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Home My WebLink AboutPermit EL11-0627 - JACK IN THE BOXJACK IN THE BOX 3742 S 144 ST CANCELLED 07 -22 -11 EL1 1 -0627 City oilkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1523049295 Address: 3742 S 144 ST TUKW Project Name: JACK IN THE BOX ELECTRICAL PERMIT Permit Number: EL11 -0627 Issue Date: 07/14/2011 Permit Expires On: 01/10/2012 Owner: Name: SEG 56TH LLC Address: 845 106TH AVE NE #100 , BELLEVUE WA Contact Person: Name: HOLMES ELECTRIC Address: PO BOX 338 , KENT WA Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 338 , RENTON WA Contractor License No: HOLMEEC549BH Phone: (253)234 -2842 Phone: (253)479 -4000 Expiration Date: 10/31/2012 DESCRIPTION OF WORK: EXTEND EXISTING 20 AMP SIGN CIRCUIT TO (2) OTHER SIGNS DRAWING 1.5 AMPS EA. Value of Electrical: NRES: $1,016.00 RES: $0.00 Fees Collected: $115.50 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: 4' L/c/ Date: 077/W(/ 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 t 's permit does n presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction •perform ce or/k%. � ut�e o sign and obtain this electrical permit. �// /// Signature: ` F'�1 Date: T Print Name: VA. & /400 J 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 -4/10 EL11 -0627 Printed: 07 -14 -2011 i • PERMIT CONDITIONS Permit No. EL 11 -0627 * *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 -4/10 EL11-0627 Printed: 07 -14 -2011 CITY OF TUKWILP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrica 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 ** King Co Assessor's Tax No.: Site Address: 3!t.4 ' Lit....1tk.' Tenant Name: m -A1 lti 'Tikes Property Owners Name: Mailing Address: 3y -a Suite Number: New Tenant: Floor: Yes City LLD' State ®''.No gillt(kp Name: \CWAVJs Li= r.7cC .LC P Mailing Address: b`. o • 669‹. 669‹. 669‹. 3. 3 Si Day Telephone: Z/4- 64613S City State Zip E -Mail Address311,.CkO • L�AvDIL cl.lw . Fax Number: c253 Company Name: �in es EL 'G7'ie IC- Mailing Address: • 0 . ZO C 33 . ? Contact Person: ILL r L4- \\ 1)) l E-mail Address: ,1.LL ( -L 3 1L-&) 4Cktn(-.-- ` Contractor Registration Number: /7` 04 /f E E e. c7 q 4/y City State Zip Day Telephone: 0255 .. /cfst/c1 Fax Number: Expiration Date: /0 —31 29Ia Valuation of Project (contractor's bid price): $ CI Scope of Work (please provide detailed information): 0( TX 6,X15-t1.4_47 Uri -/W 3 041, ) IU l 7/ r Lir) (j) rnkcit_. SVJ,CS -7-tcAvo:Act 1.5 Pimvs 4ek)t Will service be altered? ❑ Yes 0 Type of Use: E 1k1_1 Type of work: ❑ New AZ Addition ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light No Adding more than 50 amps? ❑ Yes 'No ❑ Service Change ❑ Fire Alarm H:\Applicalions \Pom s- Applications On Line \1 -2009 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULT -MILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: --7L 6 c; 3 ate/ a(� �� Print Name: p- �Co�! 0t� /�, Day Telephone: Mailing Address: /J ) 0)94//06117A) x'7//6 5 Ain . City State Zip 7(/ Date: . //cY / Date Application Accepted: r l Date Application Expires: H:tApplications\Forms- Applications On Line\1 -2009 - Electrical Permit Application.doc bh / `r /0 - Staff Initialg G✓ Pagc 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.TukwilaWA.gov Parcel No.: 1523049295 Address: 3742 S 144 ST TUKW Suite No: Applicant: JACK IN THE BOX RECEIPT Permit Number: EL11 -0627 Status: PENDING Applied Date: 07/14/2011 Issue Date: Receipt No.: R11 -01458 Initials: User ID: LAW 1632 Payment Amount: $115.50 Payment Date: 07/14/2011 08:34 AM Balance: $0.00 Payee: HOLMES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 014133 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 07 -14 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director August 18, 2011 Briget Caudill Holmes Electric PO Box 338 Kent, WA 98035 RE: Electrical Permit Number EL11 -0627 Jack in the Box — 3742 S 144 St Dear Ms. Caudill, A request for permit cancellation and refund of EL11 -0627 was received by the Tukwila Permit Center on July 22, 2011. The Building Official has determined that this permit can be cancelled and eighty percent of the permit fee refunded. Enclosed is a check for a refund in the amount of $92.40 (ninety -two dollars and forty cents). File: Permit No. EL11 -0627 Enclosure: Check No. 358216 W:\Permit Center \Refunds\Refunds\2011\EL11 -0627 Permit Reftmd.doc jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 TO: FROM: DATE: SUBJECT: MEMORANDUM Laurie Anderson Brenda Holt PYA"t" 07/29/2011 Jack in the Box EL11 -0627 Please draw a check in the amount of $92.40 (ninety -two dollars and forty cents) to be payable to Holmes Electric Company at PO Box 339 in Kent Washington 98035. The applicant has requested the cancellation of this permit as well as a refund. The Building Official has approved an 80% refund of the permit fee only (account number 000.322.101.00.00). Please forward the check to me and I will forward it on to the applicant. Thank you! E00/Z00d 07/22/11 pop /si{1Om3Tjgnd City Of Tukwila Permit Desk -01, 006Z6EZESZ -WOE 6Z :60 II,-ZZ -LO Ui\I3033 ELECTRIC Holmes Electric would like to cancel and request a refund for permit ELI 1- 0627. Scope of work was to extend power for new signs. Once I site it was discovered that required circuits were already in place and no work was performed by Holmes Electric, Refund can be mailed to Holmes Electric 600 Washington AVE S Kent, WA 98032. For questions you can contact Briget Caudill at 253 - 234 -2842. Thank you, it/0 Briget Caudill Service Project Manager £0/Z0 39Vd gi Je214a/10( egC0 43)&ef #e/ e,/fee4( • ePrnfrot RECEIVED JUL 22 2011 PERMIT CENTER P.O. Box 338 • Kent, Washington 98035 • (253) 479 -4000 • (253) 234 -2900 S3W1OH 006Zb£Z£5Z LZ:TZ ttOZ /TZ /L0 Contractors or Tradespeople Peer Friendly Page 1 Electrical Contractor A business licensed by LEI 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 HOLMES ELECTRIC CO 2534794000 Po Box 338 Kent WA 98035 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 177003752 Active HOLMEEC549BH Electrical Contractor 1/8/1946 10/31/2012 General Unused Master Electrician INFORMATION License HILLME *973KR Name HILLMAN, ED Status Active Business Owner Information Name Role Effective Date Expiration Date HOLMES, JERAY A Agent 01/01/1980 Bond Amount HOLMES, MICHAEL J President 01/01/1980 52BSBFB9243 RICHARDS, MICHAEL W Secretary 01/01/1980 RICHARDS, EUGENE M 12/09/2008 01/01/1980 10/15/2010 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 3 HARTFORD FIRE INS 52BSBFB9243 12/08/2008 Until Cancelled $4,000.00 12/09/2008 2 AM CASUALTY 9239830 12/08/1984 Until Cancelled 02/09/2009 $4,000.0009/14/2008 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 EREEB00495 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 07/14/2011