HomeMy WebLinkAboutPermit EL11-0678 - BASIL VIETNAMESE RESTAURANTThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL11 -0678
Basil Vietnamese Restaurant
17308 Southcenter Parkway
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
16
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
BASIL VIETNAMESE
RESTAURANT
17308 SOUTHCENTER PY
EL1 1 -0678
City ofiNkwila •
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
ELECTRICAL PERMIT
Parcel No.: 2623049079
Address: 17308 SOUTHCENTER PY TUKW
Project Name: BASIL VIETNAMESE RESTAURANT
Permit Number: EL11 -0678
Issue Date: 07/25/2011
Permit Expires On: 01/21/2012
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100
Contact Person:
Name: JUSTIN GEARY Phone: 206 - 579 -7225
Address: 7527 12 AV NW , SEATTLE WA
Contractor:
Name: QUEEN ANNE ELECTRIC LLC
Address: 7527 12 AV NW , SEATTLE WA
Contractor License No: QUEENAE914LK
Phone: 206 782 -3200
Expiration Date: 06/08/2013
DESCRIPTION OF WORK:
RESTAURANT TENANT IMPROVEMENT
Value of Electrical: NRES: $4,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$178.50
2008
Date: `
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 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 tlle- perform ce of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: — ` (
Print Name: )3 fC-k'Y1 d OY1 R-e e
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
EL11 -0678 Printed: 07 -25 -2011
a
PERMIT CONDITIONS
Permit No. EL11 -0678
* *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
EL11 -0678 Printed: 07 -25 -2011
CITY OF TUKWILA)
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. . — 0 W 70
Project No.
(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
King Co Assessor's Tax No.:
Site Address: / /30 8' SO # C n-ic> P14 y . ' - jam, vd A 961.14.1 Suite Number: Floor:
■4. V ye, in New Tenant: Yes ❑ .. No
Tenant Name: G n
Property Owners Name:
Mailing Address: 51 / O & a td, eM L v v p l
Sea
City
L.A./ .A-
State
Ste/ r a'
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: JvSil4ri (J1 ec-s1
Mailing Address: -7-5 Z ) 2 '1"- 4-vc /V w
Day Telephone: Z O 5 9-
5 cep. fl-LL
City
E -Mail Address: %-i< 4-11 4nhPE /ec.dr'r cc' hobrnal11.
C VWj
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: au-e€11 +n VU &k c..}yl"
Mailing Address: 1-b 2 7- 1211- Ave „i c■.)
Contact Person: cJ U S Ili' (il .e a r y
E -Mail Address: ale-e".) 411 r1.e F(eG/ ,-1' � C' h c /-Aire / . c o v✓,
Contractor Registration Number: &U- vl /y L K.
5 e
City State Zip
Day Telephone: 2 66 - — 7 Z CJ
Fax Number:
Expiration Date: (5 / S'/ )3
Valuation of Project (contractor's bid price): $ 45
Scope of Work (please provide detailed information): jZ e 5
/ e%-s;1 RC5 vi71—
4C- r\ a '1\ j rnp,rv-J me h �-
Will service be altered? ❑ Yes rk No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 2kRemodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
.ca
H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ 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)
❑ 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
❑ 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 -
IDate Application Accepted:
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 OWDiEkt OR EIMCTRI L CONTRACTOR:
Signature:
Print Name: 13 rG` v1 C.11 v r e/ e -f
Mailing Address: d S� v cJ Ave S
Day Telephone:
City
Date: -7 —75-- I }
2O (D - 2J-6 -
es/ u
State Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant:
•
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
2623049079
17308 SOUTHCENTER PY TUKW
BASIL VIETNAMESE RESTAURANT
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL11 -0678
ISSUED
07/25/2011
07/25/2011
r
Receipt No.: RI 1 -02420
Initials:
User ID:
JEM
1165
Payment Amount: $63.00
Payment Date: 11/04/2011 03:41 PM
Balance: $0.00
Payee:
BASIC VIETNAMESE RESTAURANT
TRANSACTION LIST:
Type Method Descriptio
Amount
Payment Credit Crd VISA
Authorization No. 510932
63.00
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $63.00
63.00
doc: Receipt-06
Printed: 11 -04 -2011
•
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
RECEIPT
Parcel No.: 2623049079 Permit Number: EL11 -0678
Address: 17308 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 07/25/2011
Applicant: BASIL VIETNAMESE RESTAURANT Issue Date:
Receipt No.: R11 -01568
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $178.50
Payment Date: 07/25/2011 01:39 PM
Balance: $0.00
JUSTIN GEARY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 049466
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 07 -25 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit 1 O� �'j
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: 6131 (/ Vier Kt Sr
Type of Inspection:
"..116L)
f
Address: ,73r J ` C 4 U
j
Date Called:
Special Instructions:
Date Wanted:.
07
m
�
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
cD R2czAla IS rA4>(
Inspector: jiti 6,4\ifik\ (Date: " /al fi,
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
• INSPEQTION NO.
INSPECTION RECORD
Retain a copy with permit
-(191Y
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
JuCT. (Z6T.
Project: 6c:si
Type of Inspection: 00
Address: 173a
Special Instructions:
Date Called:
Date Wanted:.
t1 /o a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS: _ ! Kt liartizi of 14,4u cep Fogg, tC t 1..646
- ra • HietC rq/e Cora ~rb iv R(41.ercep bper 7v
- 5(4-t- MkJDF ONtiviA1 c,"/D4If &r .7"--g 01e
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- DfitATC Co Jt 1ab&S't) 50% U) 04
1,J do4)00-'- Ko®F i.*8fLS io nJt-i.or Yeitei ol),
- PR 443.00 4tpiS cnoAi 2Iok ib
i 5 v P?O 2T15tw &( fr f L. icon 6i. L/67/441/%111
- 6- %1 tidal 1,i At 0 i I c 1 "1-5 ,11 PA's i 44P
14sr! ;c_ RQ.Cr ikosirbt.e -ii
, r
-.5601cf R aik WO uP A4. J r da/ WWA 4 (R 0W)
Inspector:
Date:
ti /01-1111
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSP CTION 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) 431 -2451
Project:
6P&L lhCi •�f�i.
Type of Inspection:
/00
Address:
fl30Y s.c . Pi
Special Instructions:
Date Called:
Date Wanted:
1!0
.m.
Requester:
Phone No:
ElApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
6A9
Inspector:
Date:
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
N
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: f` Type
Asti., Cher.
of Inspection:
p00
s M%L CJAb5I /Ai bizo tri4f144
Address:
17 30? S6-• P -
Date Called:
- tJe HC t?J tAIAt.(C shI S(AL PhOTKAilersi5 $
Special Instructions:
Date Wanted:.
/ 0/2 7
a.
Requester:
,�5
*ft 14Sitk4U
Phone No:
Dif, tc, 7 einghar ch4viskleAtAbmacks IA1 Colhof
JApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: ....6fri Racal 04 j k ttiki) 6R
aceit ki M �.) utta J� 116 ca Pt.
s M%L CJAb5I /Ai bizo tri4f144
-11I I•J&eiifkl) €REPAY
- a000 tNi c,cl' Iry sritici- mde.011
- tJe HC t?J tAIAt.(C shI S(AL PhOTKAilersi5 $
i
146 ttf CermiDth r
- .J60o i rlisstf 5t J 11 rc, &P/ tIC�3,
- R'F�P Aka a, 2- core �1niK.. �icrr xwdt,
- v, ,4 Ir4 i Roopts/Co PL
,�5
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Dif, tc, 7 einghar ch4viskleAtAbmacks IA1 Colhof
I/Si t f Ta 5076
Insi?ector:
(Date:
47.7 III
ri REINSPECTION FEE REQUI ED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION N
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Perms Inspection Request Line (206) 431 -2451
Iv
Project:
Type of Inspection:
Z tov
Address: i3o'
Special Instructions:
Date Called:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
gcoer<'aP JRI t' s RE-WO L ft..S TKO"
OA/ Patif. bip `C(o2' 5rf. 4 7�Y D At brc (E CJAh r DESI an(To BE kectlecri:4
- L46 5 TN of trr(G&t% 4t k L 4L AdJ)
r f- cokAitck L1 A-TrAc446b
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD vQ
Retain a copy with permit LU - 0
INSPECTION NO. PERMIT NO.
'tiny OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: l L 401-• eOr
Type of Inspection:
77 3
Address: ! 7 3 %
r�
5-C ' et
Date Called:
Special Instructions:
Date Wanted: .m
pl�
p. 1
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
.411 . ' tnlA111/5 NILAINIti
1,1
1117-4 -464
Ilnspector: V 1 7 i 1Date: a s,-/I /I i
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
._ -..�._
enTV . . -. MY:'Yrt."! F‘CF, • AA,T.. :r�r- ■:::"a•gre'-f, . .,,. a"w •'r'• �- -= "O • - r
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
61—c1'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 *. (206) 431 -367
.Permit Inspection Request Line (206) 431 -2451
fbject •� ( VI /�• %�
C) (j�
_
Type of Inspection:
3
Address:
DI
Date Called:
Date
^.
Special Instructions: ' :
Date Wanted:
_
Phone No:
ElApproved per applicable codes.
EJCorrections required prior to approval.:
COMMENTS:
TA
,_
- 044- - evd 0 au-(44 /4
I0104 k . 5 )r k
?c J1 L J#t+.4.- SDIM4 C 4-i -
.r 4
Inspector: /iti /, j ) tel
Date:
Q',
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prim Friendly Page
Electrical Contractor
A business licensed by LBI 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
QUEEN ANNE ELECTRIC LLC
2067823200
7527 12Th Ave Nw
Seattle
WA
98117
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602462469
Active
QUEENAE914LK
Electrical Contractor
6/8/2009
6/8/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
QUEENAE951CAQUEEN ANNE
ELECTRIC LLC
Electrical
Contractor
Residential
Unused
2/1/2005
2/1/2011
Expired
Electrical Administrator INFORMATION
License GEARYJT910KF
Name GEARY, JUSTIN T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GEARY, JUSTIN
Partner /Member
06/08/2009
LINDSAY, HUNAN
Partner /Member
06/08/2009
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
2/1/2005
Until
Released
Bond
$4,000.00
2/3/2005
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
https://fortress.wa.gov/lni/bbip/Print.aspx
07/25/2011