HomeMy WebLinkAboutPermit EL16-0889 - UBER - LED FIXTURES AND OFFICE POWERLIBER
6450 SOUTHCENTER BLVD
SUITE 102
CANCELLED
10/12/16
EL16-0889
r1iCity 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: 0003200011 Permit Number: EL16-0889
Address: 6450 SOUTHCENTER BLVD 102 Issue Date: 9/29/2016
Permit Expires On: 3/28/2017
Project Name: UBER
Owner:
Name: SOUTHCENTER 6450 BLDG LLC
Address: 415 BAKER BL #200, TUKWILA, WA,
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (253) 872-1905
Phone: (253) 872-1905
Expiration Date: 10/5/2017
REPLACE EXISTING LIGHTING WITH LED FIXTURES AND MISCELLANEOUS OFFICE POWER
Valuation of single family: $0.00
Valuation of mf/comm: $20,000.00
Type of Work: TENANT IMP
Fees Collected: $471.24
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:
98188
Contact Person:
2014
Name:
JUSTIN GRONBERG
Address:
325 WASHINGTON AVE S #91, KENT,
International Mechanical Code Edition: 2015
WA, 98032
Contractor:
Uniform Plumbing Code Edition:
Name:
OLSEN ELECTRIC INC
Address:
325 WASHINGTON AVE S #91, KENT,
2015
WA, 98032
License No:
OLSENE1931PE
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (253) 872-1905
Phone: (253) 872-1905
Expiration Date: 10/5/2017
REPLACE EXISTING LIGHTING WITH LED FIXTURES AND MISCELLANEOUS OFFICE POWER
Valuation of single family: $0.00
Valuation of mf/comm: $20,000.00
Type of Work: TENANT IMP
Fees Collected: $471.24
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:
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
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: Date:
Print Name:
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.gov
Electrical Permit No. � L,1 V 0 S 8 1
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 I
King Co Assessor's Tax No.:
Site Address: 614.S-0 Bl ud Suite Number: ( () '2 Floor:
Tenant Name: C.fht,.1t- New Tenant: 06 ..... Yes ❑..No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON
— person receiving all project
communication
❑ Service Change
Name: J uS JJ 18
G
Address:
q
Property
P,l I
City:
te: UJ& Zip: 9$031
Phone: 2 S3 — $72 _'q,�Fax:
Email: u 34,;
UISekN dvtC
Valuation of Project (contractor's bid price): $ 2-0 U(go
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes %) No
Type of Use:
Tvoe of work:
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by:
V9
Puget Sound Energy
❑
Seattle City Light
t4:\Applications\Forms-Applications On Line\2014
ApplicationsTlectrical Permit Application Revised 1-1-14.docr
Revised: January
2014
bh
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City: Stale: Zip:
Phone:L8-77--1q05—
,,-- ! 0Fax:
Contr Reg No.: QiSe✓�u i Exp Date- /0 r
Tukwila Business License No.;
Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
❑ Yes ❑ No
Tenant Improvement
❑ 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
(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 ...............
$10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Date: 9-2 9—,(&
Print Name: L2%l a L, Sc t j r" 7a f }— Day Telephone: 2!9-3— A i 2. — 19 O S
Mailing Address: 325— :,uc "vt / Lm :5 1 R / Kell t tAL" q$C7 3I
city state zip
H:\Applications\Forms-Applications On Line\2014 ApplieationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS ACCOUNT
PermitTRAK
PAID
$471.24
EL16-0889 Address: 6450 SOUTHCENTER BLVD 102 Apn: 0003200011
$471.24
ELECTRICAL
$448.80
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.0077 0.00
$448.80
TECHNOLOGY FEE
$22.44
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: .. 527
$22.44
$471.24
Date Paid: Thursday, September 29, 2016
Paid By: RYAN SWIGART
Pay Method: CREDIT CARD 010885
NAEPrinted: Thursday, September 29, 2016 9:32 AM 1 of 1 (r�s
Y.T.M.
MEMORANDUM
TO:
Laurie Anderson
FROM:
Brenda Holt 11 "
DATE:
October 13, 2016
SUBJECT:
Refund for Electrical Permit
EL16-0889
Please credit $359.04 (three hundred fifty-nine dollars and four cents) for a credit card
transaction made on September 29, 2016. This was a duplicate permit pulled for
the same jobsite.
Please process the credit as follows:
•co nt���J n
000.322.101.00.00 $359.04
Total $359.04
Thank you!
Elec,�(;cc,I Pcj-mk'� FL[� —0?99
Request for Refund
❑ Approved for full refund
cov�cp-, �
Approved for % refund of fee(s)
❑ Denied (provide explanation)
Signature/Initials —
RECEIVED
CITY OF TUKWILA
OCT 12 2016
PERMIT CENTER
OLSEN ELECTRIC INC
Home Espafiol Contact
Safety & Health
44 Washington State Department of
kA Labor & Industries
OLSEN ELECTRIC INC
Owner or tradesperson
Principals
OLSEN, ERIC S, PRESIDENT
OLSEN, ERIC S, AGENT
Doing business as
OLSEN ELECTRIC INC
Page 1 of 5
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Claims & Insurance Workplace Rights Trades & Licensing
325 WASHINGTON AVE S #91
KENT, WA 98032
253-872-1905
KING County
WA UBI No. Business type
602 696 333 Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
......................
Meets current requirements.
GENERAL
License no.
OLSENE1931 PE
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
..... ,..... 1...
Satisfied
..............ied
CBIC
$4,000.00
Bond account no.
19.28.161 RCW
SI4815
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.
EJACH00949
Satisfied
..............ied
Issue date
RCW/WAC
08/02/2016
19.28.161 RCW
Violation city
Violation amount
KENT
$500.00
Type of violation
ELECTRICAL CITATION
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=602696333 &LIC=OLSENE1931 PE&SAW=
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