HomeMy WebLinkAboutPermit EL09-0293 - ANDOVER PLACEANDOVE
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LACE
760 AND ER P
EL09O293
W
Parcel No.: 2623049124
Address:
Suite No:
Cityi lif 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
760 ANDOVER PK W TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0293
05/06/2009
11/02/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
ANDOVER PLACE
760 ANDOVER PK W , TUKWILA WA
:ELTZ PROPERTIES WASHINGTON C/O METZLER REALTY AD
700 FIFTH AVE 6175 , SEATTLE WA
STEVE ZAMBERLIN
1255 WESTLAKE AVE N , SEATTLE WA
Contractor:
Name: NATIONAL SIGN CORPORATION
Address: :1255 WESTLAKE AVE N , SEATTLE
Contractor License No: NATIOSC031M3
Phone:
Phone: 206 - 282 -0700
Phone: 206 282 -0700
Expiration Date: 07/23/2009
DESCRIPTION OF WORK:
INSTALL ONE MONUMENT SIGN. CONNECTION TO SIGN CIRCUIT BY OTHERS
Value of Electrical:
Type of Fire Protection:
NRES: $250.00 Fees Collected: $60.00
RES: $0.00
UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: J
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 Fomplied with, whether specified herein or not.
The granting of this permi
construction or the perfor
Signature:
Print Name:
not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
of work. I am authorized to sign and obtain this electrical permit.
STo✓E zeileC.rimp✓
Date:
5--6-al
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 -0293 Printed: 05 -06 -2009
Parcel No.: 2623049124
Address:
Suite No:
Tenant:
•
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
760 ANDOVER PK W TUKW
ANDOVER PLACE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0293
ISSUED
05/06/2009
05/06/2009
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: Arty change in the :;cope 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 n.t presume to give authority to violate or cancel the provision of any other work or local
laws regulating constructio or t ; performance of work.
Signature:
Print Name:
-741,1401,ud
Date: S� 1'O 1
doc: Cond -Elec
EL09 -0293 Printed: 05 -06 -2009
CITY OF TUKWILP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. LJO f- Ogiq3
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: 7B 0
Tenant Name:
Property Owners Name:
Mailing Address:
Pqtt.K uu
/11pov &t. PLM
C LTZ P&p ot-rie v✓ i4-6t/
7.0 Finis-{ 4vE. 61 ii
King Co Assessor's Tax No.:
Suite Number:
2623a1$2L
Floor:
New Tenant:
❑ Ycs ❑ .. No
5E trial ?4104
City
Slatc Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
51' V: -21040.11,11J
It11 , nl
S )eve 2�ngiflik) r l5 n cor ", (.n►
Mailing Address:
E -Mail Address:
Day Telephone( 212'D Y00
stettr f eiof
City $talc
Fax Number: 2t 115•30 91
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Mrt Ode , $I tJ CO/Zi .
Mailing Address: iti6)t11/K( IiJ.
Contact Person:
5rtii 24vigg4wP"
E -Mail Address: j VeLCVP144j,4A1%3i1p►/yr .tsen
Contractor Registration Number: il41Io $ co) 1I 101 )
carld
city
Day Telephone:
Fax Number:
Expiration Date:
vit Ilia9
1$laic
206 zn -0100
tie 225%30g'
7-2,41
Zip
Valuation of Project (contractor's bid price): $ G /� f0 W
Scope of Work (please provide detailed information): point owe Miolvti'►1 '1' Sl(1t
C fkid cr / -to sic./ cwt »Vtl gy
Will service be altered?
Type of Use:
ork:
New
❑ Low Voltage
Property Served bye:
JPuget Sound Energy
❑ Seattle City Light
❑ Yes
❑ No Adding more than 50 amps? ❑ Yes ❑ No
❑ Addition
❑ Generator
❑ Service Change
❑ Fire Alarm
II: Applicanons.ronns- Applir ions 1)n Line' 1.2009 - rl cttical Pcn» n Apphcation.doc
hh
❑ 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, fiirnace 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. fiirnace 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.
1 HEREBY CERTIFY HAT HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR BY j1 E LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER TR CAL CONTRACTOR:
Signature: .,, Date:
Print Name: f &oC _ 4 lJ �� Day Telephone: 0206) 2,411/-0700 '
Mailing Address: �✓�Jl 4 )14./ (mg SE I,1
1
H'.Apphcauons Fonns- Applications On Line 1 2005 - Electrical Pent Apphcanon.doc
hh
City
Stale Zip
Date Application Accepted: Date Application Expires: Staff Initials: 1
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
Parcel No.: 2623049124
Address: 760 ANDOVER PK W TUKW
Suite No:
Applicant: ANDOVER PLACE
RECEIPT
Permit Number: EL09 -0293
Status: PENDING
Applied Date: 05/06/2009
Issue Date:
Receipt No.: R09 -00685
Initials: WEB:
User ID: 1655
Payment Amount: $60.00
Payment Date: 05/06/2009 11:09 AM
Balance: $0.00
Payee: NATIONAL SIGN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11007 60.00
Authorizat.on No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 60.00
Total: $60.00
Y:. ENT
ECERfED
doc: Receiot -06 Printed: 05 -06 -2009
INSPECTION RECORD £w7- !l����
�,'Q�
Retain a copy with permit
INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd. #100, Tukwila, WA 98188 (206)431 -3670
Project:
w
L-
Type of Inspection: 2 Too
Address� `OD - - t
(�
Date Called:
Special Instructions:
Date Wanted:
Q?
CI;
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
'Date: 0-7/02-/07
I
El $60.00 REINS'ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
2
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(WI' OZ13
PE MILT NO.
(206)431 -36
Project:D.V
cA pi -
Type of Inspection:
Date Called:
vI� ���
Address: 7
Special Ins
Date Wanted:
.m.
00 QA p.m.
f
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval. 7
COMMENTS:
- aDICIWArT
it -1E4
Inspector:
Date: Ai
0x07
El $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
Cw7-n213
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION e
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: owir--k pike_f
Type of Inspection:
2/00[7-0-0,3
Date Called: _1
Address:760 IWnDV
'J
r
Special Instructions:
Y. I :3 o
Date Wanted:
01010S— .r
P.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date: I lD
aS
❑ $60.00 REINSPECTION FEE RE�IUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
• 0
Page 1 of 2
Electrical Contractor
A business licensed by L&.1 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. 578048524
Status ACTIVE
License No. NATIOSC031M3
License Type ELECTRICAL
CONTRACTOR
Effective Date 7/23/1997
Expiration
Date
Suspend Date
Specialty 1 SIGN
Specialty 2 UNUSED
7/23/2009
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
NATIOSC535PZSIGN
NATIONAL
CORP
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
10/9/19472/28/1999
ARCHIVED
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
https: / /fortress.wa.gov /lni/bbip/Detai 1.aspx
05/06/2009