HomeMy WebLinkAboutPermit EL10-0287 - COSTCOCOSTCO
400 COSTCO DR
EL1 0-0287
Cit3Oltof 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
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0287
Issue Date: 04/19/2010
Permit Expires On: 10/16/2010
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: JERAMY SHIVELY Phone: 253 255 -4138
Address: 10609 26 ST E , GRAHAM WA
Contractor:
Name: WEST COAST SECURITTY INC Phone:
Address: 14721 146 AV E , ORTING WA
Contractor License No: WESTCCS940K5 Expiration Date: 05/25/2010
DESCRIPTION OF WORK:
INSTALL FIRE ALARM SYSTEM
Value of Electrical: NRES: $995.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
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: $96.60
National Electrical Code Edition: 2008
Date: 04 4°1,
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this pe .t 't does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t • pe - = of work. I am authorized to sign and obtain this electrical permit.
Print Name:
J/'1/ 551-kd /
Date:
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
ELI 0-0287 Printed: 04 -19 -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 -0287
ISSUED
04/19/2010
04/19/2010
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 art 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: t J C%'C/� /% _51/ t'V -
Date: (/f 7/6
doc: Cond -Elec
ELI 0-0287 Printed: 04 -19 -2010
CITY OF TUKWIL#
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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 **
/� King Co Assessor's Tax No.:
Site Address: < /6D ' (0,571- (0 ar /�� ! e /g&
Tenant Name: COJI CC
Suite Number:
Property Owners Name: CO S ��
2_62'204 -1 — 6005
Floor:
New Tenant: ❑ Yes X. No
Mailing Address: C 8( CG5(---6C)
City
Name: JC{Cf%h y .5h1 r ^l/'/1
Mailing Address: tWe, / O ! G �� r —LF
98186'
State
Zip
Day Telephone: 2.573/25.-5-
6 /al wl '4 qjj g
City State / -7 Zip
E -Mail Address: Fax Number: v5 3/ S 74/G
Company Name:
Mailing Address:
Contact Person:
W'571-- Oq /4v 1 h c _
1060 � S 6f- / &(ia v4
City State Zip
,7era/-iY $LiiUe // Day Telephone: 2/.// ,2S`
Fax Number: ,,2 S1/ 1%S - %��
Expiration Date: 5 2 S/' /Z)
E -Mail Address:
Contractor Registration Number:
1Ne1t cc$ 9 <('
Valuation of Project (contractor's bid price): $ % 5 • D� /!
Scope of Work (please provide detailed information): 17Sfq// q Ffi'C A [ 1/4-f >S7` . 1ni
Will service be altered? ❑ Yes No
Type of Use: F / rt A Mimi
'-�
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
Adding more than 50 amps? ❑ Yes 53 No
❑ Service Change
bh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$152.85
$81.90 ea
$59.85 ea
Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ 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
•
❑ 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
❑ 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)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 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 ELECTRIC L CONTRACTOR:
Signature:
Date: Y// /0
Print Name: 11 �ti7NVV1,� �� f lil ✓ l.�/ Day Telephone:
Mailing Address:
Date Application Accepted:
City
State
Zip
tot
Date Application Expires:
H:Wpplications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials: T.-
•
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 -0287
Status: PENDING
Applied Date: 04/19/2010
Issue Date:
Receipt No.: R10 -00665
Payment Amount: $96.60
Initials: JEM Payment Date: 04/19/2010 01:51 PM
User ID: 1165 Balance: $0.00
Payee: JERAMY D SHIVELY, WEST COAST SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 044238
ACCOUNT ITEM LIST:
Description
96.60
Account Code 'Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 04 -19 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
to -oz7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: p
ll tea', �r
Type of Inspection:
ov
Address:
00 CDS1c0 De,
Date Called:
Special Inst •uctions:
01-
Date Wanted:
m.
Requester:
,I
Phone No:
71, Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
• / I/In) AV
Inspector: 60\k/t.
Date:
o)?ayty
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
'DvyF :t'„`;d..SC':_M.• Jan. �- i. �...... �"^.-..... �+/ rTt;^' 1'? 2�./ �" l'^ 31�P5�' K''_ N.-_ 9i. N" so_`. P'^. J` ?T.:'.�"_cwp.'R...f..tri,✓dZ. -. J- �- :`'^Y1�i.RE'."'e:� "�4�'"
INSPECTION RECORD OZ
Retain a copy with permit
INSPE ION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300. Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
(r1
Project: ��00
Type of Inspection:
.y /
r
Address: . cam•
7 /W Co f t `o
Date Called:
Special Instructions:
r(p;
Date Wanted:
7-2,
4k
Requester:
Phone No:
❑ Approved per applicable codes.
6
Corrections required prior to approval.
COMMENTS:
- clAblv peAtuf\10)
(cu oomk-rnmf
Inspector: �� Date: min)/ v
D $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
_.__.._._.,l•.., wa:c >h.i�' Grp .�;`.R*,✓.�.,..e— .rc�...w -r"° ..a:. nor.+ f..<... y.
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
EL /o -oa '
/ 0 -f— 011
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407
Project: C1- c o
o /;c a 1
Fire Alarm:
Type of Inspection: , .�-e /-77‘^ c Otz-
Trfc A1o,.w. i- I Aa /j
Address: goo
Suite #:
.,i, a
6 (/ .
Contact Person: 54. o,,e/ 6 .
Special Instructions:
Occupancy Type:
Phone No.: 2_06. 2 s5-_ yeii
7G6-- 5F-/-SS / q
Approved per applicable codes.
riCorrections required prior to approval.
COMMENTS:
Sprinklers:
'(
Fire Alarm:
y
.
A A-- /d.. A/ o
! ej 4 /e
Pre -Fire: '
Permits: _
Occupancy Type:
— 10-cT c- l 14/10,
%5 r
rG
N,‘ L r. Ib e Le. i ,„
,L
,.. , /
/
�!n t, ,z a(0_
0
•
/
- 47 i) tA a /2 (-60<e i
j .0....._ ,z-,,Ad Cat
scope
Needs Shift Inspection: a •
Sprinklers:
'(
Fire Alarm:
y
Hood & Duct:
Monitor:
! ej 4 /e
Pre -Fire: '
Permits: _
Occupancy Type:
Inspector: X
j \,
SU /,);..A.
I Date:
13 ) ,a
Hrs.:
/ .
6
$80.00 REIN ECTION FEE REQUIRED. You will receive an invoice from
the i of Tukwila Finance De rtment. Call t reinspection.
d ion.
ty pa to schedule a e spe
Word /Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
E. o —02�5°L
r- U'7
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407
l��
Project: (.051-co op k c cry (
Type of Inspection:
Fire Alarm:
Hood & Duct:
Address: 1/00 (0s7i o 2
Suite #:
Contact Person:
.5co43.,1
w,sf
co-1-1
`Y --}/
Special Instructions:
Phone No.:
,255-- 1/135/
57/ -b-5%'S
)
Approved per applicable codes.
1 7 Corrections required prior to approval.
COMMENTS:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
)
2 1\€.4 C74-•
1),r 4 j j
2) 4a..2 r) ii,Aa ice.
v.c.,1'
G
el tolzniv Gi-1 4:1
yN) eed 4„ mo‘/L
e d—
? ,,,,A nooi (N1/4,277 .
'L L.,.
NI FS -Z te.rfee-1-
S) eeck b I•a0.l4 -2-
ii∎
77 .
47 ►.v\ u 471. 41 v- (D C e_.+— 1-fo.1
/( tip
// V&( 1(t) 9 012.1b
.
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspectoti
\,.
Date:
(0
z gho
Hrs.:
1. c
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. CaII to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
Contractors or Tradespeopleter Friendly Page
Electrical Contractor
A business licensed by LEI 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 West Coast Security Inc UBI No. 602570814
Phone 2532554138 Status Active
Address 10609 264Th St East License No. WESTCCS940K5
Suite /Apt. License Type Electrical Contractor
City Graham Effective Date 5/25/2006
State Wa Expiration Date 5/25/2010
Zip 98338 Suspend Date
County Pierce Specialty 1 Limited Energy
Business Type Corporation Specialty 2 Unused
Parent Company
er Associated Licenses
License
icense
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
LOWVOVS963D9
Low Voltage
Security And Fire
Electrical
Contractor
Limited
Energy
Unused
3/29/2004
3/30/2008
Out Of
Business
ADMINISTRATOR INFORMATION
License SHIVEJD961DB
Name Shively, Jeramy D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Shively, Jeramy D
Agent
05/25/2006
3/18/2009
Shively, Jeramy D
President
05/25/2006
$250.00
Shively, Theresa
Treasurer
05/25/2006
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
INDEM CO
741632C
04/27/2006
Until Cancelled
$4,000.00
05/25/2006
Assignment of Savings Information No records found for the previous 6 year period
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EJORP02774
3/18/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02771
3/18/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02782
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02778
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02781
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02780
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02777
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 04/19/2010