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Home My WebLink AboutPermit EL15-1029 - JACK IN THE BOX - CAN LIGHT AND CIRCUITSJACK IN THE BOX 13050 INTERURBAN AVE S EL15-1029 City of Tukwila • Department of Community Development • 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone:206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 0003000112 Permit Number: EL15-1029 Address: 13050 INTERURBAN AVE S Issue Date: 11/23/2015 Permit Expires On: 5/21/2016 Project Name: JACK IN THE BOX Owner: Name: JACK IN THE BOX Address: PO BOX 4900 C/O EPROPERTY TAX DEPT 401, SCOTTSDALE, WA, 85261 Contact Person: Name: RHONDA MILLER Phone: (720) 259-4667 Address: 810 INDUSTRY DR, TUKWILA, WA, 98188 Contractor: Name: STALEY INC Phone: (501) 565-3006 Address: 3400 JE DAVIS DR, LITTLE ROCK, AR, 72209 License No: STALEI*907CK Expiration Date: 2/10/2016 Lender: Name: Address: DESCRIPTION OF WORK: REMOVE FLAURESCENT LIGHT/ADD CAN LIGHT. DEDICATED CIRCUITS TO COKE FREESTYLE @ LOBBY AND DRIVE THRU. POWER TO ICE MAKER/CONDENSER IF NOT EXISTING WITH DISCONNECT Valuation of single family: $0.00 Fees Collected: $147.21 Valuation of mf/comm: $2,500.00 Type of Work: REMODEL Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: a Da I hearby 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 permit does not presume 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 development permit and agree to the conditions attached to this permit. Signature: U, / Print Name: 1+ 1 i k-, t L Date: 2 1 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT CONDITIONS' 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Electrical Permit No. (/ Project No. Date Application Accepted: Date Application Expires: use 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 I a King Co Assessor's Tax No.: Site Address: 305 14 1 E L (,AAi_. 4 AV < t- `�. Suite Number: Floor: Tenant Name:_ r. New Tenant: ❑ .....Yes [ 5 .No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — peman mcciviug all project eommumca Lion Name: P— R 1 e , Address: City: T(_ V Lj L_A State: L�� Zip Phone:. ZL) • ZS;q.L.ir &-&Fax: SU3 7 _%` '-I5n I Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Address:.? J J E V i J b P_ City: U C t� , )�, State: 11%-) Zip:.-7 2 Z0i Phone: o1 ,5 3(Xj�Fax: Contr Reg No.: �' �� i 907E Date: Tukwila Business License No.; BLU _ IJ 1-161 S t1 417 c� U Valuation of Project (contractor's bid price): $ 2. S 00 L-) Scope of Work (please provide detailed information): kC.rr�t� JL.- !)u�j�_''S(.n(f" r (TSI Li�f:JV�fYc.;L ),pr' -1-C) 1 rp (,6L_Ia - I , /�'tiin/LP Agor t - kC-' ViS'�i r,IC' te) 1 i CIrtvir%0 Will service be altered? ❑ Yes [a' No Adding more than 50 amps? ❑ Yes 0"'No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H \Apphcatums\Fnrms-Apphcanmis On LmeQ014 ApplicannnsOntncal Permu Apphc tmn Remised 1-1-14 docx Revised' January 2014 bh Page I ot'2 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 ................. $8 L90 number of added circuits ....................... $11.55 ea i ❑ 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) PERMIT APPLICATION NOTES - MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ................................. $65.00 ❑ Temporary service (generator)...................................$80.90 ❑ Manufactured/mobile home service ........................... $86.25 (excluding garage or outbuilding) ❑ Carnivals.................................................................... $80.60 Number of concessions ......................... $10.80 ea Each ride and generator truck ............... $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECIINOLOGY FEE*** Value of Construction — to 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: Print Name: IIS n I:\ M.t Lit--� - Date: 1 I P, I 15 Day Telephone: Q W - 2 �61- Lf �06 7 Mailing Address: U i. Atn vt .S 1`?-�J bJ2-t,V G 'i-t j-CJ r t-- /3' ( .!fir 9 61 6 City State Zip H:\Appbcaouns\Forms-.Apphuahuns On UOZ014 ApphcationsTlectr¢al Perrtut Application Remsed 1-1-14 dom Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $147.21 EL15-1029 Address: 13050 INTERURBAN AVE S Apn: 0003000112 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE TOTAL' R6716 R000.322.900.04.00 0.00 $7.01 $147.21 Date Paid: Monday, November 23, 2015 Paid By: STALEY INC Pay Method: CREDIT CARD 016971 Printed: Monday, November 23, 2015 11:37 AM 1 of 1� II _ SYSTEMS INSPECTION RECORD(U,4014 J Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 .t— - IV Project: . /lrL Type of Inspection: Address. 130-0 kwo Date Called: Special Instructions: Date Wanted: a.m. �Ao 7 Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. MENTS: ❑ REINSPECTION PEE 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 NU. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: % Type of Inspection: Address: / iV I i� Date Called: Special Instructions: Date Wanted: �Z a.m. r. m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. u paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD ,/��r� Retain a copy with permit 1 7-91 INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: / ffN Type of Inspection: A/ Address: 6 � � Date Called: Special Instructions: Date Wanted: / a.m. / d� Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: `-I paid at 6300 Southcenter Blvd., Suite 100. Catl. to schedule reinspection.. J `-I paid at 6300 Southcenter Blvd., Suite 100. Catl. to schedule reinspection.. J INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: �/ /� ` /�f-� f `� brL' Type of Inspection: '� AIAL- Address: 13 Date Called: Special Instructions: Date Wanted: / a. A' p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Staley Inc Page 1 of 3 Home Inicio en Espanol Contact Safety Washington State Department of Labor & Industries Staley Inc Owner or tradesperson Principals O'Gary, Gregory, PRESIDENT Morehart, Edmond A, VICE PRESIDENT Staley, Brent E, VICE PRESIDENT Harper, Brenda K, SECRETARY Staley, Royce E JR, CHIEF EXECUTIVE OFFICER CT Corporation System, AGENT Doing business as Staley Inc Search L&I j%=tu' A-'L .Index Help IN-ly Secure LK-1 Claims & Insurance Workplace Rights Trades & Licensing 3400 JE Davis DR LITTLE ROCK, AR72209 501-565-3006 WA UBI No. Business type 602 390 484 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. _............................................................ Meets current requirements. License specialties GENERAL License no. STALEI*907CK Effective — expiration 02/1012010— 02/10/2016 Designated administrator - - Active. FERRELL, GARY G. Meets current requirements. License type License no. Electrical Administrator FERREGG962PO Bond ................ TRAVELERS CAS & SURETY CO $4,000.00 Bond account no. 105357133 Received by L&I Effective date 02/10/2010 02/01/2010 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ESatisfied JORPOS374 ...................... https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602390484&LIC=STALEI*907CK&SAW= 11/23/2015