The URL can be used to link to this page

Home My WebLink AboutPermit EL17-0023 - MINDFUL THERAPY - LIGHTING AND MISCELLANEOUS POWERMINDFUL THERAPY 7100 FORT DENT WAY SUITE 220 EL1 7-0023 Parcel No: Address: 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 2954900440 7100 FORT DENT WAY 220 Project Name: MINDFUL THERAPY Permit Number: EL17-0023 Issue Date: 1/9/2017 Permit Expires On: 7/8/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVICH DEV CO 2835 82ND AV SE #S-1, MERCER ISLAND, WA, 98040 JUSTIN GRONBERG 325 WASHINGTON AVE S #91, KENT, WA, 98032 OLSEN ELECTRIC INC 325 WASHINGTON AVE 5 #91, KENT, WA, 98032 OLSENEI931PE Phone: (253) 872-1905 Phone: (253) 872-1905 Expiration Date: 10/5/2017 DESCRIPTION OF WORK: INSTALL LIGHTING AND MISCELLANEOUS POWER PER NEW TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $27,000.00 Type of Work: TENANT IMP Fees Collected: $631.67 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date: 2014 2014 2014 2015 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 nd agree to the conditions attached to this permit. Signature: Print Na Date: l — 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 Atvve e,� CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) 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 Site Address: 'WO r-isr C -A4 U L Tenant Name: Mt- ,) re.CC,? ../� PROPERTY OWNER Company Name: i Name: U l j Y(Y\ (Jrr'2.esr—t ?tate: City: Kim State:�� Zip: j2 Name: 3 6 \n In C.. R-4-&o4-zlt at4 Uc luQr ►— Address\U35— gzve Av 5 L Phone:ds3 0 ?a - GfoC Fax: City: ,l�State: erte-r l S Lcvv-z voc Z' it : (34. CONTACT PERSON — person receiving all project communication Company Name: i Name: U l j Y(Y\ (Jrr'2.esr—t ?tate: City: Kim State:�� Zip: j2 Address: 3,2 S— w S k +„ 1 j-C„n / nn .. r_c___ 5 City: 4.e�s.._ State:jA_ Zip: Gg0'51 Phone:ds3 0 ?a - GfoC Fax: Email:, ,e.t,,(4- 't s eve King Co Assessor's Tax No.: Suite Number: oia 0 New Tenant: Floor: tSt Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address:3 J W i., 4 t t! tv► A/�- s 43 4 l ?tate: City: Kim State:�� Zip: j2 Phone az 5 3_67,2 _/ ioPx. Contr Reg No.: Exp Date: tat 3/ i 11 t Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 021 Cvo Scope of Work (please provide detailed information): Ga 6 -kA. L�t 4 cc.7 C f' (-%.T♦ - Will service be altered? ❑ Yes jNo Type of Use: C,vwtrlt« <, L Adding more than 50 amps? ❑ Yes No Type of work: ❑ New 0 Addition ❑ Low Voltage 0 Generator Property Served by: Id Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm ❑ Remodel Tenant Improvement ❑ Telecommunication 0 Temporary Service C:\Users\Kia-VWppData\LocallMicrosoft\Windows\Temporary Internet Files \Content.Outlook\DDB8KJKN\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea PERMIT APPLICATION NOTES - 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 Date: ! — 41' ' 7 Print ame:jUS4-I �j� -5-- l� 4trrel P•t r - c7 Day Telephone: art — E 7 _1 T � .- Mailing Address: 32 USHiy,e1f-�n /�' 5 Ott (tic�,t-- (Am eeO3 2 City State Zip C:\Users\Kia-V\AppData\Local\Microsoll\Windows\Temporary Internet Files \Content.Outlook\DDB8KJKML•Icctrical Permit Application Revised I-1-2017.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS 1 PermitTRAK ACCOUNT 1 QUANTITY I PAID $631.67 EL17-0023 Address: 7100 FORT DENT WAY 220 Apn: 2954900440 $631.67 Credit Card Fee $18.40 Credit Card Fee R000.369.908.00.00 0.00 $18.40 ELECTRICAL $584.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $584.07 TECHNOLOGY FEE $29.20 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10344 R000.322.900.04.00 0.00 $29.20 $631.67 Date Paid: Monday, January 09, 2017 Paid By: RUSLAN KUZMICH Pay Method: CREDIT CARD 065752 Printed: Monday, January 09, 2017 1:58 PM 1 of 1 CRSYSTEMS INSPECTION RECORD �� Retain a copy with permit6,t7 00Z-�INSPE TION N0: PIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: q1Ni) i+ ;�� Type of Inspection: r�� Address: / 700 Date Called: Special In tructions: Date Wanted: /a. �!�„�y Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4 0 Inspector: Date: 02/2,4 117 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD CO Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISIONif 6300 Southcenter Blvd.., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:66 l f�' (oype of Inspection: Address. ito,r� Date Called: Special Inst uctions: Date Wanted: 3 am: 6Requester: /t7 Phone No:,45 2,,��V a 2 os Approved per applicable codes. DCorrections required prior to approval. COMMENTS: Peiftii0J; efAkitxkis ezipare LAA. Date:® 23 r 7 REINSPECTIQIN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. INSPEC ION NO. INSPECTION RECORD Retain a copy with permit (14000 PE MIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 61 Project: f a___,'t y Type of Inspection: AA _ Address. 7`®O l,. /.- ��%'' Date Called: Special Insttuctions: L(f Pti— TSL` Date Wanted:7 a.m Requester: f i� Phone No: ..,s.3 2,01/ 05-6,z_ ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: gent IIIc, Pus 7.1e- �-t tQ J . (P r66-1----0 6&i co- Ahl �- SPD 66-4-6-b (A -C-5 - 6016 64- LTk• AT0r rtAktup. Inspector: C'N c&Aide) Date: REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 outhcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwi a: WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: dd �y ,aty Type of Inspection: au.44- a: ,. f Address: � � ,.Ji�\ Date Called: Special Instructions: Date Wanted: a rr� Requester: ®�zoi o qq Phone No2.63 Approved per applicable codes. DCorrections required prior to approval. OMMENTS: CoOg,thriA15 q,4)e d 6614 eoi god6it4- lnl aIipLGzz-- Inspector: Date: 02/C92,// REINSPECTION FEE REQUIRED. Prior to next inspection, fee mus be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit tW1-060 INSPECTION N0. PEMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 ic6 / q Project:( AIDfel�� ype of Inspection: /4 f- r j �f -Roo7O o r,�// � Date Called: Special Instructions: rt ( Date Wanted: 0 p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4/4 b44A-eve A-141) ScP--6vJ 6'691c. 61.-‘1") et -5 oPro6ire CPLArt5-4 5(-19.0 1 (Aft Inspectorg jtc,( Date: 1// REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PER IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project-. (400�� __ t Type of Inspection: �oI �h bit Address: / • Date Called: Special Instructions: , Date Wanted: I t7rry Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: kr tk 404,,/ CO jtil Inspector: Date: 01/171/7 REINSPECTION 1= EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. OLSEN ELECTRIC INC 1-lorne Espanol Contact Safety & Health Claims & Insurance Washington State Department of t Labor & Industries Page 1 of 4 Search L&I A -'L index Help My LAI Workplace Rights Trades & Licensing OLSEN ELECTRIC INC Owner or tradesperson Principals OLSEN, ERIC S, PRESIDENT OLSEN, ERIC S, AGENT Doing business as OLSEN ELECTRIC INC WA UBI No. 602 696 333 325 WASHINGTON AVE S #91 KENT, WA 98032 253-872-1905 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor ................_........................................_.. License specialties GENERAL License no. OLSENEI931 PE Effective — expiration 10/05/2007-10/05/2017 Designated administrator OLSEN, ERIC S Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator OLSENES961OH Bond ................. CBIC Bond account no. S14815 $4,000.00 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 Issue date 08/02/2016 Violation city KENT Type of violation Satisfied .............__..._... RCW/WAC 19.28.161 RCW Violation amount $500.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931PE&SAW= 1/9/2017 OLSEN ELECTRIC INC ELECTRICAL CITATION Description Employing electricians and electrical trainees for the purposes of chapter 19.28 RCW in an improper ratio. Employed Vladislav Kurkov to install branch circuits in a commercial dwelling structure without proper journeyman supervision. Infraction no. EJACH00946 Issue date 08/02/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Employing electricians and electrical trainees for the purposes of chapter 19.28 RCW in an improper ratio. Employed lan Egan to install branch circuits in a commercial dwelling structure without proper journeyman supervision. Infraction no. EJACH00948 Issue date 08/02/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Employing electricians and electrical trainees for the purposes of chapter 19.28 RCW in an improper ratio. Employed David Gonzales to install branch circuits in a commercial dwelling structure without proper journeyman supervision. Infraction no. EJACH00947 Issue date 08/02/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Employing electricians and electrical trainees for the purposes of chapter 19.28 RCW in an improper ratio. Employed Stephen Adamson to install branch circuits in a commercial dwelling structure without proper journeyman supervision. Infraction no. ELYOD01098 Issue date 07/08/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Satisfied .............. ............ RCW/WAC 19.28.161 RCW Violation amount $500.00 Satisfied ........._....._...... RCWNVAC 19.28.161 RCW Violation amount $500.00 Satisfied ..................... ... RCWNVAC 19.28.161 RCW Violation amount $500.00 Satisfied .......................... RCWIWAC 19.28.161 RCW Violation amount $250.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931 PE&SAW= 1/9/2017