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HomeMy WebLinkAboutPermit EL12-0876 - COSTCOCOSTCO 441 COSTCO DR EL12 -0876 City ofiI'ukwila 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 ELECTRICAL PERMIT Permit Number: EL12 -0876 Issue Date: 09/18/2012 Permit Expires On: 03/17/2013 Owner: Name: COSTCO WHOLESALE CORP Address: PROPERTY TAX DEPT 190 , 999 LAKE DR 98027 Contact Person: Name: HOWARD ALBERT Address: 15135 NE 92ND ST , REDMOND WA, 98052 Contractor: Name: SEQUOYAH ELECTRIC LLC Address: 15135 NE 92ND ST , REDMOND WA 98052 Contractor License No: SEQUOEL977S9 Phone: (425)766 -3307 Phone: 425 - 814 -6000 Expiration Date: 01/29/2013 DESCRIPTION OF WORK: INSTALL (7) CORD DROPS (3 CKTS.) Value of Electrical: NRES: $3,000.00 Fees Collected: $136.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: oy /r�l.z 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 the performance of work. I am authorized to sign and obtain this electrical permit. Signature: . C�-Q Q �� Date: cilM/rot Print Name: 7W.,NC_ 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 -0876 Printed: 09 -18 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0876 * *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 m 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 -0876 Printed: 09 -18 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 http://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** Site Address: 4444 (...1)•dl (_ o • King Co Assessor's Tax No.: Tenant Name: (_DS Izc) Property Owners Name: Mailing Address: Suite Number. New Tenant: Floor: ❑ Yes ❑..No City State Zip T- PERSON:= Who;da:we contact when your permit:is ready:to be:issued RLECTRICAL. CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person. E -Mail Address: Contractor Registration Number: City state Day Telephone:: (r '� — 3D 7 Fax Number: `" { 4S Lt---d-)( Expiration Date: 1— 09 -(9013 Valuation of Project (contractor's bid price): $ 3000, coo Scope of Work (please provide detailed information): Will service be altered? ❑ Yes [1a' No Type of Use: Cse) °t- Type of work: ❑ New ❑ Low Voltage Pro erty ed bv: Puget Sound Energy ❑ Seattle City Light HAApprmaonsWomerApplimtions On Lndt010 Application!!- 2010 - Becciml Penn}$ Appl ciz iwi A c bh Page 1 of.? ❑ Addition ❑ Generator Adding more than 50 amps? ❑ Yes ❑ Service Change ❑ Fire Mann ❑ Remodel ❑ Telecommunication Tenant improvement ❑ Temporary Service 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) 559.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration .. ..581.90 (no added/altered circuits) ❑ Service change with added/altered circuits.... 581.90 number of added circuits 511:55 ea ❑ Circuits added/altered without service change 554.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) 57.65 ea ❑ Meter /mast repair 56825 ❑ Low voltage systems ......... ....... _............ ....._...... _559.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract MISCELLANEOUS FEES ❑ Temporary service (residential) 563.00 ❑ Temporary service ( generator) ... ................_578.75 ❑ Manufactured /mobile home service 584.00 (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 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: • eLQQ Jr ¢ Print Name: Mailing Address: 15135 kJ- Date: (tc(a_ Day Telephone: (-OS - 6 Ci Suer Zip 1 Date Application Accepted fj///g., Date Application Expires: D, 4///3 I Staff Initials: HAAppliezliatslFomu-Applicodoa+On lino\2010 Applir n111)&00010 -Flectrical Permit Applieotwn.dae bh Page2of2 • • J�W1�A w 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 RECEIPT Parcel No.: 3623049107 Permit Number: EL12 -0876 Address: 441 COSTCO DR TUKW Status: PENDING Suite No: Applied Date: 09/18/2012 Applicant: COSTCO Issue Date: Receipt No.: R12 -02632 Initials: User ID: Payee: LAW 1632 Payment Amount: $136.50 Payment Date: 09/18/2012 09:45 AM Balance: $0.00 HOWARD ALBERT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 02424P ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receipt-06 Printed: 09 -18 -2012 INSPECTION RECORD. Retain a copy with permit INSPECTION NO. - .PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 fug ono Project: DSTCe7 Type of Inspection: Address: (41 (05ic -v�R' Date Called: Special Instructions: Date Wanted:. // a m� Requester: Phone No: xiApproved per applicable codes. COMMENTS: EJCorrections required prior to approval. f Inspector: Lifrlb Date • I REINSPECTION FEE REQUIR D. Prior to next inspection fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to. schedule, reinspection. Contractors or Tradespeople Prier 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 SEQUOEL977S9 Electrical Contractor 1/29/2003 1/29/2013 General Unused iated 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 1BondlBond Company NamelBond Account NumberlEffective DatelExpiration DatelCancel Datellmpaired Date https: // fortress .wa.gov /lni/bbip/Print.aspx 09/18/2012 Contractors or Tradespeople Peter Friendly Page ,HARTFORD CAS INS 52BSBAB5541 CO 101/29/2003 (Until Cancelled Page 2 of 2 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Summons and Complaints are not filed with the department for this Information 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 EJONV00876 3/26/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEH000817 12/27/2006 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $500.00 EMEH000816 12/27/2006 19.28.271 RCW ELECTRICAL CITATION Satisfied $100.00 ENORW00279 1/27/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EROMA00534 10/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EHOLX00297 8/8/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOLX00301 8/8/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOLX00299 8/8/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 09/18/2012