HomeMy WebLinkAboutPermit EL11-0865 - COSTCO OPTICALCOSTCO OPTICAL
441 COSTCO DR
EL1 1 -0865
City otiltukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 3623049107
Address: 441 COSTCO DR TUKW
Project Name: COSTCO OPTICAL
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0865
09/19/2011
03/17/2012
Owner:
Name: COSTCO WHOLESALE CORP
Address: PROPERTY TAX DEPT 190 , 999 LAKE DR
Contact Person:
Name: HOWARD ALBERT
Address: 15135 NE 92 ST , REDMOND WA
Contractor:
Name: SEQUOYAH ELECTRIC LLC
Address: 15135 NE 92ND ST , REDMOND WA
Contractor License No: SEQUOEL977S9
Phone: 425 766 -3307
Phone: 425 - 814 -6000
Expiration Date: 01/29/2013
DESCRIPTION OF WORK:
CONDUIT ONLY - "GET STARTED" PERMIT
Value of Electrical: NRES: $60.00
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 complie
x•
wit
The granting of this permit does not pre
construction or the performance of work
Signature:
Print Name:
h
Fees Collected:
National Electrical Code Edition:
$63.00
2008
Date: tt'1(t
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
Date: 11/9/1
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 -4/10
EL11 -0865 Printed: 09 -19 -2011
PERMIT CONDITIONS
Permit No. EL11 -0865
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -4/10
EL11 -0865 Printed: 09 -19 -2011
Site - Address'
CITY OF TUKWILA
Community Development Department
Permit Center
6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa. us
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**
Tenant Name:
tote. Suite-Number Floor
King Co Assessor's Tax No.: 2L1 2. o 1 -1101
(A t
New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address:
City Stutz Zip
ONTAC•T .ERSON= :Who=do.we coated when y our -permit -is rendy.to;be.issued
Name. rrrr
Mailing Address:) 35
E -Mail Address:
Day Tel phone:.
.3307
City // Stale Zip
Fax Number: 4:95 -1;5 6511,01
FI.ACTRICAL :CONTRACTOR .INFORMATION
Company Name:
Mailing Address: j
Contact Person:' -l.t iR QL -Ai br
E-Mail Address:
Contractor Registration Number: 5 1A.bF1._.
City
Day Telephone:
t-j Fax Number. .
Expiration. Date:.. .
Zip
7 '3 07
Valuation of Project (contractor's bid price): 3 _ -
Scope of Work (ningse provide detailed information):
11
1i
c �. ....i•
:luoorootsol@uosuo3iollu:otllwW: ' `••. •
Will service be altered? ❑ Yes ❑ No
Type of Use:
Tyne of vtork:
Adding more than 50 amps? ❑ Yes No
-- .-- ...--- ❑_N..03Y_..___ -.... _.._❑Additirm ._.._ ..___.0—Send= Change _ - Remodel
❑ Low Voltage 0 Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
II: .rn sTaans- appliemozs onr3 OM° appuutioMt- 2010 - 1Regrim) NM* Appliitidan.8io
Ws
• • _ 6Page 1 0172
;provement
0 Telecommctnication ❑ Temporary:Service
E
•
VQaM?10017n0 va:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings. $8L90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration ..... 581.90
(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- FAMJLY 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 ....$78.75
Number of concessions 510.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant This figure will be reviewed and is subject
to possible revision by the Pennit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR
Signature:
Print Name:
Mailing Address: 15135
Date:
ay Telep one:
-�t�k - 1J%
oSte �$tFa
City c Zip
Date Application Accepted: if I V1 t I I Date Application Expires: ( Staff Initials:
n: Wpplimtioos \Panm-ApplimdansOnLb:AMID Applicetions11-1010- Electrical Pcm,h Applicatiottiktg
Page 2 oft
CitIOof 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
SET RECEIPT
Copy Reprinted on 09 -19 -2011 at 12:59:12 09/19/2011
RECEIPT NO: R11 -02045
Initials: JEM
Payment Date: 09/19/2011
User ID: 1165 Total Payment: 97.13
Payee: HOWARD M ALBERT
SET ID: S000001577 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
EL11 -0865
EL11 -0866
TOTAL:
Amount
63.00
34.13
63.00
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C MC 97.13
TOTAL: 97.13
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
ELECTRICAL PLAN - NONRES 000.345.832.00.0
63.00
34.13
TOTAL: 97.13
L
INSPECTION NO.
INSPECTION RECORD foybc
Retain a copy with permit ( U
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: )95TCO n F I
�7
Type of Inspection:
�00
Address:
' � %ST(- .)& -
Date Called:
Special Instructions:
Date Wanted:.
VA
a:m
m.
Requester:
Phone No:
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
lfnspector:
Date: 07/20/11
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pter Friendly Page
Page 1 of 2
r
Electrical Contractor
A business licensed by LW 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
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
1/29/2013
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
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 NamelBond Account Number
Effective DatelExpiration DatelCancel Datejlmpaired Date
https: // fortress .wa.gov /lni/bbip /Print.aspx
09/19/2011