HomeMy WebLinkAboutPermit EL11-0827 - WESTFIELD SOUTHCENTER MALL - JIMMY JOHN'SJIMMY JOHNS
728 SOUTHCENTER MALI.
EL1 1 -0827
Parcel No.:
Address:
City ofkukwila
1
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
728 SOUTHCENTER MALL TUKW
Project Name: JIMMY JOHN'S
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0827
09/01/2011
02/28/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
SHANNON BUCKINGHAM Phone: (253)872 -5665
5108 D ST NW , AUBURN WA
EMERALD AIRE INC Phone: 253 - 872 -5665
5108 D ST NW , AUBURN WA
Contractor License No: EMERAAI991KG
Expiration Date: 05/07/2013
DESCRIPTION OF WORK:
RELOCATE EXISTING SENSOR
Value of Electrical: NRES: $800.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by:
Permit Center Authorized Signature:
Fees Collected: $88.20
National Electrical Code Edition: 2008
Date: 0947k/
k/
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 this permi does not p u - - fi ve authority to violate or cancel the provisions of any other state or local la regulating
construction or the perfo ance of ork. I am authorized to sign and obtain this electrical permit.
Signature.
Print Name:
0/14/A
Date:
/ir
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
EL 11 -0827
Printed: 09 -01 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0827
* *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 -0827 Printed: 09 -01 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtuk-wilawaus
Electrical Permit No.
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 Address: _ CIA.k ' Ct L(
Tenant Name: IYV ' �
Property Owners Name: T o-r nn
IL Y.(J
Mailing Address: Z.-c/30
King Co Assessor's Tax Nio.:
Suite Number: )14 Floor:
New Tenant: ilje Yes ❑ ..No
City
vim'
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ti..
Mailing Address: -5/ 0
E -Mail Address: at )' }i' " }rt"it "� K /dd(/fir
Day Telephone: /`r5` ';7)
City State Zip
Fax Number: F9.5''.1'..7',7e-45. 7
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G I'Th /'R /d flirt Inc.
Mailing Address: ,.' / 4)13 , i'l AIL.!.
Contact Person lJ 01100 ,
E -Mail Address: ,.....31—an /`1 CA()
if gen: t /P t (.tA/1
Contractor Registration Number: 6-1116F j
, L `.)/ ,7
City
Day Telephone:
Fax Number:
State
2kR &
Expiration Date:_ Sri
Zip
.\
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): eUcXY --u A6
Will service be altered? ❑ Yes o Adding more than 50 amps? ❑ Yes �No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Lkfow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
u et Sound Energy
❑ Seattle City Light
H:\Applications\Fotms- Applications On Line \4 -2007 - Electrical Pemut Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions 510.00 ea
RNIIT, =A
,ICAT,ION NO
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: C I^
Print Name- a
Mailing Address: 5\
'?-x ‘r\ *t m
N
I Date Application Accepted: 7 OW/
/
Day Telephone:
auuvn
City
Date: t
Qcj S i&5to6a
Vv� J
c c,
State Zip
Date Application Expires:
Staff Initials: 41 cti
H:1ApplicationslForms- Applications Oo Line\4 -2007 • Electrical Permit Applicanon.doc
bh
Page 2 of 2
1
0
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.: Permit Number: EL11 -0827
Address: 728 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 09/01/2011
Applicant: JIMMY JOHN'S Issue Date:
Receipt No.: R11 -01922 Payment Amount: $88.20
Initials: LAW Payment Date: 09/01/2011 12:47 PM
User ID: 1632 Balance: $0.00
Payee: EMERALD AIRE INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1466 88.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 88.20
Total: $88.20
doc: Receiot -06 Printed: 09 -01 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p_. (206) 431 -36
' Permit Inspection Request Line (206) 431 -2451
Project: ../.-- . .�` ��
Type of Inspection:
C
Address: ��� .t1 Alito/
Date Called:
Special Instructions:
Date Wanted:.
'm.
Requester: .
Phone No:
•
Approved per applicable codes. a Corrections required prior to approval. f`
COMMENTS:
Inspector:
Date: 7-9
01 G! 11-
ri REINSPECTION FEE REQUIRED Prior to next inspectio , fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
Gity of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SHANNON BUCKINGHAM
5108 D ST NW
AUBURN WA 98001
RE: Permit No. EL11 -0827
JIMMY JOHN'S
728 SOUTHCENTER MALL 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 02/28/2012.
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 02/28/2012, 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,
-1,,J-Jul 'R,J1--
Bill Rambo
Permit Technician
File: Permit File No. EL1 1-0827
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Poer 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
EMERALD AIRE INC
2538725665
5108 D St Nw
Auburn
WA
98001
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600591552
Active
EMERAAI991 KG
Electrical Contractor
5/7/2001
5/7/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
EMERAA10120T
EMERALD AIRE
INC
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
9/30/1999
9/30/2001
Archived
Electrical Administrator INFORMATION
License LEIPHMK913LS
Name LEIPHART, MICHAEL K
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DENT, CHARLES
Agent
05/07/2001
Bond Amount
HAPPE, DOUGLAS, A
President
05/07/2001
1959050
RIDGE, JOHN P
Vice President
05/07/2001
ELECTRICAL CITATION
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
2
HANOVER INSURANCE
COMPANY
1959050
05/02/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
04/22/2011
1
INS CO OF THE WEST
1839774
05/02/2001
Until Cancelled
05/02/2011
EOXFJ00208
$4,000.00
05/07/2001
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
EVERT00059
8/11/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EOXFJ00207
2/6/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EGUDA00372
12/14/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00208
2/6/2006
19.28.061(5)(d) RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 09/01/2011