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Home My WebLink AboutPermit EL11-0413 - JACK IN THE BOXJACK IN THE BOX 3742 S 144 ST EL1 1 -0413 Parcel No.: Address: Tenant Name: Cityef Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.ci.tukwila.wa.us 1523049295 3742 S 144 ST TUKW JACK IN THE BOX ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL1 1-0413 05/10/2011 11/06/2011 Owner: Name: SEG 56TH LLC Address: 845 106TH AVE NE #100 , BELLEVUE WA 98004 Contact Person: Name: KIRSTEN HANSON Address: 727 S 96 ST , SEATTLE WA 98108 Contractor: Name: HEATH NW INC Address: 727 S 96 ST , SEATTLE WA 98108 Contractor License No: HEATHNI981JZ Phone: 206 - 623 -3100 Phone: 800 - 613 -4559 Expiration Date: 04/09/2012 DESCRIPTION OF WORK: INSTALLATION /CONNECTION OF NEW JACKI IN THE BOX SIGN (S11-046) Value of Electrical Work: NRES: $750.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $84.00 National Electrical Code Edition: 2008 Date: I hereby certify that I have read and examined this pe t 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 the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permi Signature: �ilA ✓�--� l.�/ r6V %� Date: -k) L 5n Q C� Print Name: t gs - 6A) HA4 NSoA 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 -9/09 EL 11 -0413 Printed: 05 -10 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0413 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0413 Printed: 05 -10 -2011 CITY OF TUKNA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. GLL 1, 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 U King Co Assessor's Tax No.: 1St 'O9 9 r+ 501 Site Address: $142. S • \94 ST. ) 1\)IowLLA ,WA Tenant Name: JAC.bt.Q%$ 11E BOX Property Owners Name: JE►�'` _ A Ic OSO \ Efl , ,. Q u Mailing Address: NS " D�Y AYE. N.�s• Ito , �...LVVE. WA. j L1 Suite Number: NIA New Tenant: Floor: N �A ❑ Yes K.. No City State Zip CONTACT PERSON – Who do we contact when your permit is ready to be issued Name: K\ R.S'TEN T\ A NSbn1 Day Telephone: lap Z% Mailing Address:1V �• CA,Ok ST: SEA t Tt..5 siYA • q$IDS City t ,State Zip E -Mail Address: �1 Thi� u @ V 140R-TR S 011-4 Fax Number: � VV23 1 L't Y TRICAI :CONTRACTOR INFORMATION Company Name: \6 140 12•414weerr Mailing Address: 412:1 SOAMA °f‘.014 S- 112.66 -I ATi t.E WA • 9 8 100 Contact Person: KA gsTer4 AA4Sp1J E -Mail Address: KASTEN VIE/kill 1•*.,AI T NOR�T}iWEST. 4 Contractor Registration Number: SZASI �Z City State /� ^ Zip Day Telephone: �[1.r,V, /02.3 - Itt Fax Number: .1AP to 2a S Expiration Date: I - 9 -12 Valuation of Project (contractor's bid price): $ —:50p126 �t Scope of Work (please provide detailed information): 114S1 .._. 1'T10 N Or-- TYVO N6w IN "V" 2 s'WAULS1luS Will service be altered? _ r ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes Type of Use: SN�( Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy Seattle City Light H:Wpplications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 L �O ❑ Tenant Improvement ❑ Temporary Service • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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. 1 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: \ \QS"f'GN-�11AANS►or Mailing Address: "1271 . air q�1U S T/ Date: 5-10 -I) Day Telephone: 1Q23 ' % oo SEATTI WA. 9$143 City State Zip IDate Application Accepted: . 1 1 1 Date Application Expires: k`._ ID l 1 Staff Initials: H:\ApplicationsWorms- Applications On Line \2010 Applications \7 -2010 - 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 Parcel No.: 1523049295 Address: 3742 S 144 ST TUKW Suite No: Applicant: JACK IN THE BOX RECEIPT Permit Number: EL11 -0413 Status: PENDING Applied Date: 05/10/2011 Issue Date: Receipt No.: R11 -00942 Payment Amount: $84.00 Initials: TLS Payment Date: 05/10/2011 03:09 PM User ID: 1670 Balance: $0.00 Payee: HEATH NORTHWEST TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1675 84.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 05 -10 -2011 .'• • .T • •°L• .•r. 'ti•7 - :•M."u, INSPECTION RECORD (uf'3 Retai n a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 ^K Project: J /'91. Type of Inspection: W pco Address: 37yZ 5. /. r / �` �J Date Called: w Special Instructions: Date Wanted: 7/27 m. p.m • Requester: Phone No: // NApproved per applicable codes. 0 Corrections required prior to approval. i' COMMENTS: Inspector: Date: 01/1111 11 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be • • paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. raw �v�Ylf INSPECTION RECORD 1-�� Retain a copy with permit INSPECTION NO. PERMIT N N. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: rw� iAl Type of Inspection: Type f Li Address: Date Called: Special Instructions: Date Wanted: Zr a.m.' P• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: i?(Sat e-NL-6 7A1 Inspector: (4.664p/ Date: °7/28/1 REINSPECTION FEE REQUIRED. rior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. Contractors or Tradespeople Priir Friendly Page • 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. Business and Licensing Information Name HEATH NW INC UBI No. 602195548 Phone 8006134559 Status Active Address 727 S 96Th St License No. HEATHNI981JZ Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 4/9/2002 State WA Expiration Date 4/9/2012 Zip 98108 Suspend Date County King Specialty 1 Sign Business Type Corporation Specialty 2 Unused Parent Company JJ & D SIGNS INC Electrical Administrator INFORMATION License GIBSOJ *971 R9 Name GIBSON, JOE Status Active Business Owner Information Name Role Effective Date Expiration Date PAULSEN, DARRYL Agent 04/09/2002 4/8/2009 PAULSEN, DARRYL President 04/09/2002 $250.00 GIBSON, JOE Secretary 04/09/2002 ELECTRICAL CITATION GIBSON, JOE Treasurer 04/09/2002 2/3/2009 OLDS, JOHN Vice President 04/09/2002 $250.00 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY & INDEM CO 849414C 04/08/2002 Until Cancelled $4,000.00 04/09/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EBIEA00268 4/8/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBIEA00267 4/8/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02668 2/3/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/10/2011