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HomeMy WebLinkAboutPermit EL12-0073 - WESTFIELD SOUTHCENTER MALL - VANSVANS 811 SOUTHCENTER MAIL EL1 2-0073 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 811 SOUTHCENTER MALL TUKW Project Name: VANS ELECTRICAL PERMIT Permit Number: EL12 -0073 Issue Date: 01/30/2012 Permit Expires On: 07/28/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: STEVE ZAMBERLIN Address: 1255 WESTLAKE AV N , SEATTLE WA Contractor: Name: NATIONAL SIGN CORPORATION Address: 1255 WESTLAKE AVE N , SEATTLE Contractor License No: NATIOSC031M3 Phone: 206 282 -0700 Phone: 206 282 -0700 Expiration Date: 07/23/2013 DESCRIPTION OF WORK: INSTALL ONE STOREFRONT SIGN DISPLAY REVISION #1 - 02 -23 -12 TO ADD HOOK UP OF BLADE SIGN TO STOREFRONT TO SCOPE OF WORK. Value of Electrical: NRES: $500.00 RES: $0.00 Fees Collected: $75.60 Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: ° J I 1 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 with, whether specified herein or not. The granting of this per 't • e not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf r 1 . e of work. I am authorized to sign and obtain this electrical permit. Signature: Date: 2- 23 -12_ 1 Print Name: -(ti✓L 7.it)1 E /LUi" 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 -4/10 EL12 -0073 Printed: 02 -23 -2012 41IP • PERMIT CONDITIONS Permit No. EL12 -0073 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0073 Printed: 02 -23 -2012 City o!PTwkwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 811 SOUTHCENTER MALL TUKW Project Name: VANS ELECTRICAL PERMIT Permit Number: EL12 -0073 Issue Date: 01/30/2012 Permit Expires On: 07/28/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: STEVE ZAMBERLIN Phone: 206 282 -0700 Address: 1255 WESTLAKE AV N , SEATTLE WA Contractor: Name: NATIONAL SIGN CORPORATION Address: 1255 WESTLAKE AVE N , SEATTLE Contractor License No: NATIOSC031M3 Phone: 206 282 -0700 Expiration Date: 07/23/2013 DESCRIPTION OF WORK: INSTALL ONE STOREFRONT SIGN DISPLAY Value of Electrical: NRES: $250.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this pe construction or the pe Signature: Print Name: xa with, e not p - su e of work. $63.00 2008 49i Date: 04011L ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Date: EW r l4'M 4t,ir/ 1- 3v -12. 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 -4/10 EL12 -0073 Printed: 01 -30 -2012 • PERMIT CONDITIONS • Permit No. EL 12 -0073 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0073 Printed: 01 -30 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Z� Project No. Date Application Accepted: Date Application Expires: (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: Tenant Name: ,5egvetivim evbfit Avs King Co Assessor's Tax No.: I P122-‘41 0'01) Suite Number: 5q9 Floor: New Tenant: ❑ Yes ..No PROPERTY OWNER Name: $.,y( zfoltaid /`J Address: /ZX X61, Wr I i� (�Sttatei Name: 3 IA City: 5e4frr State: L Zip: ti J /0 Address: Email: c+eVeL PO nA irl11f 444Sl «00 v / I Ad City: State: Zip: CONTACT PERSON — person receiving all project communication Name: $.,y( zfoltaid /`J Address: /ZX X61, Wr I i� (�Sttatei Address: I l 15ta li t v ,' City: 5e4frr State: L Zip: ti J /0 Phone: 204761, 0/00 Fax: A- ,< ��01 /i"V Z,1l Email: c+eVeL PO nA irl11f 444Sl «00 v / I Ad ELECTRICAL CONTRACTOR INFORMATION Company Name: storm. 5ici_ / eve /} ''_ /`J Address: /ZX X61, Wr I i� (�Sttatei City: 5���1( ,i Zip: mug Phone: '- 1- 101'or6© Fax: 24o28)019 Contr Reg Nowt/660w, Exp Date: 7_73.7 /3 Tukwila Business License No.:+� ,0yp -� i /37, Valuation of Project (contractor's bid price): $ 75-0 Scope of Work (please provide detailed information): w jr✓St*L i?,i4 �.(d►' f4,Jff .pier/ poPy. Will service be altered? ❑ Yes No Type of Use: Tvne of work: New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: uget Sound Energy ❑ Seattle City Light H:WpplicationsWorms- Applications On Line \2011 Applications'Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 THA : I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY B / HE AWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE' 1 r RICAL CONTRACTOR: Signature: Print Name: Mailing Address: I 1 L Zdl 1 �/lLini tzo H:Upplications\Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Day Telephone: Date: 1 30--12 24- nz -018p S*k•itf'1. -- £4 9689 City State Zip Page 2 of 2 Parcel No.: Address: Suite No: Applicant: VANS • 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.TukwilaWA.gov 9202470010 811 SOUTHCENTER MALL TUKW RECEIPT Permit Number: Status: Applied Date: Issue Date: EL12 -0073 ISSUED 01/30/2012 01/30/2012 Receipt No.: R12 -00776 Initials: WER User ID: 1655 Payee: Payment Amount: Payment Date: Balance: $12.60 02/23/2012 04:28 PM $0.00 NATIONAL SIGN TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 14387 12.60 Account Code ELECTRICAL PERMIT - NONR Current Pmts 000.322.101.00.00 Total: $12.60 12.60 doc: Receiot -06 Printed: 02 -23 -2012 i 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.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0073 Address: 811 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 01/30/2012 Applicant: VANS Issue Date: Receipt No.: R12 -00354 Payment Amount: $63.00 Initials: JEM Payment Date: 01/30/2012 12:05 PM User ID: 1165 Balance: $0.00 Payee: NATIONAL SIGN CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 14298 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 doc: Receiot -06 Printed: 01 -30 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (ta-0075 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 F.' (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 F Project: � 5 Type of Inspection: 00 Address: II Date Called: Special Instructions: Date Wanted:. /24 f/ a.m: Requester: Phone No: • Approved per applicable codes. Corrections required prior to approval. OMMENTS: WA/ 724 r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee`must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh. Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: x U Date Called: Special Instructions: 51CIA Date Wanted:. 3 /2,0 a:m m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: v 5nig (Date: 03124 /f REINSPECTION FEE REQUIR D. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD 6/2- 3 Retain a copy with permit INSPE TION NO. PERMIT N� CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 vz- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: t-z a! Type of Inspection: Address: of . 1•13 , Date Called: Special Instructions: Date Wanted:. a.m Requester: Phone No: JApproved per applicable codes. Corrections required prior to approval. COMMENTS: Nil RC-- z 5)(A/4 Na IA Sim Inspector: -* t, `= Date: 4.A414fij � ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. City* Tukwila REVISION SUBMITTAL Department of C ommunity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: //www.cLtukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 2-23-12 Plan Check/Permit Number: t. L l 2- 0 G 73 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # El- Revision # 6 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: V/W) Project Address: 1/1 SONfWCla'ft►t. � Contact Person: 57E4- E4- i ti(L ►/" Phone Number: C"- Z12•s71/0 Summary of Revision: $ °1111/10-- iid 41WW rd 1t•Af dF P'Mk. .�► 5►ot #f 2 — pll•7tr w6 dGIlor f/cw/, Forrraltrt 5 reetto.eleoer vet 250.00 RECEIVED MTV OP Tu FEB 28 2012 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date o rev Received at the City of Tukwila Permit Center by: Et—Entered in Permits Plus on �f")-5 . L H :\AppliationsWonns- Appliotlions On Line\2010 Applicstiom\7 -2010 - Ratision Submittsl.doc Caged: 0-13 -2004 Revised: 7 -2010 Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by LfI 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 7/23/2013 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 Electrical Administrator INFORMATION License ZAMBET *974K0 Name ZAMBERLIN, TIMOTHY Status Active Business Owner Information Name Role Effective Date Expiration Date ZAMBERLIN, TIMOTHY Agent 01/01/1980 9/2/2010 ZAMBERLIN, COLLEEN Member 07/01/2011 $250.00 ZAMBERLIN, TIMOTHY D President 01/01/1980 ELECTRICAL CITATION ZAMBERLIN, TAKAKO Secretary 07/01/2011 ZAMBERLIN, TAKAKO Treasurer 07/01/2011 ZAMBERLIN, STEPHEN G Vice President 01/01/1980 ZAMBERLIN, GEORGE S Member 01/01/1980 07/01/2011 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 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 ESEA000368 9/2/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ELEIS00437 3/28/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $175.00 https: / /fortress.wa. gov /lni/bbip /Print.aspx 01/30/2012