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Permit EL10-0127 - COSTCO
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL10 -0127 Costco 400 Costco Drive RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page Code Exemption = 8rlef E plainatoty Desclriptim Statuteftle The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. COSTCO 400 COSTCO DR EL1O-0127 Parcel No.: Address: Suite No: City.f Tukwila 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: / /www.ci.tukwila.wa.us 2523049063 400 COSTCO DR TUKW ELECTRICAL PERMIT Permit Number: EL10 -0127 Issue Date: 02/23/2010 Permit Expires On: 08/22/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: COSTCO 400 COSTCO DR , TUKWILA WA SADE PAUL +ELEANOR 585 POINT SAN PEDRO RD , SAN RAFAEL CA WAYNE MARVIN 21428 167AVE SE , MONROE WA INTERIOR ELECTRIC INC 21428 167 AV SE , MONROE WA Contractor License No: INTEREI003CP Phone: Phone: 360- 863 -8678 Phone: 360 863 -8678 Expiration Date: 02/17/2012 DESCRIPTION OF WORK: GAS STATION: SET UP EXISTING SERVIXCE WITH MANUAL TRANSFER SWITCH FOR FUTURE GENERATOR Value of Electrical: Type of Fire Protection: NRES: $2,500.00 RES: $0.00 UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: )-) -- G 0 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 • the • erformance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: ichth( Mccrvii Date: CP3/7b 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 EL10 -0127 Printed: 02 -23 -2010 Parcel No.: 2523049063 Address: Suite No: Tenant: COSTCO • 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 400 COSTCO DR TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0127 ISSUED 02/23/2010 02/23/2010 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. Signatur Print Name: Dater 31)2 michei z no a ry J doc: Cond -Elec ELI 0-0127 Printed: 02 -23 -2010 CITY OF TUKWIL1P Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us • Electrical Permit No. t L.--\ 0— 0 I 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.: V 1 O (P 3 Site Address: 1-100 C O.70,<D 'Dr' i V Ci ; "TU k W (I Suite Number: Tenant Name: { 1" 1Z () w X101 e a le, Property Owners Name: C W h©k ',a Mailing Address: 14 00 C W1tt' Floor: New Tenant: ❑ Yes 4..No Iw�Wile. City LUA 9SI S g State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Ai v ry tvlaf Vl i\ Mailing Address: 2147A - I ID 9 AV( SE. E -Mail Address: ltCcBo l ec17 ( AT Q Q I. Ce) (vim. Day Telephon (30d) $ (D 3 -Sl(' 7S iilon rve L )A 97 Z7 Z City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Th * P or E le etn c i Tr)C • Mailing Address: 2IH28 - JU7*' Ave 3E na-i L-t) A Z 1 Zip Contact Person: L(Je)'>l%)�C %Y)QCVI i 3 Day Telephone :3liOf 'F t93 - 8078' E -Mail Address: I [ * Pi or'eleCDric -D QoI . C.D ti--J Fax Number: G, Contractor Registration Number: =n/ %h12 C.1 0 () 3c Q Expiration Date: / � 2 012. City State Valuation of Project (contractor's bid price): $ 2 50Q CrnnP. of Wnrlr (rrge. a nmvir!e detailrr! infr,rmation): ��J / Qf r (LJ ex , h)- rvic.e naOnuai( tra �l c�rfich - �ufure. Will service be altered? ❑ Yes ❑ No Adding more than 50 arms ❑ Yes No Type of Use: Tvrte. ,.ft_nrk. ❑ New ❑ Addition Ea Service Change ❑ Rernodel ❑ Tenant imozrove?nent ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service �rnnQrty SP.rvP.ri ITV • Puget Sound Energy ❑ Seattle City Light H:tApplications \Forms- Applications On t.ine\2010 Applications\I -2010 - Electrical Permit Applicatinn.dnc Ah RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 1 Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea Q Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 Q Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Camivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES Value of Construction — In all cases, a value of constriction 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 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: W alp, Li Moyne Qrvl r✓ Print Name: Date: Day Telephor e: 3/e0) FLU 3 "gri4R Mailing Address: 6.71112 - J L i7 i1 A 1C MOD me' City Date Application Accepted: (QA '%'2 -i Z State Zip Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Line \2010 Applications \1 -2010 - Electrical Permit Application.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.: 2523049063 Address: 400 COSTCO DR TUKW Suite No: Applicant: COSTCO RECEIPT Permit Number: EL10 -0127 Status: PENDING Applied Date: 02/23/2010 Issue Date: Receipt No.: R10 -00303 Payment Amount: $136.50 Initials: WER Payment Date: 02/23/2010 09:15 AM User ID: 1655 Balance: $0.00 Payee: INTERIOR ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6255 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 02 -23 -2010 INSPECTION RECORD Retain a copy with permit 040-0a7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3�E Project: 11 �W � Type of Inspection: V � Address. 'IV Co'TCo Date Called: e•% Special Instructions: Date Wanted: 3/02— 0..mm: s Requester: Phone No: 4 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: hP 3/b �200 a ce•AioilaoQs 14 srmA,6p Au/ �J1JR.E C-tG\E -Rqo& I40oK - vP5 To P ,N1 'f. t J1 ln10(c� (� I Date: 03/0210 El $60.00 REINS ECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: r� ?f`'.- "x!'' °- �'= .`�"'a"� -.,.: -.-, r,_._-. r�,' �k.-- �'' r` �'°." �' �mr.�- 'K- fi'"':�""X�1.r+>.� --`{. ��J-s",.�,.,•: 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (uo-01-17 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: Cf.J9 -60 7 Type of Inspection: 2100 1 1 �J Address: G/GY) CoSTco Dk . Date Called: ,-. Special Instructions: Date Wanted: f �CP a.m. P.m. Requester: Mok T JEA Atit hl Phone No: Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: TA .6. ' tAiNorT1o45 460 4ifc &ANNA th'sv 641kciA4 PLfyJo1c.,i- P Wb tc T6 175A-4. t - ,4,,v u 6NC-0- - k C,O J6c-T-I o ,J5 le> 66 PERM ITTEP I\II• t4sPe.reD Mok T JEA Atit hl Inspector: 15qA1 Date: 62, 24/4.7 0 $60.00 REINSRECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Pry�ter Friendly Page • Page 1 of 1 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 Parent Company Interior Electric Inc 3608638678 21428 167Th Ave Se Monroe Wa 98272 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601999759 Active INTEREI003CP Electrical Contractor 2/17/2000 2/17/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status INTERE *082K6Interior Electric Electrical Contractor General Unused 5/26/1992 5/26/2000 Archived ADMINISTRATOR INFORMATION License MARVIWS136RE Name Marvin, Wayne S Status Active Business Owner Information Name Role Effective Date Expiration Date Marvin, Wayne S BNbsp; 01/01/1980 Received Date Marvin, Michelle R BNbsp; 01/01/1980 Until Released Bond Information No records found for the previous 6 year period Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 2/15/2000 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https: // fortress .wa.gov /lni/bbip /Print.aspx 02/23/2010