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HomeMy WebLinkAboutPermit EL18-0080 - KEURIG GREEN MOUNTAIN - INSTALL MISCELLANEOUS POWER AND RELOCATE LIGHTINGKEURIG GREEN MOUNTAIN 7100 FORT DENT WAY ELI 8-0080 Parcel No: Address: " ` \-� C *^«ofTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-81-3670 Inspection Request Line: IV6'438'S3SD Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMT 2954908440 Permit Number: 7100 FORT DENT WAY Project Name: KEURIG GREEN MOUNTAIN Issue Date: Permit Expfres On: EL18-0080 1/24/2018 7/23/2018 Owner: Name: JOHN C RADOVICH DEV CO Address: 283583NDAV5E#S-1,MERCER ISLAND, WA, 98040 Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: RUSLANKUZK4|[M 3Z5WASHINGTON AVE S'SUITE 9l' KENT, WA, 98032 OISEN ELECTRIC INC 325 WASHINGTON AVE S #91, KENT, WA, 98032 OiSENE|931PE ' Phone: (253) 872-1905 Phone: (253) 872-1905 Expiration Date: 10/5/2019 DESCRIPTION OF WORK: INSTALL MISCELLANEOUS POWER AND RELOCATE EXISTING LIGHTING Valuation of single family: $0.00 Valuati�ri of mf/comm: $4,500.00 Type of Work: TENANT IMP Fees Collected: $202.30 Electrical Service Provided by: PUGET 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: 2017 20172017 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 - d agree to the conditions attached to this permit. Signature: Print Name: i�1 vzW14-ch Date: 1 / 2--Lj' I g Y 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 and the Washington Cities Electrical Code. 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. !: C.1 — aO 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 King Co Assessor's Tax No.: Site Address: 7loo rock Den+ VJ ay Suite Number: l 6.0 Floor: Tenant Name: V12U f 3 5w0,3 Ts. PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: n " t,1 Shun lhu--1Mi UN Address: ZL S W a.4.hi rtebn Ptv-c. S FSI City: nen* State: uj A Zip: 0 $0.3Z Phone: t ..3 $7 21 1 V S Fax: Email: CuS%ar\1'N 0.Sx.nil�clrci .ite+ New Tenant: ❑ Yes 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: O ISer► E Zeck - C. "1-(1G Address: 32S Ui4SI'1ina,}ug Ave S 44ectl city: tile..Yl+ tate: , p Zip:9 g03 Z Phone: 253 871 l9 a Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; sus— O c Ci z g3.Z Valuation of Project (contractor's bid price): $ �L t SO 0 pp � Scope of Work (please provide detailed information): VISAAt( I(Ylt SC. ppvJ� I�cic�S% L. QK�b�' Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? El No� Type of Use: / Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel „Er -Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Pronertv Served Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications \PDF'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 $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea 0 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 O Temporary service (generator) $82.52 O 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 ca ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 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 E CTRICAL CONTRACTOR: Signature: Print Name: Foslan 1hkrZm Date: t 11- 1 53 Day Telephone: 2.5-3 872 (i 0 Mailing Address: 315- CJ4ah` tel ^ S Akctt VI-eag 037, City State Zip W: Permit CenterApplicatiors-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 t 1 Cash Register Receip City of Tukwila 9da DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $202.30 EL18-0080 Address: 7100 FORT DENT WAY Apn: 2954900440 $202.30 Credit Card Fee $5.89 Credit Card Fee R000.369.908.00.00 0.00 $5.89 ELECTRICAL $187.06 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $187.06 TECHNOLOGY FEE $9.35 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13543 R000.322.900.04.00 0.00 $9.35 $202.30 Date Paid: Wednesday, January 24, 2018 Paid By: RUSLAN KUZMICH Pay Method: CREDIT CARD 017011 Printed: Wednesday, January 24, 20:18 1:44 PM 1 of 1 CPF SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-36 6.0(24 Type of Inspection: iProject: Address: 06 . ..."-- Date Called: Special Ins uctions: Date Wanted: c a. e P.m. Requester: Phone No: 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: Date: 0, ce 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 NO. -odo CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 43 Permit Inspection Request Line (206) 438-9350 Project: tljti, (1 Type of Inspection/ U4 if tij _ Address: 7/00 Fr D6 jrDate Called: Special Instructions: Date Wanted: p.m. Requester: Phone No: jo 27(ei 6siliz.„ ilApproved per applicable codes. Corrections required prior to approval. COMMENTS: bAA,Nici 7 Inspector: Date: 4r? REINSPECTION EE 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. M-oosio PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-36 Project: l‹..t01.4 Type of Inspection: 'oAit" a Address•�D� ' pai`I Date Called: Special Instructions: Date Wanted: m. I.. . Requester: Phone No: z 7(p 6 SVL JApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: C REINSPECTION FEE REQUIRED: Prior to next inspection. fee1,4/ ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. OLSEN ELECTRIC INC Washington State Department of /Labor & Industries f 1lome Espanol Contact ISearch L&I Safety & Health Claims & Insurance Page 1 of 4 r •,!,"li A-7, Index Help My L&1 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. OLSENEI931PE Effective — expiration 10/05/2007— 10/05/2019 Designated administrator OLSEN, ERIC S Active. Meets current requirements. License type License no. Electrical Administrator OLSENES9610H Bond CBIC Bond account no. SI4815 $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 EFRBRO0308 Issue date 11/03/2017 Violation city KENT Type of violatio Satisfied RCWNVAC 19.28.161 RCW Violation amount $500.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931PE&SAW= 1/24/2018 OLSEN ELECTRIC INC ELECTRICAL CITATION Description Employing electricians and electrical trainees for the purposes of chapter 19.28 RCW in an improper ratio. Infraction no. EROJE01023 Issue date 04/19/2017 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EJACH00949 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 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. 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 Satisfied RCWNVAC 19.28.101 RCW Violation amount $250.00 Satisfied ........ .............. RCWNVAC 19.28.161 RCW Violation amount $500.00 Satisfied ..................... RCWNVAC 19.28.161 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $500.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602696333&LIC=OLSENEI931 PE&SAW= 1/24/2018