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Home My WebLink AboutPermit EL11-0669 - JACK IN THE BOXJACK IN THE BOX 13050 INTERURBAN AV S EL1 1 -0669 City off ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0003000106 Address: 13050 INTERURBAN AV S TUKW Project Name: JACK IN THE BOX ELECTRICAL PERMIT Permit Number: EL11 -0669 Issue Date: 07/21/2011 Permit Expires On: 01/17/2012 Owner: Name: JACK IN THE BOX Address: C/0 EPROPERTY TAX DEPT 401 , PO BOX 4900 Contact Person: Name: KIRSTEN HANSON Address: 727 S 96 ST , SEATTLE WA Contractor: Name: HEATH NW INC Address: 727 S 96 ST , SEATTLE WA Contractor License No: HEATHNI981JZ Phone: 206 - 623 -3100 Phone: 800 - 613 -4559 Expiration Date: 04/09/2012 DESCRIPTION OF WORK: INSTALLATION OF TWO "JACK IN THE BOX" WALL SIGNS - HOOKING UP TO EXISTING POWER Value of Electrical: NRES: $250.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: $63.00 2008 I hereby 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 th performance of wo rk. j a}n authorized to sign and obtain this electrical permit. Signature: Print Name: g 1 lCN ) AN SC�� Date: ` -2 1-4 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 -4/10 EL11 -0669 Printed: 07 -21 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0669 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL11 -0669 Printed: 07 -21 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www.ci.tukwila.wa.us Electrical Permit No. EL\ ( — 0 Project No. (For office use wilt) 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.: 00D3 OD Oil /. Site Address: 13D5O 1NTEQVK liN Av6Nue Spy >T41: 1VIUWIt -A Suite Number: 141A Floor: NIA Tenant Name: SACS. 1N TNEr BOX New Tenant: ❑ Yes Eis< Property Owners Name: 3AC.1L 1N "ME. Pitt 552. k.dN - CIO G 4P..0 ?E N "coo. DEPT. Lim Mailing Address: P•d • EOX y9C0 ) Siilrr'1'SD , /4Z . B52 ko t City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Y.ARSTeaN \'‘ANSOn1 Day Telephone: 2J*g - SIX) Mailing Address: -t 1 5O TTh %Pk STR sTI SEATTLE WA. 9 %D8 City State Zip E -Mail Address: K\ .5TEN Vt @NCA't11NORMAYVeST C•CAA. Fax Number: 21 )(4 (p2g -I16s ELECTRICAL, CONTRACTOR INFORMATION Company Name: AEp'Z'■ IvOILTIkVreST Mailing Address: 12..1 "fj'N CA \Dllk ' - rRcc-r� SEPr`n6 , Vll/a . 9 $iD8 Contact Person: 1�\6.S"i�.N NANSvrJ E -Mail Address: 1C \9-S TSN V• Q kkGAT1% NOR-M:NC T (.WA Contractor Registration Number: 4EA-nk N Z9 $\ 3 Z City Stale Zip Day Telephone: 2010 1v2'3 - SIDO Fax Number: 2.0la t0 2S -ni3S -r7 Expiration Date: i -9 - 12- nbC> Valuation of Project (contractor's bid price): $ D Scope of Work (please provide detailed information): 1NSTAV„ ATM) N Orr 'WO " -AC_ 1• 1116 4i3oX ' wpw S•\N5 — 14(X,1. -1N■ VP -Tb 61.N.5"tlNk.s Powt Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes f o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change [Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy 2 Seattle City Light H.\Applications \Forms- Apphcat ions On Line12010 Apphcations \7 -2010 - Electrical Permit Application doe bh Page 1 of2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 RE\IODEI, AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added /altered circuits) ❑ l Service change with added /altered circuits $81.90 number of added circuits $11.55 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 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ 1emporary service (residential) $63.00 ❑ l ernporury service (generator) 578.75 ❑ Manufactured /mobile honk service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Nuniher of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases. a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED "FIBS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: YAM-MN j VIAP4SD/4 Mailing Address: 121 SOV"T11 9101" STQ, €T ) Day Telephone: SEATr1Z / city Date: 1 -2 I -1 I 2.0Le 1.P23 - 3 I oo snot.. 9810$ State Zip IDate Application Accepted: Date Application Expires: i Staff Initials: 11 \Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Penmt Application doe bh Page 2 of 2 • C 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.TukwilaWA.gov RECEIPT Parcel No.: 0003000106 Permit Number: EL11 -0669 Address: 13050 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 07/21/2011 Applicant: JACK IN THE BOX Issue Date: Receipt No.: R11 -01544 Payment Amount: $63.00 Initials: WER Payment Date: 07/21/2011 03:06 PM User ID: 1655 Balance: $0.00 Payee: HEATH NORTHWEST TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1712 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 07 -21 -2011 F�. • INSPECTION NO. INSPECTION RECORD 4 � �/ Retain a copy with permit '0K9 PERMIT NO. • CITY OF' TUKWILA BUILDING DIVISION 6300 'Southcenter Blvd., #100, Tukwila. WA 98188 fp. (206) 431 -3 Permit Inspection'Request Line (206) 431 -2451 r� .proved per applicable codes. D Corrections required prior to approval. COMMENTS: 7.) Inspector: ` ]/ 01/1 Date: I n REINSPECTI0 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by LEI 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 HEATH NW INC 8006134559 727 5 96Th St Seattle WA 98108 King Corporation JJ & D SIGNS INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602195548 Active HEATHNI981 JZ Electrical Contractor 4/9/2002 4/9/2012 Sign Unused Electrical Administrator INFORMATION License GIBSOJ *971 R9 Name GIBSON, JOE Status Active Business Owner Information Name Role Effective Date Expiration Date PAULSEN, DARRYL Agent 04 /09/2002 4/8/2009 PAULSEN, DARRYL President 04 /09/2002 $250.00 GIBSON, JOE Secretary 04 /09/2002 ELECTRICAL CITATION GIBSON, JOE Treasurer 04/09/2002 2/3/2009 OLDS, JOHN Vice President 04 /09/2002 $250.00 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY & INDEM CO 849414C 04/08/2002 Until Cancelled $4,000.00 04/09/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EBIEA00268 4/8/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBIEA00267 4/8/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02668 2/3/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 07/21/2011