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HomeMy WebLinkAboutPermit EL11-0850 - WESTFIELD SOUTHCENTER MALL - JAMBA JUICEJAMBA JUICE 680 SOUTHCENTER MALI. EL1 1 -0850 Parcel No.: Address: City oPfukwila 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 9202470010 680 SOUTHCENTER MALL TUKW Project Name: JAMBA JUICE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0850 09/13/2011 03/11/2012 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA CHRIS BOYDSTON Phone: 206 818 -9141 18405 AURORA AV N #H -41 , SHORELINE WA SHORELINE ELECTRIC INC Phone: 425 771 -4834 18405 AURORA AV N STE H -41 , SEATTLE WA Contractor License No: SHOREEI953ME Expiration Date: 07/07/2013 DESCRIPTION OF WORK: MOVE PANELS AND BRANH CIRCUITS FOR NEW STORE Value of Electrical: NRES: $24,000.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: National Electrical Code Edition: Date: $505.30 2008 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pr e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. y / Signature: Date: I L 13/ 11 Print Name: 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 EL1 1-0850 Printed: 09 -13 -2011 • 4110 PERMIT CONDITIONS Permit No. EL 11 -0850 * *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 E L 11 -0850 Printed: 09 -13 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http. //www. TukwilaWA. oov Electrical Permit No. eu vb 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 f - 11 King Co Assessor's Tax No.: Q111/0 2-`'" '\ V 00 Site Address: G 60 o�� n`` C, �� t f \\ Suite Number: \ �� © Floor: 1 ct:n Tenant Name: J o--!"1 h� V LA 1c C_ New Tenant: Z Yes ❑ ..No Property Owners Name: Q1(0 S ,z (-. \(c,Can ( lc_. \ 0-11lD t'- 4L..3 ;l„, k-Jt., 18 18S Zip Mailing Address: City State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: izsc � C f i (5 3 Day Telephon 2 °� Mailing Address: `� -(O S A' f o C c, A u e a# ��' �� s rc�l, �c l,✓ a 133 L City State Zip E -Mail Address: 5 �`°rt t�-c �" (C�c r t �Ca�"1CttJ ax Number: 6"1-2-11.1 at ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: �t.�r, o rc` Q tic 1..J L 51,10 rc (,'.� 1..1 � el 8 t 3 3 City State Z' Contact Person: C��'r� 5 o t S b>-� Day Telephon LZ'OQ V -11`1( 25 771- U-)t. / #t/1 --) t, 4) c-J / 1 J E -Mail Address: J �� {t- 1 t c 1— (e [� r t C • . t�{- Fax Number: l� / 1� — 4 `7 7 / Contractor Registration Number: J •� -6,( P� 11,5,3 y* �= Expiration Date: 1 / 1.3 Valuation of Project (contractor's bid price): $ 2 `( ) O Scope of Work (please provide detailed information): I o C- ' e 1 S Cl C_ < { +( ) at, t c� Will service be altered? %I Yes ❑ No Adding more than 50 amps? ❑ Yes Ai No Type of Use: (9) 4, r a - Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy Seattle City Light H.\Applications\Forms- Applications On Line Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 0 • wq� City of Tukwila �y2 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.Qov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0850 Address: 680 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/13/2011 Applicant: JAMBA JUICE Issue Date: Receipt No.: R11 -02000 Payment Amount: $505.30 Initials: JEM Payment Date: 09/13/2011 11:56 AM User ID: 1165 Balance: $0.00 Payee: CHRISTOPHER BOYDSTON, SHORELINE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 322328 ACCOUNT ITEM LIST: Description 505.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 505.30 Total: $505.30 doc: Receiot -06 Printed: 09 -13 -2011 INSPECTION RECORD ail_ Retain a copy with permit OECD INSPECTION N0. RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #' Permit Inspection Request Line (206) 431-2451 Project: J eZ Type of Inspection: z/eto Address: 6A Date Called: Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. O Corrections required prior to approval. COMMENTS: eatei.eC470A/5 !toe 0 rid( Inspector: r1 Date: I) ` n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6 INSPECTION NO. OL. INSPECTION RECORD d Retain a copy with permit U ' O. P it NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: j'tifrsifk / » J� Type of Inspection: .7tDv 1 �/ Address: ■ y� s (RP . �'T W Date Called: POS ) Special Instructions: • Date Wanted:. �O a.pr! p.m. Requester: _l. ,> _ 910416 IA MA PAS( C9iiaoa25 eptiel, et . till it I' A (' 15r u.,.- Phone No: DApproved per applicable codes. Corrections required prior to approval. • COMMENTS _, ft tiviov5 eoAt t. ,oiJ i. ✓ tarAtei& Date: a/ POS ) CKt• BIY,I(, 30k 6'14e/4 46171W . M* D,scoA,ca` Rfwl A40466 e 130"101,441 sUStt rwe. At(avitte9 rak tfutir Lo4D : s PDC _l. ,> _ 910416 IA MA PAS( C9iiaoa25 eptiel, et . till it I' A (' 15r u.,.- fir,* �c 5tn WO v f &CPp Inspector: ✓ tarAtei& Date: a/ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OFTUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: ef �N,Ji a Type of Inspection 3 .01 Address: 'Q w, A g � ' mo I'i��v Date Called: 4. - 6117C.451-Aff Special Instructions: Date Wanted:. / l/ Z7 a ma p.m Requester: I i4irr fR 5 (CbFJbA &i (t. ( rooff -WPM Pti TAoki.- ,sa Phone No: • ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 0 4. - 6117C.451-Aff -. stiff' /SsPPokr Ok0 u4) X44 icra; F f (f piG - e Jc,t 4.4mtxJ,J Kust5 ID /TA A. D� 4 - f (E F(p I 5 Q.0 VCLSI. f a1.k%1 rl & IDA 8JS41*jl,S -1 11704 Co 4cfr 'ri te.S At41 I i4irr fR 5 (CbFJbA &i (t. ( rooff -WPM Pti TAoki.- ,sa • CPtfMr( i4sra ...- or cap, W-1 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. oar. • INSPECTION RECORD (11 ' ep5o Retain a copy with permit INSPECTION NO. ERMIT NO. (206) 431 -36 CITY OF TUKWILA BUILDING DIVI SION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: JV Type of Inspection: • Address: Ago � Date Called: Special Instructions: • • • Date Wanted:. am. Requester: Phone No: aApproved per applicable codes. [Corrections required prior to approval. COMMENTS: 'Inspector: IDate: /0 26 ri REINSPECTION FEE REQUIRE'. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ti • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3 • Permit Inspectiin Request Line (206) 431 -2451 �L tololco Snot Type of Inspection: 700z Address: 61.0 divot, Special Instructions: • Date Called: Date Wanted:. /040 a.n m. Requester: Phone No: I Approved per applicable codes. • COMMENTS: aCorrections required prior to approval. le reatio pap, xrdiiv �rlirJq, 6o',JDinl/) 0110.140145/ C Date: / 1 Inspector: REINSPECTION FEE REQUIRE . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPkCTION NO- PERMIT NO. CITY OF` TUKWILA BUILDING DIVISION 6300 Southcenter.Blvd., #100, Tukwila. WA 98188 ten. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Eu I-0150 Project: .0"- f tf Type of Inspection: .700.5 Address: ' q i%i1to Date Called: Special Instructions: ��t, Date Wanted:. /O / J/ a.m. Requester: Phone No: Approved per applicable codes. DCorrections required prior to approval. COMMENTS: -ro codel sokiNiet Inspector: Date: /o/f 1 lit REINSPECTION.FEE REQUIRE. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. - . ' - ....._ -.,__ • • ▪ .; • • "--INSPECTI0WN0: "' INSPECTION RECORD Retain a copy with permit ERMIT NO. • • - ClTY•O °.TUKWILA BUILDING DIVISION 6300 Southcenter BJwd., #100, Tukwila. WA 98188 Ix (206) 431 -3 Perrriit;InspectiorRgquest Line (206) 431 -2451 Project: . " % Type of Inspection: t shi tt- i/ ,G ' 1 5dePDKi . 1 A Addiess: - • . O l _• u, Date Called: ti.friv kJ i'2." of (3 `t4, *r/ P & .... Special Instructions: w • PkW c Rom e G. c ALIAI IA) Date Wanted:. +' %, /V' /�0 (a.m. p. if. Requester: Phone No: Approved per ,applicable codes. Corrections required prior to approval. COMMENTS: • fn .)/ JAV, ' wi'T 50Pokr t shi tt- i/ ,G ' 1 5dePDKi . 1 A 3 .. P.,AAATI ,Acs( D i hr CQAJ&u'?g `' ( 1 t tGier ,afif.,`r _/K uot5 kkor ASP &a11_0 ti.friv kJ i'2." of (3 `t4, *r/ P & .... Rom e G. c ALIAI IA) .oyaniDcAlei, -,anima �Il .9 Inspector: • Date: 1V' b I i REIN$PECTION ,FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD -o Retain a copy with permit 6,17s-o INSPECTION NO. RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 It, (206) 431 -36 Permit. Inspection Request Line (206) 431 -2451 Project: f i e tl Type of Inspection: Do Address: // ,�6r�� ,, SW lGr�� ' Date Called: Special Instructions: CAA/41/ ti G G • Date Wanted:. ZO a p r Requester: Phone No: - • • D Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: pc of i oIS( (Aka.' 04elf\at-PrAry-N461,5 eo-t1V-16 'DM() 304 ni W115014(1 wbtioL/ Inspector: Jll Date: 07 ob REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD ti Retain a copy with permit LA 41456 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project:�.J (r Type of Inspection: 773 Address: Date Called: Special Instructions: Date Wanted:. n , 7 T7 ..- a Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: eitNictoo Inspector: Date: 0? ? 1/ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri-ter Friendly Page • Electrical Contractor A business licensed by LW 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 SHORELINE ELECTRIC INC 4257714834 18405 Aurora Ave N Ste H•41 Seattle WA 98133 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602516455 Active SHOREEI953ME Electrical Contractor 7/5/2005 7/7/2013 General Unused Electrical Administrator INFORMATION License BOYDSC'951L7 Name BOYDSTON, CHRIS Status Active Business Owner Information Name Role Effective Date Expiration Date BOYDSTON, CHRISTOPHER J Agent 07/05/2005 Bond Amount BOYDSTON, CHRISTOPHER J President 07/05/2005 100087274 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 American Contractors Indem CO 100087274 06/04/2009 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.00 06/04/2009 2 PLATTE RIVER INS CO 41074748 06/29/2006 Until Cancelled 05/04/2009 54,000.0007/11/2006 1 ACCREDITED SURETY Et CAS CO 10040425 06/29/2005 Until Cancelled 11/17/2006 54,000.0007/05/2005 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 EROMA00205 7/7/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EROMA00252 11/3/2006 19.28.271 RCW ELECTRICAL CITATION Satisfied 5250.00 EJONV00288 2/9/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 09/13/2011