HomeMy WebLinkAboutPermit EL19-0680 - HOMEGROWN - ADD DOUBLE FACE ILLUMINATED BLADE SIGN AND STOREFRONT CHANNEL LETTERHOMEGROWN
841 SOUTHCENTER MALL
ELI 9-0680
City of Tukwila
Department of Community Development
20 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
18 Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No:
Address:
ELECTRICAL OTC PERMIT
9202470010 Permit Number:
841 SOUTHCENTER MALL
Project Name: HOMEGROWN
Issue Date:
Permit Expires On:
EL19-0680
8/26/2019
2/22/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
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: 8/26/2021
DESCRIPTION OF WORK:
INSTALL ONE DOUBLE FACE ILLUMINATED BLADE SIGN AND ONE SET OF FRONT LIT STOREFRONT CHANNEL
LETTERS,
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: TENANT IMP
Fees Collected: $85.94
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: 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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
Date:
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:
4/7
Print Name: rl-4'-a., 4
Date: ‘,//
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
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwila WA. gov
Electncal Pernut fNO
•ProjectNoav
tpphca
Application Expires:
4
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"
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Site Address:
8.8eSOUTHCENTER MALL
Tenant Name: HOMEGROWN
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
F*OPPMIQWN
Name: WESTFIELD MALL
City: SEATTLE, State: WA ziP:98109
akegoUTHCENTER MALL
Email: stevez@nationalsigncorp.com
"lcdk/VILA StateWA
ZiP:98188
CONTACT PERSON i,,-' 4i.eiviliii,-,i;iroji4,
tv:IT
Name: STEVE ZAMBERLIN
Address: 1255 WESTLAKE AVE N
City: SEATTLE, State: WA ziP:98109
Phone: Fax:
206-282-0700
Email: stevez@nationalsigncorp.com
Floor:
IZr Yes
..No
ECTMcAVIONTWACTO#700#1.0:*11',.',11-,,Iy.
Company Name:
NATIONAL SIGN CORPORATION
Address: 1255 WESTLAKE AVE N
City: SEATTLE,
State:WA
ziv98109
Phone:
206-282-0700
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ TO- G
Scope of Work (please provide detailed information): INSTALL ONE DOUBLE FACE ILLUMINATED BLADE SIGN
AND ONE SET OF FRONT -LIT STOREFRONT CHANNEL LETTERS FOR HOMEGROWN
Will service be altered? Yes 1::1 No Adding more than 50 amps? ED Yes El No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage D Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy 0 Seattle City Light
WAPerm it CentertApplications-HandoutstPermit Applications \ PDFAElectrical Permit Application Revised 1-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
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)
LI Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator ......... ,.$11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES —
1,4 e e
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 ELECTRICAL CONTRACTOR;
Signature:
Print Name: Z1.„0, Day Telephone:
.re.1 /4-tt
City
Mailing Address: 1 5—f- Lieri e /1/
W\Peniit Center \ Applications -Handouts \ Permit Applications PDFs \ Electrical Permit Application Revised I -17-19.docx
a6 Pz — 42'704
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State Zip
Page 2 of 2
Receipt Number
R18414
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$85.94
EL19-0680 Address: 841 SOUTHCENTER MALL
Apn: 9202470010
$85.94
Credit Card Fee
$2.50
Credit Card Fee
R000.369.908.00.00
0.00
$2.50
ELECTRICAL
$79.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18414
R000.322.900.04.00
0.00
$3.97
$85.94
Date Paid: Monday, August 26, 2019
Paid By: AUSTIN ZAMBERLIN
Pay Method: CREDIT CARD 02039G
Printed: Monday, August 26, 2019 12:01 PM 1 of 1
CRWSYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 08/26/2019 12:01:08 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********8759 K
TRAN AMOUNT: $85.94
APPROVAL CD: 02039G
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukvvila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: .
Type41 ns.ct• -
A 012.4r ailr
Address:
Date CI I d:
Special Instruction:
5t4Aal
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
proved per applicable codes.,
ections required prior to approval.
0 IVIENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Washington State Department of
Labor & Industries
(OIfl17,spafioi Contact.
Safety & Health Claims & Insurance
arch L&I
A -A In(iox I 10)) Nly
Search
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
1255 WESTLAKE AVE N
SEATTLE, WA 98109-3531
206-282-0700
KING County
WA UBI No. Business type
578 048 524 Corporation
Governing persons
TIMOTHY
DOMINIC
ZAMBERKIN
STEPHEN ZAMBERLIN;
COLLEEN ZAMBERLIN;
TAKAKO ZAMBERLIN;
Certifications & Endorsements
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
07/2311997— 07/23/2021
Designated administrator
ZAMBERLIN, TIMOTHY
Active.
Meets current requirements.
License type License no.
Electrical Administrator ZAMBET*974K0
Bond
CBIC
Bond account no
628632
54,000.00
Effective date
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