HomeMy WebLinkAboutPermit EL15-0492 - COSTCO PHARMACY - VOICE AND DATA CABLECOSTCO PHARMACY
400 COSTCO DR 150
EL15-0492
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
Parcel No: 2523049063
Address: 400 COSTCO DR 150
Project Name: COSTCO PHARMACY
ELECTRICAL OTC PERMIT
Permit Number:
EL15-0492
Issue Date:
6/1/2015
Permit Expires On:
11/28/2015
Owner:
Name:
COSTCO WHOLESALE CORPORATIO
Address:
999 LAKE DR PROPERTY TAX DEPT 006,
ISSAQUAH, WA, 98027
Contact Person:
Name:
JEFF CAMPBELL
Phone:
Address:
12618 82 AVE NE, KIRKLAND, WA,
98034
Contractor:
Name:
CASTLE CABLE INC
Phone: (425) 334-2750
Address:
PO BOX 71, MUKILTEO, WA, 98275
License No:
CASTLC1878LK
Expiration Date: 6/12/2015
Lender:
Name:
Address:
DESCRIPTION OF WORK:
VOICE & DATA CABLE AT PHARMACY PULL OUT OF COUNTER, REINSTALL IN NEW COUNTER PULLED 5 NEW
CABLES
Valuation of single family: $0.00 Fees Collected: $124.53
Valuation of mf/comm: $1,500.00
Type of Work: TELECOM 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
Permit Center Authorized Signature: �,/ )ALL Date: lP!
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
developm ermit nd a e to the co ns attached to this permit.
Signature. Date4v0v
Print Name: \
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
CITY OF TUKH A
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Site Address:
Tenant Nam
Electrical Permit No.EL)1 C2
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"
PROPERTY OWNER
Name:
Address: r
City: State: Zip: g,,n
-`l/
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: tr1G� State: A Zip:
Phone: q7 5 Cv` .5 637—Fax: qz5 a 4 9 DIZ3
Email:
N Fj
Y�
T
Kine Co Assessor's Tax No.:
Number: T Floor:
New Tenant: ❑ ..... Yes -8 o
Valuation of Project (contractor's bid price): $ /,S4e� . `w
Scope of Work (please provide detailed inform
Will service be altered? ❑ Yes [-No
Type of Use:
Tvoe of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Hpplications\Forms-Applicatioru On Line\2014 Applications\Electrlcal Permit Application Revised 1-1-14.docx
Revised: July 2013
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ELECTRICAL CONTRACTOR INFORMATION
Company Name: / 7
Address: i7o 13Qr f
City: State: �. Zip:
Phone: qZ-5 -Z-
Contr Reg No.: C,45-1�_Pq.4kExp Date:
Tukwila Business License No.; 6 f
e
Adding more than 50 amps? ❑ Yes 4�1�o
5El� Re Adel El Tenant Improvement
Telecommunication ❑ Temporary Service
4 Cty
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:
Print Name: r ` S �l nrbM ,� h- l ` Day Telephone: `T 15 t0 3. 16>
Mailing Address: �r� [ ( J k, t�
City State Zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$124.53
EL15-0492 Address: 400 COSTCO DR 150
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
TOTALPAID BY RECEIPT:i
R000.322.900.04.00 0.00
$5.93
Date Paid: Monday, June 01, 2015
Paid By: GORDON STEWART
Pay Method: CREDIT CARD 06833G
Printed: Monday, June 01, 2015 1:42 PM 1 of 1 jcR?l" SYSTEMS
INSPECTION RECORD � q
Retain a copy with permituE)'� l �/
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: (0-1no-rd"
Type of Inspection: r Av
Address: 0 (S�as"Go N
Date Called:
Special Instructions:
Date Wanted:
m.
Requester:
Phone No:
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
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CASTLE CABLE INC
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Owner or tradesperson
PO BOX 71
MUKILTEO, WA98275
Principals
425-334-2750
STEWART, GORDON G, AGENT
SNOHOMISH County
Doing business as
CASTLE CABLE INC
WA UBI No.
Business type
601 464 825
Corporation
Governing persons
GORDON
GLEN
STEWART
GORDON JR STEWART;
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.
CASTLCI878LK
Effective — expiration
06/12/2013— 06/12/2017
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
N
......_................................................
o license violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
CAMPBJT875KN
$4,000.00
Effective date
06/20/2005
Expiration date
Until Canceled
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
911,630-00
https://secure.Ini.wa. gov/verify/Detail.aspx?UBI=601464825&LIC=CASTLCI878LK&SAW= 6/1 /2015