HomeMy WebLinkAboutPermit EL08-0603 - WESTFIELD SOUTHCENTER MALL - RACHA THAI & ASIAN KITCHENRACHA THAI & ASIAN
KITCHEN
1150 SOUTHCENTER MALL
ELO8-603
CityOf 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
ELECTRICAL PERMIT
Parcel No.: 6364200010
Address: 1150 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL08 -603
Issue Date: 05/16/2008
Permit Expires On: 11/12/2008
Tenant:
Name: RACHA THAI & ASIAN KITCHEN
Address: 1150 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
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 TWO WALL SIGNS. CONNECT TO PROVIDED SIGN CIRCUITS
Value of Electrical: $500.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$70.00
2005
Date: S'-q, -t79
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 co plied with, whether specified herein or not.
The granting of this permit d presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perform ce f ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
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
EL08 -603 Printed: 05-16 -2008
Parcel No.: 6364200010
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
1150 SOUTHCENTER MALL TUKW
RACHA THAI & ASIAN KITCHEN
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -603
ISSUED
05/16/2008
05/16/2008
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 construq ion oX the performance of work.
Signature:
Print Name:
,f #t' datiii /
Date:
doc: Cond -Elec
EL08 -603 Printed: 05 -16 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwci.tukwila.wa.us
Electrical Permit No. Eiz 5- 603
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
King Co Assessor's Tax No.: 0319— 0O\,t
Site Address: II) ° 5 1k Wee- M "1¢"I- Suite Number: Floor:
I
Tenant Name: 4N4 4 { ci'451 w New Tenant: Yes ❑ ..No
g33 Jog1n cb rcr1 _t
Property Owners Name:
Mailing Address:
City
ti` Sigf
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: f-4: ✓r Zytr''id ft /l I/✓
Mailing Address:
105 WOrtAW rn '
Day Telephone: C U2 710
5f ifl' 6/g
n S 987 0
f
E -Mail Address: ��Z r del Fax Number: Ue $ 3oq/ City Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 41/ OA. .-/5I6I /CJIV�i2 /' Qp r
Mailing Address: ILLS)" U 7 C 'I' i' ti crif 7 ','
City State Zip
Contact Person: 5Ci ziknii(r4W s/ Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: /1%41!05 CO 3/#43 Expiration Date: 7'Z3�er
Valuation of Project (contractor's bid price): $l� (%
Scope of Work (please provide detailed information): (' '''l/L Tide 1/4/4j1 .516/10
c v,✓,4C1' 7� p/W1D(p s1-o/ ctrtG(04 /'f
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
❑ Seattle City Light
H \ Applications \Fonns- Applications On Line \4 -2007 - Electncal Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings S140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
E l Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ 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 PERJURR BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER (DR EII CTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
5ro idyll
Date:
5---/6-113
Day Telephone: 2/6) 282 -U IO■D
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
1
H \Apphcations\Forms- Applications On Lme \4 -2007 - Electrical 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.: 6364200010 Permit Number: EL08 -603
Address: 1150 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 05/16/2008
Applicant: RACHA THAI & ASIAN KITCHEN Issue Date:
Receipt No.: R08 -01699
Payment Amount: $70.00
Initials: WER Payment Date: 05/16/2008 03:56 PM
User ID: 1655 Balance: $0.00
Payee: NATIONAL SIGN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 75320 70.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 70.00
Total: $70.00
2589 05/19 9711 TOTAL 7000
doc: Receipt -06 Printed: 05 -16 -2008
INSCECTION RECORD
Retail' a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION f�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro ct:
r A
Type of Ins ecY
Address: , f
Ali
Date Called:
cial Instructions:
Special
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
proved per applicable codes. El Corrections required prior to approval.
OMMENTS:
074 -1/4//9
Inspectopii ` at 7 ' /C
El $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:
//
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
6LOV —(,O3
PERMIT NO.
V
(206)431 -3670
Project:
hi a'44'4-1
Type of Inspection:
11 oo
Address:
Date Called:
1 1
Special Instructions:
5 �4�5
1
Date Wanted:
'
Z3
dlni..11.
Re neser:
q
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
CO MENTS:
Inspector:
,11 &A/lox,
Date: 0 i tzi j0l
$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:
Look Up a Contractor, Electrician or Plumber License Detail
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I 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.
License Information
License
NATIOSC031M3
Licensee Name
NATIONAL SIGN CORPORATION
Licensee Type
ELECTRICAL CONTRACTOR
UBI
578048524
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
1255 WESTLAKE AVE N
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981093531
Phone
2062820700
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
7/23/1997
Expiration Date
7/23/2009
Suspend Date
Separation Date
Parent Company
Previous License
NATIOSC535PZ
Next License
Associated License
ZAMBET *974K0
Electrical 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
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NATIOSC031M3 05/16/2008