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HomeMy WebLinkAboutPermit EL07-630 - JAMBA JUICEf'OT BLS Ad )IaLLNDHJX1OS OOTLT aDIflf vawYf Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor License No: EMERAAI991KG Value of Electrical: $200.00 Type of Fire Protection: Permit Center Authorized Signature: I hereby certify that I have read and x governing this work will be complied Signature: Print Name: doc: EL -4/07 City f Tukwila DESCRIPTION OF WORK: LOW VOLTAGE: INSTALL (2) STATS AND (1) SENSOR 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 2623049081 17100 SOUTHCENTER PY TUKW JAMBA JUICE 17100 SOUTHCENTER PY, STE 104 , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA SHANNON BUCKINGHAM 5108 D ST NW , AUBURN WA EMERALD AIRE INC 5108DSTNW, AUBURN WA Electrical Service provided by: PUGET SOUND ENERGY 73vclsi ELECTRICAL PERMIT EL07 -630 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 872 -5665 Phone: 253 -872 -5665 Expiration Date: 05/07/2009 ELO7 -630 10/31/2007 04/28/2008 Fees Collected: $58.00 National Electrical Code Edition: 2005 Date: I01 M L ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 e performance of work. I am authorized to sign and obtain this electrical permit. Date: I ( I 3 / / This permit shall become null and void if the work is not commenced within 180 days front the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Printed: 10 -31 -2007 1: ** *ELECTRICAL * ** Signature. Print Name: doc: Cond -Elec tio City of Tukwila Parcel No.: 2623049081 Address: 17100 SOUTHCENTER PY TUKW Suite No: Tenant: JAMBH JUICE 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 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. S Permit Number: EL07 -630 Status: ISSUED Applied Date: 10/31/2007 Issue Date: 10/31/2007 Date: /h/3/%7 EL07 -630 Printed: 10 -31 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:llwww. ci. tkwila. wa. us Name: 6/TO 11O"Z. U.C.k..e(1� Vann Mailing Address:5 L7 S 4.4.) E -Mail Addre Mailing Address: la 1) - DT n`) -) Will service be altered? ❑ Yes j e No Type of Use: Type of work: ❑ Addition w Voltage ❑ Generator Property Served by: uget Sound Energy ❑ Seattle City Light H: Applications\Fonns- Applications On Line14-2007 - Electrical Permit Application.doc bb 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 ** 14:M. 1/ Site Address: 1 4+ERG r,. Y1 1 p Tenant Name: +tw - e.f Property Owners Name: 1 lit /be °Chet (-A-C_-" 5 5 Mailing Address: ( / f`' pc. S l i -e- U i &Q.- King Co Assessor's Tax No.: (z a3046ov1 Suite Number. /Q7 Floor: New Tenant: " ` Yes ❑ ..No City State CONTACT PERSON - Who do we contact when your permit is ready to be issued ,irA1ftvg,b@ einerraltairts. . Qom— Company Name:frAer7W Lae fr ❑ Service Change ❑ Fire Alarm Day Telephone: 2S3 Yv70. SZo(oZs' ELECTRICAL CONTRACTOR INFORMATION City stat Zip Fax Number: S 3 �7a— 5 ? !Zi- Zip _ t City State Zip Contact Person: \n� r Wd4rS�+�'� Day Telephone: c 2 5 6S E -Mail Address. f1nert tIN r -c. ..rr-- ,, • (M ' Fax Number. asb � a' 5 Contractor Registration Number. L fV 2 Q Expiration Date: Valuation of Project (contractor's bid price): $ � Scope of Work (please provide detailed information): Adding more than 50 amps? Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 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 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) I Date Application Accepted: I�o�31,l.ct�— H: Applications\Forms- Applications On Lineal -2007 - Electrical Permit Applicatioadoc bh 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. BUILDING OWNED OR ELECTRICAL CONTRACTOR: Date: RI /d7 Day Telephone: e:93 J? 7.0 S 6T Signature: • Print Name: A k'ili ' ?( 0 ✓I ( + ,, Mailing Address: 6/ 0 Z 5 % ! ` [ A / � `�� l.dC- �(1 be)) City State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 2623049081 Permit Number: EL07 -630 Address: 17100 SOUTHCENTER PT TUKW Status: PENDING Suite No: Applied Date: 10/31/2007 Applicant: JAMBA JUICE Issue Date: Receipt No.: R07 -02370 Initials: JEM User ID: 1165 Payee: EMERALD AIRE, INC. TRANSACTION LIST: Type Method Description Payment Check 1053 58.00 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 58.00 Total: $58.00 Payment Amount: $58.00 Payment Date: 10/31/2007 10:22 AM Balance: $0.00 .. T2 :10/31 1 7 0 SIT- 3 ul:.. doc: Receiot -06 Printed: 10 -31 -2007 Project: J \ Vice_ Type of lApection Address: / 7") -<ifif MC-6/074 74 Date Called: 1)/ Special Instructions: Date Wanted: P. • Requester: Phone No: . 1w INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 7 COMMENTS: 6/4 - F/41/9 Inspec INSPECTION RECORD Retain a copy with permit pproved per applicable codes. Corrections required prior to approval. kt r4,7// Date: kak? LJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r eceipt No.: IDate: Business Owner Information Name Role Effective Date Expiration Date DENT, CHARLES AGENT 05/07/2001 HAPPE, DOUGLAS, A PRESIDENT 05/07/2001 RIDGE, JOHN P VICE PRESIDENT 05/07/2001 Look Up a Contractor, Electric ; an 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 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 EMERAAI991KG EMERALD AIRE INC ELECTRICAL CONTRACTOR 600591552 CORPORATION 5108 D ST NW AUBURN KING WA 98001 2538725665 ACTIVE GENERAL UNUSED 5/7/2001 5/7/2009 EMERAAI012OT REINHJS956RK Electrical Administrator Information License Name Status REINHJS956RK REINHARDT, JEFFREY S ACTIVE https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= EMERAAI991KG 10/31/2007