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Home My WebLink AboutPermit EL08-0007 - JAMBA JUICEJAMBA JUICE 17100 SOUThCENTER PY STE 104 ELO8-007 CitAf 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 Parcel No.: 2623049081 Address: 17100 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -007 Issue Date: 01/03/2008 Permit Expires On: 07/01/2008 Tenant: Name: JAMBA JUICE Address: 17100 SOUTHCENTER PY SUITE 104 , TUKVVILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: RALPH MILLESON Phone: 425 - 774 -4185 Address: 234 5TH AVE S , EDMONDS WA Contractor: Name: EWING ELECTRIC INC Phone: 425 778 -3773 Address: PO BOX 1238 , EDMONDS WA Contractor License No: EWINGEI533BC Expiration Date: 07/31/2008 DESCRIPTION OF WORK: DISCONNECT AND RECONNECT EQUIPMENT TO ALLOW PLUMBING REPAIRS Value of Electrical: $1,000.00 Fees Collected: $90.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: -s0J Date: 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 not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or e perfo f wo . I am authorized to sign and obtain this electrical permit. Signature: / Date: % .? / 8 f Print Name: � � . v (`l C Q �•# �C 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 EL08 -007 Printed: 01 -03 -2008 • • 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: hgp://www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 2623049081 Permit Number: EL08 -007 Address: 17100 SOUTHCENTER PY TUKW Status: ISSUED Suite No: Applied Date: 01/03/2008 Tenant: JAMBA JUICE Issue Date: 01/03/2008 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 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. Signature: .// G` c, ? " .`� L .e `14 Print Name: U ' . V r. Date: doc: Cond -Elec EL08 -007 Printed: 01 -03 -2008 . • CITY OF TUKWILA Community Development Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. E L0 9- 00 I 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 ** SITE LOCATION King Co Assessor's Tax No.: 2 / 0 30L1 90g' Site Address: / 7 i Co Sc c,1- Inc P .. i t° Pkc..� t� Suite Number: /v'-/ Floor: / / New Tenant: ,J Yes ❑..No Tenant Name: 5 Aiin 13A -3-Gt c P Property Owners Name: W IC-.- (?roto er+ e S Mailing Address: l-481 ( f2`/ 4"' I SE- [/feL2 4eL City wA- State 98C°C Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: —OA Pt-k M t (tenon Mailing Address: 2 3 Li 5 Au e SU +I . Day Telephone: �c( /L• v cl City E -Mail Address: V' M ► I e Sow C w r lc.cD xevn S'F / c - Fax Number: LI 25- 771-1 --4185 x..364 9gozo State Zip 18 5' ELECTRICAL CONTRACTOR INFORMATION Company Name: t-w� •, 5 El ec-(-r Mailing Address: 508 / lc, Contact Person: V c e -t "t- .. jS City wA State Day Telephone: 472 5- f 7 /' Zip �0 7 E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ / 000 -a Scope of Work (please provide detailed information): *D/ Sc v n & c 4- -fo Tow p/4 . •, b /•e Ccx-t ✓I� c f eqt�, j�.• -► e�� Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes E No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel E Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: IA Puget Sound Energy ❑ Seattle City Light H \Applications \Forms - Applications On cane \4.2007 - Electrical Permit Application.doc bh 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 $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) 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) vals . $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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 1 '� �1 cJ l� . �!. •� c p,., Mailing Address: 50 /-7a Sr" Date Application Accepted: Jam. Date: // ?/v Day Telephone: 4/ ? S- '-i7 /- 00o7 City State Staff Initials: Zip Date Application Expires: H 1Appl cationslForros- ApphcatIons On L.me14.2007 - Electrical Permit Application doc bh 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: EL08 -007 Address: 17100 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 01/03/2008 Applicant: JAMBA JUICE Issue Date: Receipt No.: R08 -00014 Payment Amount: $90.00 Initials: WER Payment Date: 01/03/2008 11:19 AM User ID: 1655 Balance: $0.00 Payee: EWING ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Cash 90.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 90.00 Total: $90.00 6712 01/03 9710 TOTAL 90.00 doc: Receiot -06 Printed: 01 -03 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit tag --crb7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -361'0 Project: , .4/� r4/ J C ,I / Type of Inspection: 2 // 0 VV N. Address: /2/a, 9ti?2/c/.4/7Yeri nitY Date Called: Special Instructions: ' Date Wanted: / /// p� Requester: Phone No: ved per applicable codes. DCorrections required prior to approval. OMMENTS: fifv,4 Inspecto lac 6ii-g&iyoH Date: / /` /D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: INS ECTION NO. INSPECTION RECORD Retain a copy with permit tog-ea? PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project // Mg Tic- Type of Inspection: -71,O 1 A dress: A Date Called: Special Instructions: Date Wanted: IAl cliii. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. OMMENTS: � - (iNY- 454./96 Inspe 3/ e T, /ar / /// Date /y,/ r $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electrician or Plumber License Detail 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 EWINGEI533BC Licensee Name EWING ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 312002176 Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 1238 Address 2 City EDMONDS County SNOHOMISH State WA Zip 98020 Phone 4257783773 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/3/1947 Expiration Date 7/31/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License EWINGSC255R0 Electrical Administrator Information License EWINGSC255R0 Name EWING, SAM C JR Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date EWING, SAM JR 01/01/1980 SORENSEN, PAUL C 01/01/1980 SORENSEN, DONNA M 01/01/1980 EWING, SAM JR AGENT 01/01/1980 • Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= EWINGEI533BC 01/03/2008