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HomeMy WebLinkAboutPermit EL07-406 - JAMBA JUICEJAMBA JUICE 17100 SOUTHCENTER PY STE 104 ELO7-406 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 2623049081 17100 SOUTHCENTER PY TUKW JAMBA JUICE 17100 SOUTHCENTER PY, STE 104 , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: MICHAEL PASICH Address: 7056 S 220 ST , KENT WA Contractor: Name: SEA TAC ELECTRIC INC Address: 7056 S 220TH ST , KENT WA Contractor License No: SEATAEI077RW DESCRIPTION OF WORK: CONDUIT ONLY Value of Electrical: $200.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature Print Name: doc: EL -4/07 Cit3tif 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 i/Ai_ £' I ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 872 -5553 Phone: Expiration Date: 12/16/2007 EL07 -406 08/17/2007 02/13/2008 Fees Collected: $58.00 National Electrical Code Edition: 2005 Date: I hereby certify that I have read an •, ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie th, 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 ork. I am authorized to sign and obtain this electrical permit. Signature H77( Date: l� I I-7 k) / j 4;1) S 4C-14 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. EL07 -406 Printed: 08-17 -2007 Parcel No.: 2623049081 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 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 17100 SOUTHCENTER PY TUKW JAMBA JUICE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -406 ISSUED 08/17/2007 08/17/2007 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. 6: 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: doc: Cond -Elec P4gee,,,/ Date: 71 EL07 -406 Printed: 08 -17 -2007 CITY OF TUKWII Community Developrrt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us SITE LOCATION Site Address: n lob SOttitNGet'i> --tom •PA -+av Tenant Name: `tAn•.ts4 3141 = Property Owners Name: u 1C7 1 t I S Mailing Address: 48 11 13 'PL 3E CONTACT PERSON - Who do we contact when your permit b ready to be issued Name: k A1C.fb Ie1. ?ASV r-1- Mailing Address: E -Mail Address: P e 3S97/gGCL r YZe, - lo07 ELECTRICAL CONTRACTOR INFORMATION Company Name: 5e4 -VTAC ELC- -T 2�, Mailing Address: 70— g fl o+` + Contact Person: L4 IC/Viet_ PA Si i E -Mail Address: mtr-P ( srali sic ec.Gc�Yi%, e.-ayl Contractor Registration Number: `" tl�l Valuation of Project (contractor's bid price): $ 4et , . jr= 2ll 2 Scope of Work (please provide detailed information): ei'n Kt u.c - r Will service be altered? Yes Type of Use: P.ner m eit e. eri_ Type of work: Property Served by: Puget Sound Energy ❑ Seattle City Light H:1AppliadmsTot nc•Applica6mu On Line4•2007 • Electrical Pamir Appliationdoc bh Electrical Per t No. - q ap 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 ** ( New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm King Co Assessor's Tax No.: 0-4 !'rte l 4 1 Suite Number: I o'-t Floor: New Tenant: og Yes ❑..No E\1 Ike City WA State of SODty Zip Day Telephone: Za3 731 L- 5S5' ¥ vtT City 9 R032..— AAA State Zip Fax Number: - 3 - 251Z Y�i -rrr (AA- `I,1?53Z__ City State Zip Day Telephone: Z53 87Z- 5, .; Fax Number: Z53 237 2-- 4ti Expiration Date: I Z 101 ❑ No Adding more than 50 amps? NI Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL`„ , „'W RESIDENTIAL SERVICE ❑ New single family dwellings 5140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits 875.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 855.00 (alarm, furnace thermostat) Signature: Print Name: Mailing Address: "76`.51/4.-0 H:Uppliations\Forma- Applications On line \4 .2007 - Eleenial Ptamit Apptiatio, doe bh MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 858.00 ❑ Temporary service (generator) 875.00 ❑ Manufactured/mobile home service 880.00 (excluding garage or outbuilding) ❑ Carnivals 875.00 Number of concessions 510.00 ea PERMIT APPLICATION NOTES - Value of Construction - In all cases, a value of constriction 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. j3UILDING OWNER OR ELECTRICAL CONTRACTOR: �i L■1011i Date: 1 F 11 i t /G. Day Telephone: 753 - 5i�Z� 5553 1Gt`n-1 t.om4 �1 8b3Z- city State Zip Date Application Accepted: t ( l- I M_ Date Application Expires: Staff Initials: 1 Page 2 of 2 RECEIPT NO: R07 -01732 Initials: JEM User ID: 1165 Payee: SEA -TAC ELECTRIC, INC. SET ID: 5000000829 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount 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 EL07 -403 246.00 EL07 -404 58.00 EL07 -405 266.50 EL07 -406 58.00 TOTAL: 628.50 TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR ELECTRICAL PLAN - NONRES SET RECEIPT Payment Date: 08/17/2007 Total Payment: 628.50 Amount Payment Check 8665 628.50 TOTAL: 628.50 Account Code Current Pmts 000.322.101.00.0 526.00 000.345.832.00.0 102.50 TOTAL: 628.50 OR/17 c'7 TOTAL 628.5 Project: Te° /OA , 7 1 //c-4- Type of Inspectipo Date Called: \..) Address: /20 cfr/ITciAlif 60 0 Special Instructions: , COAlAtti 7— (1 Y Date Wanted: a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit 11 PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 4 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431 \9pro per applicable codes. : El Corrections required prior to approval. COMMENTS: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: License Information License SEATAEI077RW Licensee Name SEA TAC ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601510212 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 7056 S 220TH ST Address 2 City KENT County KING State WA Zip 98032 Phone 2538725553 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/16/1993 Expiration Date 12/16/2007 Suspend Date Separation Date Parent Company Previous License SEATAEC131QC Next License Associated License HARGRT *974CD Business Owner Information Name Role Effective Date Expiration Date HARGREAVES, TOM AGENT 12/17/1993 HARGREAVES, TOM PRESIDENT 12/17/1993 HARGREAVES, Look Up a Contractor, Electric ;qn or Plumber License Detail Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. Master Electrician Information License Name Status HARGRT *974CD HARGREAVES, TOM ACTIVE Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SEATAEI077RW 08/17/2007