HomeMy WebLinkAboutPermit EL13-0771 - APPLEBEES - REMODEL
This 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.
EL13-0771
Applebees
17790 Southcenter Pkwy
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Code Exemption Brief Explanatory Description Statute/Rule
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 5 U.S.C. sec.
individuals’ privacy pursuant to 5 U.S.C. sec.
DR1 Generally – 5 U.S.C. sec. 552(a); RCW
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
552(a); RCW 42.56.070(1)
State Public Records Act, which exempts under
42.56.070(1)
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
10 DR2 Financial Information –
account numbers, which are exempt from
42.56.230(5)
disclosure pursuant to RCW 42.56.230(5)
RCW 42.56.230(4 5)
,
except when disclosure is expressly required by
or governed by other law.
APPLEBEES
17790 SOUTHCENTER PY
ELi 3-0771
City ogukwila
r
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: EL13-0771
Issue Date: 08/14/2013
Permit Expires On: 02/10/2014
Owner:
Name: KIR TUKWILA 050 LLC
Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020 11042
Contact Person:
Name: ANTHONY BROWN
Address: 3130 WALKER RD , DUPONT WA, 98327
Contractor:
Name: BROWN ELECTRIC LLC
Address: 3130 WALKER RD , DUPONT WA 98327
Contractor License No: BROWNEL911QZ
Phone: 253-405-2435
Phone: 253 405-2435
Expiration Date: 11/09/2013
DESCRIPTION OF WORK:
REISSUANCE OF EXPIRED PERMIT EL13-0077
ELECTRICAL FOR REMODEL AND LOW VOLTAGE REPAIR TO BRING UP TO CODE
Value of Electrical: NRES: $12,000.00
RES: $0.00
Type of Fire Protection: UNKOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
Washington Cities Electrical Code:
$307.20
2011
Date: % I ± 1 3
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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: 1 N v `,2 i 3
Print Name: ti31— H 0 t-"--* Q (a o._,
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 -7/13
EL13-0771 Printed: 08-14-2013
•
PERMIT CONDITIONS •
Permit No. EL13-0771
**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 -7/13
EL13-0771 Printed: 08-14-2013
CITY OF TUK
Community Developm Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical PeIit No. t.1---\ )--a
Project No.
Date Application Accepted:
Date Application Expires:
(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:
Tenant Name:
Ce nit r Pa., fC ham
PROPERTY OWNER
Company Name: B � \ g (G _ [ _ ` u ,
Name: 11 tnn Co (lek l L -
Address: 7333 NQ.,) -Hyl
t2—tc. (41
City: State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: B � \ g (G _ [ _ ` u ,
Name:
Zip: 5 -cc 2....7
Phone: 25 34oT i,1 S Fax:
Address: �1
v
1
l tx. iik
Tukwila Business License No.;
City: Ov 1�^
State: Zip:/l
"
2-1
Phone: 253wS
.14
-Fax: 2:5-)(1t0 4 2At 3$
Email:
Gti
aL.A
g
wlvtd1h ‘/S,cow%
King Co Assessor's Tax No.:
Suite Number: Floor: [
New Tenant: El Yes )�J .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: B � \ g (G _ [ _ ` u ,
Address: 13‘) W A (L Rj
City: 0, j pad State:
Zip: 5 -cc 2....7
Phone: 25 34oT i,1 S Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 126007
Scope of Work (please provide detailed information): Lotti) J 1)1174 x- ;pis ytbtiijD.Ld -7i, CP 1..'s y
�jrl�1 %I�t�S vp
Will service be altered? ❑ Yes k No Adding more than 50 amps? ❑ Yes 14 No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light (1
H:Wpplications\Forms-Applications On Line\2013 Apphcattons\Electrical Permit Application Revised 7-1-13.docx .c --(-Q°
Revised: July 2013
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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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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.
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:
Date:
Day Telephone:
City
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
bh
State Zip
Page 2 of 2
•
S
City of Tukwila
o�, Z Department of Community Development
6300 Southcenter Boulevard, Suite #100
O Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
RECEIPT
Parcel No.: 2623049110 Permit Number: EL13-0771
Address: 17790 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/14/2013
Applicant: APPLEBEES Issue Date:
Receipt No.: R13-02364
Initials:
User ID:
WER
1655
Payment Amount: $153.60
Payment Date: 08/14/2013 02:22 PM
Balance: $0.00
Payee: ANTHONY BROWN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 04616C
ACCOUNT ITEM LIST:
Description
153.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 153.60
Total: $153.60
.inn• acrcinr_na
Printed: 08-14-2013
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.,.#100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-245.1
PERMIT NO.
Project:
'�
Type of Inspection:
�(DO
Address:
►-110 St, .
Date Called:
Special Instructions:
Date Wanted:
n ��
`r�
m
m.
Requester:
Phone No:
pApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
ciferciitAls 6/3- oop
D
corraiL'
Inspector:
Date: 01 (43
r
�
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must!lbe
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
• -
INSPECTION, RECORD
Retain a ?copy with permit
t2 /3.
;PERMIT NO.
CtTY OPTUK,VVILA BilILD114G DIVISION
63O0Southcenter Blvd., #100,3ukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
A tag° L irldia-7 •
Type of Inspecticv
(-1/0 O
Address:,
1-”9,0 se
Date Called:
,Pidor
Special Instructions:
Date Wanted:
8,1s-,43
a.m.
p•rn•
Requester:
Phone No:
Approved per applicable codes.
EiCorrections required prior to approval. 17
COMMENTS:
442.1-44
41-t/Ah-r
fi-71.1/4 t
4'r Oavre-
/14
.SY./9
21777/v, 711) .,/id/eN)/i/j
Inspector:
\n9e412)7"
Date:
• ?
REINSPEpI1ON FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by LEl 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
BROWN ELECTRIC LLC
2534052435
3130 Walker Rd
Dupont
WA
98327
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty, 1
Specialty 2
602961315
Active
BROWNEL911 QZ
Electrical Contractor
11/9/2009
11/9/2013
General
Unused
Electrical Administrator INFORMATION
License BROWNAC913PB
Name BROWN, ANTHONY C
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, ANTHONY C
Partner/Member
11/09/2009
7/31/2012
BROWN, JANELL L
Partner/Member
11/09/2009
$250.00
Bond Information
Bond Company Name
WESTERN SURETY CO
Bond
1
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
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
RCW Code
Type
Status
Violation Amount
EBIEA01021
7/31/2012
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00596
7/22/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.gov/lni/bbip/Print.aspx 08/14/2013