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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