HomeMy WebLinkAboutPermit EL11-0449 - JAMBA JUICEJAMBA JUICE
17100 SOUTHCENTER PY
EXPIRED
11 -15 -I1
EL1 1 -0449
City fill 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
Parcel No.: 7888920020
Address: 17100 SOUTHCENTER PY TUKW
Tenant Name: JAMBA JUICE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0449
05/19/2011
11/15/2011
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
Contact Person:
Name: J ALAN SOELBERG Phone: 480 - 664 -7332
Address: 1423 S HIGLEY RD STE 110 , MESA AZ 85206
Contractor:
Name: WESTERN NEON
Address: 2700 FIRST AVE S , 98134
Contractor License No: WESTERNI0990E
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALLATION OF SIGN
(S11-045)
Value of Electrical Work: NRES: $250.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
I hereby certify that I have read and examined this permit and w the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified erein 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 perform -nce of w•rk. am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permi
Signatur // ?' 1
Date: — 1'
This permit shall become n 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
EL11 -0449 Printed: 05 -19 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0449
* *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
EL 11 -0449 Printed: 05 -19 -2011
CITY OF TUKWII
Community Development Department
Permit Center
6300 Southcenter 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 LOCATION
r7/067 �. S
Site Address: # (n %-1 Swhine ilkel rov
Tenant Name: \AGVY1V)OL () 01 (...9
Property Owners Name: J CA.A6k`, A-- I €Y ,, r
Mailing Address: a3 S YX )•1`V 1"l l G� 0 d u ' S ct k ,2-
u -i P 1 t (j ctty
King Co Assessor's Tax No.:
Suite Number: loon Floor:
New Tenant: ❑ Yes
CONTACT PERSON - Who do we contact when your permit is ready to be issued
SpOco
State Zip
Name: iiCY , V , a tai-, Sae _A bey-
Mailing Address: It-! ` , a)\J1H k
E -Mail Address:
Day Telephone: 1 d ci2 l.9 H J�a
sd, 1 �1 �� 8'SDo10
Qy State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: W �-V {'\ NOR r
Mailing Address: ,U.9-0() t� Q,\JQ S �C ck, ft� eta �7J l J 2
Li
%%�� Day cg S to �� � 71 3 �
Contact Person: Vlln(�✓� �� 0 Day Telephone:
E -Mail Address: 1, A h) 1.)■. f--Q./V) (1-Q,0/1 ,c0/1/7 Fax Number:
Contractor Registration Number U32- S I 616( Q E Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
(A9r6ataiti'okn
-e Lacht-,c� St
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ 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:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Apphcations\Fotms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
IDate Application Accepted:
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.
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 OWNER OR ELECTRICAL CONTRACTOR:
Signatur
Print Name: ( Vo (M-Q%
Mailing Address: Q7 (ST a '-e
Day Telephone:
UV
Date: / 1 '
32 City State Zip
Date Application Expires:
Staff Initials:
11:1Applications\Forms- Applications On Line \2010 Applications17 -2010 - Electrical Permit Application.doc
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Page 2 of 2
1
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.s:ov
RECEIPT
Parcel No.: 7888920020 Permit Number: EL11 -0449
Address: 17100 SOUTHCENTER PY TURN/ Status: PENDING
Suite No: Applied Date: 05/19/2011
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R11 -01016
Initials: TLS
User ID: 1670
Payment Amount: $63.00
Payment Date: 05/19/2011 02:03 PM
Balance: $0.00
Payee: WESTERN NEON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 304035 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 05 -19 -2011
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
J ALAN SOELBERG
1423 S HIGLEY RD STE 110
MESA AZ 85206
RE: Permit No. EL11 -0449
JAMBA JUICE
17100 SOUTHCENTER PY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 11/15/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 11/15/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
C
Bill Rambo
Permit Technician
File: Permit File No. EL11 -0449
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pier 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
WESTERN NEON INC
2066827738
2700 First Ave S
Seattle
WA
98134
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601041722
Active
WESTENI099OE
Electrical Contractor
9/5/1991
9/5/2011
Sign
Unused
Electrical Administrator INFORMATION
License BLAZEJP099CB
Name BLAZEK, JAY P
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BLAZEK, SABIEN
Violation Amount
01/01/1980
11/3/2008
BLAZEK, DEAN A
ELECTRICAL CITATION
01/01/1980
$1,000.00
BLAZEK, POLLY A
1/14/2011
01/01/1980
ELECTRICAL CITATION
BLAZEK, JAY
Agent
01/01/1980
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
CBIC
631421
08/30/1991
Until Cancelled
$4,000.00
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
ECHAE00327
11/3/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EHOGG00273
1/14/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/19/2011