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HomeMy WebLinkAboutPermit EL09-0293 - ANDOVER PLACEANDOVE !II 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