HomeMy WebLinkAboutPermit EL12-0907 - ACME BOWLACME BOWL
100 ANDOVER PK W
EL1 2-0907
City oilk ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.Tukwila WA .gov
Parcel No.: 0223000020
Address: 100 ANDOVER PK W TUKW
Project Name: ACME BOWL
ELECTRICAL PERMIT
Permit Number: EL12 -0907
Issue Date: 09/26/2012
Permit Expires On: 03/25/2013
Owner:
Name: OPEN FRAME LLC
Address: PO BOX 654 , KIRIU,AND WA 98083
Contact Person:
Name: STEVE ZAMBERLIN
Address: 1255 WESTLAKE AVE N , SEATTLE WA, 98109
Contractor:
Name: NATIONAL SIGN CORPORATION
Address: 1255 WESTLAKE AVE N , SEATTLE 98109 -3531
Contractor License No: NATIOSC031M3
Phone: (206)282 -0700
Phone: 206 282 -0700
Expiration Date: 07/23/2013
DESCRIPTION OF WORK:
INSTALL 3 QTY. INTERIOR NEON SIGNS
Value of Electrical:
NRES: $750.00
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:
$84.00
2008
���C/✓� �� Date: 619/=2 / /4 2_
I hereby 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 co lied with, whether specified herein or not.
The granting of this pe t d s t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perf of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: 7- Z‘--/2_
Print Name:
21✓gFnt
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 -0907 Printed: 09 -26 -2012
•
PERMIT CONDITIONS
Permit No. EL 12 -0907
* *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
EL12 -0907 Printed: 09 -26 -2012
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
74 AO
b -fa -0410
dq /;(o /1
03/,2-(4/ /l 3
(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
Site Address: 110 meopittt 1044( V ti/
4.CA( gg i
Tenant Name:
King Co Assessor's Tax No.: 0 ZZ 3000020
Suite Number: 1 v0 Floor:
New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name:
Name:
Qf j ofir at
Address:
Address:
s/4
erni.
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
5r-try-
of I r -4 tit /
Address:
^/f ei
s/4
erni.
City:
State:
Zip:
Phone:
Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Morawit $t v' (f •
Address: 17/3 (di 44. i/,
City: same, State: �A�� Zip: Mpg
Phone: ,2c6.,7IZ. D fo 0 Fax: 4-2i7' 30 ?!
Contr Reg No. 0(0310 )/►n3 Exp Date: 7,Z ,� Jl 3
T'I
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 750
0
Scope of Work (please provide detailed information):
firff 3 st1y. 1,64,14 Wird 510/5.
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes f 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: ApplicationsWorms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8.9.11.docx
Revised: August 2011
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Page 1 of 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 $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
$68.25
$59.85
❑ Meter /mast repair
❑ Low voltage systems
(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.
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR L ' TR AL CONTRACTOR:
g ! Date:
1? -Z -IL
Signature: d/%��,��
Print Name: ✓ 1 � C- Day Telephone: Z4I •2 - 0100
Mailing Address: 1153- [ M• 14
H: \Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 1 .docx
Revised: August 2011
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Stiil, Gap- 41101
State Zip
City
Page 2 of 2
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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
Parcel No.: 0223000020
Address: 100 ANDOVER PK W TUKW
Suite No:
Applicant: ACME BOWL
RECEIPT
Permit Number: EL12 -0907
Status: PENDING
Applied Date: 09/26/2012
Issue Date:
Receipt No.: R12 -02708 Payment Amount: $84.00
Initials: LAW Payment Date: 09/26/2012 02:17 PM
User ID: 1632 Balance: $0.00
Payee: NATIONAL SIGN CORPORATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15085 84.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 84.00
Total: $84.00
doc: Receiot -06 Printed: 09 -26 -2012
INSPECTION RECORD
:'Retain a copy with permit
INSPECTIO.N;NO.- PERMIT NO. 1
fiA2-0V1
CITY OF TUKWILA BUILDING DIVISION .
6300 =SouthcenterBlvd:,. #100, Tukwila. WA 98188 _T (206) 431 -3670
Permit'Inspection`Request Line (206) 431 -2451
Project:= C, /�
Type of Inspection: .2_140
Address: .. ` ''
Date Called:
Special:.lnstructions:
I
lGitl /
Date Wanted:.
/0 l 4O
a.m.
Requester:
3E
Phone No:
l'd w c?
`Approved•per applicable codes. Corrections required prior to approval.
COMMENTS:
1,ikitiTto4S ha-t
Date: 0//6/2....._
ri REINSPECTION'FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD / � of 07
Retain a copy with permit �(
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 14. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: /�"
-- /f& 1e■kr -A0R ii.ka J cep frv'
Type of Inspection:
t3• (-4.h t 6 I 4 &1 ,, A0 c To L J
i
N
i 6 v ci(iC _s U ix
Address: /ex)
_ /
Date Called:
Special Instructions:
Date Wanted:.
! �f
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes.
•)
Corrections required prior to approval. lO
COMMENTS:
-- /f& 1e■kr -A0R ii.ka J cep frv'
c(-J1 II&L K- R-00r
t3• (-4.h t 6 I 4 &1 ,, A0 c To L J
i
N
i 6 v ci(iC _s U ix
Inspector: MIot /_, _
Date:
r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be '
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
NATIONAL SIGN CORPORATION
2062820700
1255 Westlake Ave N
Seattle
WA
981093531
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
578048524
Active
NATIOSC031M3
Electrical Contractor
7/23/1997
7/23/2013
Sign
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
NATIOSC535PZ
NATIONAL SIGN
CORP
Electrical
Contractor
General
Unused
10/9/1947
2/28/1999
Archived
Electrical Administrator INFORMATION
License ZAMBET'974K0
Name ZAMBERLIN, TIMOTHY
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ZAMBERLIN, TIMOTHY
Agent
01/01/1980
9/2/2010
ZAMBERLIN, COLLEEN
Member
07/01/2011
$250.00
ZAMBERLIN, TIMOTHY D
President
01/01/1980
ELECTRICAL CITATION
ZAMBERLIN, TAKAKO
Secretary
07/01/2011
ZAMBERLIN, TAKAKO
Treasurer
07/01/2011
ZAMBERLIN, STEPHEN G
Vice President
01/01/1980
ZAMBERLIN, GEORGE S
Member
01/01/1980
07/01/2011
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
CBIC
628632
08/10/1990
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ESEA000368
9/2/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00615
10/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
09/26/2012