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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 bh 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 bh 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