HomeMy WebLinkAboutPermit EL07-707 - JAMBA JUICEJAMBA JUICE
17100 SOUTHCENTER PY
STE 104
EL07-707
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Electrical:
Type of Fire Protection:
2623049081
17100 SOUTHCENTER PY TUKW
Contractor:
Name: WASHINGTON ALARM INC
Address: 1253 S JACKSON , SEATTLE WA
Contractor License No: WASHIAI282C3
DESCRIPTION OF WORK:
LOW VOLTAGE: INSTALLATION OF (3) DOOR CONTACTS, (1) MOTION DETECTOR, (1)
TAMPER, (1) CONTROL PANEL, (1) KEYPAD, AND (1) SIREN.
$1,600.00
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
The granting of this permit does not
construction or the p ormance
Print Name:
doc: EL -4/07
City,f 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
JAMBA JUICE
17100 SOUTHCENTER PY, STE 104 , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
CELESTE PRIMBAU
1253 S JACKSON ST , SEATTLE WA
ELECTRICAL PERMIT
, whether specified herein or not.
EL07 -707
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 328 -3288
Phone: 206 328 -1800
Expiration Date: 12/05/2009
Fees Collected:
National Electrical Code Edition:
EL07 -707
11/21/2007
05/19/2008
Date:
$104.00
2005
I hereby certify that I have read and 4xanjined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied
ve authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
Date: << 1 - r - 1 107
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.
Printed: 11 -21 -2007
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
Parcel No.: 2623049081 Permit Number: EL07 -707
Address: 17100 SOUTHCENTER PY TUKW Status: ISSUED
Suite No: Applied Date: 11/21/2007
Tenant: JAMBA JUICE Issue Date: 11/21/2007
1: ** *ELECTRICAL * **
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 TO - 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.
T: 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.
1 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
/7 15�.c
EL07 -707 Printed: 11 -21 -2007
SITE LOCATION
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenfer Blvd., Suite 100
Tukwila, WA 98188
http://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 Address: 1 AB P k tA1
Tenant Name: Jam ha
Property Owners Name: W 1 & Proper+i
Mailing Address: 17 Z SO S. e e t n - t e r P k w y 4 :f icy
Company Name: VJ4SVNiO34or% Alet.reyl, 1 tie..
CONTACT PERSON -Who do we contact when your permit is ready to be Issued
Name: C. les te.
Mailing Address: 1 S 3 5- J4 4-KW' St •
E-Mail Address: act ryi;n0 (Ajax Cioryl
Mailing Address: 12- S 3 S. J et c.k s .c)
Contact Person: Celt.% it..
E-Mail Address: cid vlel;e1 e kin34en eti a ev, • c.orin
Contractor Registration Number: WA S H rA 1 2- 8 2- e3
) I I covri 1 I ( kc_j pad 1
Type of Use:
Type of work:
0 New 0 Addition
RI Low Voltage El Generator
Property Served by:
Yi?‘ Puget Sound Energy
1:1 Seattle City Light
HAApplicationsTonns-Applications On Line \ 4-2007 - Electrical Permit Application.doc
bh
O Service Change
O Fire Alarm
7.4 kW i I Pt
City
re.-}ct : 1 s+ore.. — e•-..)r
ck_. a rev ski 2 4
King Co Assessor's Tax No.: 2 — (4 3 0 11 9
Suite Number: 1 Floor:
New Tenant: 0 Yes 0 „No
tio A
State
Day Telephone: 2 - 0 62 32.6
City
Fax Number:
Sect-ffi
City
Day Telephone:
State
2- 0 — 322
Expiration Date: /2- 1 sip
Will service be altered? 0 Yes 0 No Adding more than 50 amps?
et-' S;rc,r) .
0 Yes
f3 58
Zip
Fax Number: 2O(, - 32. — 77- V
- 3v86
Zip
- 72- "I
State Zip
2.0k 32-8 - 3 2- 2 6
Valuation of Project (contractor's bid price): $ 1 I° 00
Scope of Work (please provide detailed information): in sin.-114.1 Of 3 door rvirihjon
jg No
▪ Remodel 0 Tenant Improvement
• Telecommunication 0 Temporary Service
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 ea
❑ Meter /mast repair 565.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Jenn C3 a cAr■
Mailing Address: ( IS 3 S - ct Cecd Cr ��--
H:Applications \Fomn- Applications On Line\4 -7007 - Electrical Permit Application.doc
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)
❑ Camivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTE
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 clays 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.
Day Telephone:
City
Date: (1 2-0
2.0&,- 32.6 3z 8 P
wi4- 90/yy
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 2623049081 Permit Number: EL07 -707
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 11/21/2007
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R07 -02558
Initials: JEM Payment Date: 11/21/2007 11:16 AM
User ID: 1165 Balance: $0.00
Payee: WASHINGTON ALARM, INC.
Inn! Rwraint -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
TRANSACTION LIST:
Type Method Description Amount
Payment Check 18651 104.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 104.00
Total: $104.00
Payment Amount: $104.00
5207 11/21 9710 TOTAL 104.00
PrintArf: 11 -21 -9007
ct: Pro'e
L
, 4619 V/c-e-
Type of Inspection: ?very
..1
Address: i n
r;2,00./inice/t/Pn "01
Date Called:
Special Instructions: 0 .Q / it/Ty
bate Wanted:
a
. ,
/ II
a.m.
p.m.
Requester:
Phone No:
2--
lInspe
e 407-707
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V:
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3
OMMENTS:
0/ Aal671-1
roved per applicable codes. El Corrections required prior to approval.
Date: .
EJ $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:
1; ,. T..... -••• -,,-.,7 ,...:•., ••.- • - ---:-.-7! . ... - ;:' , .. -, •:- -, :: , ::;--•-k-i ., .',••.; ,-- `;''.; , ' 7,-,,',.`,'"'...,,,,;:.,L=.-_---.4_,,-.--.-:,,--..;.;••-.:-:._,..E.;,.-:,.i.-:::..!•,:.:‘--.-,-....:,1-•._-,..':,:.-...-.;,..,-,,..:',;:,,...,_',•-.-,.:•,...r:.'.',.",
Pro f 0 w T �
T/
Type of Inspection: - J
Address:
/2J . nt ci/1/7 I I
Date Called:
Special Instructions: S f. Gv t / 7y
Date Wanted:
/2// Q
/
a.m.
p.m.
Requester:
Phone No:
w7 -7o?
INSPECTION RECORD
Retain a copy with permit
INS ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
OMMENTS:
- - /A9
proved per applicable codes. Corrections required prior to approval.
Inspe ``- efr ie�J1/6�/
Date 1
$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:
License Information
License
WASHIAI282C3
Licensee Name
WASHINGTON ALARM INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
578043086
Ind. Ins. Account Id
AGENT
Business Type
CORPORATION
Address 1
1253 S JACKSON
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98144
Phone
2063281800
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/1/1984
Expiration Date
12/5/2009
Suspend Date
Separation Date
Parent Company
Previous License
WASHIEC282C3
Next License
Associated License
WOODMJH241QD
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
HANER, RON
01/01/1980
WOODMAN, JOHN H
AGENT
01/01/1980
WOODMAN, JOHN H
PRESIDENT
01/01/1980
Look Up a Contractor, Electric ;an or Plumber License Detail Page 1 of 2
stir'
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.
Electrical Administrator Information
License
Name
Status
WOODMJH241 QD
WOODMAN, JOHN H
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= WASHIAI282C3 11/21/2007