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HomeMy WebLinkAboutPermit EL13-0580 - CLAIM JUMPER - LOW VOLTAGECLAIM JUMPER 5901 S 180 ST ELi 3-0580 City othukwila • 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.: 3523049031 Address: 5901 S 180 ST TUKW Project Name: CLAIM JUMPER ELECTRICAL PERMIT Permit Number: EL13-0580 Issue Date: 06/17/2013 Permit Expires On: 12/14/2013 Owner: Name: GRE MANAGEMENT SERVICES INC Address: 2150 DOUGLAS BLVD #110 , ROSEVILLE CA 95661 Contact Person: Name: STEVE ZAMBERLIN Address: 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 Phone: 206 282-0700 Expiration Date: 07/23/2013 DESCRIPTION OF WORK: INSTALL ONE SINGLE FACE ILLUMINATED MONUMENT SIGN DISPLAY. CONNECT TO PROVIDED SIGN CIRCUIT (BY OTHERS). Value of Electrical: NRES: $250.00 Fees Collected: $63.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: ` / 13 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 plie • with, whether specified herein or not. The granting of this pe • • .. •t presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo p • •- •f work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: -'1 V( Date: " -I 7— 13 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 ELI 3-0580 Printed: 06-17-2013 • PERMIT CONDITIONS Permit No. EL 13-0580 **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 EL13-0580 Printed: 06-17-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 1=L� �— os -go 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: 5901 S 180th St King Co Assessor's Tax No.: 352304-9031 Suite Number: Floor: Tenant Name: Claim Jumper PROPERTY OWNER Name: Steve Zamberlin Name: GRE Management Services Inc City: Seattle State: WA Zip: 98109 Address: Email: stevez@nationalsigncorp.com City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Steve Zamberlin Address: 1255 Westlake Ave N City: Seattle State: WA Zip: 98109 Phone: (206) 282-0700 Fax: (206) 285-3091 Email: stevez@nationalsigncorp.com New Tenant: ❑ Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: National Sign Corporation Address: 1255 Westlake Ave N City: Seattle State: WA Zip: 98109 Phone: (206) 282-0700 Fax: (206) 285-3091 Contr Reg No.: NATIOSC031M3 Exp Date: 07/23/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 250 Scope of Work (please provide detailed information): Install one single face illuminated monument sign display. Connect to provided sign circuit (by others). Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? 0 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\Electncal Permit Application Revised 8-9-I I.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) 0 Garages, pools, spas and outbuildings $81.90 ea O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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) O 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 O 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 I HAVE READ A PENALTY OF PERJURY BY THE LAWS OF TI -1' BUILDING OWNER OR ELECTRICAL O D EAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. CTOR: Signature: Print Name: Steve Zamberlin Date: 06/17/2013 Day Telephone: (206) 282-0700 Mailing Address: 1255 Westlake Ave N Seattle WA 98109 State Zip City H:\Applications\forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-I I.docx Revised: August 2011 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.TukwilaWA.gov Parcel No.: 3523049031 Address: 5901 S 180 ST TUKW Suite No: Applicant: CLAIM JUMPER RECEIPT Permit Number: EL13-0580 Status: PENDING Applied Date: 06/17/2013 Issue Date: Receipt No.: R13-01895 Payment Amount: $63.00 Initials: WER Payment Date: 06/17/2013 11:33 AM User ID: 1655 Balance: $0.00 Payee: NATIONAL SIGN CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 15877 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 Printed• 06-17-2013 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit af3-ogo 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: Ju»P CL-AiriS��/s-r�� Type of Inspection: .3 Address: sr. Date Called: Special Instructions: t IAA. SQ10& Date Wanted: , � 07 c_: P.m. Requester: Phone No: NApproved per applicable codes. El Corrections required prior to approval. COMMENTS: 62AW,a, Inspector: Date: /6 REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.; Suite 100. Call to schedule reinspection. •INSPECTION N0: INSPECTION RECORD Retain a copy with permit 643.4o 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: n ` kis Jj� L`� Type of Inspection: l t ov Address: 5. I Sr Date Called: Special Instructions: -) S1 t1'Y I Q o% II • Ch1.. a.m. Date Wanted: �J a:m: Requester: .( iVC�/ $ Phone No: 31)0215y Approved per applicable codes.Corrections required prior to approval. COMMENTS: 5J s)4K -Rmultbs o, ,Jc ayst-P\ Q AF - e Oci 30/t3 IREINSPECTION FEE REQUIRED. Prior to next inspectio . fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: INSPECTION.,RECORD Retain a copy with permit ) rV INSPE TION NO. 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: /'- p 6,414itilek Type of Inspection: 2100 30RtDa, DEM, Address: Date Called: - P&A tit D AU -eV M(7U 5/4 A Special Instructions: Date Wanted: n / (y a.m. p.m. Requester: // Phone No: 2,06 R-0 2'5/ 0 Approved per applicable codes. JJCorrections required prior to approval. COMMENTS: - ttp td%JiT RFalt€kS 6" tit'JlriJy - 30RtDa, DEM, - 61(00%)P /1% .SPNGf-j? lr J °x eocJtJrr Th 8t` GalJAID 6.1) - P&A tit D AU -eV M(7U 5/4 A r n Inspector:/'J � Date: m%jam j/ 3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 4 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 3--1)11Pel\ Type of Inspection: ov Address: 501`Sfko - Date Called: Special Instructions: (} /y - Date Wanted: n ' 1(;* m. Requester: Phone No: ElApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 1),)a-1)Jc,E 9117.-• Inspector: Date: oq r' l 3 REINSPECTION EE REQUIRE ,. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page i Electrical Contractor A business licensed by LEI 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 ZAMBERLIN, COLLEEN Member 07/01/2011 ZAMBERLIN, TIMOTHY D President 01/01/1980 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 ESEA000368 ELEIS00437 Date 9/2/2010 3/28/2011 RCW Code 19.28.101 RCW 19.28.271 RCW Type Status Violation Amount ELECTRICAL CITATION ELECTRICAL CITATION Satisfied Satisfied $250.00 $175.00 https://fortress.wa.gov/lni/bbip/Print.aspx 06/17/2013