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Home My WebLink AboutPermit EL09-0631 - CITY OF TUKWILA - PUMP STATIONCITY OF TUKWILA PUMP STATION 12203 43 AV S ELO9-063 1 City* Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0179000220 Address: 12203 43 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0631 Issue Date: 10/06/2009 Permit Expires On: 04/04/2010 Tenant: Name: CITY OF TUKWILA PUMP STATION Address: 12203 43 AV S , TUKWILA WA Owner: Name: RUDGE TODD R Phone: Address: 7045 14TH AVE NW , SEATTLE WA Contact Person: Name: GERALD FOLEY Phone: 253 922 -5874 Address: 4630 16 ST E, STE B -24 , 1' FE WA Contractor: Name: CUSTOM CONTROLS CORPORATION Phone: 253 922 -5874 Address: 4630 16 ST E #B -24 , FIFE WA Contractor License No: CUSTOCC0752D Expiration Date: 05/04/2011 DESCRIPTION OF WORK: INSTALL 150A SERVICE FOR NEW PUMP STATION INCLUDING BUILDING WIRING AND CONTORL WIRING FOR WET WELL Value of Electrical: NRES: $48,800.00 Fees Collected: $891.60 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT JPermit Center Authorized Signature: f Date: l 01 ed this permit and know the same to be true and correct. All provisions of law and ordinances I hereby certify that I have read and e governing this work will be complied hether 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 perform- ce s . I am authorized to sign and obtain this electrical permit. Signature: Print Name: oa i r ✓� Date: /0 -vi This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL09 -0631 Printed: 10 -06 -2009 111 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0179000220 Address: Suite No: Tenant: 12203 43 AV S TUKW CITY OF TUKWILA PUMP STATION Permit Number: Status: Applied Date: Issue Date: EL09 -0631 ISSUED 10/05/2009 10/06/2009 1: ** *ELECTRICAL * ** 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: /0 - - 0/ doc: Cond -Elec EL09 -0631 Printed: 10 -06 -2009 C/TY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Electrical Permit No. a/0 "-0 j Project No. (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 King Co Assessor's Tax No.: Site Address: 1 22-03 13 rae- Ae- J Suite Number: Floor: Tenant Name: 4"I I-C.-P-1/ /DL -'r` ,S rm (i 7c,v -i %1�New Tenant: ❑ Yes ❑..No Property Owners Name: G i `- / a P �6-, )c,t-•)51- Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: /G, jtm-►Z 4:5141.--.7--1--- / _ /�cm- Jy 'S C Mailing Address: `7 6 3 0 /6' .54` (i S,.. �-c �3 Z'/ Pi- Fz_, (JA "I T qVi / / %� j City State Zip Contact Person: (j-C/Y /&t 1 -oI-e7 Day Telephone: ZS 3 - '(Z - 5g. 't E -Mail Address: 5e,r4. /o« r c, "S�meG € G gym Fax Number: 25-3 - i'2. & ' 32 6 - Contractor Registration Number: (i(A.LJT Q6 '1C 4? Expiration Date: 0S101-11 t I Valuation of Project (contractor's bid price): $ S" 0-0, OD Scope of Work (please provide detailed information): Lta54Z 1 (SD A L rvt �J/► p'� �lJ 5'J -� vr..- / I v.c,1vtd1trS G;Jtd 1 5 a �U1, (T b� L./, ✓ t �tJl� �J _J �J 6,J€-// Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: • New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ® Temporary Service Property Served by: ❑ Puget Sound Energy lig Seattle City Light H:'ApplicationsTorms- Applications On Line \l -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings ... $78 00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits....... $78 00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) . ...... $60.00 ❑ Temporary service (generator) . $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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. 1 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: Signatur Print Name;/ z. . // /' . ��h_ Day Telephone Mailing Address: '/6.3C2 /6 '14 ru• e 829 City Date: /10 0 9 s 9'0202 -.5g 7e/ State Zip Date Application Accepted: Date Application Expires: Staff Initials: H 1ApphunonsWorms- Applications On line■1 -7009 - ElectncW Permit Application. doc bh Page 2 of 2 0 City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 0179000220 Permit Number: EL09 -0631 Address: 12203 43 AV S TUKW Status: PENDING Suite No: Applied Date: 10/05/2009 Applicant: CITY OF TUKWILA PUMP STATION Issue Date: Receipt No.: R09 -01560 Initials: User ID: Payee: JEM 1165 Payment Amount: $891.60 Payment Date: 10/06/2009 08:36 AM Balance: $0.00 CUSTOM CONTROLS CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 037837 891.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 891.60 Total: $891.60 PAYMENT RECEIVED doc: Receiot -06 Printed: 10 -06 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (IptIb� P 9 IT'"NVVVO. CITY OF TUKWILA BUILDING DIVISION 1- 6300 Southcente Ivd., #100, Tukwila, WA 98188 (206)431 -3670 Pr ct: ft-hs Nip Type of Inspection: /O0 Address: �z �� Date Called: Special Instruct' ns: Date Wanted: WI a.m. p.m. Requester: Phone No: ■ Approved per applicable codes. Corrections required prior to approval. COMMENTS: If C (40 TO 277 / &1c0 1101.-r kite Date: 06/07 /10 El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit LGQ7 -04)3f PERMIT NO. (206)431 -3670 Pre;t_i Type of Inspection: �1DO Address /2 o3 1134v. Date Called: InICowilikk\. Special Instructions: Date Wanted: 3/1i2— p.m. Requester: r Phone No: 0 Approved per applicable codes. risi Corrections required prior to approval. • ; COMMENTS: — 615 tJI ap 4 ) Pas6) As LrgO /2Y1 vJtf i qv 4b1.T DEL - InICowilikk\. - 1 MD Nis E A 1( 80 DELTA Pik“ L (4 , oR C (kt r 'JCoi I ,Jt Tb 1-0 271 iJ'1 E r Date :03/2-/ n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: .. w:.e -ti INSPECTION RECORD Retain a copy with permit etoT 06 3 P IT NO. CITY OF TUKWILA BUILDING DIVISION - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Proc o(1;c »1P Type of Inspection: 7062..._ Address,: 2,2,0 M !, Date Called: Special Instructs ns: Date Wanted: ! �� f / u 4.6...n. Requester: Phone No: Itti Approved per applicable codes. 0 Corrections required prior to approval. , COMMENTS: dart - ,Ktk si atX ,5Poc6 I.EQ01 rd[s.,, G.C.C.. - 6. (. G - SVPPoRT pruk-P 50-4 c e Ir-- Inspector: Date: D Z !0 $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit Vim' Cl INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 12-' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Prod `; �v� PUMP STS • Type of Inspection: 70103 a3 Address 13 44 Date Called: Special Instructions: t Mt 20 3o Date Wanted: 11/0 /! %V p Requester: Phone No: 0 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: f' i0 / 0 0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit x,09 -X63 I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. Pr l ct: To( RH P ! 01 "dress: r Jh'.•nl�'-, Type of Inspection: ea i A��d" 12-03 113 bd. Date Called: Special Instructions: Date Wanted: �,/ I f O p.m. Requester: r Phone No: LApproved per applicable codes. D Corrections required prior to approval. COMMENTS: ,T.0,2e.„,ici;Plid„,ztomb Date: lotifoi 0 $60.00 REINSPECTION FEE REQU RED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: i INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P sect: c—t r OF'i U • 1P Type of Inspection: 700 f poz Addres 20 L/3 AV. Date Called: Special Instru tions: Date Wanted: to a /07 Requester: Phone No ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 700r unbEf( (,,2ounID 7oal 6416c6% t 26 Inspector: 6.64/46-1 Date: /0/0/ /97 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page r • Page 1 of 1 Electrical Contractor A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company CUSTOM CONTROLS CORPORATION 2539225874 4630 16TH ST E STE B24 FIFE WA 98424 PIERCE Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601352318 ACTIVE CUSTOCC0752D ELECTRICAL CONTRACTOR 5/4/1993 5/4/2011 GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License GIBELT *979LJ Name GIBELYOU, TOM Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date GIBELYOU, TOM Cancel Date 01/01/1980 Bond Amount GIBELYOU, SHERRIE 1 01/01/1980 660760 VOLLAND, BRADLEY N Until Cancelled 01/01/1980 GIBELYOU, TOM AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC 660760 05/01/1993 Until Cancelled $4,000.00 05/01/1993 https: // fortress .wa.gov /lni/bbip /Detai1.aspx 10/05/2009