HomeMy WebLinkAboutPermit EL19-0269 - DXL MENS APPAREL - ILLUMINATED WALL SIGNSDXL MENS APPAREL
17401 SOUTHCENTER PKWY
141
ELI 9-0269
Parcel No:
Address:
�-^�x« m�/ Tukwila
"~U~� v�n n ��m^w�Uoa
Department ofCommunity Development
63OVSouthoenterBoulevard, Suite #10U
Tukwila ,VVoshington9Q1g8
Phone:ZO6'431'367U
Inspection Request Line: 206'438'9350
Web site: http://www.Tukwi[aWA.Rov
ELECTRICAL OTC PERMIT
2523049120 Permit Number: EL19-0269
17401S0UTM[ENTERPKVVY141 Issue Date: 3/28/2019
Permit Expires On: 9/24/2019
Project Name: DxL,wENSAPPAREL
Owner:
Name:
lI7ELOU|l45T#23U'SEx7TLE,WA,
98102
Contact Person:
Name: 5TEvEZAM8ERL|N
Address:
lI55VVESTLAKEAVE N'SEA7TLE'WA,
98109
Contractor:
Name: NATIONAL SIGN CORPORATION
Address: 1255VVESTLAKEAVE N,SEATTLE,WA,
98l0g'3531
License No: NATIOSC031IV13
Lender:
Name:
Address:
'''
Phone: (206) 282-0700
Expiration Date: 7/23/2019
DESCRIPTION OFWORK:
INSTALL (2) SINGLE FACE ILLUMINATED WALL SIGNS. CONNECTTO EXISTING ELECTRICAL DEDICATED SIGN
CIRCUITS.
Valuation of single family: $500.00
Valuation nfmVtnmm: $0.00
Type of Work: NEW
Fees Collected: $6962
Electrical Service Provided by: PUG[rSOUND ENERGY
VVaterDMhct: TUKVV|LA
SewerDistrict: TUKVV|LA
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 Sign
2015
2015
2015
2015
2015
National Electrical Code:
VVACities Electrical Code:
VVA[Z9646B:
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. AB
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: L/ 61.4
Print Name:: A f
Date: 1/Z g/ 9
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
Site Address: 17401 SOUTHCENTER PKWY
Tenant Name: DXL MENS APPAREL
CITY OF.TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www. Tukwila WA. 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**
King Co Assessor's Tax No.:
Suite Number: 141
New Tenant:
PROPERTY OWNER
Name:
Cnrir)'.1un CC110P;e1d'
Address:! 17 E L o (4 ISA 5.-*.1- f,,,W e Z ;.G
City: s e ci .M e State: W/ 4 Zip: 981 17
CONTACT PERSON person receiving all project
communication
Name: STEVE ZAM BERLIN
Address: 1255 WESTLAKE AVE N
City: SEATTLE, State: WA
Zip:
98109
Phone: 206-282-0700 Fax:
Email: stevez@nationalsigncorp.com
Floor:
® Yes
❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
CompanyName:NATIONAL SIGN CORPORATION
Address: 1255 WESTLAKE AVE N
City: SEATTLE 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): $ 500
Scope of Work (please provide detailed information): INSTALL (2) SINGLE FACE ILLUMINATED WALL SIGNS.
CONNECT TO EXISTING ELECTRICAL DEDICATED SIGN CIRCUITS
Will service be altered? ❑ Yes ® No Adding more than 50 amps? Q Yes L] No
Type of Use:
Type of work:
® New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
® Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts \Permit Applications \PDFs\Electrical Permit Application Revised 1-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings
(including an attached garage)
0 Garages, pools, spas and outbuildings
O Low voltage systems
(alarm)
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change..--$60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) SIO 00 ea
El Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
5180,00 Fees are based on the valuation of the electrical contract.
$120.00 ea
S60.00 ea MISCELLANEOUS FEES
El Temporary service (residential) $60.00
Ej Temporary service (generator) $90.00
Manufactured/mobile home service ............ „.„$100.00
(excluding garage or outbuilding)
El Camivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
sVS
PERMIT APPLICATION NOTES -
Value of Construction — In al] 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 ELECTRICAL CONTRACTOR:
Signature: Date: ? / /
Print Name: STEVE ZAM BERLIN
Mailing Address: 1255 WESTLAKE AVE N
W:\PeTmit CenterNA pplications-Handouts \ Permit Applications PD FalElectrical Permit Application Revised 1 - 17- 19. doex
Day Telephone: 206-282-0700
SEATTLE
City
WA
State
98109
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT I QUANTITY I
PAID
PermitTRAK
$14.23
EL19-0269 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$14.23
Credit Card Fee
$0.41
Credit Card Fee
11000,369.908.00.00
0.00
$0.41
ELECTRICAL
$13.17
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$13.17
TECHNOLOGY FEE
$0.65
TECHNOLOGY FEE
R000.322.900.04,00
0.00
$0.65
TOTAL FEES PAID BY RECEIPT: R17441
$14.23
Date Paid: Friday, April 19, 2019
Paid By: NATIONAL SIGN CORPORATION
Pay Method: CREDIT CARD 01910G
Printed: Friday, April 19, 2019 10:29 AM 1 of 1
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
- PAID
PermitTRAK
$626.12
EL19-0269 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$69.62
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.32
S19-0014 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049 20
$556.50
SIGN
$530.00
PERMANENT SIGN PERMIT FEE
R000.322.100.00.00
0.00
$530.00
TECHNOLOGY FEE
$26.50
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$26.50
1
TOTAL FEES PAID BY RECEIPT: R17276
$626.12
Date Paid: Thursday, March 28, 2019
Paid By: NATIONAL SIGN CORPORATION
Pay Method: CHECK 20699
Printed: Thursday, March 28, 2019 1:53 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 04/19/2019 10:28:27 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********8759 K
TRAN AMOUNT: $14.23
APPROVAL CD: 01910G
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.'EMT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431- 6
Project: if
y spec on*
Address:
7 - . .
Date Called:
°tpecial Instructions:
5 (clAt 5
Date Wanted:
a. .
. .
Requester:
Phone No:
proved per applicable codes..
Corrections required prior to approval.
Inspector:
Date:
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee mtst be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Home Espanol Contact iSearch L&I
Safety & Health Claims & Insurance
Ck Washington State Department of
/ Labor & Industries
A-1. Index Help My I hl
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
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 Active.
Meets current requirements.
License specialties
SIGN
License no.
NATIOSC031M3
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
Expiration date
Help us improve
Until Canceled
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/telecohimunications 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 296.46E-901.
NO PERMIT
Satisfied
RCWNVAC
19.28.101 RCW
Violation amount
$100.00
Workers' comp
L&I Account ID
060,426.00 ,q
Doing business as )
NATIONAL SIGN CORPORATION
Estimated workers reported
Quarter 4 of Year ::018 "31 to 50 Workers"
L&I account contact
T2 / DALE RIUTTA (360)902-4834 - Email: RIUD235@Ini.wa.gov
Do you know if the usiness has employees? If so, verify the business is up-to-date on workers' comp premiums.
Account is current.
Public Works Strikes and Debarments
Verify the contractcf 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
Inspection no.
317948714
Location
6301 state hwy.: )3 NE
Bremerton, WA 8312
Inspection results date
01/25/2017
Inspection no.
317943343
Location
7201 Greenwooe Ave N
Seattle, WA 981 G3
Inspection results date
04/03/2015
Inspection no.
Violations
No violations
Help us improve