764
8/20/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
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
EBOES00755
1/10/2013
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03540
7/21/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
httns://fortress.wa.2ov/lni/bbin/Print.aspx 06/27/2013