HomeMy WebLinkAboutPermit EL11-0859 - JIMMY JOHN'SJIMMY JOHN'S
16864 SOUTHCENTER PY
EL1 1 -0859
City oftukwila
•
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.: 2623049129
Address: 16864 SOUTHCENTER PY TUKW
Project Name: JIMMY JOHN'S
ELECTRICAL PERMIT
Permit Number: EL11 -0859
Issue Date: 09/15/2011
Permit Expires On: 03/13/2012
Owner:
Name: PARKWAY SQUARE L L C
Address: PO BOX 5003 , BELLEVUE WA
Contact Person:
Name: TRACIE SKILES
Address: 7400 HARDESON RD , EVERETT WA
Contractor:
Name: BERRY NEON COMPANY INC
Address: 7400 HARDESON RD , EVERETT WA
Contractor License No: BERRYNC085L3
Phone: 425 776 -8835
Phone: 425 776 -8335
Expiration Date: 06/23/2012
DESCRIPTION OF WORK:
INSTALL ONE WALL SIGN
Value of Electrical:
NRES: $100.00
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:
Date:
$63.00
2008
I hereby certify that I have read and {xan4 ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with whether specified herein or not.
The granting of this permit does not pre3'tx ne to give authority to violate or cancel the provisions of any other state or local laws regulating
construction o erformance of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: 9// r/
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
EL 11 -0859 Printed: 09 -15 -2011
• 1
PERMIT CONDITIONS
Permit No. EL 11 -0859
* *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
EL 11 -0859 Printed: 09 -15 -2011
CITY OF TUKWIL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:il www. ci. tukwila. wa. us
Electrical Permit No. Lk 1
Project No.
(Forofce 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
King Co Assessor's Tax No.:
I frAbiki szilAv.e_E,‘,61.,tpit_at-ocej
Site Address: Suite Number: Floor:
Tenant Name: t )i M rvv,1 J Dh 11-- -3._.— New Tenant: f Yes ❑ ..No
JProperty Owners Name: lV vi. rv.c.S d - -
Mailing Address: 1 /AWL/ 1. 1'1- `E041i1 Pl (J J vi i ti/
City State
?7c
Zip
CONTACT PERSON - Who do we col
your permit is ready to be issued
Name:l 't1L ('L St—e L Day Telephone: ei^ 77(P s
Mailing Address:/if bb 1.�( 04 T" . 24— 0- 3 t (3. 1 l g-Z 3
E -Mail Address: n t` oet.. . ,10/ r y �s FN umber: l' 2 C7 Se g22_ Zip
E]
CTRICAL CONTRACTOR INFORMATION
Company Name: E
Mailing Address: 1- (t� P
Contact Person: ' L-1-A-- t) 11 f
E -Mail Address: i'Valiaelal i fr.
Contractor Registration Number:
p.LDv1.Sl (9)1S'- 4 k
W/-1 L4 I 1C2g
City / e °--State Zip
Day Telephone: /`"6 G 7 /
Fax Number: VJ Z 7 7Z/ i2z/
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): L) `L1 .0 i./l' P S1
Will service be altered? ❑ Yes I No Adding more than 50 amps? ❑ Yes
Type of Use: \
T ee of work:
No
New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Pro er /Served by:
Puget Sound Energy
Seattle City Light
H: Applications \Proms- Applications On Line \2010 Applications V7 -2010 - Electrical Permit Application.doc
bb
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 0
Signa
r
Print Name: 1 1 / t /e kj Day Telephone: V [ CfeE1--...
City State Zip
ER OR ELECTRICAL CONTRACTOR:
Date:
Mailing Address: / / v
Date Application Accepted:
6°I'l51 t1
Date Application Expires:
Staff Initials:
hCA Applications AForms- Applications On Line \2010 Applications \7 - 2010 - Electrical Permit Application.dec
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 -0859
Address: 16864 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/15/2011
Applicant: JIMMY JOHN'S Issue Date:
Receipt No.: R11 -02025
Payment Amount: $63.00
Initials: JEM Payment Date: 09/15/2011 12:49 PM
User ID: 1165 Balance: $0.00
Payee: BERRY NEON SIGN SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6601 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
doc: Receipt -06 Printed: 09 -15 -2011
INSPECTION RECORD
Retain a copy with permit t2 1'o07
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ot. (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project:
,.101 +"115
Address: /4% ^ .
Special Instruction a► M.
Type of Inspection:
Ov
Date Called:
Date Wanted:
D
p.m.
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
•
Inspector: !� Q (Date: /o , Z
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prior Friendly Page
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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
BERRY NEON COMPANY INC
4257768835
7400 Hardeson Rd
Everett
WA
98203
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601363588
Active
BERRYNC085L3
Electrical Contractor
6/23/1992
6/23/2012
Sign
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BERRYNC085B3
BERRY NEON
CO
Electrical
Contractor
Sign
Unused
1/23/1992
1/23/1994
Archived
Electrical Administrator INFORMATION
License TORNOSR207RU
Name TORNOW, STEPHEN R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JACOBS, RONALD
01/01/1980
JACOBS, BELINDA
01/01/1980
TORNOW, STEPHEN
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
4
COLONIAL AM CAS &
SURETY OF MD
LPM4052314
06/23/2000
Until Cancelled
$4,000.00
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
https: // fortress .wa.gov /lni/bbip/Print.aspx 09/15/2011