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HomeMy WebLinkAboutPermit EL15-0008 - COSTCO GAS STATION - CIRCUITS AND MONITORING SYSTEMThis 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. EL15-0008 COSTCO - GAS STATION 451 COSTCO DR RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Coda Exemption, � � � I3ri6f Explanatory 6escrlofion, Sfatutte/Ruilo The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) 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 numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 12 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) (7a & c) apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney -client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. COSTCO GAS 451 COSTCO DR EL15-0008 Parcel No Address: ON 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 ELECTRICAL PERMIT 3623049107 Permit Number: EL15-0008 451 COSTCO DR Issue Date: 1/21/2015 Permit Expires On: 7/20/2015 Project Name: COSTCO GAS STATION Owner: Name: COSTCO WHOLESALE CORP Address: 999 LAKE DR PROPERTY TAX DEPT 190, ISSAQUAH, WA, 98027 Contact Person: Name: ALEXIA INIGUES Phone: (425) 251-6222 Address: 18215 72 AVE S , KENT, WA, 98032 Contractor: Name: INTERIOR ELECTRIC INC Phone: (360) 863-8678 Address: 21428 167TH AVE SE, MONROE, WA, 98272 License No: INTERE1003CP Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: ADD (1) 3-POLE AND (1) 2-POLE 20 AMP CIRCUITS FOR NEW DIESEL TANK AND NEW ADDITIVE TANK. ALSO EXTEND LOW VOLTAGE MONITORING SYSTEM TO ACCOMMODATE ADDITIVE TANK AND DIESEL TANK. Valuation of single family: $0.00 Fees Collected: $422.38 Valuation of mf/comm: $13,000.00 Type of Work: ADDITION 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 L Permit Center Authorized Signature: Date: 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 development permit and agree to the conditions attached to this permit. Signature: Print Nam Date: e: / 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit. Center =' 6300 Southcenter Blvd., Suite 100 T'uk-uila, WA 98188 •' • h `��t�«.Tulc�ti�laWA.Qo` ap; , Electrical Permit No. ` Ulm ;— OXII Project No. Date Application Accepted: M Q is Date Application Expires: Vu use 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 Tung Co Assessor's Tax No.: 362304-9107 Site Address: 451 Costco Drive Suite Number: Floor: Tenant Name: Costco Gas Station (Location #6) Nevi- Tenant: ❑ .....Yes ®..No PROPERTY OWNER Name: Costco Wholesale Address: PO Box 35005 City: Seattle State: WA Zip: 98124 CONTACT PERSON — person receiving all project communication Na": Alexia Inigues Address: 18215 72nd Ave South City: Kent State: WA Zip: 98032 Phone: (425) 251-6222 Fax: Email: Valuation of Project (contractor's bid price): $ 13,000 ELECTRICAL CONTRACTOR INFORMATION Company Nanie: 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: 02/17/2016 Tukwila Business License No.; BUS-0995264--,,� Scope of Work (please provide detailed information): Add (1) 3-pole and (1) 2 pole 20 amp circuits for new diesel tank and new additive tank. Also extend low voltage monitoring system to accommodate additive tank and diesel tank. Will service be altered? ❑ Yes ® No Type of Use: Type of work: ❑ New ® Addition ❑ Semice Change 10 Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ® Puget Sound Energy ❑ Seattle City Light Hi;.ApplicatinnslFornt.-Applicu[i,>ns On Line:2014 A1m1icatumilE1=xica1 Permit Application Revised 1-1-14.<6sx .'Zd: lannavy 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Teleconununication ❑ Yes 0 No ❑ Tenant improvement ❑ Temporary Set vice Page I 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) ❑ Sert'iee change with added/altered circuits.................$8190 number of added circuits ............... --.... S 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) I PERMIT APPLICATION NOTES - 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 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 01116al may b ant one extension of time for an additional period not ti) exceed 90 days. The extension shall be requested in ,*Hiring and justifiable cause demonstrated. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENTALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR T14TS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: i�v`�t�.-'�E,�+r'.. Date: 01/06/2015 Print Name: Wayne Marvin Day Telephone: (360) 863-8678 Mailing Acidress:______21428 167th Ave SE Monroe WA 98272 ._.__._._ City state zip M.1Application%AForm.,:-Applicationc On UnL 2M4 ApplicationsT]L�tricxl Permit Appliearicm Rcciscd 1-1-144a'c R,riscd: Januwy2014 bh Page 2 of 2 DESCRIPTIONS• PermitTRAK QUANTITY PAID $341.15 EL15-0008 Address: 451 COSTCO DR Apn: 3623049107 $341.15 ELECTRICAL $324.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $324.90 TECHNOLOGY FEE $16.25 TECHNOLOGY FEE TOTAL R000.322.900.04.00 0.00 $16.25 Date Paid: Tuesday, January 20, 2015 Paid By: BARGHAUSEN Pay Method: CHECK 85072 Printed: Tuesday, January 20, 2015 8:06 AM 1 of 1 SYSTEMS Date Paid: Tuesday, January 06, 2015 Paid By: BARGHAUSEN CONSULTING ENGINEER Pay Method: CHECK 30325 Printed: Tuesday, January 06, 2015 1:53 PM 1 of 1 p-WSY57EM5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Pr6j ect 41 ( V1,60 Type of Inspection: ---- Address'. Date Called: "s ............ Special Instructions: Date Wanted: Requester: OAAW Ph —one No: 2,CY-19 39 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 i af ��00� INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION tO 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 436-9350 Project-. V 4A5 Type of InsoiZt—ion' Af� Address: Date Called: Special Instructions: Date Wanted: Requester'. 01 P one No, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection, "'ERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: EL15-0008 DATE: 01/06/15 PROJECT NAME: COSTCO GAS STATION (LOCATION 6) SITE ADDRESS: 451 COSTCO DR X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued S> /J C' -IS Building Division ` Fire Prevention ❑ Planning Division ❑ Public Works ❑ Structural ❑ Permit Coordinator ❑ PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: DATE: 01/08/15 Structural Review Required ❑ DATE: DUE DATE: 02/05/15 Approved with Conditions N- Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 INTERIOR ELECTRIC INC Page 1 of 2 Washington iingto:n State Department of Labor & Industries INTERIOR ELECTRIC INC Owner or tradesperson 21428 167TH AVE SE MARVIN, WAYNE S MONROE, WA98272 360-863-8678 Principals SNOHOMISH County MARVIN, WAYNE S, PRESIDENT MARVIN, MICHELLE R, SECRETARY Marvin, Michelle, AGENT Doing business as INTERIOR ELECTRIC INC WA UBI No. Business type 601 999 759 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ...................................... Meets current requirements. License specialties GENERAL License no. INTERE1003CP Effective — expiration 02/17/2000— 02/17/2016 Designated administrator Active. MARVIN, WAYNE S Meets current requirements. License type License no. Electrical Administrator MARVIWS136RE Bond ........o bond Nnd accounts during the previous 6 year period. Sayings (in lieu of bond) $4,000.00 Savings account ID Effective date 02/15/2000 License Violations ........................................................ No license violations during the previous 6 year period. Workers' comp https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601999759&LIC=INTEREI003CP&SAW= 01/21/2015