HomeMy WebLinkAboutPermit EL12-0471 - KING COUNTY HOUSING AUTHORITYKING COUNTY
HOUSING AUTHORITY
700 ANDOVER PK W
EXPIRED 11 -17 -12
EL12 -0471
City o ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
ELECTRICAL PERMIT
Parcel No.: 2623049124
Address: 700 ANDOVER PK W TUKW
Project Name: KING COUNTY HOUSING AUTHORITY
Permit Number: EL12 -0471
Issue Date: 05/21/2012
Permit Expires On: 11/17/2012
Owner:
Name: KC HOUSING AUTH
Address: 600 ANDOVER PARK W , SEATTLE WA
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 NEW WALL SIGN, CONNECT TO PROVIDED SIGN CIRCUIT
Value of Electrical:
NRES: $250.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
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 compli d ith, whether specified herein or not.
The granting of this permit does t s e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance I am authorized to sign and obtain this electrical permit.
Signature: Date: S� Zi42-
Print Name:
1-(0✓(Z eF✓Lt,td
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 -0471 Printed: 05 -21 -2012
•
PERMIT CONDITIONS •
Permit No. EL 12 -0471
* *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 -0471 Printed: 05 -21 -2012
CITY OF TUK$
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. EL I ). Gil -7
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:
Tod Aivpm✓t pilfw w
King Co Assessor's Tax No.:
Tenant Name:
£au --(y kdu)WC itt01 L/7
PROPERTY OWNER
Name:
5.. V& 240$ mew
Name:
12//5 vnr „�,�ir �F, Al
vr/t N
City:
Address:
Phone:
zp6 — 732 —orao Fax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
5.. V& 240$ mew
Address:
12//5 vnr „�,�ir �F, Al
vr/t N
City:
State:i,
Zip:9g pf
S'�i�./'tt�
Phone:
zp6 — 732 —orao Fax:
Email:
✓
l4e CZ �1/
T n4'7'l�'4filSii/Icr✓h /tirh
r
1f 3o9 -91Z'�
Suite Number: Floor:
New Tenant: ,...Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: tim/l✓e, slcn/ cRp
Address: i ZSf vorte r A'✓P
City: 56/14( State: 4/fi
Zip: 95/0
Phone: z6— 7Y2 -1'tUQ Fax: 24,
Z8)-:/40J
Contr Reg No.: /49-/(IJ Co31m3 Exp Date:7 343
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
l/V,Til.tL 04 AA( 1/./444. 5WV/ (DA/ /or- -49 pft0 ✓1Df0 51CJ Cr.2[N /r
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 \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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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 $1L55 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.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR BY JHE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER Q REJ RCYRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
5#6(r 7 t' 4t I,✓
1255 V160e1 Pi( .1‘z
H: \Applications \Forms- Applications On Line \201 I Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Day Telephone:
Date: ✓ JI Y--/L
246_ Z iZ -D>o p
s1#Trcr 9810
City State
Zip
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.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049124 Permit Number: EL12 -0471
Address: 700 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 05/21/2012
Applicant: KING COUNTY HOUSING AUTHORITY Issue Date:
Receipt No.: R12 -01638 Payment Amount: $63.00
Initials: WER Payment Date: 05/21/2012 03:04 PM
User ID: 1655 Balance: $0.00
Payee: NATIONAL SIGN CORPORATIION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 14693 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: 05 -21 -2012
10 -01 -2012
City ..of
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
STEVE ZAMBERLIN
1255 WESTLAKE AV N
SEATTLE WA 98109
RE: Permit No. EL12 -0471
KING COUNTY HOUSING AUTHORITY
700 ANDOVER PK W TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 11/17/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days: If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 11/17/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Jenn er Marshall
P t Technician
File: Permit File No. EL12 -0471
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206- 431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Peter 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
7/23/2013
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
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
05/21/2012