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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 bh 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 bh 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