HomeMy WebLinkAboutPermit EL10-0610 - COSTCO - OPTICALCOSTCO OPTICAL
441 COSTCO DR
EL1O-0610
Parcel No.:
Address:
Suite No:
City of/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
3623049107
441 COSTCO DR TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0610
Issue Date: 07/29/2010
Permit Expires On: 01/25/2011
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
COSTCO OPTICAL
441 COSTCO DR , TUKWILA WA
COSTCO WHOLESALE CORP
PROPERTY TAX DEPT 190 , 999 LAKE DR
HOWARD ALBERT
15135 NE 92 ST , REDMOND WA
SEQUOYAH ELECTRIC LLC
12316 134 CT NE , REDMOND WA
Contractor License No: SEQUOEL977S9
Phone:
Phone: 425 766 -3307
Phone: 425 - 814 -6000
Expiration Date: 01/29/2011
DESCRIPTION OF WORK:
PROVIDE POWER FOR (1) NEW EXHAUST FAN FOR SANDBLASTER: (1) 1 PHASE 20 A 120 V
CIRCUIT
Value of Electrical: NRES: $500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$75.60
National Electrical Code Edition: 2008
Date: 01 t-' 6 itO
I hereby certify that I have read and : xa ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complies 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 o t • e performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: % /P--ck /10'
Print Name: \C6 Cat )05<
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
EL 10 -0610
Printed: 07 -29 -2010
•
City of Tukwila
ZDepartment 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:
Suite No:
Tenant:
441 COSTCO DR TUKW
COSTCO OPTICAL
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0610
ISSUED
07/29/2010
07/29/2010
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.
Signature:
Print Name:
Date: ! (24=t // �7
doc: Cond -Elec
EL10 -0610 Printed: 07 -29 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.waus
Electrical Permit No.
.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 **
J King Co Assessor's Tax No.:
Site Address: 444 Castzo
Tenant Name: ( 7. 1 ?L
Property Owners Name:
Mailing Address:
State Zip
Suite Number:
New Tenant:
2W\ -11/0
Floor:
❑ Yes ❑ ..No
City
CONTACTPERSOft Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
Day Telephone:
City State Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTORINFORMATION
Company Name: �J
Mailing Address: ( 51 5 (� �t:9- TeAmon6i
j 1 CW- / /+ j / city state zip
Contact Person: yTj►,�� c� T/ [�JV F��j./f"�
E -Mail Address:
Contractor Registration Number: L.1 L..43. 5c1
Valuation of Project (contractor's bid price): $ 50..c0
Scope of Work (please provide de . iled info ..tion):
Day Telephone: Ado- 3307
Fax Number: 5 - S14--,
Expiration Date: — c:90I 1
-FrO> neo
Will service be altered? ❑ Yes ❑ No
Type of Use:
T e of ork:
New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
Puget Sound Energy
Seattle City Light
HAApplications \Forms - Applications On Line \2010 Applications \l -2010 - Electrical Permit Application.doc
Adding more than 50 amps? ❑ Yes
IEVNo
bh
Page 1 of 2
❑ Tenant Improvement
❑ Temporary Service
J
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
❑ 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, fumace 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
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.
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:
r
Signature: t
Print Name:
Mailing Address: 15i 35 ME. 0
ay Telephone:
Date: 7- o:--- 10
City
State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H:\Appbcanons\Ponns- Applicanons On tlne\2010 Apphcanons \I -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
RECEIPT
Parcel No.: 3623049107 Permit Number: EL10 -0610
Address: 441 COSTCO DR TUKW Status: APPROVED
Suite No: Applied Date: 07/29/2010
Applicant: COSTCO OPTICAL Issue Date:
Receipt No.: R10 -01444
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $75.60
Payment Date: 07/29/2010 10:19 AM
Balance: $0.00
SEQUOYAH, LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 526329 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
PAYMENT
RECEi,ED
doc: Receiot -06
Printed: 07 -29 -2010
INSPECTION RECORD
Retain a copy with permit
fuo- ci,o
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Project:
Loico urn c41,-
Type of Inspection:
Address:
WI 605Tc.o A.
Date Called:
Special Instr ctions:
Date Wanted:
3
a
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
-11- 4--141,/
Inspector:
v) 1
Date:
Os? 2 3b0
$60.00 REINS 7 CTION 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 Pter Friendly 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.
i
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SEQUOYAH ELECTRIC LLC
4258146000
15135 Ne 92Nd St
Redmond
WA
98052
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602252591
Active
SEQUOEL977S9
Electrical Contractor
1/29/2003
1/29/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
RAINIEC066MG
RAINIER ELECTRICAL
CONTRACTORS
Electrical
Contractor
General
Unused
7/7/1994
7/7/1996
Archived
RAINIEC121MG
RAINIER ELECTRICAL
CONTRS INC
Electrical
Contractor
General
Unused
7/7/1988
7/7/1994
Archived
SEQUOC*062Q8
SEQUOYAH
CORPORATION
Electrical
Contractor
General
Unused
11/28/1994
11/28/2004
Expired
JAMESEL98ORD
JAMESTOWN
ELECTRIC LLC
Electrical
Contractor
General
Unused
12/4/2002
12/4/2004
Out Of
Business
MASTER ELECTRICIAN INFORMATION
License NICHODE97406
Name NICHOLS, DAVID E
Status Active
1
Business Owner Information
Name
Role
Effective Date
Expiration Date
NICHOLS, DAVID E
Partner /Member
01/29/2003
GHASSEMI, MAHMOOD
Partner /Member
01/29/2003
NICHOLS, DAVID E
Partner /Member
01/29/2003
Bond Information
BondlBond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
https://fortress.wa.gov/lni/bbip/Print.aspx
07/29/2010