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