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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