HomeMy WebLinkAboutPermit EL11-0854 - WESTFIELD SOUTHCENTER MALL - JAMBA JUICEJAMBA JUICE
566 SOUTHCENTER MALI.
EXPIRED
04-24-12
EL1 1 -0854
City oilkrukwila
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.: 9202470010
Address: S66 SOUTHCENTER MALL TUKW
Project Name: JAMBA JUICE
ELECTRICAL PERMIT
Permit Number: EL11 -0854
Issue Date: 09/14/2011
Permit Expires On: 03/12/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: DAVE BUMGARNER
Address: 2600 1 AV S , SEATTLE WA
Contractor:
Name: WESTERN NEON
Address: 2700 FIRST AVE S ,
Contractor License No: WESTERNI0990E
Phone: 206 682 -7738
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL (1) EXISTING SIGN IN NEW LOCATION ABOVE ENTRANCE OF NEW TENANT SPACE.
Value of Electrical:
NRES: $250.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$63.00
2008
Date: 011I LILI
I hereby certify that I have read and +xami ed this •ermit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with,Ilwhether specified herein or not.
The grantm permit-do`` of p to give authority to violate or cancel the provisions of any other state or local laws regulating
cons ction • performance o work. I am authorized to sign and obtain this electrical permit. 4
Signature: Date: VI /
Print Name: l \sbt . 1 (1\0\r6
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 -0854 Printed: 09 -14 -2011
PERMIT CONDITIONS •
Permit No. EL11 -0854
* *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 -0854 Printed: 09 -14 -2011
.t
CITY OF TU
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.00v
•
Electrical Permit No. fL 1. ^ Mfg"
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
St/ (f King Co Assessor's Tax No.: 42/0)-1-11 ' W kL)
Site Address: (Southcenter Mali) Suite Number: 1110 Floor:
Tenant Name: Jamba Juice New Tenant:
❑ Yes 0..No
Property Owners Name: Lt)E57—`1► 1) Stl0 G{anJ'-r L
Mailing Address: STOCo SOzI?�k–gi1/431re.L. Seagi
City
WA 'IS?' 857
State Zip
CONTACT PERSON – Who do we contact when your permit is ready to be issued
Name: Dave Bumgamer
Mailing Address: 2600 1st Ave S
E -Mail Address: design @westemenon.com
Day Telephone: (206) 682 -7738
Seattle WA 98134
City State
Fax Number: (206) 682 -8159
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Wester Neon
Mailing Address: 2600 1st Ave S
Contact Person: Dave Bumgamer
E -Mail Address: design @westemenon.com
Contractor Registration Number: WESTENI0990E
Seattle
City
Day Telephone:
Fax Number:
WA
stale
(206) 682 -7738
(206) 682 -8159
98134
Zip
Expiration Date: 09/05/2013
Valuation of Project (contractor's bid price): $ .2S0
Scope of Work (please provide detailed information): Install one (1) existing sign in new location,
above entrance to new tenant space
Will service be altered? ❑ Yes ` . No Adding more than 50 amps? ❑ Yes 114 No
Type of Use:
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:wpplicatiomWFonns- Applications On Line 2010 Applications 7 -2010 - Electrical Permit Application.doe
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Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
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:
Print Name: '0`1 v 1el ? t/»�►�6 r`►)
Mailing Address: a 01' ,4U — S.
IDate Application Accepted:
Day Telephone:
544 -Pft
City
Date:
.02060
73
Zip
(1
Date Application Expires:
Staff Initials:
H:wpplieatioa lFonm-Applicatiom On Line12010 Appricatiom\7 -2010 - Electrical Permit Applicatioadoc
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Page 2 of 2
• •
«7' City of Tukwila
J r
1908
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.: 9202470010 Permit Number: EL11 -0854
Address: 566 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 09/14/2011
Applicant: JAMBA JUICE Issue Date:
Receipt No.: R11 -02013
Payment Amount: $63.00
Initials: JEM Payment Date: 09/14/2011 08:41 AM
User ID: 1165 Balance: $0.00
Payee: WETERN NEON INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1909 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
don: Receipt -06 Printed: 09 -14 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(i4-o57 PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: Jr L
41A 1A `1' f (. I , C
Type of Inspection: 2.100
v
Address: 5(4 ri
Date Called:
Special Instructions:
cni Al
Date Wanted:.my
1 ,12
I
p.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
T� &t4 IRf 0..nttl b,%C- OJvecr 44..p
AnL61tp et_ c0N+oGoQ
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
0
Cizy of f 7'i1%Cw1la
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DAVE BUMGARNER
2600 1 AV S
SEATTLE WA 98134
RE: Permit No. EL11 -0854
JAMBA JUICE
566 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 04/24/2012.
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 04/24/2012, 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,
-IA --1-
Bill Rambo
Permit Technician
File: Permit File No. EL 11-0854
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Priir 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 WESTERN NEON INC UBI No. 601041722
Phone 2066827738 Status Active
Address 2700 First Ave S License No. WESTENI0990E
Suite /Apt. License Type Electrical Contractor
City Seattle Effective Date 9/5/1991
State WA Expiration Date 9/5/2013
Zip 98134 Suspend Date
County King Specialty 1 Sign
Business Type Corporation Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License BLAZEJP099CB
Name BLAZEK, JAY P
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BLAZEK, SABIEN
Violation Amount
01/01/1980
11/3/2008
BLAZEK, DEAN A
ELECTRICAL CITATION
01/01/1980
$1,000.00
BLAZEK, POLLY A
1/14/2011
01/01/1980
ELECTRICAL CITATION
BLAZEK, JAY
Agent
01/01/1980
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
1
CBIC
631421
08/30/1991
Until Cancelled
54,000.00
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
ECHAE00327
11/3/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EHOGG00273
1/14/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 09/14/2011