HomeMy WebLinkAboutPermit EL12-0128 - COSTCOThis 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.
EL12 -0128
Costco
400 Costco Drive
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
F,age # Code
Exemption � � �� Brief Explsnatoty Description, Statute /Rule
The Privacy Act of 1974 evinces Congress' intent that
Personal Information —
social security numbers are a private concern. As
such, individuals' social security numbers are
Social Security Numbers
redacted to protect those individuals' privacy pursuant
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
to 5 U.S.C. sec. 552(a), and are also exempt from
552(a); RCW
552(a); RCW
disclosure under section 42.56.070(1) of the
42.56.070(1)
42.56.070(1)
Washington 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
Personal Information —
numbers, electronic check numbers, credit expiration
11
DR2
Financial Information —
dates, or bank or other financial account numbers,
RCW
RCW 42.56.230(4 5)
which are exempt from disclosure pursuant to RCW
42.56.230(5)
42.56.230(5), except when disclosure is expressly
required by or governed by other law.
COSTCO WHOLESALE
400 COSTCO DR
EXPIRED
10-21-12
EL12 -0128
City otikukwila
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.: 2523049063
Address: 400 COSTCO DR TUKW
Project Name: COSTCO WHOLESALE
ELECTRICAL PERMIT
Permit Number: EL12 -0128
Issue Date: 02/13/2012
Permit Expires On: 08/11/2012
Owner:
Name: COSTCO WHOLESALE CORPORATIO
Address: PROPERTY TAX DEPT 006 , 999 LAKE DR
Contact Person:
Name: JEFF MULLINS Phone: 206 - 328 -0555
Address: 1121 RAINIER AV S , SEATTKLE WA
Contractor:
Name: TRIG ELECTRIC SERVICE INC
Address: 1121 RAINIER AV S , SEATTLE WA
Contractor License No: TRIGESI054RI
Phone: 206 - 328 -0555
Expiration Date: 12/21/2013
DESCRIPTION OF WORK:
INSTALL (3) DEDICATED 120 VOLT CIRCUITS FOR NEW FIRE ALARM POWER SUPPLIES, ALSO
INSTALL NEW FIRE ALARM LOW VOLTAGE CABLING AND NEW HORN /STROBES.
Value of Electrical: NRES: $27,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
LAA
Fees Collected:
National Electrical Code Edition:
$574.10
2008
Date: C 1
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 o the performance of work. I . . authorized to sign and obtain this electrical permit.
Signature
Date: °2 /l 3/A2,
Print Name: ✓�L rr /.[_l //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
EL12 -0128 Printed: 02 -13 -2012
PERMIT CONDITIONS
Permit No. EL12 -0128
* *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
EL12 -0128 Printed: 02 -13 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No. 1 e)— D.g/
Project No.
Date Application Accepted:
Date Application Expires:
(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: 400 Costco Drive Suite Number: Floor:
Tenant Name: Costco Wholesale
PROPERTY OWNER
Name: Jeff Mullins
Address: 1121 Rainier Ave S
Name: Costco Wholesale
Phone: (206) 328 -0555 Fax: (206) 329 -2540
Email: jmullins @trigelectric.com
Address: 999 Lake Dr
City: Issaquah
State: WA
Zip: 98027
CONTACT PERSON — person receiving all project
communication
Name: Jeff Mullins
Address: 1121 Rainier Ave S
City: Seattle State: WA Zip: 98144
Phone: (206) 328 -0555 Fax: (206) 329 -2540
Email: jmullins @trigelectric.com
New Tenant: ❑ Yes ( l ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Trig Electric Service, Inc.
Address: 1121 Rainier Ave S
City: Seattle State: WA Zip: 98144
Phone: (206) 328 -0555 Fax: (206) 329 -2540
Contr Reg No.: TRIGESI054R1 Exp Date: 12/31/2012
Tukwila Business License No.: BUS - 0992639
Valuation of Project (contractor's bid price): $ 27,500
Scope of Work (please provide detailed information):
Install (3) dedicated 120 volt circuits for new fire alarm power supplies, also install new fire alarm low voltage cabling
and new horn / strobes.
Will service be altered? ❑ Yes 0 No
Type of Use: Commerical
Adding more than 50 amps? ❑ Yes No
Type of work:
❑ New ❑ Addition ❑ Service Change
VI Low Voltage ❑ Generator m Fire Alarm
Property Served bv:
m Puget Sound Energy ❑ Seattle City Light
H: Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
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, fumace 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, 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
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 pennit 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:
Signatur
Print Name: Jeff Mullins
Mailing Address: PO Box 3487
H:WpplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: z/ / 3A2.—
Day Telephone: (206) 328 -0555
Seattle 98114
City
State Zip
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.TukwilaWA.gov
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
Applicant: COSTCO WHOLESALE
RECEIPT
Permit Number: EL12 -0128
Status: PENDING
Applied Date: 02/13/2012
Issue Date:
Receipt No.: R12 -00615 Payment Amount: $574.10
Initials: WER Payment Date: 02/13/2012 01:43 PM
User ID: 1655 Balance: $0.00
Payee: TRIG ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 012928 574.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 574.10
Total: $574.10
doc: Receiot -06 Printed: 02 -13 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
t'u Z D(ZS
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: / �����
Type of Inspection:
��� 0
Address: r'
00 (..Sim -
Date Called:
.
.�.
Special Instructions:
Date Wanted:.
.., tif
m.
Requester:
Phone No:
DApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
ktki way
Inspector:
Date: ott
f
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
(ta-dia
Project:
siao
Type of Inspection:
1c)0
Address:
/100 C'Jsi b2
Date Called:
Special Instructions:
Cf%. I?1
a
Date Wanted: .
Requester:
Phone No:
ElApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
7"--)
J
- IAA- ofitl✓ fi f
- sit c
€ti c Ji
iJ Pet
.
-- fiq C ''{/ ,
rik b
odr
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
09 -04 -2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JEFF MULLINS
1121 RAINIER AV S
SEATTKLE WA 98144
RE: Permit No. EL12 -0128
COSTCO WHOLESALE
400 COSTCO DR TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 10/21/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 10/21/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
• Permit Technician
(4-
File: Permit File No. EL12 -0128
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206-431 -3665
Contractors or Tradespeople Prater Friendly Page
1
Electrical Contractor
A business licensed by Lai 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
TRIG ELECTRIC SERVICE INC
2063280555
1121 Rainier Ave S
Seattle
WA
98144
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600464732
Active
TRIGESI054R1
Electrical Contractor
12/21/1995
12/21/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
TRIGEI'165Q8
ELECTRIC
INC
INC
Electrical
Contractor
General
Unused
11/28/1984
10/30/1997
Archived
TRIGE "178BCTRIG
ELECTRIC
Electrical
Contractor
General
Unused
1/3/1983
12/31/1985
Archived
Master Electrician INFORMATION
License MULLIJD961MF
Name MULLINS, JEFFREY D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERTEL, LANCE F
Impaired Date
01/01/1980
Received Date
MULLINS, JEFF D
Agent
01/01/1980
Until
Released
MULLINS, JEFF D
President
01/01/1980
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 2
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
12/20/1995
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
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EZUMJ00261
3/24/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
02/13/2012