HomeMy WebLinkAboutPermit EL16-0587 - 14570 BUILDING / UNIT D150 - LIGHTING, MISCELLANEOUS POWER AND FIRE ALARM WIRINGVACANT SPACE
14570 INTERURBAN AVE S
EL16-0587
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
Parcel No: 3365901630
ELECTRICAL OTC PERMIT
Permit Number: EL16-0587
Address: 14570 INTERURBAN AVE S UnitD150 Issue Date: 6/23/2016
Permit Expires On: 3/21/2017
Project Name: VACANT SPACE
Owner:
2015
National Electrical Code:
Name:
SANFT LOUIE
2015
Address:
6120 52ND AVE S, SEATTLE, WA,
International Mechanical Code Edition:
2015
98118
2014
Contact Person:
2015
WA State Energy Code:
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 MISCELANEOUS POWER AS WELL AS LOW VOLTAGE WIRING FOR FIRE ALARM.
REVISION #1- INSTALL ADDITIONAL SPEAKER WIRE.
REVISION #2 - NEW SUITE NUMBER D150
Valuation of single family: $0.00
Valuation of mf/comm: $34,500.00
Type of Work: TENANT IMP
Fees Collected: $779.35
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:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
lezPermit Center Authorized Signature: PA(ww Date: lo
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: // P'i'1 an I'�vZ W),�C'k
Date: 10 - 2-6 1
This permits all 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 296-468 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
7003
ROUGH -IN
ELECTRICAL
7003
ROUGH -IN
ELECTRICAL
7003
ROUGH -IN
ELECTRICAL
7003
ROUGH -IN
ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 3365901630 Permit Number: EL16-0587
Address: 14570 INTERURBAN AVE 5 Unit200 Issue Date: 6/23/2016
Permit Expires On: 2/7/2017
Project Name: VACANT SPACE
Owner:
2015
National Electrical Code:
Name:
SANFT LOUIE
2015
Address:
6120 52ND AVE S, SEATTLE, WA,
International Mechanical Code Edition:
2015
98118
2014
Contact Person:
2015
WA State Energy Code:
Name:
JUSTIN GRONBERG
Phone: (253) 872-1905
Address:
325 WASHINGTON AVE S #91, KENT,
WA, 98032
— 1(U
Contractor:
.1 Date:
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 MISCELANEOUS POWER AS WELL AS LOW VOLTAGE WIRING FOR FIRE ALARM.
REVISION #1- INSTALL ADDITIONAL SPEAKER WIRE.
Valuation of single family: $0.00
Valuation of mf/comm: $34,500.00
Type of Work: TENANT IMP
Fees Collected: $779.35
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:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
— 1(U
Permit Center Authorized SignatureA/4,11
.1 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 per 't and agree to the conditions attached to this permit.
Signature: Qu -S' Date: a� l
Print Name: OUSE �1(� ��ccn11P�
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
7003
ROUGH -IN ELECTRICAL
7003
ROUGH -IN ELECTRICAL
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
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:
3365901630
Permit Number: EL16-0587
Address:
14570 INTERURBAN AVE S Unit200
Issue Date: 6/23/2016
WA Cities Electrical Code:
2014
Permit Expires On: 1/15/2017
Project Name:
VACANT SPACE
2014
Owner:
2015
WA State Energy Code:
Name:
SANFT LOUIE
2015
Address:
6120 52ND AVE S, SEATTLE, WA,
Permit Center Authorized Signature:
98118
`'
Contact Person:
Name:
JUSTIN GREENBERG
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 MISCELANEOUS POWER AS WELL
AS LOW VOLTAGE WIRING FOR FIRE ALARM.
Valuation of single family: $0.00
Fees Collected: $712.85
Valuation of mf/comm: $32,500.00
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:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature:
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
!`
Print N e:
Date: 71Z IZ-6-1
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
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
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.Rov
ELECTRICAL OTC PERMIT
Parcel No:
3365901650
Permit Number: EL16-0587
Address:
14600 INTERURBAN AVE S
Issue Date: 6/23/2016
WA Cities Electrical Code:
2014
Permit Expires On: 12/20/2016
Project Name:
VACANT SPACE
2014
Owner:
2012
WA State Energy Code:
Name:
GRA INVESTMENTS LLC
2012
Address:
4702 FOREST AVE SE, MERCER
ISLAND, WA, 98040
Contact Person:
Permit Center Authorized Signature:
Name:
JUSTIN GREENBERG
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 MISCELANEOUS POWER AS WELL
AS LOW VOLTAGE WIRING FOR FIRE ALARM.
Valuation of single family: $0.00
Fees Collected: $712.85
Valuation of mf/comm: $32,500.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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 296-468:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Ui
Permit Center Authorized Signature:
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 onstruction or the performance of work. I am authorized to sign and obtain this
development permit and e to the conditions attached to this permit.
Signature:_
Print Name:
Date: 6 — �. — I C
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
r
CITY OF TUKWILA
Community Development Department
o xi it f' 1
1 11 Permit Center
l 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
SITE LOCATION
Electrical Permit No. 6.,Lw-x�
_
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"
King Co Assessor's Tax No.:
Site Address: t 44�06 1at? rQ Lo_ t'S-MiF,ull sy, Suite Number:6.20c3 Floor:
Tenant Name: New Tenant: �..... Yes ❑..No
PROPERTY OWNER
Name:
Le—
Address: Old C) Ave. 5
City: SZ k State: Zip. 4..�
CONTACT PERSON — person receiving all project
communication
Name: J
Address: .
Ave,
City: vu i State: WA zip: TU0 .2
Phone: , v qoSr Fax:
Email:
V ✓
Valuation of Project (contractor's bid price): $_ : u
Scope of Work (please provide detailed information):
ELECTRICAL CONTRACTOR INFORMATION
Company Name: kS
Address: 3j5-
4 s Avg S •#� Z
City: V -644-J State: WA. Zip:�,b o 34
Phone: _ Fax:
o?S3 u7.2-'C�fUS
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Will service be altered? ❑ Yes F_5�rNo Adding more than 50 amps? EJ Yes CkNo
Type of Use:
ape of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
Low Voltage ❑ Generator 4�( Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
14:Wpplications\Forms-Applications On Line\2014 Applications\Electrieal Permit Application Revised I-1-14.docx
Revised: January 2014
bh
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)
❑
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)
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 1 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:
Print
Date: �7/ l
Day Telephone:o?53'07Z- I'yas
Mailing Address: Z5- wws_ hM 5" 4A6- ZC2 ( 4-
city stale zip
H:\Applications\Fortes-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
Date Paid: Monday, August 22, 2016
Paid By: JUSTIN GRONBERG
Pay Method: CREDIT CARD 037066
Printed: Monday, August 22, 2016 10:32 AM 1 of 1
RSYS7EM5
DESCRIPTIONS
i
PermitTRAK
$1,277.02
EL16-0586 Address: 14600 INTERURBAN AVE S
Apn: 3365901650
$564.17
ELECTRICAL
$537.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$537.30
TECHNOLOGY FEE
$26.87
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$26.87
EL16-0587 Address: 14600 INTERURBAN AVE S
Apn: 3365901650
$712.85
ELECTRICAL
$678.90
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$678.90
TECHNOLOGY FEE
$33.95
TECHNOLOGY FEE
TOTAL FEES PAID . R8812
R000.322.900.04.00
0.00
$33.95
$1,277.02
Date Paid: Thursday, June 23, 2016
Paid By: OLSEN ELECTRIC INC
Pay Method: CREDIT CARD 019450
Printed: Thursday, June 23, 2016 10:10 AM 1 of 1 t( , srsreMs
INSPECTION RECORD
Retain a copy with permit iat-K
W1
INSPECTION NO. P MIT NO.
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: 46—
Date Called:
Special Instructions:
1
1
Date Wanted: A) a. .
M.
Requester:
Phone No:
Iinspector: C'//41) r --4,d
/ r� Iuate: /o/2 -
7U I
F1 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 N0.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: VInspection:
i
Type of
/
V
Address: �
Date Called:
Special Instructions:
Date Wanted: a. -
. .m.
.M.
Requester:
Phone No:
OAppr,oved per applicable codes. a Corrections required prior to approval.
COMMENTS:
t I�
d� e
Inspector: l� ,�� Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD j/ �
Retain a copy with permit Ll�
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:
f 5PAa
Type of Inspection:
Address: Mo 92vcL
Date Called:
Special Instructions:
Date Wanted:
Ca m-)
Requester:
Phone No:
DApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
VA
CJJk 0 �-
Inspector: Date:
OYA' dt� 1
❑ 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 I a4 V ��
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:-, -
Type of Inspection:
eeV,ACAJT,
l T /�
Address: % t
I — f� N
Date Called:
Special Instructions:
Date Wanted:
r -a.rn
.m.
Requester:
Phone No:
nApproved per applicable codes. a Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD]
Z' Retain a copy with permit lam'
INSPECTION NO. PERMIT 140.
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: n'
Date Called:
Special Instructions: n
Date Wanted: a.
Requester:
Phone No:
ElApproved per applicable codes. l__J Corrections required prior to approval.
Iinspector: (< luate.6)IKI10 I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
r
WME
MI FAI
Iinspector: (< luate.6)IKI10 I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
j INSPECTION RECORD
t Retain a copy with permit '
INSPECTION NO. PERMIT I`
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 Inspectio
Address: //''
Date Called:
Special Instructions:
Date Wanted:7/(7 a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. W Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://,AmN,.Tukwi]aWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: U baa I I& Plan Check/Permit Number: U � -O S d -7
❑ Response to Incomplete Letter #
Response to Correction Letter #
Revision # ( after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
Project Addrel
Contact Person:_JWO- A &iroyl6t-t� Phone Number: ✓ - �7a -�
Summary of Revision:
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Sheet Number(s): t
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
❑ Entered in TRAKiT on
W:\Fermit Center\Templates\Forms\Revision Submittal Form.doc
Revised: August 2015
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: l 7
Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
2— Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name: �YY6-__rucbUrn C,.::20(-)
Project Address:'I1 �-?CU Ave— S Ld oo
Contact Person: (icolih.1'e, Phone Number:
Summary of Revision:
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RECEIVE0
CITY OF TUKWILA
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
❑ Entered in TRAKiT on
W:\Permit CenterUemplates\Forms\Revision Submittal Form.doc
Revised: August 2015
OLSEN ELECTRIC INC
Hoff1C EspiiRot Contact
Safety & Health
Washington State Department of
LJ Labor & Industries
OLSEN ELECTRIC INC
Owner or tradesperson
Principals
OLSEN, ERIC S, PRESIDENT
OLSEN, ERIC S, AGENT
Doing business as
OLSEN ELECTRIC INC
WA tJBI No,
602 696 333
License
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325 WASHINGTON AVE S #91
KENT, WA 98032
253-872-1905
KING County
Business type
Corporation
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
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 amount
Received by L&I
Effective date
12/28/2009
01/24/2010
ELECTRICAL CITATION
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 amount
ENUMCLAW
$250.00
Type of violation
ELECTRICAL CITATION
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931PE&SAW= 6/23/2016