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Permit EL11-0864 - BASIL VIETNAMESE CUISINE
BASIL VIETNAMESE RESTAURANT 17308 SOTJTHCENTER PY EL1 1 -0864 City oftukwila 4111 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 Parcel No.: 2623049079 Address: 17308 SOUTHCENTER PY TUKW Project Name: BASIL VIETNAMESE CUISINE ELECTRICAL PERMIT Permit Number: EL11 -0864 Issue Date: 09/19/2011 Permit Expires On: 03/17/2012 Owner: Name: KIR TUKWILA 050 LLC /KIMCO Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 Contact Person: Name: JENNIFER BURGESS Phone: 360 945 -2787 Address: 1345 GULF RD , POINT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 425- 893 -3668 Expiration Date: 09/25/2011 DESCRIPTION OF WORK: INSTALL BURGLAR ALARM Value of Electrical: NRES: $99.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $63.00 2008 I hereby certify that I have read and xami1 ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, hether specified herein or not. The granting of this permit does not pre construction or the perfor�ance of work. I am authorized to sign and obtain this electrical permit. e to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: wit t - a,AA Dater% ` j 1 — ` '" g 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 -0864 Printed: 09 -19 -2011 • • PERMIT CONDITIONS Permit No. ELI 11 -0864 * *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 -0864 Printed: 09 -19 -2011 CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa.us • Electrical Permit No. Project No. UHY 01 11.14 (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 Site Address: 17308 S Center Parkway King Co Assessor's Tax No.: 2623049079 Tenant Name: Suite Number: Floor: Property Owners Name: Basil Vietnamese Cuisine Mailing Address: same as site New Tenant: ❑ Yes ..No TUKWILA city WA State 98188 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Jennifer Burgess Mailing Address: E -Mail Address: 1345 GULF RD jennifer @nwpemit.com Day Telephone: 360- 945 -2787 Point Roberts WA 98281 City State Zip Fax Number: 360- 945 -2091 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Security Services Mailing Address: 11824 NORTH CREEK PKWY #105 Contact Person: Jennifer Burgess E -Mail Address: jennifer @nwpermit.com Contractor Registration Number: ADTSES1032O5 BOTHELL WA 98011 City State Day Telephone: 360- 945 -2787 Fax Number: 360- 945 -2091 Zip Expiration Date: 09/25/2011 Valuation of Project (contractor's bid price): $ 99.00 Scope of Work (please provide detailed information): Install burglar alarm system Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes © No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement E Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:\ApplicationsWForms- Applications On Lineal -2007 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $140.00 $75.00 ea $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTES 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. 1 HEREBY CERTIFY THAT 1 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 EL C L CONTRACTOR: Signature: Print Name: WiIIi. m Millho in Day Telephone: 360-945-2787 Date: 09/18/2011 Mailing Address:1345 GULF RD POINT ROBERTS, WA 98281 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: ApplicationsWonns- Applications On Lin64 -2007 - Electical Permit Application.doc bh Page 2 of 2 • 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 -0864 Address: 17308 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/19/2011 Applicant: BASIL VIETNAMESE CUISINE Issue Date: Receipt No.: R11 -02042 Initials: JEM User ID: 1165 Payment Amount: $63.00 Payment Date: 09/19/2011 09:00 AM Balance: $0.00 Payee: NORTHWEST PERMIT INC, ADT ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1558 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 09 -19 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit —°g6i P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: , hi-Sit, Type of Inspection: �In', ` c�v Address: /734-5- c- py Date Called: Special Instructions: 5 CAA I I . Date Wanted: am: t.,11,;• Requester: q Phone No: IKApproved per applicable codes. [-Corrections required prior to approval. COMMENTS: LnsPector:j Date: 10/z 7 hi ❑ REINSPECT! N FEE REQUI ED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pry„ er Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by LEtJ 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 ADT SECURITY SERVICES INC 4254023356 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI03205 Electrical Contractor 9/25/1997 9/25/2013 Limited Energy Hvac /Rfrg Ltd Energy Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Master Electrician INFORMATION License BEARDGE963LS Name BEARD, GERALD E Status Active Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 KOCH, JOHN B President 09/13/2011 BLEISCH, NELSON DAVID Secretary 09/13/2011 FAXAS, MAGIN ANTHONY Treasurer 09/13/2011 SNYDER, MICHAEL President 01/01/1980 09/13/2011 MONROZE, M BRIAN Secretary 06/15/2006 09/13/2011 FLANIGAN, TIMOTHY E Secretary 06/15/2006 09/13/2011 ABROMEIT, RICHARD H Treasurer 08/21/2003 09/13/2011 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/19/2011