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
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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
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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
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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
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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
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