HomeMy WebLinkAboutPermit EL16-0179 - SPECTRA - LIGHTING AND MISCELLANEOUS POWERSPECTRA
17620 W VALLEY EM7Y
EL16-0179
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: 2523049017
Permit Number: EL16-0179
Address: 17620 W VALLEY HWY
Issue Date: 2/29/2016
International Residential Code Edition:
Permit Expires On: 8/27/2016
Project Name: SPECTRA
2014
Owner:
2012
Name: TERRENO 17600 WVH LLC
2014
Address: 101 MONTGOMERY ST #200, SAN
2012
FRANCISCO, WA, 94104
2012
Contact Person:
2012
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: 325 WASHINGTON AVE S #91, KENT,
WA, 98032
License No: OLSENE1931PE
Expiration Date: 10/5/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL LIGHTING AND MISCELLANEOUS POWER
Valuation of single family: $0.00
Fees Collected: $169.89
Valuation of mf/comm: $4,000.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: RENTON
Sewer District: RENTON SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: l �.l X J'�i VJ Date:'
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 permjt�gd agree to the conditions attached to this permit.
Signature:
Print Na V
Date: �07
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 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.Qov
Electrical Permit No. C- LI JO -01 9
Project No.
Date Application Accepted:
Date Application Expires:
use
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: W U`tt(mf-�A 4AA14 Suite Number: Floor:
Tenant Name: p-eckr, New Tenant: ❑ .....Yes ®-No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
&\
Address: LZ 9 W, -,,,,h Mt fz� ✓L S
City: VtA4 tate: Zip:��
Phonea��
Email:
S
v v —
ELECTRICAL CONTRACTOR INFORMATION
Company Name ec�, Z.
Address: ass V3, S h 1n " S
City: State: wa" Zip?
Phone ^ p ,2—(?,5-Fax:
Contr Reg No.: CExp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ �Oe>D-
Scope of Work (please provide detailed information): 1 aL, 4-r U N h+1V17 -q„4,_ dVt i i G . t e c14
Will service be altered? ❑ Yes
Type of Use:
5�No
Adding more than 50 amps?
❑ Yes M -No
Tyne of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
Tenant Improvement
❑ Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑ Temporary Service
Property Served by:
kr�puget Sound Energy ❑
Seattle City Light
H:Wpplications\Fornts-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Pagel 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)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................
$11.55 ea
❑
Circuits added/altered without service change ...........
$54.60
(up to 5 circuits)
$10.80 ea
❑
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)
PERMIT APPLICATION NOTES -
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***
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: ` rr Date: �� L
Print Name: UV `J �!� (� Cslf` ��r'�, Day Telephone: ,�i
Mailing Address: $ �/`i s % �n w y -c— c2 l 1�1 W A t/ b3oZ
City State Zip
H: ApplicationsTorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$169.89
EL16-0179 Address: 17620 W VALLEY HWY
Apn: 2523049017
$169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$161.80
TECHNOLOGY FEE
$8.09
TECHNOLOGY FEE
TOTAL.
R000.322.900.04.00 0.00
$8.09
$169.89
Date Paid: Monday, February 29, 2016
Paid By: JUSTIN GRONBERG
Pay Method: CREDIT CARD 054624
Printed: Monday, February 29, 2016 1:08 PM 1 of 1 CN?
SYSTEMS
I INSPECTION RECORd
LRetain a copy with permiI t
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of inspection:.
Address:/.7 zo
Date Called:
Special Instructions:
Date Wanted: a.m..
Requester: s
Phone No:
;Approved per applicable codes. Corrections required prior to approval.
r
(inspector: /I h61 J6 -k Iuate: C'gIzs 11� i
REINSPECTION �EE 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 N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206), 438-9350
Project:
Type of Inspection:
�-rr
Address: V , J�
LV
Date Called:
Special Instructions:
Date Wanted: N m.
Requester:
Phone No:
aApproved per applicable codes. Corrections required prior to approval.
a
COMMENTS:
fZc d
, t4 4�J&L.,
nspector:
N
-F] REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD 16,
--0n
Retain a copy with permit (�9
INSPE TION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
6k
Type of Inspection:
Address: 1
761001.
Date called:
Special Instructions:
Date Wanted: a.m
lyft f
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
OLSEN ELECTRIC INC
liome Espanol Contact
Safety & Health
Washington State Department of
Labor & Industries
OLSEN ELECTRIC INC
Owner or tradesperson
Principals
OLSEN, ERIC S, PRESIDENT
OLSEN, ERIC S, AGENT
Doing business as
OLSEN ELECTRIC INC
Claims & Insurance
325 WASHINGTON AVE S #91
KENT, WA98032
253-872-1905
KING County
WA UBI No. Business type
602 696 333 Corporation
License
Page 1 of 4
D
:1-7 Index Help Nly l,&l
Workplace Rights Trades & Licensing
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
10/05/2007-10/05/2017
Designated administrator
Active.
OLSEN, ERIC S
Meets current requirements.
License type
License no.
Electrical Administrator
OLSENES9610H
Bond
.................
Satisfied
.........................
CBIC
$4,000.00
Bond account no.
19.28.101 RCW
S14815
Violation arnount
Received by L&I
Effective date
12/28/2009
01/24/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
.........................................................
Infraction no.
EBOES00755
Satisfied
.........................
Issue date
RCW/WAC
01/10/2013
19.28.101 RCW
Violation city
Violation arnount
ENUMCLAW
$250.00
Type of violation
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI93IPE&SAW= 2/29/2016