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Home My WebLink AboutPermit EL17-0736 - PANERA BREAD - TENANT IMPROVEMENTThis 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. EL17-0736 PANERA BREAD 17250 SOUTHCENTER PKWY RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle 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 11 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. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) 7a & c apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. PANERA BREAD 17250 SOUTHCENTER PKWY ELI 7-0736 Parcel No: Address: C City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 7888920020 Permit Number: EL17-0736 17250 SOUTHCENTER PKWY Project Name: PANERA BREAD Issue Date: Permit Expires On: 9/22/2017 3/21/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE, WA, 98006 ANTHONY BROWN 3130 WALKER RD , DUPONT, WA, 98327 BROWN ELECTRIC LLC 3130 WALKER RD, DUPONT, WA, 98327-8795 BROWNEL911QZ Phone: (253) 405-2435 Phone: (253) 405-2435 Expiration Date: 11/9/2017 DESCRIPTION OF WORK: TI - MOVE WALLS, REPLACE TRACK LIGHTS, ETC Valuation of single family: $0.00 Valuation of mf/comm: $12,000.00 Type of Work: REMODEL Fees Collected: $338.86 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 PTh I hearby 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: P}PolerimA wit iiroutiii Date: ?i2 c p.!" ' CJS f l This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB A CITY OF TUKCA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. NI- 111* 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: King Co Assessor's Tax No.: I1a5o 5o31A O¢titkr P z PA v e trx B rekd Suite Number: PROPERTY OWNER Name: 0,• �'WPIT WV% Name: 1 31 0 ' w1olikte AA City: Address: Phone: Zs3 eoy esr ` City: State: Zip: CONTACT PERSON — person receiving all project communication Name: 0,• �'WPIT WV% Address: 1 31 0 ' w1olikte AA City: 1)417\11--. State: (a 0�M- Zip:L� V�+ Phone: Zs3 eoy esr ` Email: a O 1A, l�j,,,,lrh vel VJ, GR,,,, Floor: New Tenant: ❑ Yes jxc..No ELECTRICAL CONTRACTOR INFORMATION Company Name: P rowi £(t? ct►vt ) l I i �(� Address: ' �u wet Ike.r n tl City: DvY State: ,. _ /1_ Zip:go JZ� � Wlf'T Z Phone:253 \/.OS 2 (13s." -Fax: Contr Reg No.: Q rovin el q I 1 xp Date: it 1 n Tukwila Business License No.; Valuation of Project (contractor's bid price): $ a, OL Scope of Work (pleaseT�itf 4r/tTprovide detailed information): l ., Orbit, l �13v� L> l.` p,(l(,/(v Will service be altered? E Yes No Adding more than 50 amps? ❑ YesNo Type of Use: Type of work: ❑ New 0 Addition 0 Service Change X Remodel Igt,Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 n RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 ' number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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: C Qfprvu- Print Name: J1i-iD � lwW+') Mailing Address: (1)C, wu Ik't - orkt W:\Permit Center \Applications -Handouts \Permit Applications\Word\Electrical Permit Application Revised 1-I-2017.docx Revised: January 2017 bh Day Telephone: n 114— City Date: 22.- Sep 4` 2,0 1 Wp- CM7e 1 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY PAID $338.86 EL17-0736 Address: 17250 SOUTHCENTER PKWY Apn: 7888920020 $338.86 Credit Card Fee $9.87 Credit Card Fee R000.369.908.00.00 I 0.00 I $9.87 ELECTRICAL $313.32 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $313.32 TECHNOLOGY FEE $15.67 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R12398 0.00 $15.67 $338.86 Date Paid: Friday, September 22, 2017 Paid By: ANTHONY BROWN Pay Method: CREDIT CARD 022309 Printed: Friday, September 22, 2017 11:01 AM 1 of 1 SYSTEMS i INSPECTION NO. INSPECTION RECORD Retain a copy with permit fi/(1-0-1,* PIT N . r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 206) 431 - Permit Inspection Request Line (206) 438-9350 Project: t rky,it Type of Insole, on: I'NI," -It. Address: �� s5 c L P'f . Date Calle•. Special Instructions: Date Wanted: ,, % a,uy�, / p.m. � Requester: �/ Phone No: "' �' X5-3tfQS2.3s Approved per applicable codes. Corrections required prior to approval. COMMENTS: r inspector: Date: q2,$(t? REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2/1/2018 City of Tukwila Department of Community Development ANTHONY BROWN 3130 WALKER RD DUPONT, WA 98327 RE: Permit No. EL17-0736 PANERA BREAD 17250 SOUTHCENTER PKWY Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final 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 3/21/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 3/21/2018, 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, itqww) ache le Ripley Permit Technician File No: EL17-0736 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Brown Electric LLC Washington State Department of `% Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Search L&I A -Z Index Help Page 1 of 2 ARCH' My 1.x:1 Workplace Rights Trades & Licensing Brown Electric LLC Owner or tradesperson Principals Brown, Anthony C, PARTNER/MEMBER Brown, Janell L, PARTNER/MEMBER Doing business as Brown Electric LLC WA UBI No. 602 961 315 3130 Walker RD DUPONT, WA 98327 253-405-2435 PIERCE County Business type Limited Liability Company Governing persons JANELL LEIGH BROWN ANTHONY CAMPBELL BROWN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. BROWNEL911QZ Effective — expiration 11/09/2009-11/09/2017 Designated administrator Brown, Anthony C License type Electrical Administrator Bond WESTERN SURETY CO Bond account no. 70835827 Active. Meets current requirements. Active. Meets current requirements. License no. BROWNAC913PB $4,000.00 Received by L&I Effective date 03/16/2010 03/16/2010 Expiration date Until Canceled Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 11/09/2009 11/05/2009 Release date Impaired date N/A N/A Savings account ID Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602961315&LIC=BROWNEL911 QZ&SAW= 9/22/2017 Brown Electric LLC License Violations fl Infraction no. EBIEA01021 Issue date 07/31/2012 Violation city DUPONT Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Employing Timothy. D. Aldrich. Satisfied .................. _ RCW/WAC 19.28.271 RCW Violation amount $250.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 209,562-00 Doing business as BROWN ELECTRIC LLC Estimated workers reported Quarter 2 of Year 2017 "1 to 3 Workers" L&I account contact T3 / KENT ANDERSON (360)902-6963 - Email: ANDN235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ........................................................ No strikes have been issued against this contractor. Contractors not allowed to bid .......................................................................................... No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602961315&LIC=BROWNEL911 QZ&SAW= 9/22/2017