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HomeMy WebLinkAboutPermit EL17-0320 - COSTCO - CIRCUIT FOR GAS STATION CANOPYThis 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. EL17-0320 COSTCO GASOLINE 451 COSTCO DR RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle 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 9 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 GASOLINE 451 COSTCO DR ELI7-0320 Parcel No: Address: Project Name: 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 3623049107 451 COSTCO DR COSTCO GASOLINE ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL17-0320 4/27/2017 10/24/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COSTCO WHOLESALE CORP 999 LAKE DR PROPERTY TAX DEPT 190, ISSAQUAH, WA, 98027 WAYNE MARVIN 21428 167 AVE SE , MONROE, WA, 98272 INTERIOR ELECTRIC INC 21428 167TH AVE SE , MONROE, WA, 98272 INTEREI905N4 Phone: (425) 478-3931 Phone: (360) 863-8678 Expiration Date: 8/24/2018 DESCRIPTION OF WORK: EXTEND (1) CIRCUIT FOR LOW VOLTAGE LIGHTING ON GAS STATION CANOPY Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: LOW VOLTAGE Fees Collected: $130.83 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 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: W4—.. / � Date: /i,sr 6 7 U! 7 Print Name: �it)A �� /O.li" 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 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.V.Ov Electrical Permit No. L. 0,3X) 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 457 Ca'� Site Address: WSZTO 5,.1f-03A-Gi'1 V' e., Tenant Name: CASA—CZ y r\c2A-e Q. PROPERTY OWNER Name:.\40,4x.vz ‘\..kG' NwN Name:. C j o IA h o I eac t,1e City:c\, t State:\jA Zip: ggr� Address: etc) c L wee Dr'l Yl. Email: tyke r oreACi Y1c 6 cLok . eziM City: _L v a A ta' %I.G1,h State l A Zip: CONTACT PERSON — person receiving all project communication Name:.\40,4x.vz ‘\..kG' NwN Address: 2vATh _ \\0t .i4,, e. Q�, v City:c\, t State:\jA Zip: ggr� Phone 5A.. w 31 � Fax: Email: tyke r oreACi Y1c 6 cLok . eziM King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: 2142S - i hl - E City: t, A _VNI,OnrtrG State\A Zlp1$2VC Phone 5\438.3131 Fax: Contr Reg No.: �—" rie12.E�'003 C P ExpDate:2)1311 ? Tukwila Business License No.; (x.) 0 3a 3 S<1 Valuation of Project (contractor's bid price): $ V30O._ Scope of Work (please provide detailed information):_ . l F t . > . 0 Ni I -krtd I (1 CipC Ler\ —Rif lots.) V c I+a s c 3h -by -1o n`iCO-C1 e Will service be altered? 0 Yes Ki No Adding more than 50 amps? 1 Yes I No Type of Use: Type of work: 0 New ❑ Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement gLow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: i] Puget Sound Energy 0 Seattle City Light W:\Permit CenteMpplications-Hendouts\Permit Applicabons\PDFs\Electrical Permit Application Revised I-I-17.docx Revised January2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $8334 ea $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 $6L05 (alarm, furnace thermostat) M ULTI-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 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ 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 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 OWNR OR ELECTRICAL CONTRACTOR: Signature: Print Name: VN! Q4 e Date: `1'-' ( 2 ©1 -4 Day Telephone: eg25) $ - 35..31 Mailing Address: City State Zip W:1Perrnit CenteAApplications-Handouts\Permit ApplicationsAPDFslElechical Permit Application Revised 1-1-17.doac Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $130.83 EL17-0320 Address: 451 COSTCO DR ; Apn: 3623049107 $130.83 Credit Card Fee $3.81 Credit Card Fee 8000.369.908.00.00 0.00 1 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 I $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11376 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Thursday, April 27, 2017 Paid By: WAYNE MARVIN Pay Method: CREDIT CARD 64358G Printed: Thursday, April 27, 2017 1:38 PM 1 of 1 C.kSYSTEMS INSPECTION RECORD Retain a copy with permit I -o32 INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: C135.___ �� /R Type of Inspection: 6--- I Address:%%,�� ' t.eO r o die Date Called: Special Instructions: Date Wanted:,. 6./9 p.m. Requester: Phone No: 112;5,-- tit 3X3 y Approved per applicable codes. ['Corrections required prior to approval. COMMENTS. Inspector: �� /R Date:. 3/i7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INTERIOR ELECTRIC INC I -lame Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I Page 1 of 2 %said A -Z index help My Chi Workplace Rights Trades & Licensing INTERIOR ELECTRIC INC Owner or tradesperson Principals MARVIN, WAYNE S, PRESIDENT MARVIN, MICHELLE R, SECRETARY MARVIN, MICHELLE R, AGENT Doing business as INTERIOR ELECTRIC INC WA UBI No. 601 999 759 21428 167TH AVE SE MONROE, WA 98272 360-863-8678 SNOHOMISH County Business type Corporation Governing persons MICHELLE RENE MARVIN WAYNE STEWARD MARVIN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. .......................................................................... Meets current requirements. License specialties GENERAL License no. INTEREI905N4 Effective — expiration 08/24/2010— 08/24/2018 Bond No bond accounts during the previous 6 year period. Insurance ............................... Hartford Casualty Ins Co $1,000,000.00 Policy no. 65SBMPW2409 Received by L&I Effective date 11/09/2016 11/15/2014 Expiration date 11/15/2017 Insurance history Savings ................ (in lieu of bond) $12,000.00 Received by L&I Effective date 08/24/2010 08/24/2010 Release date Impaired date N/A N/A Savings account ID Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601999759&LIC=INTEREI905N4&SAW= 4/27/2017 INTERIOR ELECTRIC INC Lawsuits against the bond or savings ........... No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ........................................................ No license violations during the previous 6 year period. Workers' comp 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 823,244-01 Doing business as INTERIOR ELECTRIC INC Estimated workers reported Quarter 4 of Year 2016 "1 to 3 Workers" L&I account representative T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@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=601999759&LIC=INTEREI905N4&SAW= 4/27/2017