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HomeMy WebLinkAboutPermit EL16-0250 - TERRA STAFFING GROUP - LIGHTING AND MISCELLANEOUS POWERTERRA STAFFING GROUP 16400 SOUTHCENER PKWY, W"611111 EL16-0250 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: 2623049021 Permit Number: EL16-0250 Address: 16400 SOUTHCENTER PKWY 200 Issue Date: 3/21/2016 WA Cities Electrical Code: 2014 Permit Expires On: 9/17/2016 Project Name: TERRA STAFFING GROUP 2014 Owner: 2012 WA State Energy Code: Name: LEGACY PARTNERS COMMERCIAL 2012 Address: PO BOX 130639, 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: 325 WASHINGTON AVE S #91, KENT, WA, 98032 License No: OLSENE1931PE Expiration Date: 10/5/2017 Lender: Name: Address: DESCRIPTION OF WORK: RELOCATE EXISTING LIGHTING AND INSTALL MISC POWER Valuation of single family: $0.00 Fees Collected: $169.89 Valuation of mf/comm: $3,600.00 Type of Work: TENANT IMP 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Sign atu re: Wou hl& 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 permit and agree to the conditions attached to this permit. Signature: I � Date: — L (.0 Print Name: N") c2.rlbe� 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 TUKW 1 Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htti)://www.TukwilaWA.Ro SITE LOCATION Site Address: Tenant Nam Electrical Permit No. ELer Y0' Project No. Date Application Accepted: Date Application Expires: _ Ilse 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" King Co Assessor's Tax No.: Number: "2c c, Floor: L-\ New Tenant: ❑ ..... Yes PROPERTY OWNER Name: h Address: City: C erk si6ln AState: kAJ,n Zip:�5040 CONTACT PERSON - person receiving all project communication Name: 13 S-�- �n 6a awi W11-4 Address: 3a City:n � State: Zip: oo 5d ax: Phone: a S -7-1 - 0,, Email: M ELECTRICAL CONTRACTOR INFORMATION Company Name: et\ = k -S ,\ Address: Sas Wog hm r City: tate: Zip:?pi3� Phone: 0125 3 _�; _ q0v Fax: ((�� Contr Reg No.:©� .Exp Date: , U 5- Z/7 Tukwila Business License No.; uQ\ - 60-2,(� t&333 Valuation of Project (contractor's bid price): $ '3/ (O Ud Scope of Work (please provide detailed information): KZ C (U C , (? t`,- G (I tyl S Will service be altered? ❑ Yes Ikk No Type of Use: (-) -C�\'G Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: 9" Puget Sound Energy ❑ Seattle City Light H:WpplicationsTorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1.1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes )�- No ❑ Remodel ,Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 $65.00 ❑ (no added/altered circuits) $80.90 ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits .......................$I 1.55 ea ❑ Circuits added/altered without service change ............ $54.60 (up to 5 circuits) ea ❑ Circuits added/altered without service change ............ $54.60 (6 or more circuits)...............................................$7.65 ea ❑ Meter/Jnast 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. Signature: Print Mailing Address: SJ 5- WC -SK H:\ApplicationsTorms-Applications On Line\2014 ApplicationsMectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Date: Day Telephone: city Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $169.89 EL16-0250 Address: 16400 SOUTHCENTER PKWY 200 Apn: 2623049021 $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 R000.322.900.04.00 0.00 TOTAL FEES PAID BY, RECEIPT: R7972 $8.09 .. Date Paid: Monday, March 21, 2016 Paid By: JUSTIN GRONBERG Pay Method: CREDIT CARD 024212 Printed: Monday, March 21, 2016 10:54 AM 1 of 1 (17 "^ SYSTEMS 2 INSPECTION RECORD h, / v Retain a copy with permit �I '��i INSPECTION N0. P RMIT 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: / Address: / /� �(�y L�A Date Called: 1 Special Instructions: 2 i Date Wanted: a. LZ p.m. Requester: Phone No: tJ paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD r IRetain a copy with permit Y� INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /cc_ / Type of inspection: Address: /L , ILLO- -�' Date Called: Special Instructions: W2 �N G-00 Date Wanted: a.m. L2- Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. lJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit wl INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: —I&Ak Type of Ins tion: . ,414 Address: A 40 0 —!�— (- - Date Called: Special Instructions: Date Wanted: a. Requester: Phone No: Z lG Z� Approved per applicable codes. C-1-4 Corrections required prior to approval. COMMENTS: yo A-,AJJ Pro f.q- t pector: q REINSPECTION' FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. OLSEN ELECTRIC INC Horne 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 A-1 Judex Help My L&I 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. OLSENE1931PE Effective — expiration 1010512007-1010512017 Designated administrator Active. OLSEN, ERIC S License Violations ..................................................... Meets current requirements. License type License no. Electrical Administrator OLSENES9610H Bond ................. RCWIWAC CBIC $4,000.00 Bond account no. Violation amount S14815 $250.00 Received by L&I Effective date 12/28/2009 01/24/2010 Expiration date Until Canceled Savin s No savings accounts during the previous 6 year period. License Violations ..................................................... Infraction no. EBOES00755 Satisfied ........................ Issue date RCWIWAC 01/10/2013 19.28.101 RCW Violation city Violation amount ENUMCLAW $250.00 Type of violation ELECTRICAL CITATION https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931PE&SAW= 03/21/2016