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Home My WebLink AboutPermit EL09-0166 - WESTFIELD SOUTHCENTER MALL - CHAMPSCHAMPS 1030 SOUTHCENTER MALI. ELO9-0 166 Parcel No.: 6364200010 Address: Suite No: Contractor: Name: NATIONAL SIGN CORPORATION Address: 1255 WESTLAKE AVE N , SEATTLE Contractor License No: NATIOSCO31M3 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit d construction or the perform Signature: Print Name: doc: EL -4/07 CitAf 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.ci.tukwila.wa.us 1030 SOUTHCENTER MALL TUKW Tenant: Name: CHAMPS Address: 1030 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER LLC BSIP Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: STEVE ZAMBERLIN Address: 1255 WESTLAKE AV N , SEATTLE WA DESCRIPTION OF WORK: INSTALL ONE ILLUMINATED STOREFRONT SIGN AND ONE INTERIOR SIGN. CONNECT TO PROVIDED SIGN CIRCUIT(S). Value of Electrical: NRES: $500.00 Fees Collected: RES: $0.00 Type of Fire Protection: SPRINKLERS /FA National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY STEVE Zeiwtd r ) ELECTRICAL PERMIT • Permit Number: EL09 -0166 Issue Date: 03/04/2009 Permit Expires On: 08/31/2009 Phone: Phone: 206 282 -0700 Phone: 206 282 -0700 Expiration Date: 07/23/2009 $72.00 Date: aJ cx11 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. me to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: 3 -() H7 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. EL09 -0166 Printed: 03 -04 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: CHAMPS 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec • 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.ci.tukwila.wa.us 1030 SOUTHCENTER MALL TUKW 5 7-AvhdrriLli PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0166 ISSUED 03/04/2009 03/04/2009 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or he performance of work. Date: 3 — y" o et EL09 -0166 Printed: 03 -04 -2009 Tenant Name: Property Owners Name: Mailing Address: Name: Company Name: Mailing Address: Contact Person: E -Mail Address: • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwilawa.us Will service be altered? ❑ Yes ❑ No Type of Use: Tvpe of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: 4 Puget Sound Energy ❑ Seattle City Light Electrical Permit No. TV 1 Of ¢C1 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 'O2,2 King Co Assessor's Tax No.: U "LV'OO IQ Site Address: • PT - 50°41407 10t M Al/k' nq Suite Number: CH s 5 /M7f VC.fmi -p sir /fclseren 3 iEVV z*tBtrittid Mailing Address: J404 5041 C 1 E -Mail Address: 5 )44 ZZON4e rj4 - (M7 nv4Trora Red Copp. 'far / ?fit , /v✓ ,S,�eazsU•a9 ate- t0.t Contractor Registration Number: /✓/1< 7rno! /M13 li\Applications\Forns- Applications On Lii a \1 -2009 - Electrical Permit Application.doc bh ❑ Service Change El Fire Alarm City City Fax Number: New Tenant: ❑ Yes El ..No State CONTACT PERSON —Who do we contact when your permit is ready to be issued Day Telephone: Cam/ if Z"'S r00 Arntir City Day Telephone: Fax Number: Expiration Date: State ( Ws. o i/ Floor: Zip Zip ELECTRICAL CONTRACTOR INFORMATION frit 94 /i f State Zip IO! 2-v;4 lb x. N5-3091 7-27-$ Valuation of Project (contractor's bid price): $ 500.00 Scope of Work (please provide detailed information): fil5V 0$ cub«raforD 5 Paw' i ts p Air ifteft star SI - CC,.r,✓" f Ts s, ' C /4 »J'r5). Adding more than 50 amps? ❑ Yes El No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) BUILDING OWNER (1 ELECTRICAL CONTRACTOR: Signature: -- Print Name: Mailing Address: I Date Application Accepted: SOW zworri&W ItYS A. N. H: Applications\Forms- Applications On Line \1 -2009 - Electrical Permit Application.doc bh MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. Day Telephone: SeHlte Cit MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) El Carnivals $75.00 Number of concessions $10.00 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. Date: 5 /0 'J @' 2 12 -S f+¢ ?Siva State Zip Staff Initials: Date Application Expires: Page 2 of 2 Project: /'4141^� Type of Inspection: Address: /03 il � � {vv Date Called: Special Instructions: Date Wanted: 030 p. � Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6.01- ((A; PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Vz 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 M Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: 001/01 S t i r i $60.00 REINSCTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Name Role Effective Date Expiration Date ZAMBERLIN, TIMOTHY D 01/01/1980 ZAMBERLIN, STEPHEN G 01/01/1980 ZAMBERLIN, GEORGE S 01/01/1980 ZAMBERLIN, TIMOTHY AGENT 01/01/1980 Untitled Page S Electrical Contractor A business licensed by LW 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 Previous License Next License Associated License Specialty 1 Specialty 2 578048524 ACTIVE NATIOSCO31 M3 ELECTRICAL CONTRACTOR 7/23/1997 7/23/2009 NATIOSC535PZ ZAMBET *974K0 SIGN UNUSED ADMINISTRATOR INFORMATION License ZAMBET *974K0 Name ZAMBERLIN, TIMOTHY Status ACTIVE Business Owner Information Bond Information I I https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License =NATIOSCO31 M3 • Page 1 of 2 03/04/2009