HomeMy WebLinkAboutPermit EL14-0972 - CHAMPS SPORTS - PANELS AND LIGHTINGCHAMP SPORTS
1030 SOUTHCENTER MALL
EL1 4-0972
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
9202470010
1030 SOUTHCENTER MALL
Project Name: CHAMPS SPORTS
ELECTRICAL PERMIT
Permit Number: EL14-0972
Issue Date: 10/15/2014
Permit Expires On: 4/13/2015
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
JUSTIN GRONBERG
325 WASHINGTON AVE S #91, KENT,
WA, 98032
OLSEN ELECTRIC INC
Phone: (253) 872-1905
Phone: (253) 872-1905
718 GRIFFIN AVE #215, ENUMCLAW,
WA, 98022
OLSENEI931PE Expiration Date:
DESCRIPTION OF WORK:
RELOCATE EXISTING 200A PANEL, RELOCATE EXISTING 150A PANEL, AND INSTALL LIGHTING WITH MISC POWER.
Valuation of single family: $0.00
Valuation of mf/comm: $31,000.00
Type of Work: TENANT IMP
Fees Collected: $836.56
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
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2014
2012
Permit Center Authorized Signature:
ai,ce Gs( •
Date: 'OfS//�
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 agree to the conditions attached to this permit.
Signature:�—
Print N e dui kv\
Date: (0
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:
<NONE>
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.
uL o11'2
Date Application Accepted:
Date Application Expires:
(For office use only)
S�,oL1�0"
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:
1030 Southcenter Mall, Seattle WA 98188
Tenant Name: Champs Sports
King Co Assessor's Tax No.: L
Suite Number:
New Tenant:
PROPERTY OWNER
Name: w ' 1 C t
r)
Address: V 0 j/1., 0/
i "3gO,,Q (.�
(�
City: �� W) KO
State: yr
Zip: G l ,,oi;
CONTACT PERSON — person receiving all project
communication
Name: Justin Gronberg
Address: 325 Washington Ave S #91
City: Federal Way State: WA Zip: 98032
Phone: (253) 872-1905 Fax:
Email:
zip
Floor:
❑ Yes E..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: _
Contr Reg No.��yyV"!� ll� �q ���C� r exp Date: i • 2015
i!l
Tukwila Business License No.; BUS-0992832
Valuation of Project (contractor's bid price): $ 31,000
Scope of Work (please provide detailed information): Relocate existing 200A panel, relocate existing 150A panel.
Install lighting and misc power.
Will service be altered? m Yes ❑ No Adding more than 50 amps? ❑ Yes m No
Type of Use: Retail
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ 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 OWNER ► LECTRICAL CONTRACTOR:
Signature:
Print
me:
Justin Gronberg
Mailing Address: 325 Washington Ave S #91 Kent, WA 98032
H:\Applications\Forms-Applications On Line\2014 Applications\Elcctrical Permit Application Revised 1-I-14.docx
Revised: January 2014
bh
Date: 10/06/2014
Day Telephone: (253) 872-1905
City
Statc Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
6 `
PermitTRA
75
11440972'
dress::
030 SOUTHCENTER MAL
202470010
75;
ELECTRICAL
$643.50
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$643.50
TECHNOLOGY FEE
$32.18
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3316
R000.322.900.04.00
0.00
$32.18
$675.68
Date Paid: Wednesday, October 15, 2014
Paid By: OLSEN ELECTRIC
Pay Method: CREDIT CARD 093317
Printed: Wednesday, October 15, 2014 12:06 PM
1 of 1
CAWSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTR
160.8E
L14-0972
dress:'1030 SOUTHCENTER MALL Apn: 9202470010
160.88
ELECTRICAL
$160.88
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R3254
R000.345.832.00.00
0.00
$160.88
$160.88
Date Paid: Wednesday, October 08, 2014
Paid By: OLSEN ELECTRIC INC
Pay Method: CREDIT CARD 085524
Printed: Wednesday, October 08, 2014 1:10 PM 1 of 1
CAWSYSTEMS
INSPECTION NO.
INSPECTION` RECORD
Retain a copy with permit
6-14- 077Z,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: al n
Ail
Type of Inspection:
}
Address: ` io rf fr -
Date Called:
Special Instructions:
Date Wanted:
(Ib1
(a.m.
pm
Requester:
Phone No:
EAApproved per applicable codes. Corrections required prior to approval.
ry
?OMMENTS:
LaikaivAls !f _
I i r
•
Inspector:`"[ trA/Aftieki
Date:
tIIIy IL(
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
4
INSPECTION RECORD
Retain a copy with permit; 111-471/
INSPECTION NO, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ,(�
M/4M1� )
Type of Inspection: ilv�
Address:
too oo '1
Date Called:
t
,.
Special Instructions:
Date Wanted:
1f1,3
a.m.
.
Requester:
j
Phone No:
DApproved per applicable codes.
t.GJ Corrections required prior to approval.
COMMENTS:
— l,Jfri)(Q J A— E Rai ,S JPP -r PIMI S f
CAA -phi Root'
— Pt- 00o0\ A S I "4d r
tAt o cklkok
- t tzo ` ft()C ud b, C-S u Otte
- L A'- S -+%tEE TU &E 4-6cr'
Prec l Qae( A - SS - PHk614-1 u
- gioDProP' da er3 R(QJt a p e.tc$
udi-rvk JtJ r r g41-i((c-J-1) , 5
14 ?Alia- 5cAt f I lit, iDt S 6 430) ; PArAlci-
- .,562_41GC actri- fib'( 76 ,4A /( P/JC,Il aA! 4!
Inspector:
1/
Date: 111(31(1
•
I t
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
�M-o'Iu-1
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:
(A'Lti-r P5
Type of Inspection:
/ sit_titek -- RDA II fr
Address:
30 PI f�
�( �'+
Date Called:
'
Special Instructions: `
Date Wanted:
/
ii0
ci:
Requester:
Phone No:
jApproved per applicable codes. t� Corrections required prior to approval.
COMMENTS:
,c
/,
L`Lo
Ko aci t -4- r n/ -- FA-
, ,
fr) V
V ' 14
5 0kere-0 rsir SPrgt
..
r
Inspector:
Date: Ot/ ity
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
. ?ERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: EL14-0972 DATE: 10/08/2014
PROJECT NAME: CHAMP SPORTS
SITE ADDRESS: 1030 SOUTHCENTER MALL
X Original Plan Submittal
Response to Correction Letter #_
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
(fr4(1
Building Division III
Public Works
Fire Prevention
Structural
Planning Division
Permit Coordinator
El
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 10/09/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 11/06/14
Approved
Corrections Required
Approved with Conditions kr
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
OLSEN ELECTRIC INC
Page 1 of 5
0 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, WA98032
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.
OLSENEI931PE
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.
OLSENES961OH
$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= 10/15/2014