HomeMy WebLinkAboutPermit EL13-0831 - COSTCO - OPTICAL - REMODELCOSTCO OPTICAL
441 COSTCO DR
ELi 3-0831
City oAtukwila
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 TUICW
Project Name: COSTCO OPTICAL
ELECTRICAL PERMIT
Permit Number: EL13-0831
Issue Date: 08/30/2013
Permit Expires On: 02/26/2014
Owner:
Name: COSTCO WHOLESALE CORP
Address: PROPERTY TAX DEPT 190 , 999 LAKE DR 98027
Contact Person:
Name: JEFF CAMPBELL Phone: 425 635-8329
Address: 441 COSTCO DR , TUKWILA WA, 98188
Contractor:
Name: CASTLE CABLE INC
Address: PO BOX 71 , MUKILTEO WA 98275
Contractor License No: CASTLCI878LK
Phone: 425 334-2750
Expiration Date: 06/12/2015
DESCRIPTION OF WORK:
INSTALL (7) CAT5E CABLES TO NEW TIME CLOCK LOCATIONS, PROVIDE TERMINATIONS ON
BOTH ENDS, TEST AND LABEL.
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: SPRINKLERS/AFA
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $118.60
Washington Cities Electrical Code: 2011
Date:
3
I hereby certify that I have read and e aurin= d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 'th, ether specified herein or not.
The granting of this permit does not pre
constructioij.o the perforx$ ce of w
Signature:
Print Name:
to give authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
Cii—tfiie&i
Date: g/51°77
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 -7/13
EL13-0831 Printed: 08-30-2013
• a
PERMIT CONDITIONS
Permit No. EL13-0831
**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 -7/13
EL13-0831 Printed: 08-30-2013
CITY OF TUKWail
Community Developm.. Department
Permit Center
0 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Per it No. -OVA
Project No.
Date Application Accepted: DI ;d\l
Date Application Expires: 09- /� 4
(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:
y ( Cc�
Tenant Name: (' e',4 -Cr) D �(}(x c c
King Co Assessor's Tax No.:
Suite Number: /U rQ Floor:
PROPERTY OWNER
Name:
s e_ Com,
Name: 0 bCe.2 ,o, 4_t' c
City: -- j (dor /1 State: LoA_ Zip: p8 fc
Address: L./ q 1 e6 ..1- co cOi'
^g
Email:
1 r1`n C P C ,: S a&‘,. .. 7L
City: V L�r. �r
( State: to A_
Zip: meg
`
CONTACT PERSON - person receiving all project
communication
Name:
s e_ Com,
�aL(-
Address:
(P-0 C e i -C o /0^ ,
City: -- j (dor /1 State: LoA_ Zip: p8 fc
Phone: 925 -4.1035 (4a 3 V 07
`7%
^g
Email:
1 r1`n C P C ,: S a&‘,. .. 7L
New Tenant: ❑ Yes ❑moo
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /)a
y-�C
jrte. C (ie--- f
Address: p61 6 cx 7/
City: /v7State: tuel Zip: y875
vL ., 44_0
Phone(ct/ZS)33 `f- — Z."5.n qz5,3 yo a'?2
Contr Reg No.:Sr &/a 7< Exp Date: CV/z//5/
Tukwila Business License No.; 0 ? -,3/)
Valuation of Project (contractor's bid price): $ /500
Scope of Work (please provide detailed information): 't' ,v 5.(.1 (( 7 C )975e `1 b S �a
A) Luc) CA/e2 10 c_e,�.`d�S - P ���-I--�,- t,t-c < `� �� NS
S —/-e5 (01,42
Will service be altered?
❑ Yes
Type of
❑ No Adding more than 50 amps? ❑ Yes 12-110
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
Cr -I -7m Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Applcations\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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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) $65.00
O Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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 0 • ER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date: V 34%/3
Day Telephone: 4/75 cy .5--.83z5
Po 6o< -2/ t-T,,L rrt -4_-n to A- 275--��7t
City State Zip
H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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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.: 3623049107
Address: 441 COSTCO DR TUKW
Suite No:
Applicant: COSTCO OPTICAL
RECEIPT
Permit Number: EL13-0831
Status: APPROVED
Applied Date: 08/30/2013
Issue Date:
Receipt No.: R13-02515
Initials:
User ID:
JEM
1165
Payment Amount: $118.60
Payment Date: 08/30/2013 12:29 PM
Balance: $0.00
Payee: JEFFERY T CAMPBELL, CASTLE CABLE INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 05648E
ACCOUNT ITEM LIST:
Description
118.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 118.60
Total: $118.60
rinr Rereint-OR
Printed: 08-30-2013
INSPECTION RECORD
Retain a copy with permit.
INSPECTION NO.
tt1i -081
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: AType
(.01161 01)1101
of Inspection:
:Z�ov
Address:
illil eosrc.o .
Date Called:
. .
. .
Special Instructions:
Date Wanted:
01
Requester:
I
Phone No: .
Approved per applicable codes. L- J. Corrections required prior to approval.
COMMENTS:
9
Inspector:
Date: v t
r
n 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. d
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
(r3-oX3I
Project: 6
SVCO OP ti ellt
Type of Inspection:
2100
Address:
y�t L S1to *:
Date Called:
.---
Special Instructions:
Date Wanted:
?/03
a.m.
(
Requester:
Phone No:
QApproved per applicable codes. Corrections required prior to approval..
COMMENTS:
CA,caup
Inspector:
Date:
033
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr er Friendly Page
I
Electrical Contractor
A business licensed by L&I 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
CASTLE CABLE INC
4253342750
Po Box 71
Mukilteo
WA
98275
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601464825
Active
CASTLCI878LK
Electrical Contractor
6/12/2013
'6/12/2015
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
CASTLCI000LT
CASTLE
CABLE INC
Electrical
Contractor
Telecommunications
6/30/2000
7/1/2014
Re -
Licensed
Electrical Administrator INFORMATION
License CAMPBJT875KN
Name CAMPBELL, JEFFREY T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
STEWART, GORDON G
Agent
06/12/2013
Bond Information
Bond Company Name
American States
Insurance Co
Bond
1
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6345701
06/20/2005
Until Cancelled
$4,000.00
06/12/2013
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 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 No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx ' 08/30/2013