HomeMy WebLinkAboutPermit EL19-0736 - MARVELLE - HEAT TRACE FOR PLUMBINGMARVELLE
415 BAKER BLVD BLDG
ELI 9-0736
Parcel No:
Address:
Cityof Tukwila
" 8�nx���na
t of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Une: 206'430'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0223100080 Permit Number:
415 BAKER BLVD BLDG
Project Name: MARVELLE
Issue Date:
Permit Expires On:
ELl9'O736
9/10/2019
3/8/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
CRP/AR TUKWILA OWNER LC
2525E[AN1ELDA[KKD#500'
PHOENIX, WA85016
KEVIN MORRISON
4630lOTMSTESTE824'FIFE, WA,
98424
Contractor:
Name: CUSTOM CONTROLS CORPORATON
Address: 463016STE#8'24,FIFE, WA, 98424
License No: CUSTOCC0752D
Lender:
Name:
Address:
Phone: (253) 922-5874
Phone: (253) 922'5874
Expiration Date: 5/4/2021
DESCRIPTION OF WORK:
HEAT TRACE FOR PLUMBING.
VaR.iatiort of singe family: $0.00
VaIuaton of mf/comm: $600.00
Type of Work: ADDITION
Fees Collected: $88.05
Electrical Service Provided by: PUGETSOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
lnternational Residential Code Edition:
Iriternational Mechanical Code Edition:
Uniform Plumbing Code Edition:
lnternational Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signa ure:
oda& .,(1,Le5/
Date:
�7�x�
_,�
„_
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 locai laws regul construction or the performance of work. am authorized to sign and obtain this
development per ee to the conditions attached to this permit.
Signature: ' .~� Date:
Print Name:
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 Iast inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otenvispmadeneadi|yaccesaib|etotheE|ecthco|
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 constred 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: (I06)4]8 -935O
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUK7EA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.Tukwi I aWA.gov
Electrical Permit No. CZ -1g - O73
Project No.
Date Application Accepted: - /0 --/ 9
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
King Co Assessor's Tax No.: oz -2-3 praako
Site Address: I/if gIvd Suite Number:
Tenant Name:
PROPERTY OWNER
Name: 012/7,44^ /7//4111,
Address:2 .24--- c. (Nwsubl6t4...., al Ore°
City: -#1:/sitvc State: 2._ Zip:freip
CONTACT PERSON — person receiving all project
communication
Name: iew ti/- ivt,orkg-idret-i
Address: 4/ 3oiG94-11 sk. Bz-17
,i
City: rje State: ma. Zip: qpz 4
Phone.
'AP '-* q22. ei Fax:
Email:
New Tenant:
Floor:
El Yes D..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A
C_017 -Ort Can4ii Col)
Address: 16 iv/ 4 jk Az y
City: c;-. rev__ State: ii/i._ Zip:c1 d/
Phone: zsr3 .122_7q Fax: .
Contr Reg No.:cdiaas -7,r2zExp Date:—/q(
Tukwila Business License No.; fxql.,(0)
66,121-2318
Valuation of Project (contractor's bid price): $ 01)
Scope of Work (please provide detailed information): 41—ck -1-2" p
Will service be altered? ED Yes 5t No Adding more than 50 amps? 0 Yes No
Type of Use:
Type of work:
0 New isi Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Propertv Served by:
Puget Sound Energy 0 Seattle City Light
WAPertnit CenteAApplications-HandoutsTermit Applications \PDFAE lectrical Permit Application Revised 1-17-19.docz
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O 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 ANI) SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits .........
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $60.00
O Temporary service (generator) $90 00
0 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
* * *EFFEC I IVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT AFPLICATION NOTES -
Value of Construction — In all cases, a value of constniction 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 gain 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:
Date: /AVM
Print Name: VeiVar— 04,41/212-4t0A-1
Day Telephone:
24-3- 12--5-671
Mailing Address:
City State Zip
WAPermit CenteMpplications-Handouts\Pemiit Applications \PDFs \ Electrical Permit Application Revised l -17-19. docx
Page 2 of 2
11d1d�5t�00B• 6
Receipt Number
R18529
DESCRIPTIONS
PermitTRAK
. ACCOUNT
QUANTITY
PAID
$88.05
EL19-0736 Address: 415 BAKER BLVD BLDG
Apn: 0223100080
$88.05
ELECTRICAL
$83.86
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$83.86
TECHNOLOGY FEE
$4.19
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18529
R000.322.900.04.00
0.00
$4.19
$88.05
Date Paid: Tuesday, September 10, 2019
Paid By: CUSTOM CONTROLS CORPORATION
Pay Method: CHECK 044043
Printed: Tuesday, September 10, 2019 10:35 AM 1 of 1
CYSTEMS
INSPECTION RECORD
Retain a copy with permit
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:
Type ofInspection:
Address:
,
Date Called:
Special Ins
uctions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
7
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
•
Address:
Date Called:
Special Instructions:
Date Wanted:
a. .
p.m.
Requester:
Phone No:
1
,
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector:
REINSPECTIN FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1:-Joine Espanol Contact
Safety & Health Claims & Insurance
CPWashington State Department of
Labor & Industries
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CUSTOM CONTROLS CORPORATION
Owner or tradesperson
Principals
GIBELYOU, TOM
GIBELYOU, SHERRIE
VOLLAND, BRADLEY N
GIBELYOU, TOM, AGENT
Doing business as
CUSTOM CONTROLS CORPORATION
WA UBI No
601 352 318
4630 16TH ST E STE 824
FIFE, WA 98424
253-922-5874
PIERCE County
Business type
Corporation
Governing persons
SHERRIE
GIBELYOU
TOM E GIBELYOU;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
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.
CUSTOCC0752D
Effective — expiration
05/04/1993— 05/04/2021
Designated administrator
GIBELYOU, TOM
License type
Master Electrician
Bond
Western Surety Co
Bond account no.
71900150
Active.
Meets current requirements.
License no
GIBELT*979LJ
$4,000.00
Received by L&I Effective date
05/03/2017 05/01/2017
q/v
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Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 8 year period,
License Violations
No license violations during the previous 6 year period.
Workers' comp
Public Works Requirements
Workplace safety and health
Washington State Dept of Labor & InPustries Use ut this site is subject! ta taws hi tl'ae state of Washington
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