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Home My WebLink AboutPermit EL12-0491 - JACK IN THE BOXJACK IN THE BOX 16400 WEST VALLEY HY EXPIRED 12 -29 -12 EL1 2-0491 City oPi'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2523049043 Address: 16400 WEST VALLEY HY TUKW Project Name: JACK IN THE BOX ELECTRICAL PERMIT Permit Number: EL12 -0491 Issue Date: 05/25/2012 Permit Expires On: 11/21/2012 Owner: Name: JACK IN THE BOX INC Address: 9330 BALBOA AVE , SAN DIEGO CA Contact Person: Name: DAVID HOLMES Address: 12940 NE 131 ST , IURKLAND WA Contractor: Name: EAGLE SYSTEMS & SECURITY INC Address: 12940 NE 131 ST , KIRLAND WA Contractor License No: EAGLESS985R4 Phone: 206 353 -9400 Phone: 425 814 -2991 Expiration Date: 12/24/2012 DESCRIPTION OF WORK: INSTALLING NEW FIRE ALARM TO REPLACE OUTDATED EXISTING Value of Electrical: NRES: $4,000.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit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 The granting of s per t construction or Signature: Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. rity to violate or cancel the provisions of any other state or local laws regulating o sign and obtain this electrical permit. Print Name: Date: 5`p2�7 l pz 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 EL12 -0491 Printed: 05 -25 -2012 • * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL 12 -0491 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 EL12 -0491 Printed: 05 -25 -2012 CITY OF TUKWIdli Community Developme M epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 Address: CO t2 , OA LL & Tenant Name: c■%A-C //1/ qup.:K PROPERTY OWNEI Name: 4 / 7 Address: City: State: Zip: CONTAC�TTPERSONy person recenvnng all;prolect, `" t,;4 w.«rtat vl .' 4{ > -i:� r ,,? Tq i, c C, 4 communication , : ...,4 , Name: I � ,qotb j1 e4,'i- ' Address: /g ( / y z 2 / 5T5-� City: G lik• 4. t - ® # / Phone: rgo6- s3S'3 -irk : ik/5 - ga, -8,5 a 7 Email: 5 ck`ie is�/rip )4 a/ ., Co/14. King Co Assessor's Tax No.: 24-2 '✓01:-t U Suite Number: Floor: New Tenant: ❑ Yes fZCNo .ELECTRICA CONTRACTORiINFORMATION Company Name: P �l 6.L, cS_ c/eMS s. Sez[P tl Address: 5 / qqo N€ /3-- ciry st0) 4 - � Phone:xo�S r�/�`oz9/ Fax q.5 ' "aye s y % ContrR ?ti., ` 53_ 9eS02y E L Z Tukwila Business License No.; �.:.,.'ws.,.nna, r Valuation of Project (contractor's bid price): $ /)/ S /1A-G`_ �A/JPlk o "1 1� 400 Scope of Work (please provide detailed information): J11 Ste - a Nezi9 : /,APP 4414 -AM x15-77ittc3- )77 i ! -4&=' 0�7a �i 2 Will service be altered? ❑ Yes 10 Adding more than 50 amps? ❑ Yes No Type of Use: 1 /RP AL Att AA-- Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line{2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 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 OW ER 0 ' ELECTR CAL C Signature: y� Print Name: .L TOR: Mailing Address: / y me 73 /c H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Date: S Day Telephone: City State Ztp Page 2 of 2 � r 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.uov Parcel No.: 2523049043 Address: 16400 WEST VALLEY HY TUKW Suite No: Applicant: JACK IN THE BOX RECEIPT Permit Number: EL12 -0491 Status: APPROVED Applied Date: 05/25/2012 Issue Date: Receipt No.: R12 -01696 Payment Amount: $157.50 Initials: JEM Payment Date: 05/25/2012 11:18 AM User ID: 1165 Balance: $0.00 Payee: DAVID R HOLMES, EAGLE SYSTEMS & SEC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. B57563 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 05 -25 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO • PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 ;Southcenter Blvd., #100, Tukwila. WA 98188 +4, (206) 431 -3 - Permit Inspection. Request Line (206) 431 -2451 Project:', / - i'r iti!'Il4f 15/01 Type of Inspection: 2..-J to Address : / // o L). k/ / Date Called: Special Instr ctlons: • .. Date Wanted: . 7' °z m P•m. Requester: q Phone No: ElApproved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 11 -01 -2012 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DAVID HOLMES 12940 NE 131 ST KIRKLAND WA 98034 RE: Permit No. EL12 -0491 JACK IN THE BOX 16400 WEST VALLEY HY 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 12/29/2012. 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 12/29/2012, 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, Bill Rambo Permit Technician File: Permit File No. ELI2 -0491 6300 SouthcenterBoulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206-431 -3665 Contractors or Tradespeople inter Friendly Page • Electrical Contractor A business licensed by LEtI 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 EAGLE SYSTEMS Et SECURITY INC 4258142991 12940 Ne 131St St Kirkland WA 98034 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602189313 Active EAGLESS985R4 Electrical Contractor 12/24/2002 12/24/2012 Limited Energy Hvac /Rfrg Ltd Energy Electrical Administrator INFORMATION License HOLMEDR088LF Name HOLMES, DAVID R Status Active Business Owner Information Name Role Effective Date Expiration Date VORTMAN, MARLIN L Agent 03/06/2002 Bond Amount HOLMES, DAVID President 12/27/2002 98BFS1783 HOLMES, GAYLEEN Vice President 12/27/2002 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 4 Ctoate Farm Fire & Cas 98BFS1783 03/14/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 03/31/2011 3 WESTERN SURETY CO 16057892 12/18/2009 Until Cancelled 02/03/2011 EHOUD00295 $4,000.0012/16/2009 19.28.101 RCW 2 TRAVELERS CAS & SURETY CO 104113178 08/20/2003 Until Cancelled 12/18/2009 ELECTRICAL CITATION $4,000.0012/09/2003 $250.00 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 EMUTR00195 11/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EHOUD00301 7/11/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOUD00298 7/11/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOUD00295 7/11/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOUD00289 7/9/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/25/2012