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Home My WebLink AboutPermit EL12-0077 - APPLEBEE'SThis 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. EL12 -0077 Applebee's 17790 Southcenter Parkway RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 10 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. APPLEBEES 17790 SC)UTHCENTER PY EL1 2-0077 City "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 Parcel No.: 2623049110 Address: 17790 SOUTHCENTER PY TUKW' Project Name: APPLEBEES ELECTRICAL PERMIT Permit Number: EL12 -0077 Issue Date: 01/31/2012 Permit Expires On: 07/29/2012 Owner: Name: KIR TUKWILA 050 LLC Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020 Contact Person: Name: ANTHONY BROWN Address: 3130 WALKER RD , DUPONT WA Contractor: Name: BROWN ELECTRIC LLC Address: 3130 WALKER RD , DUPONT WA Contractor License No: BROWNEL911QZ Phone: 253 405 -2435 Phone: 253 405 -2435 Expiration Date: 11/09/2013 DESCRIPTION OF WORK: HOOK UP LIGHTS IN NEW ENTRANCE. REMOVE SEAL TIGHT FROM AWNING AND HOOK UP AWNING INSIDE BUILDING Value of Electrical: NRES: $800.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND INIERGY Permit Center Authorized Signature: $88.20 2008 Date: b t( I j Z I hereby certify that I have read and e - - d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether specified herein or not. The granting of this permit does not pres e 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 electrical permit. Signature: Mjt"-t/1 a Date: 3 ( Tel 11 Z O 17 Print Name: f +ho/l� ej fOIAJP, 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 EL12 -0077 Printed: 01 -31 -2012 0 PERMIT CONDITIONS • Permit No. EL12 -0077 * *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 EL12 -0077 Printed: 01 -31 -2012 Site Address: Tenant Name: CITY OF TUKWIAL Community Developm department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.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.: .)'41 279 t[ — 110 (1lei 0 S out* C evt t-. Pi rk A.'a Suite Number: 131A- Floor: u /Pt I bet's I{t�. ptu� "� pp ��At��6 Name: p Le. )O ei- f % Vie- G7rn 5 A Address: ('Z0o 041T 1- rte. ‘11Od City: lvtd e p er►d ence State: Dhi 0 Zip: qq j,/ !i M.r c!. -kkt�.u`. \. r_.3F. �u,fL £Ve Name: J.VtOtt, novIA Address: 31,0 W A(k poi City: DUR31t'+— State: it Zip: or327 Phone: 253 uDc- 7nn4$ ax: Z5 tho4 P q i{q Email: et oItivl l� UJlitd bH . Cbw, Valuation of Project (contractor's bid price): $ < iODi Scope of Work (please provide detailed information): New Tenant: ❑ Yes cit. No Company Name: mv4.� Ei et✓�t1•c, Liz_ Address: 3130 Wat(ke-r 12-41 City: 00 Q) r State: w ,.- Zip: g83ZZ Phone: 253 40S-2435-F ax: 253 16(.( (0c14fq Contr Reg No.: (3r6,,n. e ( elliQz.Exp Date: 't uao zo\3 Tukwila Business License No.; (, 5 11 01 r l l aun a4014 ltd) ark 100 k up 0,101,141 (hs t,C Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change IX Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: IX Puget Sound Energy ❑ Seattle City Light H'. \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised August 2011 bh ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 aommaTlmiamminamma IT�l�i�i�ir�lla..... pit ■ rq RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 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: Mailing Address: A-1,1%-k-h e rr7 313 H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11 .docx Revised: August 2011 bh Date: 31 r^A Zal Day Telephone: 15 3 (E o S & 5 Pip v\-k-- us R �532�7 City State Zip 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.: 2623049110 Permit Number: EL12 -0077 Address: 17790 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 01/31/2012 Applicant: APPLEBEES Issue Date: Receipt No.: R12 -00374 Payment Amount: $88.20 Initials: JEM Payment Date: 01/31/2012 10:50 AM User ID: 1165 Balance: $0.00 Payee: AC BROWN BROWN ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 03110T ACCOUNT ITEM LIST: Description 88.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 88.20 Total: $88.20 doc: Receiot -06 Printed: 01 -31 -2012 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 R (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451. Project: ,' Type of Inspection: Address: �, ii0 S -� Date Called: Special Instr ctions: Date Wanted:. m./' Requester: Phone No: p Appr�oved per applicable codes. 0- Corrections required prior to approval. COMMENTS: Inspector: r Date: ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 06 -01 -2012 ANTHONY BROWN 3130 WALKER RD DUPONT WA 98327 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL12 -0077 APPLEBEES 17790 SOUTHCENTER PY TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 07/29/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 07/29/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, fer Marshall it Technician File: Permit File No. EL12 -0077 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206 - 431 -3665 Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by L &I 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 BROWN ELECTRIC LLC UBI No. 602961315 Phone 2534052435 Status Active Address 3130 Walker Rd License No. BROWNEL911QZ Suite /Apt. License Type Electrical Contractor City Dupont Effective Date 11/9/2009 State WA Expiration Date 11/9/2013 Zip 98327 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License BROWNAC913P3 Name BROWN, ANTHONY C Status Active Business Owner Information Name Role Effective Date Expiration Date BROWN, ANTHONY C Partner /Member 11/09/2009 BROWN, JANELL L Partner /Member 11/09/2009 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 WESTERN SURETY CO 70835827 03/16/2010 Until Cancelled $4,000.00 03/16/2010 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 11/5/2009 Until Released Bond $4,000.00 11/9/2009 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 Infractions /Citations Information Infraction / Citation Date EBOES00596 7/22/2011 RCW Coale 19.28.101 RCW Type Status Violation Amount ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 01/31/2012