HomeMy WebLinkAboutPermit EL17-0439 - DICKS SPORTING GOODS - STOREFRONT SIGN DISPLAYDICKS SPORTING GOODS
17450 SOUTHCENTER PKWY
ELI 7-0439
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2623049110
17450 SOUTHCENTER PKWY
Project Name: DICKS SPORTING GOODS
Permit Number: EL17-0439
Issue Date: 6/9/2017
Permit Expires On: 12/6/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC
3333 NEW HYDE PARK RD #100 C/O
KIMCO REALTY CORP, PO BOX 5020
NEW HYDE PK, WA, 11042
STEVE ZAMBERLIN
1255 WESTLAKE AVE N , SEATTLE, WA,
98109
NATIONAL SIGN CORPORATION
1255 WESTLAKE AVE N , SEATTLE, WA,
98109-3531
NATIOSC031M3
Phone: (206) 282-0700
Phone: (206) 282-0700
Expiration Date: 7/23/2017
DESCRIPTION OF WORK:
INSTALL ONE NEW EXTERIOR STOREFRONT BUILDING SIGN DISPLAY. CONNECT TO EXISTING SIGN CIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $83.44
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE,TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
I hearby 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 permit does not • esu e to give authority to violate or cancel the provisions of any other
state or local laws regulatin:. onstr f tio• or the performance of work. I am authorized to sign and obtain this
development permit and aee to e ,•nditions attached to this permit.
Signature:
Print Name: M./ A MINN
This permit shall become null a d void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
Date:
01-1
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKTICIZA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. e- V 11-.O92iI
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: 17450 SOUTHCENTER PKWY
Tenant Name: DICK'S SPORTING GOODS
PROPERTY OWNER
Name: KIR TUKWILA 050 LLC
Address: 3333 NEW HYDE PARK RD #100 C/O KIMCO REATY CORP
PO BOX 5020
City: NEW HYDE PK State: WA Zip: 11042
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:
Email: stevez@nationalsigncorp.com
King Co Assessor's Tax No.: 2623049110
Suite Number: Floor:
New Tenant: ® Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: NATIONAL SIGN CORPORATION
Address: 1255 WESTLAKE AVE N
Cit': SEATTLE State: WA Zip: 98109
Phone: (206) 282-0700 Fax:
Contr Reg No.: NATIOSCO31M3 Exp Date: 07/23/2017
Tukwila Business License No.; BUS -0994459
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): INSTALL ONE NEW EXTERIOR STOREFRONT
BUILDING SIGN DISPLAY. CONNECT TO EXISTING SIGN CIRCUIT.
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
21 Puget Sound Energy ❑ Seattle City Light
W:'Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17. door
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 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 OR EI/ECT '1i CONTRACTOR:
Signature:
Print Name: STEV1 Z a i s ERLIN
Mailing Address: 1255 W STLAKE AVE N
W:\Permit Center\Applications-Handouts \Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Day Telephone:
SEATTLE
City
Date: 06/08/2017
(206) 282-0700
WA 98109
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT I QUANTITY I
PermitTRAK
PAID
$83.44
EL17-0439 Address: 17450 SOUTHCENTER PKWY Apn: 2623049110
$83.44
ELECTRICAL
$79.47
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R11680
0.00
$3.97
$83.44
Date Paid: Friday, June 09, 2017
Paid By: NATIONAL SIGN CORPORATION
Pay Method: CHECK 19637
Printed: Friday, June 09, 2017 4:30 PM 1 of 1
CRWSYSTEMS
I
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Pro
1 cP __ .,j 14 &4Type
Type of Inspection/�� `
Ad/7s; ,..._.0 c� i/n , ` {,/ ,
fDate
Date Called:
Special Instructions:
Wanted: . -2,/
Y6/
a
pm.
Requester:
Ph�.--
roved per applicable codes. LJ Corrections required prior to approval.
Or- Pllii'n-l-•
Aimitbx6 ,_</6-A)
Inspector:
o.,.�y/2y��7
v
REINSPEC ON FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
NATIONAL SIGN CORPORATION
c.
Washington State Department of
Labor & Industries
Hncne Espanol Contact
Safety & Health Claims & Insurance
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EARL
A -Z Index Help My 1.1
Workplace Rights Trades & Licensing
NATIONAL SIGN CORPORATION
Owner or tradesperson
Principals
ZAMBERLIN, TIMOTHY D, PRESIDENT
ZAMBERLIN, STEPHEN G, VICE PRESIDENT
ZAMBERLIN, TAKAKO, SECRETARY
ZAMBERLIN, TAKAKO, TREASURER
ZAMBERLIN, TIMOTHY, AGENT
ZAMBERLIN, COLLEEN, MEMBER
ZAMBERLIN, GEORGE S, MEMBER
(End: 07/01/2011)
Doing business as
NATIONAL SIGN CORPORATION
WA UBI No.
578 048 524
1255 WESTLAKE AVE N
SEATTLE, WA 98109-3531
206-282-0700
KING County
Business type
Corporation
Governing persons
COLLEEN
ZAMBERLIN
STEPHEN ZAMBERLIN;
TAKAKO ZAMBERLIN;
TIMOTHY D ZAMBERLIN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
SIGN
License no.
NATIOSC031 M3
Effective — expiration
07/23/1997— 07/23/2019
Designated administrator
ZAMBERLIN, TIMOTHY
Active.
Meets current requirements.
License type License no.
Electrical Administrator ZAMBET*974K0
Bond
.................
CBIC
Bond account no.
628632
$4,000.00
Effective date
08/10/1990
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NATIONAL SIGN CORPORATION
Savings
.........................
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EMABQ04001
Issue date
02/22/2013
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Infraction no.
ECHAE00859
Issue date
06/29/2012
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Failing to make corrections within fifteen days
of notification by the department. Where an
extension has been requested and granted,
this penalty applies to corrections not
completed within the extended time -period.
(Permit number: 1829644E)
Infraction no.
EBOES00615
Issue date
10/25/2011
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901(3)(6).
Expiration date
Until Canceled
Satisfied
..._...................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
0
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
060,426-00
Doing business as
NATIONAL SIGN CORPORATION
Estimated workers reported
Quarter 1 of Year 2017 "31 to 50 Workers"
L&I account contact
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