HomeMy WebLinkAboutPermit EL10-0570 - K & G FASHION SUPERSTOREK & G FASHION SUPERSTORE
17501 SOUTHCENTER PY
EL1 0-0570
Parcel No.:
Address:
Suite No:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
2623049067
17501 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0570
Issue Date: 07/19/2010
Permit Expires On: 01/15/2011
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
K & G FASHION SUPERSTORE
17501 SOUTHCENTER PY , TUKWILA WA
CLPF- TUKWILA LP
C/O JSH PROPERTIES INC , 10655 NE 4TH ST #300
STEVE ZAMBERLIN
1255 WASTLAKE AV N , SEATTLE WA
NATIONAL SIGN CORPORATION
1255 WESTLAKE AVE N , SEATTLE
Contractor License No: NATIOSC031M3
Phone:
Phone: 206 282 -0700
Phone: 206 282 -0700
Expiration Date: 07/23/2011
DESCRIPTION OF WORK:
REINSTALL EXISTING ILLUMINATED WALL SIGN
Value of Electrical:
Type of Fire Protection:
NRES: $250.00
RES: $0.00
SPRINKLERS /AFA
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
Date:
tiltlh4i0
I hereby certify that I have read and = a ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be co,pplie5i with whether specified herein or not.
The granting of this per
construction or the perf
Signature:
Print Name:
t pres me to give authority to violate or cancel the provisions of any other state or local laws regulating
f work. I am authorized to sign and obtain this electrical permit.
Date: -7-1.7.-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
EL10 -0570
Printed: 07 -19 -2010
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.: 2623049067
Address:
Suite No:
Tenant:
17501 SOUTHCENTER PY TUKW
K & G FASHION SUPERSTORE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0570
ISSUED
07/19/2010
07/19/2010
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 of p esume to give authority to violate or cancel the provision of any other work or local
laws regulating constructipn or/ie rformance of work.
Signature:
Print Name:
5-fiv( Z- dhoti
Date: 7411,0
doc: Cond -Elec
EL10 -0570 Printed: 07 -19 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
t(,l a— oti
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 **
GI —011A_
SITE LOCATION
Site Address:
Tenant Name:
75-0 I S'01 f elt rkw .
y d- 6 f3l1 rN S stu/Cf
King Co Assessor's Tax No.:
Suite Number:
New Tenant: ❑ Yes No
Floor:
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON – Who do we contact when your permit is ready to be issued
Name:
s.rev mwititAL n►
Mailing Address: (2f L 16 /44
E -Mail Address: fkVL 144'1o4r1ft /4G/. (O' 4
Day Telephone:C%06) VS 4100
sew 6.4 91107
City State 7
Fax Number: ( ).o6) 211401 I
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Wove, 5iCt.J cli,t 2 1 peg
Mailing Address: (2J Vo1�C le . . .5 eett �'r W19— ({/ 10/
' / . / City Statc Zip
Contact Person: S'V� avvioen L/I/" Day Telephone:
E -Mail Address: Fax Number:
,,.��
Contractor Registration Number: i. //V 3 (0 3 AM, Expiration Date: 7-2341
It—
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information):
,etc- 11)14.1L ;w
5110/0 it. L coo 1w91 j 1,1,44/t $1.4
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\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90.
(no added/altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNERI0RA1LEQTRICAL CONTRACTOR:
Signature:
Print Name:
Day Telephone:
Date: Z/ ` r 4 9
(iff) n o4OD
Mailing Address: r,�10'4L SI6/" (iU114�'
IDate Application Accepted: (71 I I I I'
City
State Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line \2010 Applications \7-2010 - Electrical Permit Application.doc
bh
Page 2 of 2
•
,�.Th City of Tukwila
J �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.: 2623049067 Permit Number: EL10 -0570
Address: 17501 SOUTHCENTER PY TURIN Status: PENDING
Suite No: Applied Date: 07/19/2010
Applicant: K & G FASHION SUPERSTORE Issue Date:
Receipt No.: R10 -01340
Payment Amount: $63.00
Initials: JEM Payment Date: 07/19/2010 12:12 PM
User ID: 1165 Balance: $0.00
Payee: NATIONAL SIGN CORPORATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12499 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
PAY MENT
RECEIVED
doc: Receiot -06 Printed: 07 -19 -2010
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
610 -) 570
CITY OF TUKWILA BUILDING DIVISION Iz
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project: 6.{11
rivSt ki on)
Address:
115_01
Special Instructions:
ct4 A/
Type of Inspection:
Date Called:
(206)431 -367
;too
Date Wanted:
7/2i
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
,h7 ocid,Jef,,
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 074./
Receipt No.:
Date:
,.. t.s.- ...7.:�sam -`' r..,.xz'^x:�w "" :,?:�tvdh.rsis ;_ r air= ;i. *:1 -- a'�"n - 'c&_M..` -r...- ? .°-_i..5'z.t�.e�.a
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
EtAO-D.
570
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION •-F-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431. -3670
Project: i/ J
r-vs L\
(AS ai
1n 6 AC S `To S ►c, A) eati vn%t
Type of Inspection:
ATJ (a)'P��J�' So I�
Address: � o �
sl
C
S..
� �•
Date Called:
Special Instructions:
Date Wanted:
a.m.
Vzo p.m.
Requester:
Phone No:
"'Approved per applicable codes.
giCorrections required prior to approval.
COMMENTS:
1n 6 AC S `To S ►c, A) eati vn%t
k. tIJSP6_,r(On1 6F ijuLwJ� Hmoi>5
ATJ (a)'P��J�' So I�
- time
\RM rr oni v 5
Inspector: /% i
eCk
Date :2 r 7 0 •
1-1$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:
- l.�.h,..rr- �,_.,i r-^'.1 - �.�: +.s_,...Y`�G"�- �.-- 1.Naar ;A.t- ,- n•� -.-i. _
Contractors or Tradespeople Prie Friendly Page
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.
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
Specialty 1
Specialty 2
578048524
Active
NATIOSC031M3
Electrical Contractor
7/23/1997
7/23/2011
Sign
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
NATIOSC535PZ
NATIONAL SIGN
CORP
Electrical
Contractor
General
Unused
10/9/1947
2/28/1999
Archived
ADMINISTRATOR INFORMATION
License ZAMBET'974K0
Name ZAMBERLIN, TIMOTHY
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ZAMBERLIN, TIMOTHY D
Violation Amount
01/01/1980
3/7/2006
ZAMBERLIN, STEPHEN G
ELECTRICAL CITATION
01/01/1980
$250.00
ZAMBERLIN, GEORGE S
01/01/1980
ZAMBERLIN, TIMOTHY
Agent
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
CBIC
628632
08/10/1990
Until Cancelled
$4,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EJONM00226
3/7/2006
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 07/19/2010