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HomeMy WebLinkAboutPermit EL11-0688 - JACK IN THE BOXJACK IN THE BOX 13050 INTERURBAN AV S EL1 1 -0688 City o*ukwila 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.: 0003000106 Address: 13050 INTERURBAN AV S TUKW Project Name: JACK IN THE BOX ELECTRICAL PERMIT Permit Number: EL11 -0688 Issue Date: 07/27/2011 Permit Expires On: 01/23/2012 Owner: Name: JACK IN THE BOX Address: C/0 EPROPERTY TAX DEPT 401 , PO BOX 4900 Contact Person: Name: BRIGET CAUDILL 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 SIGN CIRCUIT TO NEW SIGN Value of Electrical: NRES: $700.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $84.00 2008 Date: 1 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 o permit does no • resume to give authority to violate or cancel the provisions of any other state o local laws regulating construction • performan e • w•rk. I am ho ' d to sign and obtain this electrical permit. Signature: i1/�?/'` � � Date: � °774 Print Name: ( /0)j/a___ 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 -0688 Printed: 07 -27 -2011 • PERMIT CONDITIONS • Permit No. EL 11 -0688 * *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 ELI 1-0688 Printed: 07 -27 -2011 CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. 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 Address: 3(.5 /ATC I? AU Tenant Name: ,...ARL,k 14 : 71,1c Py Property Owners Name: C. 1 A _5 `TNt tx) Mailing Address: ial5L. hyro O.mio flt;l S King Co Assessor's Tax No.: 000 Soo — 6101 Suite Number: Floor: New Tenant: ❑ Yes ff..No City Cn1 State eigea Zip Name: \(- Mailing Address: P 0 . adi'rt; 3.3 E -Mail Address: cv.i- - .0pi.NLL U ) kILLtaw, Company Name: J- ti,,`s't eS / C- Day Telephone: x753 73j/ c2'5/? pi!r/t. /r-- j/c.:'5 Cr GC s .5 -- City State Zip Fax Number: ,1 53 t- 3L/ S Mailing Address: !- • G' ZC 1C 33 , ? Contact Person:1,; (LVItT LAl: E -Mail Address iLA.C.r (Th ('_la LAM L) 4p( Contractor Registration Number: #06M E EC 57` 5,6/./ eov 7— City State Zip Day Telephone: 07,3 a3Y v2 b-44. Fax Number: 5:3 Expiration Date: /0 ".31 "" 02010 Valuation of Project (contractor's bid price): $ 100 Scope of Work (please provide detailed information): a / Z2 )D a I Sr7.v2/? 616:4) dt 171%4iI r T 4)C 7A) 5,(7k% Will service be altered? ❑ Yes ceNo Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \I -2009 - Electrical Permit Application.doc bh 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) MULTI- ..+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. 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: Signature: [A/yid/Agway' Print Name: 317.-zze % Mailing Address:1CU It i1O)J) A\lt: 3 Date: *,11// Day Telephone: ,5r 37,25(//„2, Y)EArr- w ie©32- City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:1Applications \Forms- Applications On Line U-2009 - Electrical Pemmit Application.doc bh 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 RECEIPT Parcel No.: 0003000106 Permit Number: EL11 -0688 Address: 13050 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 07/27/2011 Applicant: JACK IN THE BOX Issue Date: Receipt No.: R11 -01585 Payment Amount: $84.00 Initials: WER Payment Date: 07/27/2011 10:58 AM User ID: 1655 Balance: $0.00 Payee: BRIGET CAUDILL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 217275 ACCOUNT ITEM LIST: Description 84.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 07 -27 -2011 z INSPECTION NO. INSPECTION RECORD Retain a copy with permit tut odd PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 it (206) 431 -36 Permit Inspect Request Line (206) 431 -2451 Project: 14 Type of Inspection: 0 t Address: /3v5S0 1 LA3 Date Called: Special Instructions: Si /_ i . 61 R i AJf 1 r Date Wanted:. 'j� a.m. Requester: Phone No: Approved per applicable codes. 1 Corrections required prior to approval. COMMENTS: Ch fpi 0 t Of: 1Date:0 31 I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: �'" 3 Y: T”, - , - . • - ..,,.. ,.7r INSPE TION NO. INSPECTION RECORD Retain a copy with permit e14-d Sty PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: -N Aeft X.4/ 7H"r 4e Type of Inspection: 02/00 Address: %30..) I,..rrmatidA..✓ Date Called: �� Special Instructions: ' , Date Wanted: e' / —// m. .471.m. Requester: r Nu 11.4 Phone No: /,�/ _..,%e.r,nrcleo..a ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: • OoS1 Et2 L .0 141311.1V-00 6 / l A,a /v )t, �� r Nu 11.4 /,�/ _..,%e.r,nrcleo..a ?erlt 9/ I..... )1 / '4 Pick I '! I e i.rla'7 Anal WI A7t11,V1,0All 77-A-- i 's /k' al Y APer"AimG -.7747-.r, ri✓ /1 C:7 Iel9UJV T..+1 �% (/.` /I]3rs<9" flOrt /r.A..41C iii al? e e, 17-.-- 4 . ''. yI Att,l%1 D.r A. ! `' /7pt „/7. (2/,.t°ti 4611 S�,s! %4%,PAIsic C ? deetwo' (./ 44.NAto "`r .r '' //Y3c ,' i "t,N:3 me ~A-2j Inspector: /l y \APLH 0'7� Date: D ri REINSPICFION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. . Contractors or Tradespeople D l 0 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > Printer friendly 1 Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About Electrical Contractor Page 1 of 2 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 HOLMES ELECTRIC CO Phone No. (253) 479 -4000 Address Po Box 338 Sulte /Apt. City Kent State WA Zip 98035 County King Business Type Corporation Parent Company UBI No. 177003752 Status Active License No. HOLMEEC549BH License Type 4.4 Electrical Contractor Effective Date 1/8/1946 Expiration Date 10/31/2012 Suspend Date Specialty 1 General Specialty 2 1, Unused Master Electrician INFORMATION License HILLME'973KR Name HILLMAN, ED Status Active e Business Owner Information ® Hide All Name Role Effective Date Expiration Date HOLMES, JERAY A HOLMES, MICHAEL J RICHARDS, MICHAEL W RICHARDS, EUGENE M CI Bond Information Agent 01/01/1980 President 01/01/1980 Secretary 01/01/1980 01/01/1980 https://fortress.wa.gov/lni/bbip/Result.aspx 10/15/2010 07/27/2011