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Home My WebLink AboutPermit EL12-0308 - COSTCO - GAS STATIONThis 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 -0308 Costco — Gas Station 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 GASOLINE 400 COSTCO DR EL1 2-0308 City dilTukwila 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 GASOLINE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: O kL D 024 1'`— Owner: Name: COSTCO WHOLESALE CORPORATIO Address: PROPERTY TAX DEPT 006 , 999 LAKE DR Contact Person: Name: WAYNE MARVIN Address: 21428 167 AV SE , MONROE WA Contractor: Name: INTERIOR ELECTRIC INC Address: 21428 167 AV SE , MONROE WA Contractor License No: INTEREI003CP Phone: 360 863 -8678 Phone: 360 863 -8678 Expiration Date: 02/17/2014 DESCRIPTION OF WORK: AT GAS STATION ADD CIRCUITS FOR ADDITIVE DISPENSER SYSTEM TO BE AUTOMATIC Value of Electrical: NRES: $2,500.00 Fees Collected: $136.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: ,7/ RA I hereby certify that I have read and governing this work will be complie 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 or the performance of work. I am authorized to sign and obtain this electrical permit. National Electrical Code Edition: 2008 Date: C ". ed this permit and know the same to be true and correct. All provisions of law and ordinances Signature: Print Name: a,57 /OA-r- » »i✓ Date: (c2 c7d(2 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 -0308 Printed: 04 -02 -2012 0 0 PERMIT CONDITIONS Permit No. EL 12 -0308 * *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 -0308 Printed: 04 -02 -2012 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. Project No. Date Application Accepted: v 4( U2 Date Application Expires: (;a) (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 Site Address: 400 Costco Drive; Tukwila, WA Tenant Name: Costco Wholesale King Co Assessor's Tax No.: 2-X5 -1(1.6 Suite Number: Floor: New Tenant: ❑ Yes J ..No PROPERTY OWNER :;. ;; Name: Wayne Marvin Address: 21428 167th Ave SE Name: Costco Wholesale Phone: (360) 863 -8678 Fax: Email: interiorelectric @aol.com Address: 999 Lake Drive City: Issaquah State: WA Zip: 98027 CONTACT PERSON - person receiving all project . communication Name: Wayne Marvin Address: 21428 167th Ave SE City: Monroe State: WA Zip: 98272 Phone: (360) 863 -8678 Fax: Email: interiorelectric @aol.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Interior Electric, Inc. Address: 21428 167th Ave SE City: Monroe State: WA Zip: 98272 Phone: (360) 863 -8678 Fax: Contr Reg No.: INTEREI003CP Exp Date: 02/17/2014 Tukwila Business License No.: 211,15- 0 c19 33og! Valuation of Project (contractor's bid price): $ 45009 Scope of Work (please provide detailed information): A" r 615 5TA "C'S ON Mc. C1CCWfisvadd 'it we G°1'ls7enser 3y3-tPm tD -for Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes gj No Type of Use: Type of work: ❑ New Er<Idition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: p( Puget Sound Energy H:1rlpplicatiore\Fonns- Applications On Line12011 ApplicationsTlectrical Permit Application Revised 8- 9- 11.doot Ravisad: Auguot 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, fumace thermostat) $152.85 $81.90 ea $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) PERMIT APPLICATION NOTES - 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 S10.50 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 ELECTRICAL CONTRACTOR: Signature: �/lA"`-:. Print Name: V l oNj e I I &EV \ Mailing Address: 21 ILO B- .'Lo ' Ave SG H:Wpplicationa\Fonns-Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: Li 12 / 2°I2 Day Telephone: \ $D3- 0 (D1 d 40r\rUL SAO^ 9e2:37 City State Zip Page 2 of 2 • 1 City of Tukwila 4 . 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 GASOLINE RECEIPT Permit Number: EL12 -0308 Status: PENDING Applied Date: 04/02/2012 Issue Date: Receipt No.: R12 -01196 Initials: User ID: Payee: JEM 1165 Payment Amount: $136.50 Payment Date: 04/02/2012 10:04 AM Balance: $0.00 INTERIOR ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6735 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 doc: Receiot -06 Printed: 04 -02 -2012 INSPECTION NO. INSPECTION. RECORD y� J,0? Retain a copy with permit tt'1Z PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 981'88 2. (206) 431 -3 Permit Inspection Request Line (206)431 -2451 Project: (05i� (� �1/� Type of Inspection: Zlpt Address: - p it) C.DSTC.o Date Called: .- Special Instriuc ions: Date Wanted:. 3v (a.m p- Requester: / Phone No: lidApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: Date: 05,./30 Jl REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION•R'ECORD Retain a copy with permitZ-D3O� INSPECTION NO.' PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 i� (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project:. ' %!: O wie Type of Inspection: /0 Address: f Date Called: Special Instructions: Date Wanted:. a .ms, �. Requester: Phone No: Approved per applicable codes. • COMMENTS: Corrections required prior to approval. otfitav,pqp 64�iGft Inspector: Date: 24/1/2.-- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copywith permit (u2o3o PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: c.„9.57_, / _ _ (� Type of Inspection: / Address: �[�� I� 5?z�o D&, Date Called: ' j � -. Special Instructions: - Date Wanted:. / cp:mm. Requester: ' Phone No: 0 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: vP 11; 5e 'Air:A.41NA\ filk5 Inspector: (71 Date: 193---t n REINSPECTION FEE REQAED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter Friendly Page • Electrical Contractor A business licensed by Lftl 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 2/17/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status INTERE,082K61NTERIOR ELECTRIC Electrical Contractor General Unused 5/26/1992 5/26/2000 Archived Electrical Administrator INFORMATION License MARVIWS136RE Name MARVIN, WAYNE S Status Active Business Owner Information Name Role Effective Date Expiration Date MARVIN, MICHELLE Agent 02/17/2000 MARVIN, WAYNE 5 President 02/17/2000 MARVIN, MICHELLE R Secretary 02/17/2000 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 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 Warrant Information Warrants are not filed with the department for this contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 04/02/2012