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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 bh 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 bh 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 - "7/4b j,.ocvr nJ VT5 k1 bJ % — - 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 *ft 14Sitk4U - W ec Slut? Ft_><y /mJ tccc ,,r 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