HomeMy WebLinkAboutPermit EL07-745 - JAMBA JUICElOT �.LS
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Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Value of Electrical: $750.00
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Cityf 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 Service provided by: PUGET SOUND ENERGY
ELECTRICAL PERMIT
Tenant:
Name: JAMBA JUICE
Address: 17100 SOUTHCENTER PY, STE 104 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
DESCRIPTION OF WORK:
TELECOMMUNICATION: INSTALLATION OF CABLING FOR POINT OF SALE AND TELEPHONES
Permit Number: ELO7 -745
Issue Date: 12/05/2007
Permit Expires On: 06/02/2008
Contact Person:
Name: CHAD OWNBEY Phone: 425 864 -2070
Address: 12521 EVERGREEN DR #C , MUKILTEO WA
Contractor:
Name: REO TECHNOLOGY LLC Phone: 425 608 -1289
Address: 12521 EVERGREEN DR STE C , MUKILTEO WA
Contractor License No: REOTEL *983N1 Expiration Date: 08/21/2008
Fees Collected: $78.00
Type of Fire Protection: National Electrical Code Edition: 2005
Date:_12-1 (<1 (_
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 rmit doe/ of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or erf • / = of work. I am authorized to sign and obtain this electrical permit. r
Signature: Date: l /J / 7
Print Name: &MD C P- 6e
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 -745 Printed: 12 -05 -2007
City of Tukwila
1: ** *ELECTRICAL * **
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 -745
Address: 17100 SOUTHCENTER PY TUKW Status: ISSUED
Suite No: Applied Date: 12/05/2007
Tenant: JAMBA JUICE Issue Date: 12/05/2007
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 cons c s • n or the ; - rformance of work.
Signature:
Print Name:
doc: Cond -Elec
Cep ,d
Date: / d' /r/�
EL07 -745 Printed: 12 -05 -2007
SITE LOCATION
r King Co Assessor's Tax No.: 2—V2— is �'' 6 L (
Site Address: / 7 , ' �r0 (.t tttC6 w 7 Suite Number: �o loci Floor:
Tenant Name: JA - du 1C- � � % �,n
Property Owners Name: lr r 1 v r� 1,
V�1 e
((, 4,E
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Name: (i / ,w
! ��
Mailing Address: I �P ( � r �� 0 L # C
tin
E -Mail Address: 4I@ (rte fCk N d �O�3
1.00 'owe
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 **
Company Name: e OLD L LC,
Mailing Address: /9 a( /�j iii�6f4& D41 lid
Contact Person: (. he �
E -Mail Address: 0.,1161 @ rafc r e_eyk.
Contractor Registration Number: 'K r a -- ree,71 1 94g3 /
HMpplications\Forms- Applications On Une14 -2007 - Electrical Permit Application.doc
bh
City
New Tenant:
Yes
VA- ellagv
State Zip
Valuation of Project (contractor's bid price): $ 73_).
Scope of Work (please provide detailed information): �IJ, Z 72OA..) 9( t�- 4''JZl N ( if 2 "
f or r o � ' ShZE ct- iel wexo63
❑ ..No
CONTACT. PERSON Wlio do we:contact when your permit is ready to be issued
Day Telephone: L/2,5'b f X'
M Wei CFO Lifi4 9.2
City State Zip
Fax Number: 4 5 7" b 7 S °_.
0Iu KILTEO Zrn+ Or> 7S
City State Zip
Day Telephone: 4 10.5 -- 4 10.5 -- � F6 4 " 2O7 )
Fax Number: e G '
Expiration Date: a /� //o 8
Will service be altered? ❑ Yes f No Adding more than 50 amps? ❑ Yes 52 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication ❑ Temporary Service
Property Served by:
ty(Puget Sound Energy
❑ Seattle City Light
Page I oft
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)
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
Signature:
Print Name: ( HJ ea3
Mailing Address:
Date Application Accepted:
( , 05 101-
H: Upplications\Forms•Applications On Line\4 -2007 - Electrical Permit Application.doc
bit
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; NOT
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 OWN f I ' ELECT r AL CONTRACTOR:
Date: /a /, 7
Day Telephone:
City
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
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
Parcel No.: 2623049081 Permit Number: EL07 -745
Address: 17100 SOUTHCENTER PY TUICW Status: APPROVED
Suite No: Applied Date: 12/05/2007
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R07 -02659 Payment Amount: $78.00
Initials: JEM Payment Date: 12/05/2007 11:05 AM
User ID: 1165 Balance: 30.00
Payee: CHAD R OWNBEY
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6802 78.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 78.00
Total: $78.00
5710 12/05 9710 TOTAL 78.00
1nr.: RA int -nR Printatl! 1945 -2nn7
Project: &9 \` ./
/
Type of Inspection:
/ /��
v V
`}
Address:
I? / 00 u71i cell/ TM Rat"/
Date Called:
Special Instructions: - 4E /
Date Wanted:
2 //14
6
p.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-
COMMENTS:
(' X -f/Arn
r
ved per applicable codes. Corrections required prior to approval.
I Inspect h1 t GC , 123"/7//6 /
$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:
Project:
VAIfill \T
Type of Inspection: -
? -3
Address: / Y
/ NOV 11 77e--1^41:4 1114'_
pate Called:
Special Instructions: -7-7a14,11 7,1
Date Wanted:
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Ca
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-'6 0
c pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
(2// P —/afi
l inspe ?. irm.624/14.‘, I Date:
ID $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
OWNBEY, RALPH R
PARTNER/MEMBER
08/21/2002
OWNBEY, CHAD R
PARTNER/MEMBER
08/21/2002
OWNBEY, DUANE
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 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
REOTEL *983N1
REO TECHNOLOGY LLC
ELECTRICAL CONTRACTOR
602153818
93298301
LIMITED LIABILITY COMPANY
12521 EVERGREEN DR STE C
MUKILTEO
SNOHOMISH
WA
98275
4256081289
ACTIVE
TELECOMMUNICATIONS
UNUSED
8/21/2002
8/21/2008
CRANECH9366F
OWNBECROO7MA
Electrical Administrator Information
License
Name
Status
OWNBECROO7MA
OWNBEY, CHAD R
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= REOTEL *983N1
laave
12/05/2007