HomeMy WebLinkAboutPermit EL09-0736 - COSTCO OPTICALC STCO OPTICAL
441 COSTCO DR
ELO9-0736
CitAf Tukwila
A
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
Parcel No.: 3623049107
Address: 441 COSTCO DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0736
Issue Date: 11/20/2009
Permit Expires On: 05/19/2010
Tenant:
Name: COSTCO OPTICAL
Address: 441 COSTCO DR , TUKVVILA WA
Owner:
Name: COSTCO WHOLESALE CORP Phone:
Address: PROPERTY TAX DEPT 190 , 999 LAKE DR
Contact Person:
Name: CRAIG BOTTMAN Phone: 206 356 -8599
Address: PO BOX 2990 , NORTH BEND WA
Contractor:
Name: SELKIRK ELECTRIC
Address: PO BOX 2990 , NORTH BEND WA
Contractor License No: SELKIE *993R8
Phone: 425 - 888 -3330
Expiration Date: 12/28/2009
DESCRIPTION OF WORK:
CONNECT ONE NEW TAMPER SWITCH TO FIRE ALARM SYSTEM
Value of Electrical: NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Fees Collected: $92.00
National Electrical Code Edition: 2008
Date: l I
ed thispermit and know the same to be true and correct. All provisions of law and ordinances
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 fie formance of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: 11 2.0 -O
Print Name: 1 V 1?-et \ 1/1‘
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
EL09 -0736 Printed: 11 -20 -2009
Parcel No.: 3623049107
Address:
Suite No:
Tenant:
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
441 COSTCO DR TUKW
COSTCO OPTICAL
PERMIT CONDIITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0736
ISSUED
11/20/2009
11/20/2009
1: ** *ELECTRICAL * **
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.
ee&4 C
Signature: Date: I ( —o —(3
Print Name: _
doc: Cond -Elec
E L09 -0736 Printed: 11 -20 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. L/061 — 01
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 **
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: '4 `r I WO-CD V � ;
Suite Number: Floor:
Tenant Name: Ce 5tf.,0 0 ( New Tenant: ❑ Yes . ..No
Property Owners Name: has -t-c-n
X1,12.2D'
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
MC) ?DerEW/Pi
Mailing Address: e O r3,97( 2 qO
Day Telephone: 2.0 4, '3 51,, S S4�
l p ti-e7 Wt/Nt- 4. o L.
E -Mail Address: C.1')Dtfmat110 ext`Zt e -`r1 V t Le '.
City State
Fax Number:
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
-1 Kl r K V.eck`c-
o 3-0 )( .Zqc o
Contact Person: ` r-I 1 'RCA"( l/14-at.
E -Mail Address:
Contractor Registration Number: 1--14 l C " F Q
t 3 g g
City
Day Telephone:
Fax Number:
Expiration Date: ?■ f 2-1
t i
(v .1104 s
State
2.0, 3 Ca, X 5c
Valuation of Project (contractor's bid price): $ (ti1-7('0 ca
Scope of Work (please provide detailed information): LD ►'l4/1 EGA- C9 (/L€..L) ( vete -er S W t 0'
•.n°- ot Lcv S t15 6 -C.(A-.
Will service be altered? ❑ Yes ErNo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator [r Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes El-No
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H;\Applicat ons \Forms - Applications On Line! -2009. Electrical Permit Application doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits. . ....$11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems ........... ......... $57.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 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.
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date:
V 20 --0t
Print Name: CaC' I i - Day Telephone: 20 (Q 3 5(0 5-‘1
Mailing Address: 1C7C) 3 �x XI L)
I Date Application Accepted:
lie- ctil-D4s
City State Zip
201 V\
Date Application Expires:
Staff Initials:
H:'ApphcanonsTorms- Apphcauons On Ltne11 -2009 - Electncal Permit Applicaeon.doc
bh
Page 2 of 2
•
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
Parcel No.: 3623049107
Address: 441 COSTCO DR TUKW
Suite No:
Applicant: COSTCO OPTICAL
RECEIPT
Permit Number: EL09 -0736
Status: APPROVED
Applied Date: 11/20/2009
Issue Date:
Receipt No.: R09 -01857
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $92.00
Payment Date: 11/20/2009 09:25 AM
Balance: $0.00
SELKIRK ELETCTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8618 92.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 92.00
Total: $92.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 11 -20 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6co R - 073 (0
P IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3 7
Project: (,f o5rr� �n cm.,
Type of Inspection:
2/00
Address:
gL� ��
Date Called:
Special Instructions:
FI AT
Date Wanted:
II Z o
pj
Requester:
Phone No:
141 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
7o}�,Idca�
Date: ( ` 2.0 (et
ri $60.00 REINSF3ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
SELKIRK ELECTRIC
4258883330
PO BOX 2990
NORTH BEND
WA
98045
KING
Corporation
Parent Company LCI, INC
UBI No.
Status
License No.
601909332
ACTIVE
SELKIE *993R8
License Type ELECTRICAL CONTRACTOR
Effective Date 12/28/2001
Expiration Date 12/28/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
WESTPEI101OZ
WESTPAC
ELECTRIC
INC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
9/9/1990
9/9/2002
ARCHIVED
ADMINISTRATOR INFORMATION
License BOTTMCR982C5
Name BOTTMAN, CRAIG R
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
WILLIAMS, KASTNER Et GIBBS
AGENT
12/28/2001
LILLEBERG, STEPHEN K
PRESIDENT
12/28/2001
Bond Information
IBond Bond I
https://fortress.wa.gov/lni/bbip/Detail.aspx
I I I
11/20/2009