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Permit EL18-1014 - KING COUNTY / SOLID WASTE - INSTALL ONE SINGLE FACE ILLUMINATED WALL SIGN
KING COUNTY-SOLID WASTE 18800 ORILLIA RD S EL18-1014 Parcel No: City of Tukwila a of Deportment -^------'^Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431'3670 Inspectlon Request Line: 206-430'9350 Web site: httD://www.TukwilaWA.gov 3523049037 18800 ORILLIA RD S ELECTRICAL OTC PERMIT Project Name: KING COUNTY - SOLID WASTE Permit Number: EL18-10I4 Issue Date: 11/28/2018 Permit Expires On: 5/27/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KING COUNTY -SOLID WASTE 201 S JACKSON ST#7O1,SEATTLE, WA, 98104 STEVE ZAMBERLIN 1ZSSVV[STLAKEAVE N'SEATTLE, WA, 98109 NATIONAL SIGN CORPORATION 1255 WESTLAKE AVE N , SEATTLEWA, 98109-3531 ''' Phone: (206) 282-070 Phone: <206 282-0700 Expiration Date: 7/23/2019 DESCRIPTION OF WORK: INSTALL ONE SINGLE FACE ILLUMINATED WALL SIGN Valuation of single family: $0.00 Valuatior, of mf/comm: $500.00 Type of Work: TENANT IMP Fees Collected: $83.44 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE Sewer District: NONE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanicat Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: �nni��n�rAu�o�ed��o���J14/h1 itt h Date: 2015 20152015 2015 2015 National Electrical Code: WA Cities Etectricat Code: WAC 296-46B: WA State Energy Code: 2017 20172017 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature:j" Print Name: Zarh , Date: I I— 2 g_ I Q This permit shall become null and 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. 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 and the Washington Cities Electrical Code. 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 t^ CITY OF TUKWILA Conununity Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 Address: 18800 ORILLA RD S Tenant Name: KING COUNTY -SOLID WAS 11, King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: n Yes PROPERTY OWNE Name: KING COUNTY SOLID WASTE Address: 18800 ORILLA RD S City: TUKWILLA State: WA Zip: 98188 CONTACT PERSON — persaa receiving all project communication Name: STEVE ZAMBERLIN Address: 1255 WESTLAKE AVE N City: SEALILE State: WA Zip: 98109 City: SEA! I LE State: WA Zip: 98109 Phone: (206) 282-0700 Fax: Email: stevez@nationalsigncorp.com ..No VLF, CAL CONTRM I OR O ION Company Name: NATIONAL SIGN CORPORATION Address: 1255 WES ILAKE AVE N City: SEALILE State: WA Zip: 98109 Phone: (206) 282-0700 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; BUS -0994459 Valuation of Project (contractor's bid price): $ r0 e. �' c Scope of Work (please provide detailed information): INSTALL ONE SINGLE FACE ILLUMINA FED WALL SILT Will service be altered? ❑ Yes ❑ No Type of Use: Type of work: VI New ❑ Addition 0 Service Change ❑ Remodel VI Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Adding more than 50 amps? ❑ Yes ❑ No Property Served by: 0 Puget Sound Energy 0 Seattle City Light W:\Permit Center \Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised I-1-17.docx Revised: January 3017 bh Page 1 of RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings O Low voltage systems (alarm, fumace thermostat) $155,91 $83,54 ea 561.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 ❑ 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*** 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 OWN ER»R ELECTRICAL CONTRACTOR: Signature: f `-'' Date: 11128/2018 Print Name: STEVE ZAMBERLIN Mailing Address: 1255 WESTLAKE AVE N W,iPefln0 CenterlAp Revised: January•'_0 bh Day Telephone: (206) 282-0700 ppli.ationsiPDFstEleclrical Permit Application Revised 1-1-I 7.docx City State Zip Page 2 of 2 J* Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $354.34 EL18-1014 Address: 18800 ORILLIA RD S Apn: 3523049037 $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 I R000.322.900.04.00 0.00 $3.97 S18-0077 Address: 18800 ORILLIA RD S Apn: 3523049037 $270.90 SIGN $258.00 PERMANENT SIGN PERMIT FEE R000.322.100.00.00 I 0.00 I $258.00 TECHNOLOGY FEE $12.90 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15923 R000.322.900.04.00 0.00 $12.90 $354.34 Date Paid: Wednesday, November 28, 2018 Paid By: NATIONAL SIGN CORP Pay Method: CHECK 20503 Printed: Wednesday, November 28, 2018 12:18 1 of 1 PM SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: K JAcieype of Inspection: r Special instructions: stt, l'o aS Approved per applicable codes Date Wanted: Requester: Phone No: 2-Z©7oc' Corrections required prior to approval. COMMENTS: Date:! REINSPECTIION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedute reinspection. NATIONAL SIGN CORPORATION 1 Espanol Contact. Safety & Health Claims & Insurance Washington State Department of Labor & Industries [Search L&I Page 1 of 3 Incex 1 dp My 1,&7 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 8, 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 TIMOTHY DOMINIC ZAMBERKIN STEPHEN ZAMBERLIN; COLLEEN ZAMBERLIN; TAKAKO ZAMBERLIN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties SIGN License no. NATIOSC031 M3 Effective — expiration 07/23/1997— 07/23/2019 Designated administrator ZAMBERLIN, TIMOTHY Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator ZAMBET'974KO Bond CBIC Bond account no. 628632 $4,000.00 Effective date 08/10/1990 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578048524&LIC=NATIOSC031M3&SAW= 11/28/2018 NATIONAL SIGN CORPORATION Savings ............. _........ No savings accounts during the previous 6 year period. License Violations Infraction no. ECMIE00348 Issue date 12/15/2017 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Class B eligible work - Failing to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. NO PERMIT 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. Expiration date Until Canceled Satisfied .............._........ RCWNVAC 19.28.101 RCW Violation amount $100.00 Satisfied RCWNVAC 19.28.101 RCW Violation amount $1,000.00 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 060,426-00 .......................... Doing business as NATIONAL SIGN CORPORATION Estimated workers reported Quarter 3 of Year 2018 "31 to 50 Workers" L&I account contact T2 / DALE RIUTTA (360)902-4834 • Email: RIUD235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ........... ......... ....................... No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 05/03/2018 Violations Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578048524&LIC=NATIOSC031 M3&SAW= 11/28/2018 NATIONAL SIGN CORPORATIOO ti Inspection no. 317948714 Location 6301 state hwy.303 NE Bremerton, WA 98312 Inspection results date 01/25/2017 Inspection no. 317943343 Location 7201 Greenwood Ave N Seattle, WA 98103 Inspection results date 04/03/2015 Inspection no. 317935675 Location 16613 Pacific Hwy Ave S. Spanaway, WA 98387 Inspection results date 11/05/2014 Inspection no. 317610863 Location 34007 Hoyt Rd SW Federal Way, WA 98023 Violations No violations Violations Page 3 of 3 .tj: Washington State Dept. of Labor & Industries Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578048524<C=NATIOSC031M3&SAW= 11/28/2018