HomeMy WebLinkAboutPermit EL16-1084 - UNIVERSITY OF PHOENIX - LIGHTING AND MISCELLANEOUS POWERUNIVERSITY OF PHOENIX
7 100 FORT DENT WAY
EL16-1084
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.aov
ELECTRICAL OTC PERMIT
Parcel No: 2954900440 Permit Number: EL16-1084
Address: 7100 FORT DENT WAY Issue Date: 11/29/2016
Permit Expires On: 5/28/2017
Project Name: UNIVERSITY OF PHOENIX
Owner:
Name: JOHN C RADOVICH DEV CO
Address:
2835 82ND AV SE #S-1, MERCER
National Electrical Code:
ISLAND, WA, 98040
Contact Person:
2015
Name:
ERIC SLOSS
Address:
325 WASHINGTON AVE S, #91, KENT,
WAC 296-466:
WA, 98032
Contractor:
2015
Name:
OLSEN ELECTRIC INC
Address:
325 WASHINGTON AVE S #91, KENT,
WA, 98032
License No:
OLSENE1931PE
Lender:
Date: - J
Name:
Address: , , ,
DESCRIPTION OF WORK:
INSTALL LIGHTING AND MISCELLANEOUS POWER.
Valuation of single family: $0.00
Valuation of mf/comm: $12,000.00
Type of Work: TENANT IMP
Phone: (253) 872-1905
Phone: (253) 872-1905
Expiration Date: 10/5/2017
Fees Collected: $322.56
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 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature:
Date: - J
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 regu ting construction or the performance of work. I am authorized to sign and obtain this
development permi d agree to the conditions attached to this permit.
Signature:_
Print Name:
<v
Date: 'l 1 -,Z 9 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.
S: 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
1.
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httt)://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. 6 �1 � , 1004
Project No.
Date Application Accepted: co
Date Application Expires:
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: U U Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes WNo
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Aver 5 pl
Address: 5d -S7 weskoriqkA Avon
S
City: State:. �h
Zip: f 3�
Phone:a s -017.7 _ Fax.
Exp Date:
Email:
2 vS <Y 2e 32
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
Ai
Aver 5 pl
City:yVA -V,
ate: WA Zip: 99G3
Phone a 5-5 ^ _
F x:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
2 vS <Y 2e 32
Valuation of Project (contractor's bid price): $ F a, 000
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes
[W -No
Adding more than 50 amps?
ED Yes No
Type of Use: c" UMih"L.Sc. 1
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
[Tenant Improvement
❑ Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑ Temporary Service
Pronerty Served by:
Puget Sound Energy ❑
Seattle City Light
H:\Applieations\Forms-Applications On Line\2014 ApplicationsWectrical
Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page I 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
$80.90
(no added/altered circuits)
$86.25
❑
Service change with added/altered circuits .................
$81.90
$80.60
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.
Signature:
0� i Ll—
Print
Print Name:
Date:
Day Telephone:' -'2"--0a— 1 �y �
Mailing Address: 02 i/�u S {1 cLt vI /-ride aJ �(( Kz-AA— 4- 4yey3 -a—
city state zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January2014
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$322.56
EL16-1084 Address: 7100 FORT DENT WAY
Apn: 2954900440
$322.56
ELECTRICAL
$307.20
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$307.20
TECHNOLOGY FEE
$15.36
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: ... 31
R000.322.900.04.00 0.00
$15.36
$322.56
Date Paid: Tuesday, November 29, 2016
Paid By: OLSEN ELECTRIC INC
Pay Method: CREDIT CARD 010503
Printed: Tuesday, November 29, 2016 10:15 AM 1 of 1 e7PF
SYSTEMS
INSPECTION RECORD —101
Retain a copy with permitaU6 l
INSPECTION N0, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367�[
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection: r
Address: 7,00 /
Date Called:
Special Instructions:
Date Wanted:
vv�'_
Requester:
Phone No:
10 Approved per applicable codes. 11 Corrections required prior to approval.
u paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit ('
INSPECTION NO. P RMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd- #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspe tion Request Line (206) 438-9350
Project:
� �
Poo
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted: M:'
Requester:
Phone No:
LTJ Approved per applicable codes. LJ Corrections required prior to approval.
//H I--71",Jfl I........ 02-./2, 117 1
REINSPECTI6N 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 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
� n �
Project: U- or
Type of Inspection:
Address: 1
Date Called:
Special Ins uctions:
Date Wanted:
42,3 a.m.
Requester:
Phone No:
Approved per applicable codes. M, Corrections required prior to approval.
" paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD i
Retain a copy with permit
INSPECTION N0, RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection tRequest Line (206) 438-9350
Project:
Type of Inspection:
Address:
Date Called:
9 2h
Special In ructi ns:
11 IL�
Date Wanted: z a.m.
Requester:
Phone No:
EJApproved per applicable codes. E Corrections required prior to approval.
L___1 paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
OLSEN ELECTRIC INC
Home 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, WA 98032
253-872-1905
KING County
Page 1 of 4
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Workplace Rights
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.
License specialties
GENERAL
License no.
OLSENEI931 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
...............
Violation amount
CBIC
$4,000.00
Bond account no.
SI4815
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.
EJACH00949
Satisfied
I-- ..........
Issue date
RCWNVAC
08/02/2016
19.28.161 RCW
Violation city
Violation amount
KENT
$500.00
Type of violation
Trades & Licensing
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