HomeMy WebLinkAboutPermit EL07-630 - JAMBA JUICEf'OT BLS
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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
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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
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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