HomeMy WebLinkAboutPermit EL14-0945 - SCREAMING FLEA - THERMOSTATSThis 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.
EL14-0945
SCREAMING FLEA –THERMOSTATS
400 Industry Drive, Suite 100
DIGITAL RECORDS (DR)EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION
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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.
552(a), and are also exempt from disclosure 552(a); RCW
DR1Generally –5 U.S.C. sec.
under section 42.56.070(1) of the Washington 42.56.070(1)
552(a); RCW
State Public Records Act, which exempts under
42.56.070(1)
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
account numbers, which are exempt from
9DR2Financial Information –
42.56.230(5)
disclosurepursuant to RCW 42.56.230(5),
RCW 42.56.230(45)
except when disclosure is expressly required by
or governed by other law.
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42.56.230
& c)
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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.
SCREAMING FLEA
400 INDUSTRY DR STE 100
EL1 4-0945
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: htto://www.TukwilaWA.eov
ELECTRICAL OTC PERMIT
Parcel No: 0223400010 Permit Number: EL14-0945
Address: 400 INDUSTRY DR 100 Issue Date: 10/16/2014
Permit Expires On: 4/14/2015
Project Name: SCREAMING FLEA
Owner:
Name: BLUE DOG PROPERTIES TRUST
Address: PO BOX 847 C/O THOMSON REUTERS
PTS, CARLSBAD, WA, 92018
Contact Person:
Name: ERIC FEATHERSTONE Phone: (425) 482-0584
Address: 7202 NE 175 ST, KENMORE, WA,
98028
Contractor:
Name: G B SYSTEMS INC Phone: (425) 482-0584
Address: 7202 NE 175 ST, KENMORE, WA,
98028
License No: GBSYS*000CM Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
MOVE (7) THERMOSTATS
Valuation of single family: $0.00
Valuation of mf/comm: $525.00
Type of Work: LOW VOLTAGE
Fees Collected: $81.80
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
2012
Permit Center Authorized Signature: .1/� (e- / Date: /0/477Y
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 tthe conditions attached to this permit.
Signature:
Print Name:
81/C t 9 777/6A 2rf/JTh-ve
Date:1/4)(/y
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.TukwilaWA.gov
Electrical. Permit No. 'LULA Ogyc
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
400 r .1:>vti2
Site Address: 616. 1wvgs-r -`i t>I2:11/4i$
Tenant Name: C'( Astit
PROPERTY OWNER
Name:
-C\GP'‘ r-kl ki--"tAc Pre-opv�-1-`tor..S
Address:
5-D , (0,4 hvt S ,m4 cu, `d,1
City:
State: kiJA Zip: 61,2100
CONTACT PERSON -` person receiving all project
communication
Name:
Address: Baca 115. t...1.
C T42 s '-
City: , K/am►
State: WA,
Zip:g 0t),0
Phone: 4 4.
Fax:
Email:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Obta34o •v,,io
Floor:
Yes
❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Gs
Address: --u4 NI t
115 - �, ,
City: -N�aC
State: \Kt/,,r Zip:1�D��
Phone: 4 4p�-D
Fax: 425,484 ' 0586
Contr Reg No.: sS iI5
c xp Date: o)/lk /t5
Tukwila Business License No.;
,�'
U131 ; 135354
Valuation of Project (contractor's bid price): $`l Job_-ao
Scope of Work (please provide detailed information):Cam)
MO ViAly
Will service be altered?
❑ Yes No Adding more than 50 amps? El 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 bv:
Puget Sound Energy ❑ Seattle City Light
N:\Applications\Forms-Applications On Line \2014 .App I ications\Electrical Permit Application Revised I-I-I4.docx
Revised: January_ 2014
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Page I 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 $1 1.55 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
XILow voltage systems $59.85
(alarm, furnace thermostat)
(±)
v\- T Per5
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***
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:
Signature:
Print Name:
Mailing Address: 146)- 04r \15 V
Day Telephone:
City
Date:
/6)/a..o(.7
State Zip
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised I-I-I4.docx
Revised: Emory 2014
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Page 2 of 2
DESCRIPTIONS
'ethiitTR4
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY PAID
545
EL14-0945
ress: 400 INDUSTRY DR 100:
2234000
1.
ELECTRICAL
$77.90
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$77.90
TECHNOLOGY FEE
$3.90
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.90
14 0187 Address: 400 INDUSTRY. DR 100 Apn: 0223400010
337.
MECHANICAL
$32438
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$227.00
PLAN CHECK FEE
R000.322.102.00.00
0.00
$64.88
TECHNOLOGY FEE
$12.98
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$12.98
14""-01
ress
INDUSTRY DR 10
na
234,0001t
14,4
26
G
$12188
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$24.38
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3193
R000.322.900.04.00
0.00
$4.88
$545.92
Date Paid: Tuesday, September 30, 2014
Paid By: GB SYSTEMS INC
Pay Method: CHECK 259448
Printed: Tuesday, September 30, 2014 1:58 PM 1 of 1
IrWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: !`n �r- ruck_
J V�.0 1 vt t. ! �T
Type of Inspection:
Mi..—
Address: 1/Ov fdptiS ki
Date Called:
Special Instructions: i
'it IOo
I + t M
Date Wanted:
It CIS
(a.m.,
`-
Requester:
‘ 1
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 11(11 ! /
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
G B SYSTEMS INC
Page 1 of 2
CoWashington State Department of
Labor & Industries
G B SYSTEMS INC
Owner or tradesperson
BERG, GREG
Principals
BERG, GREG, PRESIDENT
BERG, GREG, AGENT
Doing business as
G B SYSTEMS INC
WA UBI No.
601 353 544
7202 NE 175TH Street
KENMORE, WA98028
425-482-0584
KING 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
HVAC/RFRG
License no.
GBSYSI*000CM
Effective — expiration
02/14/2000— 02/14/2016
Designated administrator
BERG, GREG
License type
Electrical Administrator
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
License Violations
Infraction no.
EBERA00268
Violation date
Active.
Meets current requirements.
License no.
BERG*G*005CM
$4,000.00
Effective date
01/26/2000
Satisfied
RCW/WAC
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601353544&LIC=GBSYSI*000CM&SAW= 10/16/2014