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Home My WebLink AboutPermit EL17-0086 - MINDFUL THERAPY - FIRE ALARM WIRINGMINDFUL THERAPY 7100 FORT DENT WAY SUITE 220 EL1 7-0086 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 Permit Number: EL17-0086 7100 FORT DENT WAY 220 Project Name: MINDFUL THERAPY Issue Date: 2/2/2017 Permit Expires On: 8/1/2017 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 S #91, KENT, WA, 98032 OLSENE1931PE 11 I Phone: (253) 872-1905 Phone: (253) 872-1905 Expiration Date: 10/5/2017 DESCRIPTION OF WORK: INSTALL FIRE ALARM WIRING Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: FIRE ALARM Fees Collected: $85.94 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Permit Center Authorized SignatureIW-IL : 2014 2014 2014 2015 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 doesnot 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 Nand ,VA ( Z- 'a Date: - This permit shall become null and void if th 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.TulcwilaWA.gov Electrical Permit No. t L 17 00 U fr 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 ✓� (— t� King Co Assessor's Tax No.: Site Address: L /00 ro c4- -.J-"er.s tA' (-,. t� a O) Suite Number: p%1 O Floor: Tenant Name: (Id -c6\ 1 rQfc-%e New Tenant: Or Yes ❑..No PROPERTY OWNER Name: (�<)1(1" Rp.e_So V\ c,kr, OW c Addrensss:aegr 0aca City.M6: L1ei Ls/6,/l `State: 1 aA Zip:q'5O40 CONTACT PERSON — person receiving all project communication Company Name:01Sen ELec,ircs,\ Name: cS } (/'c et 1.,„,-- 4.7 City: , Site: /t \re�1 (AA zip:?8,0;.2. Address: S - el 1 3:?� w�sr1,, ., ��, Ave— Contr Reg No.: _ Exp Date: / CLS FNUct-5it' .. 1J/ail i City: 11...Zn4- State: Zip:G J.2 Phone 55 ,6, 7,2/gGSFax: Email: l i 15, A n t k[)l n.eler•-fin cJ. rt. - ELECTRICAL CONTRACTOR INFORMATION Company Name:01Sen ELec,ircs,\ Address: z42 s- uoc.S h Linc= k_co-, Art..... S --0.--4 City: , Site: /t \re�1 (AA zip:?8,0;.2. Phone:0753 _,i2_lgGrFax: Contr Reg No.: _ Exp Date: / CLS FNUct-5it' .. 1J/ail i Tukwila Business License No.; 130 S _Oi03,1— Valuation of Project (contractor's bid price): $ 50o Scope of Work (please provide detailed information): I.-YLS c. ( ( kr c-ticqrzen CA) d'4' iy‘ Will service be altered? ❑ Yes arNo Adding more than 50 amps? ❑ Yes [ To Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:\Permit Center\ Applications -Handouts \Permit Applications\PDP's\Electrical Permit Application Revised 1.1-17.docx Revised: January 2017 bh Page 1 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) O 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 O Meter/mast repair $68.25 O Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees. are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $65.00 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE IJVE JANUARSY 19 2014 EACH IPIEI3 :1./ll1F WILL '1,E ASSESSED A 5% TECHNOLOGY FELE*** PERMIT T 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 ELECTRICAL CONTRACTOR: Signature/ f Print Name: 6{- iv\ Giro/11)- r Mailing Address: �a lA) 5 h 1� H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.docx Revised: July 2013 bh Date: '(2? - I —1 Day Telephone: a S 3 - 7,2 -/ C(G n_ -1 - City 1�u,4 State C3-7 Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ( PermitTRAK ACCOUNT QUANTITY PAID $85.94 EL17-0086 Address: 7100 FORT DENT WAY 220 Apn: 2954900440 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10726 R000.322.900.04.00 0.00 $3.97 $85.94 Date Paid: Thursday, February 02, 2017 Paid By: JUSTIN GRONBERG Pay Method: CREDIT CARD 040122 Printed: Thursday, February 02, 2017 2:25 PM 1 of 1 CRSYSTEMS 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P elo4Gab RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 *! Project: �tl�l ®L61� 1 Te of Inspection: f Ni '_\/1 Address:7too 6-: rSpecial Date Called: In +4-22..o Date Wanted: 243 p.m. Requester: Phone No: 0 Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector`� `� 1 f Date: REINSPECTIbN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVIS ON 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: f/j/ �l / 6/L�/ Type of Inspection: O� 4 (Ai Address: (00 - lr d - Date Called: Special In ructions: rtA- ¢-22,0 Date Wanted: GJ ® Crmn) 1:Y.m. Requester: f4�f6 Phone Na: / '3 ZOi& AL Approved per applicable codes. D Corrections required prior to approval. COMMENTS: WcruAJ r(Aar e.„„,\ 406,41-- Petorn Inspector: Date: 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. PE 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: ,iti ag j< Type of inspection: j,( �� `v Address. �(®4 ,, Date Called: Special Instfuctions: .- ik Date Wanted: d°,3 a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 464 froie (n0 FfvcY.�/ j D ge- �2 804 OK T wf. 1Ahr ► Lb's boJAJ AID; sir fd roserPEtil r 'rod erre Inspector:f Date: 4O 3 7 REINSPECTIOFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. OLSEN ELECTRIC INC Name Espanol Contact Safety & Health Claims & Insurance Washington State Department of 40 Labor & Industries Search L&I Page 1 of 4 A -Z Index Help My-L&I 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 Active. ............................................................... Meets current requirements. License specialties GENERAL License no. OLSENEI931 PE Effective — expiration 10/05/2007-10/05/2017 Designated administrator ................... OLSEN, ERIC S Active. Meets current requirements. License type License no. Electrical Administrator OLSENES961OH Bond ........._...... 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 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=6026963 3 3 &LIC=OLSENEI931 PE&SAW= 2/2/2017 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. 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. 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 Ian Egan 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 ......................... RCW/WAC 19.28.161 RCW Violation amount $500.00 Satisfied ........................ RCW/WAC 19.28.161 RCW Violation amount $500.00 Satisfied ......................... RCW/WAC 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=OLSENEI931PE&SAW= 2/2/2017