HomeMy WebLinkAboutPermit EL07-457 - COSTCOCOSTCO
400 COSTCO DR
ELO7-457
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
Tenant:
Name: COSTCO
Address: 400 COSTCO DR , TUKWILA WA
Owner:
Name: SADE PAUL +ELEANOR Phone:
Address: 585 POINT SAN PEDRO RD , SAN RAFAEL CA
Contact Person:
Name: JIM CLARK Phone: 206 - 510 -8984
Address: 45601 18 AV W , LYNNWOOD WA
Contractor:
Name: R J CLARK LLC Phone: 206 - 510 -8983
Address: 15601 18 AV W , LYNNWOOD WA
Contractor License No: RJCLAL *981MA Expiration Date: 07/01/2008
DESCRIPTION OF WORK:
REINSTALL HIGH BAY LIGHTS IN BACK WHERE COOLER WAS
Value of Electrical: $15,000.00
Type of Fire Protection:
Print Name:
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
City...f Tukwila �..
I hereby 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 autho ' e to sign and obtain this electrical permit.
Signature: t �/'� Date:
g —o 7
ELECTRICAL PERMIT
klA L4-2 L
Permit Number: EL07 -457
Issue Date: 09/04/2007
Permit Expires On: 03/02/2008
Fees Collected:
National Electrical Code Edition:
$328.00
2005
Date: C t l — U 1
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/07 EL07 -457 Printed: 09 -04 -2007
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
Tenant: COSTCO
1: ** *ELECTRICAL * **
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number: EL07 - 457
Status: ISSUED
Applied Date: 09/04/2007
Issue Date: 09/04/2007
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
Date:
doc: Cond -Elec EL07 -457 Printed: 09 -04 -2007
SITE LOCATION t c c 0 /J T u L cl f4-
King Co Assessor's Tax No.: t r L 7 0 9 9 063
Site Address: 400 C or C 0 P /L T V tvi /4 Suite Number: Floor:
New Tenant: ❑ Yes 'J ..No
Tenant Name: C 0 ST C 0
Property Owners Name: S A 73 r4-u C.. E LEA-not,
Mailing Address: 3 g PQ / *17 S4 n P EO it d S4 ki I21f f4 .L.
Cit
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Day Telephone: 2 - 6 6 -- S — gq g C 7
L y t taDay C./4 7Sd�7
State Zip
E -Mail Address: JAM ES Ld- C -4/L4— C-0 C411; NEr Fax Number:
Name:
CITY OF TUKWIL'
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
Mailing Address: 1 S C a 1 / (+ 41/K 1✓
Electrical Permit No. L� L.( '7 - Lis-7
Project No.
(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 **
City
C GI
State
9 ( (70/
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: I J e_44-RA. LL e
Mailing Address: /1 6 i / g+h 41/4 L✓ CS
Z. yo N cvaoa ern 9 g 7
J / hw I- L. 4 L City State Zip
Contact Person: ' _ 1 Day Telephone:
J
E -Mail Address: A-M Cs Le () CO"` i+ Fax umber:
Contractor Registration Number: alai /► 4�T L. CLij L 9 V Pik Expiration Date: "7 ^Q " 0
Valuation of Project (contractor's bid price): $ 1 C d 0 0
Scope of Work (please provide detailed information): Ili n S /ALL /t / y H Q L/ 9'1 TS
.n QA-cL rah er{ CooLEl1 L/43
Will service be altered? ❑ Yes gi No Adding more than 50 amps? ❑ Yes gi No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
ID Puget Sound Energy
❑ Seattle City Light
H: WpplicationsWorms- Applications On Line■-2007 - Electrical Permit Application doe
bh
Page 1 of 2
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: / SG 6 f / f -i h 49-o W
Date Application Accepted:
H:\AppliatiauV+mns- Applications On Line44 -2007 - Electrical Permit Applicationdoc
M
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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 Pennit 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.
Date:
Day Telephone: 0 6 O g Z/
Lyh h 6/00o Gu,N 9 8d
City State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
Applicant: COSTCO
Receipt No.: R.07 -01863
Initials: WER
User ID: 1655
Payee: R J CLARK LLC
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Permit Number: EL07 -457
Status: PENDING
Applied Date: 09/04/2007
Issue Date:
Payment Amount: $328.00
Payment Date: 09/04/2007 08:35 AM
Balance: $0.00
Amount
Payment Check 3071 328.00
Account Code Current Pmts
000.322.101.00.0 328.00
Total: $328.00
2346 09/04 9710 TOTAL 328.00
doc: Receipt -06 Printed: 09 -04 -2007
Project:
cAs7
Type of Inspection:
7001
Address:
i /c) 2s i u)
,' V1
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
)
I
1147— i4s"
NSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
0 <- h0(/61/ -
( F
proved per applicable codes. ❑ Corrections required prior to approval.
InsP i t - Berri fi�/l/l�J / IDate:7 /7( v
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLARK, ROBERT C
PARTNER/MEMBER
07/01/2002
CLARK, JAMES K
PARTNER/MEMBER
07/01/2002
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
RJCLAL *981MA
R J CLARK LLC
ELECTRICAL CONTRACTOR
602194052
2481601
LIMITED LIABILITY COMPANY
15601 18TH AVE W
LYNNWOOD
SNOHOMISH
WA
98037
2065108983
ACTIVE
GENERAL
UNUSED
7/1/2002
7/1/2008
RJCLA * *983B5
CLARKJK979O4
Master Electrician Information
License
Name
Status
CLARKJK979O4
CLARK, JAMES K
ACTIVE
I Bond Information
i
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= RJCLAL *981MA 09/04/2007