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Permit EL15-0466 - COSTCO PHARMACY - ACCESS KEYPAD, MOTION AND ACCESS CONTROL
COSTCO PHARMACY 400 COSTCO DR 150 EXPIRED 11122115 EL15-0466 M so 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.itov ELECTRICAL OTC PERMIT Parcel No: 2523049063 Permit Number: EL15-0466 Address: 400 COSTCO DR 150 Issue Date: 5/26/2015 Permit Expires On: 11/22/2015 Project Name: COSTCO PHARMACY Owner: Name: COSTCO WHOLESALE CORPORATIO Address: 999 LAKE DR PROPERTY TAX DEPT 006, ISSAQUAH, WA, 98027 Contact Person: Name: SHAWN NOECKER Phone: (425) 766-8961 Address: 23117 39 AVE SE, BOTHELL, WA, 98021 Contractor: Name: SIMPLE SECURITY SOLUTIONS Phone: (425) 766-8961 Address: 23117 39TH AVE SE, BOTHELL, WA, 98021 License No: SIMPLSS879RQ Expiration Date: 12/18/2015 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL ACCESS KEYPAD, MOTION, (1) CONTACT FOR ACCESS CONTROL. TERMINATING WIRE RUN BY OTHERS TO POWER SUPPLY AND DOOR STRIKE INSTALLED BY OTHERS Valuation of single family: $0.00 Fees Collected: $81.80 Valuation of mf/comm: $500.00 Type of Work: LOW VOLTAGE 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 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: `— � Date: S%f�11r Print Name:1�/Y,�`��/ 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. S: 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 CITY OF TUKYY_ . Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htti)://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: _ 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 King Co Assessor's Tax No.: Site Address: !�%� GaVeTGG J% 5TC- /S''G Suite Number: Tenant Name: :505 rC© uAj//GzNew Tenant: PROPERTY OWNER Name: G csT�'o Address: GYj �v57Gc3 /gG City: C. /C State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: Z f I / 5'-9 F City: State: zip: Ztp. zL .Z r Phone: z Fax: =SZ0-7 Email: SNFIGv e i/\-t S� ' 7Z+TY L /ONSCv Valuation of Project (contractor's bid price): $ 9-c,<-- qw Floor: ❑ ..... Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: Zs/t`1 n FIV s City: State: Zi 0— ZL G,-• L l Phone: Fax: � �9Lt'/ yzy - Contr Reg No.: Exp Date: Tukwila Business License No.; Scope of Work (please provide detailed information):z-/vST7?LL gLGES'S ,tc�-yy%�, 9 > tiic; i coo. F-cod 1-7ce&51S' CQ.tcac P�rvgt�s�e�i��j/ Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition 9 ' Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ • ❑ Service Change ❑ Fire Alarm Seattle City Light Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication ❑ No ❑ Tenant Improvement ❑ Temporary Service H:\Applications\Proms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh g\-t^v 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) 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: /ie_ Date:/Y6/f Print Name;'.;'- Day Telephone: erlz,;— &y- ,- /c Mailing Address: SQL wd�— � /r City State Zip WApplicatiomWorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK PAID $81.80 EL15-0466 Address: 400 COSTCO DR 150 Apn: 2523049063 $81.80 ELECTRICAL $77.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $77.90 TECHNOLOGY FEE $3.90 TECHNOLOGY FEE TOTAL$81.80 R000.322.900.04.00 0.00 $3.90 Date Paid: Tuesday, May 26, 2015 Paid By: SIMPLE SECURITY SOLUTIONS Pay Method: CREDIT CARD 607560 Printed: Tuesday, May 26, 2015 11:02 AM 1 of 1 p"- fSYS7EM5 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 10/1/2015 SHAWN NOECKER 23117 39 AVE SE BOTHELL, WA 98021 RE: Permit No. EL15-0466 COSTCO PHARMACY 400 COSTCO DR, SUITE 150 Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/22/2015. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. Q.sc 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 11/22/2015, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, MA J Rachelle Ripley 2 Permit Technician File No: ELI5-0466 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 SIMPLE SECURITY SOLUTIONS Page 1 of 2 Home Iniciotn.Espafiol Contact Safety Washington State Department of Labor & Industries SIMPLE SECURITY SOLUTIONS Owner or tradesperson Principals NOECKER, ROBERT SHAWN, PRESIDENT NOECKER, ROBERT SHAWN, AGENT Doing business as SIMPLE SECURITY SOLUTIONS WA UBI No. 603 341 205 Parent company SNOECKER INC Search L&I� A -I .Index Help -My Secure I. &I Claims & Insurance Workplace Rights Trades & Licensing 23117 39TH AVE SE BOTHELL, WA98021-9001 425-766-8961 SNOHOMISH County Business type 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 LIMITED ENERGY License no. SIMPLSS879RQ Effective — expiration 12/18/2013-12/18/2015 Bond Developers Surety & Indem Co Bond account no. 666116C Received by L&I 12/17/2014 Western Surety Co Bond account no. 61891175 Received by L&I 12118/2013 S.a..vings ........ No .savings accounts during the previous 6 year period. License Violations ......... . ............. No license violations during the previous 6 year period. $4,000.00 Effective date 12/17/2014 Expiration date Until Canceled $4,000.00 Effective date 12/17/2013 Expiration date Until Canceled I Workers' comp https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603341205&LIC=SIMPLSS879RQ&SAW= 5/26/2015