HomeMy WebLinkAboutPermit EL14-0670 - LULULEMON - HVAC POWER AND CONDUITLULULEMON
21 S OUTH CENTER MALL
EL1 4-0670
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
9202470130
21 SOUTHCENTER MALL
Project Name: LULU LEMON
ELECTRICAL OTC PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL14-0670
7/16/2014
1/12/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
JORDAN WEST
325 WAHINGTON AVE, STE 91, KENT,
WA, 98032
OLSEN ELECTRIC INC
718 GRIFFIN AVE #215, ENUMCLAW,
WA, 98022
OLSENEI931PE Expiration Date:
Phone: (253) 470-2488
Phone: (253) 872-1905
DESCRIPTION OF WORK:
RUN POWER FOR HVAC (3), RUN CONDUIT FOR PANELS
Valuation of single family: $0.00
Valuation of mf/comm: $6,500.00
Type of Work: TENANT IMP
Fees Collected: $229.64
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
(d4-16L Date:
1 V11
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature:
Print Natffe: Ji 9c_S �Y\ 6,(t'r
null void if the works
Date: /
This permit shall become andnot commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.eov
Electrical Permit No. 3 067
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: 21 Southcenter Mall Tukwilla
King Co Assessor's Tax No.:
Suite Number: 21 Floor: 1
Tenant Name: Lulu Lemons
PROPERTY OWNER
Name: Westfield Southcenter
Address: 2800 Southcenter Mall
City: Tukwilla State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Jordan West
Address: 325 Washington Ave S #91
City: Tukwilla State: WA Zip: 98032
Phone: (253) 470-2488 Fax:
Email:
New Tenant: ® Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Olsen Electric
Address: 325 Washington Ave S #91
City: Kent State: WA Zip: 98032
Phone: (253) 872-1905 Fax: (253) 269-0268
Contr Reg No.: OLSENEI931 PE Exp Date: 10/05/2015
Tukwila Business License No.; BUS-0992832
Valuation of Project (contractor's bid price): $ 6,500
Scope of Work (please provide detailed information): Run power for HVAC (3), Run conduit for panels
Will service be altered? m Yes ❑ No
Adding more than 50 amps? ❑ Yes m No
Type of Use: Retail
Tvpe of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 OWNEI MR ELECTRICAL CONTRACTOR:
Signature:
Date:
07/15/2014
Print ame: Justin Tronberg Day Telephone: (253) 872-1905
Mailing Address: 325 Washington Ave S #91 Kent WA 98032
City
H: Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ermitTR
ACCOUNT ( QUANTITY
PAID
14-067
ress:
SOUTHCENTER iM4
92024701
29.
ELECTRICAL
$218.70
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$218.70
TECHNOLOGY FEE
$10.94
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2604
R000.322.900.04.00
0.00
$10.94
$229.64
Date Paid: Wednesday, July 16, 2014
Paid By: JUSTIN GRONBERG OLSEN ELECTRIC
Pay Method: CREDIT CARD 076069
Printed: Wednesday, July 16, 2014 2:53 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: / tept Q %
Type of Inspection:
Address: I ��`
Date Called:
Special Instructions:
Date Wanted:
w�n
e�
a.m.
p.m.
Requester:
f /
Phone No:
El Corrections required prior to approval.
p
Approved per applicable codes.
COMMENTS:
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r1,
Inspector: f
Date: (a j2.3 JiY
l (
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
INSPECTION 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
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Project: ' 1Cti
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Type of Inspection:A` -
Address: 2
Date Called:
Special Instructions:
Date Wanted:
a.m
�� Z� p.m.
Requester:(
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Phone No:
ljApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
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n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: /343fiti
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
Li) LZSLerVoAj
Type of Inspection:
Yj.N IZItAL I INAL~
Address:
se n:1A(\
Date Called:
,1
Special Instructions:
Date Wante_ :
- '2L1— l L.1(
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.m
a'.
p.m.
Requester:
Phone No:
Appraved per applicable codes. Corrections required prior to approval.
COMMENTS: p . .r'
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Inspector: l&
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REINSPECTION FEI= REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
OLSEN ELECTRIC INC
Page 1 of 5
411111 Washington State Department of
Labor & Industries
OLSEN ELECTRIC INC
Owner or tradesperson
OLSEN, ERIC S
Principals
OLSEN, ERIC S, PRESIDENT
OLSEN, ERIC S, AGENT
Doing business as
OLSEN ELECTRIC INC
WA UBI No.
602 696 333
325 WASHINGTON AVE SOUTH #91
KENT, WA 98032
253-872-1905
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
OLSENEI931 PE
Effective — expiration
10/05/2007-10/05/2015
Designated administrator
OLSEN, ERIC S
License type
Electrical Administrator
Bond
CBIC
Bond account no.
SI4815
Received by L&I
12/28/2009
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
License no.
OLSENES9610H
$4,000.00
Effective date
01/24/2010
Expiration date
Until Canceled
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931 PE&SAW= 07/16/2014