HomeMy WebLinkAboutPermit EL09-0176 - SOUTHCENTER BOULEVARD BUILDINGSOUTHCENTER BL
BUILDING
6450 SOUTHCENTER BL
ELO9-0 176
CitAbf 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.iukwila.wa.us
Parcel No.: 0003200011
Address: 6450 SOUTHCENTER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0176
Issue Date: 03/10/2009
Permit Expires On: 09/06/2009
Tenant:
Name: SOUTHCENTER BLVD BUILDING
Address: 6450 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: ROYAL COACHMAN ASSOCIATES LLC Phone:
Address: 415 BAKER BLVD #200 , TUKWILA WA
Contact Person:
Name: STEVE ZAMBERLIN Phone: 206 - 282 -0700
Address: 1255 WESTLAKE AVE N , SEATTLE WA
Contractor:
Name: NATIONAL SIGN CORPORATION Phone: 206 282 -0700
Address: 1255 WESTLAKE AVE N , SEATTLE
Contractor License No: NATIOSC031M3 Expiration Date: 07/23/2009
DESCRIPTION OF WORK:
INSTALL ONE NEW MONUMANET SIGN DISPLAY, CONNECTION TO 20 AMP SIGN CIRCUIT BY
OTHERS
Value of Electrical: NRES: $250.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$60.00
National Electrical Code Edition: 2005
Date: 3—. —o 9
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 complied yvith, whether specified herein or not.
The granting of this permit do no resume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performs e o orly I am authorized to sign and obtain this electrical permit.
Signature:
Date: 3',D d%
Print Name: E ✓[� Zip% /iLl^1
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 -4/07
EL09 -0176 Printed: 03 -10 -2009
•
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
PERMIT CONDITIONS
Parcel No.: 0003200011
Address:
Suite No:
Tenant:
6450 SOUTHCENTER BL TUKW
SOUTHCENTER BLVD BUILDING
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0176
ISSUED
03/10/2009
03/10/2009
1: ** *ELECTRICAL * **
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 construct' n or he performance of work.
Signature:
Print Name:
S-rever 70416-ALIA/
Date: 3-10 -'0 q
doc: Cond -Elec
EL09 -0176 Printed: 03 -10 -2009
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
ELM-- ate
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
Site Address:
6.
4,10 SoIIfNcw(t eap,
Tenant Name: ‘t1 P) sotegtt "fbt j 4 0C4I t b'I(
Property Owners Name: "Me Ai00651 SAM
Mailing Address: L15 1i4 5411( zee
King Co Assessor's Tax No.: 00 0 3ZO —00 I / BD
Suite Number: Floor:
New Tenant: ❑ Yes
-fai(WI
City
off
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
SrE ✓C deg ,sd
Mailing Address: 1 z5 Id Jr2 E &
›levezaithiiimvisligoi.
E -Mail Address:
Day Telephone: C_,/ 74-2--, 700
5E4Yetr 149 91/F7
City (2:f1.4.(:, State, Zip
Fax Number: Z at e 38f/
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
/14-014441. 5/6W Cot,
/ Z5 l//sruS( qfrE,
5-fgYF zArtieetbis
54tve ' ntf+i4rISi ')Cfree2 tam
Contractor Registration Number: iNJ-(I D5CO3I013
5Wiu ' 9ghl
City State Zip
Day Telephone: zi`) Z0 2 A 7UD
Fax Number: 21) 7/5 3D 9/
Expiration Date:
Valuation of Project (contractor's bid price): $ ice
Scope of Work (please provide detailed information): (007140 I$' SIgr✓ rnriffHr1 "7' S16/" P1i0IAY
C1,11401/ 71 Zd Mil slv/ Cif& (4 /1 �y d7Hbf -
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ 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
Cl Seattle City Light
R\Applications\Forms- Applications On Lne \I -2009 - Electrical Permit Application.doc
bh
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)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ 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 1 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNEI R " 1 ' CAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: Pal WY / '
51Ldff 7416Kosi
D te: 3I dU/
Day Telephone: �� 277,07,011
stet( - qvo�
State Zip
City
IDate Application Accepted: Date Application Expires:
Staff Initials:
H:\Applicanons \Forms - Applications On Line \1.2009 - Etectncal Permit Application.doc
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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0003200011 Permit Number: EL09 -0176
Address: 6450 SOUTHCENTER BL TUKW Status: PENDING
Suite No: Applied Date: 03/10/2009
Applicant: SOUTHCENTER BLVD BUILDING Issue Date:
Receipt No.: R09 -00389 Payment Amount: $60.00
Initials: WER Payment Date: 03/10/2009 02:46 PM
User ID: 1655 Balance: $0.00
Payee: NATIONAL SIGN CORPORATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10796 60.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 60.00
Total: $60.00
doc: Receiot -06 Printed: 03 -10 -2009
INSPECTION RECORD
Retain a copy with permit
6,01-017(p
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
PLOj- 0. Ytf�
Type of Inspection: 70 3
w
2400
Address'
Date Called:
Special Instructions:
Date Wanted:
/
o3/ 17
{ {{
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
�I
r/WAt.
Inspector:
Date: ` /al
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by Led 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
NATI OSC031 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
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
Bond Information
I
I
I
I 1
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= NATIOSC031 M3
I
I
03/10/2009