HomeMy WebLinkAboutPermit EL12-0321 - COSTCO - OPTICALCOSTCO OPTICAL
441 COSTCO DR
EL12 -0321
City "Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -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: EL12 -0321
Issue Date: 06/01/2012
Permit Expires On: 11/28/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
COSTCO WHOLESALE CORP
PROPERTY TAX DEPT 190 , 999 LAKE DR
CURT SPROGE Phone: 253 880 -6232
3808 N SULVAN RD SW , SPOKANE WA
Contractor:
Name: SEQUOYAH ELECTRIC LLC
Address: 15135 NE 92ND ST , REDMOND WA
Contractor License No: SEQUOEL977S9
Phone: 425- 814 -6000
Expiration Date: 01/29/2013
DESCRIPTION OF WORK:
NEW CIRCUIT FOR NEW A/C. LOW VOLTAGE FOR SMOKE DETECTOR AND HVAC UNIT.
Value of Electrical: NRES: $3,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: / / ///' t`Z
$136.50
2008
Date: 1.6%. /0 i 77-2,
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 or he performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: 6 1 I
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 -0321 Printed: 06 -01 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0321
* *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 -0321 Printed: 06 -01 -2012
CITY OF TWO*
Community Develop epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
lutp://www.TukwilaWA.gov
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 Address: 4 k\ ((-5---\c.c) Dr-
Tenant Name: cc,<,A CC) Oc;r1.\c(--)L,
King Co Assessor's Tax No.: lift 12Dt-t (01
Suite Number:
.PROPEFiTY.:(*NE.12;-
.
project - ',7 , ■., :,
Name: C CC)
Address: 4\\ Ce.c.0 V r
City: 10\c.- \ \\ „?..._ StateOp
ZipOq as
CoNTA&fptRsori .''.- 11'
CONTACT PERSON person receiving.
communication .-, , ,. . . :,
.
project - ',7 , ■., :,
Name: c_oz,
Address: N)
City:c_3yO. 00E_ State: W p
Zip1Z‘C‘a \ (a
Phone:).-3.... ...oe‘o,c,3a Fax:
Email:
Floor:
New Tenant: fl Yes [3.. No
EciaM'ALcOSTIRACItij•iN#910109.
f I em
Company Name: seve.:,,„tzp.‘4‘,. e4c,Ackic L ,L.0
Address: s 135 rt qz.14
City: State 4 Zipcilspv:i
Phone: yzs
Se
Contr Reg No cf.i.icOl..:9-175cr xp Date:, .p,
Tukwila Business License No.; 7/-
Valuation of Project (contractor's bid price): $ C.) 0
Scope of Work (please provide detailed information):
Q...x,3 fOC
Will service be altered? 0 Yes No Adding more than 50 amps? ,.1R1 Yes 0 No
Type of Use:
Type of work:
O New Addition 0 Service Change 0 Remodel
aLow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
0 Tenant Improvement
Propety Served by:
Puget Sound Energy 0 Seattle City Light
HAApplications \Forms-Applications On Line \2011 ApplicationskElectrical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
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, 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, 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
PERMITt'APPLICATION` NOT
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:
Print Name: �vC
Date: 4—s"--
1 a
Day Telephone:
Mailing Address:
City State Zip
H: Wpplications\Forms- Applications On Lme\2011 Applications\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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.Tukwila WA.gov
Parcel No.: 3623049107
Address: 441 COSTCO DR TUKW
Suite No:
Applicant: COSTCO OPTICAL
RECEIPT
Permit Number: EL12 -0321
Status: APPROVED
Applied Date: 04/05/2012
Issue Date:
Receipt No.: R12 -01762
Initials:
User ID:
Payee:
LAW
1632
Payment Amount: $136.50
Payment Date: 06/01/2012 02:39 PM
Balance: $0.00
HOWARD ALBERT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 04140P
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 06 -01 -2012
;INSPECTION'NO.
INSPECTION RECORD
Retain a copy with permit
J
PERMIT NO.
-`:CITY .OFTUKWILA BUILDING DIVISION
6300 Southce'nter Blvd:,: #100, Tukwila. WA 98188 _ (206) 431 -367
Permit-Inspectio;n Request Line (206) 431 -2451
Project :'
Type of Inspection:
Address:
: Co sic° j)g ,
Date Called:
Special Instructions:
Date Wanted: .
!O
1
02...
m
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
\f trt REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
/0/6741/2.-
INSPECTIONRECORDLit -03Lr
Retain a copy with permit i
INSPECTION NO. . 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::
Co 5Cpl ri('
Type of Inspection:
2/00
Address:
L{ "` ece.1k
Date Called:
Special Instructi6ns:
2c17,71
Date Wanted:.
/ i//a
m.
Requester:
Phone No:
Approved per applicable codes. M Corrections required prior to approval.
COMMENTS:
L t - 1/,I t7' 6J/ t td i#
cJA''-1 0 J. PDJiL . AA b C,t2i;.tJ tT'
AFrRicz•v\
Date: a 2 r�
REINSPECTION FEE REQUIRE. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter 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.
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
SEQUOEL97759
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
JAMESEL98ORD
JAMESTOWN ELECTRIC
LLC
Electrical
Contractor
General
Unused
12/4/2002
12/4/2004
Archived
SEQUOC*062Q8
SEQUOYAH
CORPORATION
Electrical
Contractor
General
Unused
11/28/1994
11/28/2004
Archived
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
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
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
https://fortress.wa.gov/lni/bbip/Print.aspx
06/01/2012