HomeMy WebLinkAboutPermit EL11-0828 - JIMMY JOHN'SJIMMY JOHN'S
16864 SOUThCENTER PY
EL1 1 -0828
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web si te: http: / /www.Tukwila WA .gov
Parcel No.: 2623049129
Address: 16864 SOUTHCENTER PY TUKW
Project Name: JIMMY JOHN'S
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0828
09/01/2011
02/28/2012
Owner:
Name: PARKWAY SQUARE
Address: C/O ROSEN PROPERTIES , PO BOX 5003
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
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:
INSTALL (2) LOW VOLTAGE THERMOSTATS & ASSOCIATED LOW VOLTAGE WIRING.
Value of Electrical:
NRES: $900.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$92.40
2008
Date: 6W°1 / If
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 ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
work. I am authorized to sign and obtain this electrical permit.
construction or th
Signature:
Print Name:
e.o . ce
itvr16h/i2 /v
Date: L ,
///
This permit shall become null and void if the work is not corhiCienced 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 -0828 Printed: 09 -01 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0828
* *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 -0828 Printed: 09 -01 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
1i F A�
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
Site Address:
Tenant Name:
Ib%by SmihertAtu PkgaLt
Property Owners Name.
Mailing Address:
State
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: Yes ❑..No
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: .,`5 /
E -Mail Address:
Day Telephone: t .7 "
,toe 1 /
City State
)+ Fax Number:
i 7
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 60Y-re-Vie/ rc. Inc..
Mailing Address:
Contact Person .,,,..V)j 01101'\
E -Mail Address: \.„S/ r) /1C-4-1
Contractor Registration Number: 67
� 1 a l (e 1 L''-
City
Day Telephone:
Fax Number: cp53 8'7& 57r7
Expiration Date:
Valuation of Project (contractor's bid price): $ CVIU
Scope of Work (please provide detailed information): l�1' � \�'LT1c�l.a� Lb
G O tr s 14)u) VOAIr iii , at r tb∎Db
Will service be altered? ❑ Yes NeNo Adding more than 50 amps? ❑ Yes 171a"No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Crow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Neruget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line \42007 - Electrical Permit Application.doc
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Page 1 of 2
1
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)
• PERMIT APPLICATION NOTI
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 $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:
f,,
Print Name: fit" 1ck. f'} oLh1(n}1.,a rn
Mailing Address: 5\ 0 L a) St kiV,(J
Day Telephone:
cLunkvn
City
Date:
Q� 31(lll 5
c &D
State Zip
Date Application Accepted: . Y/) , /
Date Application Expires:
D3 /01 //L
Staff Initials: 46 j
H:1Applcetions'Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
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Page 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.: 2623049129 Permit Number: EL11 -0828
Address: 16864 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/01/2011
Applicant: JIMMY JOHN'S Issue Date:
Receipt No.: R11 -01923
Payment Amount: $92.40
Initials: LAW Payment Date: 09/01/2011 12:52 PM
User ID: 1632 Balance: $0.00
Payee: EMERALD AIRE INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1466 92.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 92.40
Total: $92.40
doc: Receipt -06 Printed: 09 -01 -2011
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspec fon Request Line (206) 431 -2451
Project: 4 Jot r_
5
Type of Inspection:
Zia)
,
Address:
it ...5 . c. . pi
Date Called:
Special Instructions:
'T-Sr kr
Date Wanted: .
/0!
m.
. p.m
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
OMMENTS:
Inspector:
1Date: 10/1 i 1 }
REINSPECTION FEE REQUIRED.. rior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
4' ' .Retain a copy with permit
INS'E910N NO.•
PERMIT NO.
'. •CITY O�F`TUKWILA BUILDING DIVISION
6300 Soutkcenter.$''vd., #100, Tukwila. WA 98188 if. (206) 431 -3670
It. • • Permit •Inspection. Request Line (206) 431 -2451
•
Project:. ,
T. v4514"1 S
Type of Inspection:
7063
Address:
Date Called:
Special Instructions: • •
.. • .
1 cl-
Date Wanted:.
/o /i 0
a.
P.m.
Requester:
Phone No:
•
•
•
•
Approved per applicable codes.
Corrections required prior to approval. e
COMMENTS:.
OX. - 11.44; Cod
Lc? w 01 CscohfkE4E
Inspector:•
(Date: /0,0/i
r REINSPECTION'FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
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
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
EMERAAI0120T
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
$4,000.0004/22/2011
$250.00
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