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
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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
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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: $63.00
Printed• 06-17-2013
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
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PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
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Type of Inspection:
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Address:
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Date Called:
Special Instructions:
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Date Wanted:
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P.m.
Requester:
Phone No:
NApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
62AW,a,
Inspector:
Date: /6
REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.; Suite 100. Call to schedule reinspection.
•INSPECTION N0:
INSPECTION RECORD
Retain a copy with permit
643.4o
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: n
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Type of Inspection:
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Address:
5. I Sr
Date Called:
Special Instructions: -)
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Date Wanted:
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Requester:
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$
Phone No:
31)0215y
Approved per applicable codes.Corrections required prior to approval.
COMMENTS:
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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:
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Special Instructions:
Date Wanted: n /
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a.m.
p.m.
Requester: //
Phone No: 2,06 R-0 2'5/
0 Approved per applicable codes.
JJCorrections required prior to approval.
COMMENTS:
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30RtDa, DEM,
- 61(00%)P /1% .SPNGf-j? lr J °x
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Inspector:/'J
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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:
(}
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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