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Permit EL17-0115 - COSTCO - OPTICAL NOTIFICATION DEVICES
COSTCO OPTICAL 400 COSTCO DR EL17-01 15 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.gov 3523049089 400 COSTCO DR Project Name: COSTCO OPTICAL ELECTRICAL OTC PERMIT Permit Number: EL17-0115 Issue Date: 2/10/2017 Permit Expires On: 8/9/2017 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 SCOTT JERKE 1106 54 AVE E , TACOMA, WA, 98424 SMITH FIRE SYSTEMS INC 1106 54 AVE E , TACOMA, WA, 98424 SMITHFS861RS Phone: (253) 248-2004 Phone: (253) 926-1880 Expiration Date: 12/10/2018 DESCRIPTION OF WORK: ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $1,625.00 Type of Work: FIRE ALARM Fees Collected: $127.02 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 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 attci,,ed to this permit. Signature: Print Name: Date :1 ( v ( / 7 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http:!/www. Tu kwi l a W A. gov Electrical Permit No. 6A 1,01 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 Address: 400 COSTCO DR King Co Assessor's Tax No.: 2523049063 Suite Number: Floor: Tenant Name: COSTCO #006 TUKWILA PROPERTY OWNER Name: SCOTT JERKS Name: COSTCO WHOLESALE CORP Phone: (253) 248-2004 Fax: (253) 926-0726 Address: Tukwila Business License No.; BUS -0993301 City: State: Zip: CONTACT PERSON - person receiving all project communication Name: SCOTT JERKS Address: 1106 54TH AVE E City: TACOMA State: WA Zip: 98424 Phone: (253) 248-2004 Fax: (253) 926-0726 Email: SJERKE@SMITHFIRE.COM New Tenant: ❑ Yes ® ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: SMITH FIRE SYSTEMS Address: 1106 54TH AVE E City: TACOMA State: WA Zip: 98424 Phone: (253) 248-2004 Fax: (253) 926-0726 Contr Reg No.: SMITHFS861RS Exp Date: 12/10/2018 Tukwila Business License No.; BUS -0993301 Valuation of Project (contractor's bid price): $ 1,625 Scope of Work (please provide detailed information): ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT. Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: RETAIL Tvpe of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement m Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Pennit Applications \PDFs\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 O Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTE 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 IEOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 02/10/2017 Print Name: SCOTT JERKE Day Telephone: (253) 248-2004 Mailing Address: 1106 54TH AVE E, TACOMA, WA 98424 W:\Permit CenterWpplications-Haidouls\Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R10798 DESCRIPTIONS PermitTRAK 1 ACCOUNT I QUANTITY PAID $127.02 EL17-0115 Address: 400 COSTCO DR Apn: 3523049089 $127.02 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE i $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10798 R000.322.900.04.00 0.00 $6.05 $127.02 Date Paid: Friday, February 10, 2017 Paid By: SMITH FIRE SYSTEMS INC Pay Method: CHECK 054808 Printed: Friday, February 10, 2017 12:22 PM 1 of 1 CR'�SYSTEMS INSPECTION RECORD Retain Retain a copy with permit I 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: Cos items Op i f�..� Type of Inspection: /V Address:Date Seca P. Called: Special Instructions: r[A- Date Wanted: 3 /05 a r p.m. Requester: Phone No: z_s_ Approved per applicable codes. Corrections required prior to'approval. COMMENTS: o� Inspector: Date:©,/Q3 / /, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. SMITH FIRE SYSTEMS INC Home Ispanol Contact 'Search L&I Page 1 of 2 A -Z Index Help My I:&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing Ch Washington' State Department of Labor & Industries SMITH FIRE SYSTEMS INC Owner or tradesperson Principals SMITH, MARK B, AGENT Smith, Mark B, MEMBER Gooding, Barry D, MEMBER Braun, Kyndra E, MEMBER Doing business as SMITH FIRE SYSTEMS INC WA UBI No. 601 046 860 1106 54TH AVE E TACOMA, WA 98424 253-926-1880 PIERCE 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. SMITHFS861 RS Effective - expiration 12/10/2014-12/10/2018 Designated administrator Marquez, Jeffery Dale License type Electrical Administrator Bond ................. Merchants Bonding Co (Mutual) Bond account no. WA31208 Received by L&I 12/10/2014 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. License no. MARQUJD852P1 $4,000.00 Effective date 12/08/2014 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601046860&LIC=SMITHFS861 RS&SAW= 2/10/2017 SMITH FIRE SYSTEMS INC L&I Account ID 532,547.00 ................................. Doing business as SMITH FIRE SYSTEMS INC Estimated workers reported Quarter 4 of Year 2016 "Greater than 100 Workers" L&I account representative T2 / DAN STRATE (360)902-4635 • Email: STRE235@Ini.wa.gov Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601046860&LIC=SMITHFS861 RS&SAW= 2/10/2017