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Home My WebLink AboutPermit EL12-0803 - WESTFIELD SOUTHCENTER MALL - CULINAIRECULINAIRE 251 SOUTHCENTER MALL EL1 2-0803 Parcel No.: Address: City otI'ukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.Tukwila WA .gov 9202470010 251 SOUTHCENTER MALL TUKW Project Name: CULINAIRE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0803 08/23/2012 02/19/2013 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 STEVE ZAMBERLIN Phone: 206 - 282 -0700 1255 WESTLAKE AV N , SEATTLE WA, 98109 Contractor: Name: NATIONAL SIGN CORPORATION Address: 1255 WESTLAKE AVE N , SEATTLE 98109 -3531 Contractor License No: NATIOSC031M3 Phone: 206 282 -0700 Expiration Date: 07/23/2013 DESCRIPTION OF WORK: INSTALL ONE ILLUMINATED STOREFRONT SIGN AND ONE BLADE SIGN. CONNECT TO PROVIDED SIGN CIRCUIT Value of Electrical: NRES: $500.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $75.60 2008 Date: Imo.) v V I2 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 omplied with, whether specified herein or not. The granting of this p construction or the p e of work. I am authorized to sign and obtain this electrical permit. oes of presume to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: 5 q ZAril6rafA/ Date: b -/2/ 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 -0803 Printed: 08 -23 -2012 • PERMIT CONDITIONS • Permit No. EL 12 -0803 * *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 TO - 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 -0803 Printed: 08 -23 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. .L.-1_12- -0003 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: Z$l Sii1gcwt1 rt riot Tenant Name: C utItinirte King Co Assessor's Tax No.: Suite Number: A 2 2. Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: /Pfrty $I4 pie idiot Address: 2$� Sif# Qtv44 plot City: K.06.1uk Stater Zip:9Q f CONTACT PERSON — person receiving all project communication Name: / [�W z aiatw 1'j,/GO Address: 1 vfjC w�/ ,/ yr s /' /� 7 �7� (/ //SSt(ate: City: Zip: Mpg 50101 w�, Phone: Zi &41 q'O 00 Fax: zo... Zj `; 304/ Email: if i 00 Chili siii army con ELECTRICAL CONTRACTOR INFORMATION Company Name: /foiw�K ;Kr, 04 Address: 1 z5.5 welfu t( AT r' City: swift( State: t. Zip: m8109 Phone: �/, moo Fax: zed..... zjr.r ,,x%17 Contr Reg No.: teeinec`31 y Exp Date: 7.4 ' �3 Tukwila Business License No.: nu1so99v/37 Valuation of Project (contractor's bid price): $ l Scope of Work (please provide detailed information): 1,►•�/a� id( 1 c chtrvliw*4( ; swocire✓✓ sia✓ Ai✓b oft $ S4V s/(eV (0-41W 1" 11 p f 7 S /6n/ 4' 1111 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- 11.docx Revised: August 2011 bh 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. 1 HEREBY CERTIFY THAT I 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 OWNER/O LE ' RICAL CONTRACTOR: Signature: ,V Date: f -23 -1Z Print Name: Mailing Address: 51Wr Edna ion/ Nefor44, 51 cni C• H:\Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Day Telephone: Zv' Z37-071 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.: 9202470010 Permit Number: EL12 -0803 Address: 251 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 08/23/2012 Applicant: CULINAIRE Issue Date: Receipt No.: R12 -02441 Payment Amount: $75.60 Initials: WER Payment Date: 08/23/2012 03:56 PM User ID: 1655 Balance: $0.00 Payee: NATIONAL SIGN CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 14982 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 08 -23 -2012 INSPECTION NO. INSPECTION RECORD 612' ag0 Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: (J A-A ilk Type of Inspection: 2.100 Address: � 2C— I 1141A. Date Called: Special Instructions: t Date Wanted: II0I p•rn' Requester: Phone No: An ®'Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. COk(c5(10145 / Inspector: .7 Date: (1/0 f n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD ..:� Retain a copy with permit INSPECTION NO... PERMIT NO. CITY' OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 - Permit Inspection Request Line (206) 431 -2451 64,- 403 Project: Type of Inspection: Address: Z` ilk Special Instructions: Date Called: Date Wanted: . 0 Requester: Phone No: Approved per applicable codes. IACorrections required prior to approval. COMMENTS: EDdAkcxve., R aiw t tA1c4 f L6 Lrf S $/1..14 f Inspector: liea\ t REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: lc %r7 INSPECTION -No. CITY OF TUKWILA BUILDING DIVISION .6306Soutt center Blvd., #100, Tukwila. WA 98188 2 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 'INSPECTION RECORD Retain a copy with permit 6212 -a03 PERMIT NO. Project:, %% Type of Inspection: 2/00 Address: •. 1 t ! ri t/(/ Date Called: Special Instructions: t pp Date Wanted:. �Q //� l rr, p.m. Requester: Phone No: - Approved •per applicable codes. El Corrections required prior to approval. COMMENTS: '. -DJ /0(17 Date: /O f6 f2-- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be -.paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.! CITY OF TUKWILA BUILDING DIVISION: 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 (t/t4t\froke Address: ti Project: Special instructions: 5 14J Type of Inspection: Date Called: ❑ Approved per applicable codes. Date Wanted:. A Requester: Phone No: 1.®V ;Corrections required prior to approval. COMMENTS: ?Rxxi t" AcctSi (Q)k. GE 1 '40 rok ItP'cc.,4--1a, o C'olvonl C4J l %t oN1lq 1 e ( ) Pl ' 44-0v∎11) Inspector: , ig dosirile, Date: V h4 n REINSPECTION FEE REQUIRED' Prior to next inspection, fee-must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule rein$pection..- Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by Lal 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 utner i ssociateu License LlGenicD 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 Name Role Effective Date Expiration Date ZAMBERLIN, TIMOTHY Agent 01/01/1980 Bond Amount ZAMBERLIN, COLLEEN Member 07/01/2011 628632 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 5 Member 01/01/1980 07/01/2011 Page 1 of 2 bona Bond mformauon 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 19.28.101 RCW ELECTRICAL CITATION $4,000.00 $250.00 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 Infraction / Citation Date RCW Code Type Status Violation Amount ESEA000368 9/2/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00859 6/29/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/23/2012