HomeMy WebLinkAboutPermit EL07-539 - JAMBA JUICEJAMBA JUICE
17100 SOUThCENTER PY
STE 104
ELO7-539
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
City,..1 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
ELECTRICAL PERMIT
Tenant:
Name: JAMBA JUICE
Address: 17100 SOUTHCENTER PY SUITE 104 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Permit Number: ELO7 -539
Issue Date: 09/25/2007
Permit Expires On: 03/23/2008
Contact Person:
Name: PAM CARYL Phone: 425 - 349 -5044
Address: 9800 HARBOUR PLACE SUITE 208 , MUKILTEO WA
Contractor:
Name: APOLLO NEON INC Phone: 425 349 -5044
Address: 9800 HARBOUR PLACE , SUITE 208
Contractor License No: APOLLNI044OD Expiration Date: 09/04/2008
DESCRIPTION OF WORK:
INSTALL 1 ILLUMINATED WALL SIGN WEST ELEVATION, 2 ILLUMINATED INTERIOR PENDANT
SIGNS SOUTH AND WEST ELEVATIONS
O
Value of Electrical: $0 00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Signature:
Print Name:
doc: EL -4/07
()fa
Date:
$62.00
9--ozs
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 pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the of wo . authorized to sign and obtain this electrical permit.
Date: c W2x
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 -539 Printed: 09-25 -2007
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Tenant: JAMBA JUICE
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
PERMIT CONDITIONS
Permit Number: ELO7 -539
Status: ISSUED
Applied Date: 09/25/2007
Issue Date: 09/25/2007
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.
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.
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: / � Date: 7
Print Name: 7C " r-C
doc: Cond -Elec
EL07 -539 Printed: 09-25 -2007
CITY OF TUKWIL"`
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htta://www.ci.tukwila.wa.us
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
1 girt IT
King Co Assessor's Tax No.: 2-6 a3 o y *-
Site Address - 9•613 SC) t C4lvek4r +� 1�C W j Suite Number. \ 0 4
Tenant Name: 'Z -Z C`l.
New Tenant:
Property Owners Name: VW'I G �r a,Er� t f S LL C — SS 53 `Retek
Mailing Address: 0 \I. \1 P1 au sc., Wf{ q Toc,6
citi
Name: i C .a \ (A p oil() S v\c.
Mailing Address: C lBOO 1i vbo S vi-t
E - Mail Address: v• 2p \16 11\4 o vv\
H:MpplicationsWo.m.- Applications Ott Line 41-2007 - Electrical Pamit Apptiwtioadoc
bit
Electrical Permit No. EL-7 - 5 3 /
Project No.
(For office use only)
t to tt
Floor:
C9' Yes ❑ ..No
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: C 4'�S 3 ` t ct 5 0 't4
'akin ,Mok1%x.0 WA e ra.7.c
City ,State zap
Fax Number: C S , 3 41 " S D y S
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PI'cpoW
Mailing Address: 4 i1) DO kkavb o trr + i a ci... /S )'a't`e. a-015 /INAA∎c t \kw WA Cl I a-, ‹
City
State Zap
Contact Person: ` zv, 1 Day Telephone: f U �S 3 4 4- Lt
E-Mail Address: pvv• Zlpa0 V\Qoy\ . ■qw. Fax Number. L -4'-S) 3 K a - 504S
Contractor Registration Number: PC)U - AJt O 44 H O'p Expiration Date: q ' - p $
Valuation of Project (contractor's bid price): $ 3 O O as
Scope of Work (please provide detailed information):
rS3'Z \\ C►) `t l ltJ by v >*cA SA ti — Pro,^ - Ii t Si
- 2- Z1l (I) 'N\vw v ivyA - 1 - , r\ ay istwela."7k .5‘s £Si" L \4v eV,
o..�
i 5k2,1\ Ct t'
Will service be altered? ❑ Yes ErNo Adding more than 50 amps? ❑ Yes [
Type of Use:
Type of work:
[rNew ❑ Addition ❑ Service Change ❑ Remodel [Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(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 $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 an
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
JIUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Vr7.tiv. Le
Print Name: " ?Zw. C'Z r y
Mailing Address: 4 1 4: 6 Oco ,S\ 2D`b
I Date Application Accepted:
H:Upplications\Forms- Applcatioos Oa Line • Electrical Permit Applicatioo.doc
bh
i
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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 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.
Date: a l— 13 -6 7
Day Telephone: (-4 ? i i4 S o 44
AA\ Alc 1i Wf R15
City
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 2623049081 Permit Number: EL07 -539
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/25/2007
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R07 -02079
Initials: WER Payment Date: 09/25/2007 11:39 AM
User ID: 1655 Balance: $0.00
Payee: MILTON HEGER
TRANSACTION LIST:
Type Method Description
Payment Check 1081 62.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
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
RECEIPT
Amount
Account Code Current Pmts
000.322.101.00.0 62.00
Total: $62.00
Payment Amount: $62.00
322.3 09/25 9710 TOTAL 62-00
doc: Receipt -06 Printed: 09 -25 -2007
Pr i efte h IG
Type of Inspection: 2 „ 0 . 0
7,7 ess:
v s �
Date Called:
'
Special Instructions: ,576NS
Date Wanted: / 4 �
a m
Requester:
Phone No:
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 -36)(0
roved per applicable codes. ❑ Corrections required prior to approval.
f;
COMMENTS:
lox - F/Am
ski
& T4M/4// I
❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
IDate:
Project:
Q7)An P q
Type of Inspection:
703
Address:
-
MOO COliVirj
Date Called:
Special Instructions: s . / 6
Date Wanted:
/.. 0
a.m.
p.m.
Requester:
Phone No:
I ra)2*-11/47
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
.57 0/77/- /41
/2 of AEA/ 07
S/6 N mls/A 6Df/
/)T 6
l arme4a4 ii
IZP orrections required prior to approval.
Date:
/,47
LI $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:
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCHROEDER, STEVE
01/01/1980
CARYL, VAN M
01/01/1980
SCHROEDER, STEVE
AGENT
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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.
License Information
License
Licensee Name
Licensee Ty pe
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
APOLLNI044OD
APOLLO NEON INC
ELECTRICAL CONTRACTOR
601731106
CORPORATION
9800 HARBOUR PL #208
MUKILTEO
SNOHOMISH
WA
98275
4253495044
ACTIVE
SIGN
UNUSED
9/4/1996
9/4/2008
APOLLN *061 J5
CARYLVM967KP
Master Electrician Information
License
Name
Status
CARYLVM967KP
CARYL, VAN M
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= APOLLNI044OD 09/25/2007