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Home My WebLink AboutPermit EL18-0101 - APPLEBEE'S - ADD OUTLET FOR RTI SYSTEMThis 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. EL18-0101 APPLEBEE'S 17790 SOUTHCENTER PKWY THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description StatutelRule Personal Information — The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security 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 9 DR2 Financial Information — RCW 42.56.230(4 5) account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. 42.56.230(5) Personal Information — Driver's License. RCW Redactions contain information used to prove RCW DR3 — identity, age, residential address, social security 42.56.230 (7a 42.56.230 (7a & c) number or other personal information required to apply for a driver's license or identicard. & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) APPLEBEE'S 17790 SOUTHCENTER PKWY ELI8-0101 Parcel No: Address: 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 3523049005 Permit Number: EL18-0101 17790 SOUTHCENTER PKWY Project Name: APPLEBEE'S Issue Date: 2/5/2018 Permit Expires On: 8/4/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KIR TUKWILA 050 LLC/KIMCO 3333 NEW HYDE PARK STE 100 PROPERTY TAX DEPARTMENT, NEW HYDE PARK, WA, 11042 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: 11/9/2019 DESCRIPTION OF WORK: ADD OUTLET FOR RTI SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: TENANT IMP Fees Collected: $85.94 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE,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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature:�!� I1u1i1(t1V' Date: 2Iy1 K 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: Xrt,""ArcHttfti tirt i"P Date: S 'G5 244 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 296-468 WAC and the Washington Cities Electrical Code. 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 CITY OF TUKWIA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gpv Electrical Permit No. N / OO 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 .--q0 50 A ceiA Pc,/ kidtr Site Address: Tenant Name: 1-7 o 50A ce, 14. be, PROPERTY OWNER Name:' 'OW Address: g Go cio ker_ Q").d Name: Phone:2 vo,v- 7tiw Fax: Email: 47/A0g1l,i O. toad kus. (exe Address: City: State: - Zip: City: State: Zip: CONTACT PERSON — person receiving all project communication Name:' 'OW Address: g Go cio ker_ Q").d City: pito 1.....— State: M9— Zip:IN:7 Phone:2 vo,v- 7tiw Fax: Email: 47/A0g1l,i O. toad kus. (exe King Co Assessor's Tax No.: ar- Suite Number: Floor: New Tenant: 1 1 Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: ., Address: — 5 I '; 0 UQa 1/1\-1 C. fd City: State: - Zip: Phone2.6 q 0.3-- ,z cr 5.--F'ax: Contr Reg No.: growrle( q/) et)Exp Date: 1 1 Tukwila Business License No.;. Valuation of Project (contractor's bid price): $ SOO Scope of Work (please provide detailed information): Add 01/11.2.- POC .Cvt 4 tAn Will service be altered? D Yes No Adding more than 50 amps? D Yes JJ No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel Tenant Improvement 0 Low Voltage El Generator D Fire Alarm 0 Telecommunication 0 Temporary Service Provery Served b • Puget Sound Energy 0 Seattle City Light WAPermii Cenicr1Applications-Handouts1Permit ApplicalionsMord\ Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea O 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. 1 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:f9`/941\V kh.111D6\Ark, �q7\17)�Ql�c��.� W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Day Telephone: City Date: `° 14/5 State Zip Page 2 of 2 Registe Receipl City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY ! PAID $85.94 E118-0101 Address: 17790 SOUTHCENTER PKWY Apn: 3523049005 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908,00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13693 R000.322.900.04.00 0.00 $3.97 $85.94 Date Paid: Monday, February 05, 2018 Paid By: AC BROWN Pay Method: CREDIT CARD 005519 Printed: Monday, February 05, 2018 9:35 AM 1 of 1 rirmTSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISIONI 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: pc . Type of Inspection: T Address: 7 o 3-c-- Pf- Date Called: Special Instructi s: Date Wanted: a. .m. Requester: I i Al ilf-° 14 Phone No: 110 2y Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 1 Ai/ Inspector: Date: REINSPECTION' FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspeciion. Brown Electric LLC 1 -lame Espanol Contact Safety & Health Claims & Insurance Washington State Department of CLabor & Industries Page 1 of 2 Search L&i Index Help My L& 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 contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. BROWNEL911QZ Effective -- expiration 11/09/2009— 11/09/2019 Designated administrator ........... Brown, Anthony C Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator BROWNAC913PB Bond No current bond account. See the bond history. Bond history 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 License Violations Infraction no. EBIEA01021 Satisfied Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602961315&LIC=BROWNEL911 QZ&SAW= 2/5/2018 Brown Electric LLC 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. 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&IAccount ID 209,562-00 Doing business as BROWN ELECTRIC LLC Estimated workers reported Quarter 4 of Year 2017 "1 to 3 Workers" L&I account contact T3 / KENT ANDERSON (360)902-6963 - Email: ANDN235@lni.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 0 Washington State Dept of Labor & Industries. Use of this site is subject to the laws of the state of Washngton. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602961315&LIC=BROWNEL911 QZ&SAW= 2/5/2018