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Home My WebLink AboutPermit EL14-0966 - CHAMPS - CONDUITCHAMPS 1020 SOUThCENTER MALL EL1 4-0966 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 ELECTRICAL OTC PERMIT Parcel No: 9202470010 Permit Number: EL14-0966 Address: 1020 SOUTHCENTER MALL Issue Date: 10/6/2014 Permit Expires On: 4/4/2015 Project Name: CHAMPS Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940, CARLSBAD, WA, 92013 Contact Person: Name: JUSTIN GRONBERG Phone: (253) 872-1905 Address: 325 WASHINGTON AVE S #91, KENT, WA, 98032 Contractor: Name: OLSEN ELECTRIC INC Phone: (253) 872-1905 Address: 718 GRIFFIN AVE #215, ENUMCLAW, WA, 98022 License No: OLSENEI931PE Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: INSTALL CONDUIT FOR ELECTRICAL WORK Valuation of single family: $0.00 Valuation of mf/comm: $100.00 Type of Work: TENANT IMP Fees Collected: $68.25 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: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2014 2012 Permit Center Authorized Signature: a/1"-G Date: /6/ 77( 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 Name: k . r\ C�-�cl lie Date: CC 6 - �T This permit shall become null and void if the work is not 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 lnspector. 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.gov Electrical Permit No. 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.: Site Address: o r i-y r° ^. Act j i� V_w ; \Suite Number: o �} Floor: Tenant Name: VI v1'1 e PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: (, Address: Sac W t:,`✓1'M j ter\ AVG 7 4 1 l City: kt_ State: wA Zip: t . ., d a Phone:a fi S — 0.7,2 _ 1407.Fax: Email: New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: City: 1ku' - State: Vlf / ^ Zip:�, //`I , Phone: Yax: Contr Reg No.: Exp Date: lal L/1 % Tukwila Business License No.; Valuation of Project (contractor's bid price): $ to 0 Scope of Work (please provide detailed information): 1. (' h;A, 1 Gott UJusrV( Will service be altered? ❑ Yes �iNo Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change ❑ Remodel t' Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes Property ved by: PSeuget Sound Energy ❑ Seattle City Light H: Applications\Porms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-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 OWNER OR -ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: 'sor.✓. (V\ 6-gty i2e/24 3-25- /4„e_- `1 ( la e W✓� City State Date: w -6 - C 'l Day Telephone: — 1 'US H:\Applications\Forms-Applications On Line \20I4 Applications\Electrical Permit Application Revised 1-1-14. docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ermitTR ACCOUNT QUANTITY PAID 14-0966 ; Address: 1020 SOUTHCENTER MAL n: 9202470010 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3244 R000.322.900.04.00 0.00 $3.25 $68.25 Date Paid: Monday, October 06, 2014 Paid By: OLSEN ELECTRIC INC Pay Method: CREDIT CARD 053105 Printed: Monday, October 06, 2014 2:55 PM 1 of 1 a�SYSTEMS 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 2. 6,fq-o`lil Project: (&mP S Type of Inspection/ Qa OPI D LAA •t l � IA kvsitt, Address: tO W '14tot. Date Called: i ' Special Instructions: Date Wanted: 143 a.r p.m. Requester: i Phone No: rgApproved per applicable codes. t� J Corrections required prior to approval. COMMENTS: i 04b("t5116 (1) (J - - NI4 5L4 r. /tJ(f 5 IZID fAa f4 Fik 7 ) f V l - - ,JkbiA0 CAA)c.* , tdjklot-- C5 ✓ek DVS ilftAiAAP , ulfrct.i Di) E f iA✓�t2.- dK. -- Gc g t PeMt r Inspector: Date: J/ /} � t 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 01-01106 Project: � �� Type of Inspection: F1,f_ OVettit-tid Address: 1 0243 Date Called: _ Special Instructions: Date Wanted: Co. tlQit) 6 m Requester: Phone No: ElApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: lek 1 1/ • '�. 1?J41 A A141 CpL -ctr f.is &c AT eAs4 g Inspector: �.•� 1 �� L Date: (Oki f'? REINSPECTION FEE REQUIRED. Prior to nex inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal to schedule reinspection. OLSEN ELECTRIC INC Page 1 of 5 0 Washington State Department of Labor & Industries OLSEN ELECTRIC INC License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. OLSENEI931 PE Effective — expiration 10/05/2007-10/05/2015 Designated administrator OLSEN, ERIC S Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator OLSENES961 OH Bond CBIC Bond account no. SI4815 $4,000.00 Received by L&I Effective date 12/28/2009 01/24/2010 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EBOES00755 Violation date 01/10/2013 Violation city ENUMCLAW Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931PE&SAW= 10/06/2014