HomeMy WebLinkAboutPermit EL11-0454 - JAMBA JUICEJAMBA JUICE
17100 SOUTHCENTER PY
EL1 1 -0454
Parcel No.: 7888920020
Cit3Of 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
Address: 17100 SOUTHCENTER PY TUKW
Tenant Name: JAMBA JUICE
ELECTRICAL PERMIT
Permit Number: EL11 -0454
Issue Date: 05/20/2011
Permit Expires On: 11/16/2011
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
Contact Person:
Name: ERIC JOHNSON Phone: 253 561 -5828
Address: 12501 SE 299 PL , AUBURN WA 98092
Contractor:
Name: WASHINGTON ELECTRIC
Address: 12501 SE 299 PL , AUBURN WA 98092
Contractor License No: WASHIE *908CA
Phone: 253 561 -5828
Expiration Date: 02/01/2012
DESCRIPTION OF WORK:
SIGN CONNECTION ACCESS THROUGH MAIN ELECTRIC ROOM CODE #2044
Value of Electrical Work: NRES: $500.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an ex
governing this work will be compli. d wit
The granting of this permit does not p es
construction or the performance of wor
of this permit. 77 /
Signature�V_
Fees Collected: $75.60
National Electrical Code Edition: 2008
Date:
Lc/9A i
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
u e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit and agree to the conditions on the back
Date: . ' 0 /
Print Name: ki2-( L , I-- C9 4./
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
E L 11 -0454
Printed: 05 -20 -2011
PERMIT CONDITIONS
Permit No. EL11 -0454
* *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 -0454 Printed: 05 -20 -2011
CITY OF TUKAA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. �r 01/(3)
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.: h D l� 7L-1P2'A0
Site Address:.( 7/0 0 �(%7) (6...4 rare— eiz t,4Y Suitd ,T goer:
Tenant Name: TAB 4- ,T7/ New Tenant:
Property Owners Name: W / 5
0.q774 PL-
Mailing Address:
City
Floor:
❑ Yes
❑ ..No
0'A- CO
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: - j/ticC J12/�
Day Telephone: `Zb3 — S-6/
Mailing Address: /'Z 4 2 Z4 7 Z L
E -Mail Address:11P'
!C
ELECTRICA
CONTRACTOR INFORMATION
�y L2 €A)
City State Zip
Fax Number:
•
Company Nam
!/J/$C ?(r1/6 -/-zM)
Mailing Addr.. s: 2177s`70/
Contact Perso
E -Mail Addre s: n y
Contractor Registration Number: fr/1.7/ /
./h,1 L// -/ ' I- - l ;20'7,
City
State Zip
Day Telephone: as "3 — 2.-
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): 5l C ) C v i`1' Cr / 0- AI
EGG 72 /14.X-(ti 6 4-& C7 12 ,tit !� / i 2e-92(
Will service be altered? ❑ Yes P o Adding more than 50 amps? ❑ Yes
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:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electncal Permit Application.doc
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Page 1 of 2
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 1 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 ELECT AL 1 NTRACTOR:
Signature: Z
Print Name:
Mailing Address: (2i6-4)( �� ji1 /77/)--
IDate Application Accepted: n"--12,-17 1 f
Day Telephone:
71-1
City
Date:
a
State Zip
Date Application Expires:
H.'Appltcationsfforms- Applications On Lme\2010 Applicationsl7 -2010 - Electrical Permit Application. doc
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Page 2 of 2
Staff Initials:
•
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.gov
RECEIPT
Parcel No.: 7888920020 Permit Number: EL11 -0454
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 05/20/2011
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R11 -01028
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $75.60
Payment Date: 05/20/2011 12:44 PM
Balance: $0.00
ERIC D JOHNSON, WASHINGTON ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 014415
ACCOUNT ITEM LIST:
Description
75.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
doc: Receiot -06 Printed: 05 -20 -2011
SEP* i7eRr, :--e.CCS9,6MT,s.1,1.7.3r-wWV.NWIT.V.r4WV;;:"e.1.1AP -
INSPECTION RECORD .
Retain a copy with permit
PERMIT NO.
INSPECTION NO.
0,11-ett5-1
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 431-2451
Project: ,..01—
Type of Inspection:
4/00
2i
Address:
rpoo 5., fy.
Date Called:
Special Instructions:
514A)
Date Wanted:
6/0
65.m.
Requester:
Phone No:
fiq
Approved per applicable codes.
LJCorrections required prior to approval.
COMMENTS:
Cogime)45 rhof
OK. 161/
Inspector: „hi1A,641.16
04/0 3/1
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
.441.02. s••••C. _
•
INSPECTION RECORD
Retain a copy with-permit
INSPECTION NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I`"
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project
1
Type of Inspection:
- u.t, acis. i-votx-5 1d 60,k rwck bamAiedd
- RED E SuiITTf Roil &IT/ or El(
Address:)
1 ?,00
s -c • Pf-
Date Called:
Special Instructions:
r'a3c
fdi•\
Date Wanted:
i
a rr
p.m.
Requester:
JJ
Phone No:
DApproved per applicable codes. M Corrections required prior to approval. 1b
COMMENTS:
ik al/ s1h' coxt?v /' 1 Tr, $r 41021.NDO .
R(CAPAD4 5 bf qa %(
- u.t, acis. i-votx-5 1d 60,k rwck bamAiedd
- RED E SuiITTf Roil &IT/ or El(
Ot.1C-0 LA/0(TV\ LAILA...- poot,
i
Inspector: rri L4:WAJ&lR\
Date:
11
I I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ter 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
WASHINGTON ELECTRIC
2535615828
12501 Se 299Th Pi
Auburn
WA
98092
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602987792
Active
WASHIE *908CA
Electrical Contractor
2/1/2010
2/1/2012
General
Unused
Electrical Administrator INFORMATION
License JOHNSED919RZ
Name JOHNSON, ERIC D.
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, ERIC D
Owner
02/01/2010
9/30/2010
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
Lexon Insurance
Company
9801270
02/01/2010
Until Cancelled
$4,000.00
02/01/2010
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
EBOES00499
9/30/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00498
9/30/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EPOR000280
4/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EPOR000279
4/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EBOES00503
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00504
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/20/2011