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Permit EL14-0555 - COSTCO OPTICAL - TV ANTENNA CABLING
COSTCO OPTICAL 400 COSTCO DR EL14-0555 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.eov 2523049063 400 COSTCO DR 100 Project Name: COSTCO OPTICAL ELECTRICAL OTC PERMIT Permit Number: EL14-0555 Issue Date: 6/12/2014 Permit Expires On: 12/9/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COSTCO WHOLESALE CORPORATIO 999 LAKE DR PROPERTY TAX DEPT 006, ISSAQUAH, WA, 98027 JEFF CAMPBELL PO BOX 21, MUKILTEO, WA, 98275 CASTLE CABLE INC PO BOX 71, MUKILTEO, WA, 98275 CASTLCI878LK Phone: (425) 635-8329 Phone: (425) 334-2750 Expiration Date: 6/12/2015 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE CABLE CAT5E TO (3) TV ANTENNAE Valuation of single family: $0.00 Valuation of mf/comm: $1,200.00 Type of Work: LOW VOLTAGE Fees Collected: $124.53 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: LaW,... .,1 2012 2012 2012 Date: ( ' ()"-'' 9 I hearby 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 developmen ermit and ee to the c ions attached to this permit. Signature: Date: 6 OZ//1-77 Print Name: � \ i dK ��5 r / This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Tenant Name: CITY OF TUKV 4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. kL— j 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 Site Address: b O C L r► l& 06, ()4( PROPERTY OWNER Name: 7 / , / )(,e, (-O. v r 1/J Address: q q 1 (4 It 0C , p,., .-ram City: rSS a 1 g. U1 State: i 1 A. Zip: q c Vz, CONTACT PERSON — person receiving all project communication Name: �e_J c a 1 I Address: pU Rox .Z 1 City: M i; 1eo State:lit) A Zip: qv 2 I l Phone: 4'z5 6,35 g,3z Fax: Email: *50-Re & ad C. Vi2-. £ 1 King Co Assessor's Tax No.: Suite Number: / 0'0 Floor: / >' t z g New Tenant: El Yes o ELECTRICAL CONTRACTOR INFORMATION Company Name: n Address: pc z:K �� City: rt. ci k ' [ o State: 0 /I Zip: ,,g, z72, Phone: 425 3 34.i ax: Z 756 Contr Reg No.: Exp Date: &(/2/15• Tukwila Business License No.; ��� c_,z- © 7 ' 4 Valuation of Project (contractor's bid price): $ /? U� Scope of Work (please provide detailed information): (.( ti£)w vc(5e .5 ._'!1 Will service be altered? ❑ Yes 2 No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ Iw ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement ge 0 Generator 0 Fire Alarm elecommunication 0 Temporary Service Property erved by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx Revised: July 2013 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) $65.00 ❑ 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: ( Date: 6/ / Z-/y Print Name: e i a-5 �n 35 8'3 ��� Zp� Day Telephone: Mailing Address:. (U)r 7 ( t.1k / o ?,,e) ,>f. Ci EKYB27,s State Zip H:\Applications\Forms-Applications On Line \2014 Applications \Electrical Permit Application Revised 1-I-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $124.53 EL14-0555 Address: 400 COSTCO DR 100 Apn: 2523049063 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322 101.00 00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2348 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Thursday, June 12, 2014 Paid By: CASTLE CABLE INC Pay Method: CREDIT CARD 08614G Printed: Thursday, June 12, 2014 2:10 PM 1 of 1 SYSTEMS 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 Eu1-osss Project: /r , CO a Type of Inspection: v Address: 70O CoSIGdij� • Date Called: ., Special Instructions: SL Date Wanted: igh (a Requester: f Phone No: ®Approved per applicable codes. COMMENTS: Corrections required prior to approval. 2 l • r--74/41- 1/ Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CASTLE CABLE INC Page 1 of 2 41111114 Washington State Department of Labor & industries CASTLE CABLE INC Owner or tradesperson STEWART, GORDON G Principals STEWART, GORDON G, AGENT Doing business as CASTLE CABLE INC WA UBI No. 601 464 825 PO BOX 71 MUKILTEO, WA 98275 425-334-2750 SNOHOMISH County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no, CASTLCI878LK Effective — expiration 06/12/2013— 06/12/2015 Designated administrator Campbell, Jeffrey T License type Electrical Administrator Bond American States Insurance Co Bond account no. 6345701 Received by L&I 06/12/2013 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. CAMPBJT875KN $4,000.00 Effective date 06/20/2005 Expiration date Until Canceled Workers' comp https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601464825&LIC=CASTLCI878LK&SAW= 06/12/2014