HomeMy WebLinkAboutPermit EL19-0569 - COSTCO - ADD EACH HORN/STROBE CEILING MOUNT TO ANTI-ROOMCOSTCO
400 COSTCO DR
SUITE 150
CANCELLED
09/03/19
ELI 9-0569
City of Tukwila
a
Deportment of Community Development
00 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 2OG'438'935O
Web site: http://www.TukwilaWA.gov
Parcel No:
Address:
2523049063
400 COSTCO DR 150
Project Name: COSTCO
ELECTRICAL OTC PERMIT
Permit Number: EL19'0569
Issue Dae; 7/11/2019
Permit Expires On: 1/7/2020
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, WA98027
THOMAS BURRELL
2408 5 272 ST , KENT, WA, 98032
ELECTRICAL SVCS & SECURITY INC
2408 S Z7lNDST,KENT, WA, 98032
ELECT55931RG
Phone: (206) 276-6629
Phone: (206) 276-6629
Expiration Date: 12/7/2019
DESCRIPTION OF WORK:
ADD 1 EACH HORN/STROBE CEILING MOUNT TO ANTI -ROOM
Valuation of single family: g0,00
Valuation of mf/comm: $1,000.00
Type of Work: FIRE ALARM
Fees Collected: $109.68
Electrical Service Provded by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
Iriternational Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
2015
2015
2015
2015
2015
Nationat Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
4)<
Date:
AcoaN
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 Name:
4Yit,C,t
Date: 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 and the Washington Cities Electrical Code.
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.TukwilaWA.gov
Electrical ]Permit No. E b?
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 Lf 00 Co Pk
Site Address: 'too CoSILC
Tenant Name: (o s -i- co
Da_
King Co Assessor's Tax No.:
Suite Number: 1540 Floor:
New Tenant: 0 .....Yes
PROPERTY OWNER
Name:
Address: ZLO 8
Name:
Phone: ze 6, -04 Fax:
Email: e s s; L, jai, ic Q
9"ata. co AN
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: ZLO 8
City: Kr2.4.4,_ State:W.4_ Zipleso3
Phone: ze 6, -04 Fax:
Email: e s s; L, jai, ic Q
9"ata. co AN
ELECTRICAL CONTRACTOR INFORMATION
Company Name: el wee, c '
Address: veo 7 s . z'f 2
City: ,,-„,..e. State: i4)+, Zip:q/b3 2_
Phone:ze4_v 440 Fax:
Contr Reg No.:Cieds193/t 1 Exp Date: / vir
Tukwila Business License No.;8 Qs 0 ?? 9,4, L/
o
Valuation of Project (contractor's bid price): $ /Ood,
Scope of Work please provide detailed information): ek A
417'j.
Will
rb•-• e
Will service be altered? El Yes
Type of Use.
Type of work:
ID New 0 Addition 0 Service Change 0Remodel
0 Low Voltage 0 Generator
Fire Alarm 0 Telecommunication
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAIPernat CenterVipplications-HandoutskPerrnit Applications \ PDFAElectrical Permit Application Revised 1-1 7-19.docx
Adding more than 50 amps? El Yes
0 Tenant Improvement
0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings ....... .. $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
• Circuits added/altered without service change $60.00
(up to 5 circuits)
0 Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
0 Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
lECHNOLOGY 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date: 7 -/1-/ 7
Print Name: r Day Telephone: ZO6 -Z1-4 -44 2.
Mailing Address: 7 Y° 7 $- 2..*7- 4 57-- /A4- 98.0 32
W: Permit CenterlApplications-Handoutaernin ApplicationsTDFslEtectrical Permit Application Revised I-17-19.43ex
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
ACCOUNT .
QUANTITY
PAID
PermitTRAK
$1o9.68
EL19-0569 Address: 400 COSTCO DR 150
Apn: 2523049063
$109.68
Credit Card Fee
$3.19
Credit Card Fee
R000. 69.90 ,00.0
0.00
. 9
ELECTRICAL
$101.42
PERMIT FEMULTI-FAM/COMM
R000. 22. 01.00.00
0.00$10142
TECHNOLOGY FEE
$5.07
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18097
R000.322.900.04.00
0.00
$5.07
$109.68
Date Paid: Thursday, July 11, 2019
Paid By: THOMAS BURRELL
Pay Method: CREDIT CARD 110722
Printed: Thursday, July 11, 2019 11:03 AM
1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
Date: 07/11/2019 1I:02:41 AM
CREDIT CARD SALE
VISA
CARD NUMBER: ***+***+**5072 K
TRAN AMOUNT: $109.68
APPROVAL CD: I10722
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Richard Takechi
Rachelle Ripley
October 25, 2019
Permit Number EL19-0569
Please credit $85.19 (eighty-five dollars and nineteen cents) for a credit card transaction
made on July 11, 2019.
The permit has been canceled.
Please provide the refund as follows:
Account R000.322.101.00.00: $
Account R000.322.900.04.00: $
Thank you!
$81.14
$4.06
Total: $ $85.20
Bill Rambo
From: Rachelle Ripley
Sent: Tuesday, September 3, 2019 8:36 AM
To: Kandace Nichols; Bill Rambo
Subject: FW: Permit # EL1 9-0569
Can I please have one of you process.
Thank you,
Rachelle Ripley
Permit Coordinator
City of Tukwila
206-433-7165
Rachelle.RipleyTukwilaWA.qov J http://www.TukwilaWA.gov
From: Thomas Burrell <essiwork@gmail.conn>
Sent: Saturday, August 31, 2019 9:37 AM
To: Rachelle Ripley <Rachelle.Ripley@TukwilaWA.gov>
Subject: Permit # EL19-0569
Request for Refu d
Approved for full refund
Approved for c5" % refund of
Denied (provide explanation)
Signaturi nitia
(s)
Hi Rachelle,
this is Tom Burrell (Electrical Services & Security Inc.).
I purchased this permit when I had dropped off the Fire submittals at the Fire Marshall's office.
When 1 picked up the plans, a month later I had forgotten that 1 had purchased this permit. I purchased another permit
the day I I picked up the Fire alarm plans.
Please cancel this permit.
Thank you so much,
Tom Burrell
This email originated from outside the City of Tukwila network. Please DO NOT open attachments or click
links from an unknown or suspicious origin.
RECEIVED
CITY OF TUKWILA
SEP 0 3 208
PERMIT CENTER
1
I i (IU( Espaf01 Conl
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
TSearch L&I
A-7, Index 1 iil, My I 41
Workplace Rights Trades & Licensing
ELECTRICAL SVCS & SECURITY INC
Owner or tradesperson
Principals
BURREL, THOMAS A, PRESIDENT
TILLMAN-BURRELL, ANNA M, VICE
PRESIDENT
BURRELL, THOMAS A, AGENT
Doing business as
ELECTRICAL SVCS & SECURITY INC
WA UBI No.
602 780 695
2408 S 272nd St
KENT, WA 98032
206-276-6629
KING County
Business type
Corporation
Governing persons
THOMAS
A
BURRELL
ANNA TILLMAN-BURRELL:
Certifications & Endorsements
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.
ELECTSS931RG
Effective — expiration
12/0712007— 12107/2019
Designated administrator
BURRELL, THOMAS
License type
Electrical Administrator
Bond
American Contractors Indem CO
Bond account no.
100127652
Active.
Meets current requirements.
License no.
BURRET*951 K7
$4,000.00
Received by L&t Effective date
06/07/2010 07/01/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
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