HomeMy WebLinkAboutPermit EL07-603 - JAMBA JUICEJAMBA JUICE
17250 SOUTHCENTER PY
STE 104
EL07-603
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUKW
Suite No:
Tenant:
Name: JAMBA JUICE
Address: 17250 SOUTHCENTER PY # 104 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: LEON PARKS Phone: 253 - 248 -2002
Address: 1106 54 AVE E , TACOMA WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC Phone: 253 - 926 -1880
Address: 110654 AV E , TACOMA WA
Contractor License No: SM1THFS946LO Expiration Date: 06/20/2008
DESCRIPTION OF WORK:
ADD FIRE ALARM NOTIFICATION DEVICES FOR TI
Value of Electrical: $3,085.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
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 t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performancwork. I authorized to sign and obtain this electrical permit.
Signature:
Print Name:
City''df 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
Fees Collected:
Permit Number: EL07 -603
Issue Date: 10/23/2007
Permit Expires On: 04/20/2008
Q OAJ Date: l O J 'O -7
Date:
$144.00
Cd7Z,/o7
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 -4/07 EL07 -603 Printed: 10 -23 -2007
Parcel No.: 2623049117
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
17250 SOUTBCENTER PY TUKW
JAMBA JUICE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -603
ISSUED
10/23/2007
10/23/2007
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 the performance of work.
Signature:
Print Name:
•'e,v1' p
Date: Z t7F- 67
doc: Cond-Elec EL07 -603 Printed: 10 -23 -2007
Site Address:
Tenant Name:
Property Owners Name: WIG PROPERTIES LLC.
Mailing Address: 1811 134TH. PL. SE.
Name: LEON PARKS
CITY OF TUKWIL,.,.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
17250 SOUTHCENTER PARKWAY
JAMBA JUICE
Mailing Address: 1106 54TH AVE E
Company Name: SMITH FIRE SYSTEMS MANAGEMENT, LLC.
Mailing Address: 1106 54TH AVE E
Contact Person: LEON PARKS
E -Mail Address: LPARKS @SMITHFIRE.COM
Contractor Registration Number: SMITHLFS946L0
Will service be altered? ❑ Yes
Type of Use: RETAIL
Type of work:
▪ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
• Puget Sound Energy
Seattle City Light
Service Change
Fire Alarm
Electrical Permit No.
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 **
King Co Assessor's Tax No.: 2623049117
Suite Number: 104
New Tenant:
BELLEVUE
City
Day Telephone:
TACOMA
City
E -Mail Address: LPARKS @SMITHFIRE.COM Fax Number: (253) 926-0726
- 1,
WA
State
3
Floor:
Yes ..No
98006
Zip
- Who do we contact when your permit is ready to be issued
(253) 248 -2002
WA
State
98424
Zip
ELECTRICAL CONTRACTOR INFORMATION
TACOMA
City
Day Telephone:
Fax Number:
Expiration Date:
❑ Remodel
D Telecommunication
WA
State
(253) 248 -2002
(253) 926-0726
6/20 /08
Valuation of Project (contractor's bid price): $ 3085
Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION DEVICES FOR THE
PURPOSE OF TENANT IMPROVEMENT.
No Adding more than 50 amps? ❑ Yes No
98424
Zip
Tenant Improvement
Temporary Service
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 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRII£AL CO OR
Signature:
Print Name: SCOTT JERKE
RESIDENTIAL
Mailing Address: 1106 54TH AVE E
MULTI FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
TACOMA
City
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
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:
Day Telephone: 10122/07
I DA zt0 -7
WA
State
98424
Zip
I Date Application Accepted: I Date Application Expires: I Staff Initials:
Parcel No.: 2623049117 Permit Number: EL07 -603
Address: 17250 SOUTHCENTER PY TUICW Status: PENDING
Suite No: Applied Date: 10/23/2007
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R07 -02314
Initials: WER Payment Date: 10/23/2007 11:51 AM
User ID: 1655 Balance: $0.00
Payee: SMITH FIRE SYSTEMS
TRANSACTION LIST:
Type Method Description Amount
or. Raraint -OR
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
Payment Check 1753 144.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 144.00
Total: $144.00
Payment Amount: $144.00
273 10:23 0 710 TOTAL 1 44.00
Printed: 10 -23 -7007
P44 1-NC-if
Type of Inspection: ,/�
V
Address:
7/ 6"0 �u�Ci
i
Date Called:
i./
Special Instructions: FA
Date Wanted: J
a
Requester:
Phone No:
4Eio7 -&23
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION tz-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
OMMENTS:
0/4 - f//tix-
ved per applicable codes. ❑ Corrections required prior to approval.
I 6/744 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.:
!Date:
Pr nil ��/
Type of Inspection:
7 v
Address:
/l0l0 f
;w
Th Y
Date Called:
Special Instructions:
A
7'
Date Wanted:
/� /�
/ /
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit / 661
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION f
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 {3670
proved per applicable codes. Corrections required prior to approval. /
'COMMENTS:
0/ - // of Cam' / �/ V
IsPect / f 7Z4 '1G16# (Date: 4,k ?
$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
GTH CORPORATE
SERVICES LLC
AGENT
06/20/2006
SMITH, MARK B
PARTNER/MEMBER
06/20/2006
Look Up a Contractor, Electric" an or Plumber License Detail
Vitae
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 Type
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
SMITHFS946LO
SMITH FIRE SYSTEMS MGMT LLC
ELECTRICAL CONTRACTOR
602601418
LIMITED LIABILITY COMPANY
1106 54TH AVE E
TACOMA
PIERCE
WA
98424
2539261880
ACTIVE
LIMITED ENERGY
UNUSED
6/20/2006
6/20/2008
SMITHFS98ORP
PARKSLD952LC
Master Electrician Information
License
Name
Status
PARKSLD952LC
PARKS, LEON D
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SMITHFS946LO
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10/23/2007