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HomeMy WebLinkAboutPermit EL14-0379 - CASCADE BEHAVIORAL HOSPITAL - TENANT IMPROVEMENTCASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S EL1 4-0379 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 1623049001 12844 MILITARY RD S 2 ELECTRICAL PERMIT Project Name: CASCADE BEHAVIORAL HOSPITAL Permit Number: EL14-0379 Issue Date: 6/16/2014 Permit Expires On: 12/13/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: HCH SPECIALTY CENTER 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WA, 98168 DANIEL JARDINE 2025 FIRST AVE, SUITE 300 , SEATTLE, WA, 98121 VECA ELECTRIC CO INC 5617 7TH AVE S , SEATTLE, WA, 98108 VECAECI542MU I Phone: (206) 441-4522 Phone: (206) 860-0231 Expiration Date: 10/31/2015 DESCRIPTION OF WORK: REPLACEMENT OF LIGHT FIXTURES, NEW POWER AND DATA OUTLETS, MECHANICAL EQUIPMENT CONNECTIONS Valuation of single family: $0.00 Valuation of mf/comm: $85,000.00 Type of Work: TENANT IMP Fees Collected: $1,859.84 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 20 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: l0 Ip I 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: Date:AL// O / 9 Print Name: 0'(/ ' ✓f @c i c e 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 0- 7 Project No. Date Application Accepted: k" Date Application Expires: ({ a-3 1 (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: 12844 Military Road S. Tenant Name: Cascade Behavioral Hospital PROPERTY OWNER Name: Acadia Healthcare Address: 830 Crescent Drive, Suite 610 City: Franklin State: TN zip: 37067 CONTACT PERSON — person receiving all project' communication Name: Daniel C. Jardine Address: 2025 First Avenue City: Seattle State: WA Zip: 98121 Phone: (206) 441-4522 Fax: (206) 441-7917 Email: King Co Assessor's Tax No.: 162-304-9001 Suite Number: Floor: 3W New Tenant: ❑ Yes I ..No ELECTRICALCONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 85,000 Scope of Work (please provide detailed information): Replacement of light fixtures, new power and data outlets, mechanical equipment connections Will service be altered? ❑ Yes No Adding more than 50 amps? El Yes 0 No Type of Use: Hospital Type of work: ❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy © Seattle City Light H.Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 EL RICAL CONTRACTOR: Signature: &I�2G�o� Date: ZZ Print Name: Daniel C. Jardine , Tehone: (206) 441-45 2 Daylep Mailing Address: 2025 First Avenue, Suite 300 Seattle WA 98121 City State Zip H.\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK 5.00 EL14-0379 . Address: 12844 MILITARY RD S 2 Apn: 1623049001 65 ELECTRICAL $65.00 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R2871 R000.345.830.00.00 1.00 $65.00 $65.00 Date Paid: Friday, August 15, 2014 Paid By: VECA ELECTRIC CO INC Pay Method: CHECK 2227 Printed: Friday, August 15, 2014 1:46 PM 1 of 1 CRSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $357 66 EL14-0379 Address: 12844 MILITARY RD S 2 Apn: 1623049001 $357.66 ELECTRICAL PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R1884 • R000.345.832.00.00 $357.66 $357.66 Date Paid: Wednesday, April 23, 2014 Paid By: DANIELJARDINE Pay Method: CREDIT CARD 035964 Printed: Wednesday, April 23, 2014 8:39 AM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $1,502.18 EL14-0379 Address: 12844 MILITARY RD S 2 Apn: 1623049001 $1,502.18 ELECTRICAL $1,430.65 PERMIT FEE MULTI-FAM/COMM R000.322 101.00 00 0.00 $1,430.65 TECHNOLOGY FEE $71.53 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2376 R000.322.900.04.00 0.00 $71.53 $1,502.18 Date Paid: Monday, June 16, 2014 Paid By: VECA ELECTRIC CO INC Pay Method: CHECK 2217 Printed: Monday, June 16, 2014 9:30 AM 1 of 1 SYSTEMS INSPECTION RECORD fikt,-0371Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: /! cc� j ` t� tc YP T e of Inspection: �� Address: Oil It Date Called: Special Instructions: ' Date Wanted: 7a.m: (p.1 Requester: 0e—{IN Phone No: 7182 5r0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: CD4cnad's tme fr') V u- \- flAlltv Inspector: \171400146€ Date: ,v j2 y J r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 (141(-677 Project: e/c5 Type of Inspection: -'"` Address: /2 ntirof o F ( _ j"i w Date Called: Special Instructions: '' Date Wanted: /v/z3 e Requester: J eLl'ivi Phone No: It8 21 572 ❑ Approved per applicable codes. tE Corrections required prior to approval. COMMENTS: — Apt. k(cEPritue Aea55(6(1 TO kri Ta 8. Mrs°. gtsiST"A-A t _. -RA a N`r & f I:.0 t i 14;4 - 'rm-n1 cd " ttA-u-vk C PA r JYti SJt-(-5 R,(4 ‘)r K.0 - tcilkitck Lear/ruse ikklut 0..0 Fofi �p J'JT5 - trkA4ST Md a.'it Z (1'1 `I PRclTEUff Inspector: / j� f_ 4 Date: foZ 3�y REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD 61,P('6377Retain a copy with permi INSPECTION NO. PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project: Kc bt 4 Type of Inspection: r ' A Address: Q' �� -47 7 iv Date Called: Special Instructions: Date Wanted: /v !7f a.m.. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: r Y 37/JacrT÷(j - 4t. - %-fuAC, Cof .— 7ouc1(J to co1Pi C. . IT) 1 n 1 Y, - Yoh U 5 A-Y\h . 1k sAA) Inspector: Date: /0 1l7ht REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: % , /^ ,, �^� e" t,�f1'J�'"!r ff kilt Type of Inspection: f f tit%�jt4 ''V Address: / ail , l Y Date Called: Special Instructions: 1 .- Date Wanted: to (} a.m.m' p. Requester: fly Phone No: It U 2 5 ElApproved per applicable codes. t� Corrections required prior to approval. COMMENTS: C./ ! k fi�n` %tj -ri. , 44-(.6)% f 04 UfAlli AdD lgP i t-t/NiLi . 3 atr-sT- Inspector: n5-1// REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: INSPECTION RECORD Retain a copy with permit INSPE ION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: A L 06 CA-4 ferc—r4ktil a—ALI Type of Inspection: A) R04(4 Address: /alit ' 1 l Date Called: Special Instructions: ham( ?/6Nt 1- i- $ Date Wanted: CO' am. Requester: e72_j Phone No: 7(3 170 ElApproved per applicable codes. Corrections required prior to approval. 1 COMMENTS: — cell-�C t 1+0 6)[,,w Inspector: f11(1)0%N Date: obi REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 CitN-o377 Project: A. 64- gftiAsitoR41.- Type of Inspection: r.J ADV14 ICJ Address: / I l 614 Date Called: Instructions: w AU/ Pif.I p t Date Wanted: 17/Special �� p.m. Requester: ..�^� y - Phone No: 47? / 3 53 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: / - W AU-- c J6 . Wes - Inspector: r Date: ah ty REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. d;1641-� 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO, PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 thLto 51 Project: 6.544. Al '" "_ 'TYpe of Inspection: 11A�t Address: /217q ,j+ jLrti fKt Date Called: Special Instructions: Date Wanted:a.m�r 7� ism• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: U 1- — 3 "©Kmi Inspector: ""''/ /,„ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 0 i 3/i INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 &1-o51? Project: %! t/ Type of Inspection: `M Pi Address: /2?? gli (� %t/ -44Z-T { Date Called: Special Instructions: Date Wanted: Vat a.m. .,.. Requester: 1 Phone No: ElApproved per applicable codes. t� Corrections required prior to approval. COMMENTS: r/ • Q co/ 444A- 3 Alani- Inspector: -N.--1;a4tifiN\ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: L71'00 INSPECTION NO, INSPECTION RECORD &'/ �/—� Retain a copy with permit^ —PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: /� j t%i's oo f ?44 ki(A Type of Inspection: al t4 f Address: ����� _,/lam �� Date Called: Special Instructions:' C/"y' �� tit. Ks Date Wanted: / Z^ im°' Requester: gav Phone No: 1/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 ti) " - " (6(L(� 5EcJ "t 3 AJORT-44 4140 L A5 Date: d (/2-ah Inspector: ) iri t r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: EL14-0379 DATE: 07/16/2014 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844. MILITARY RD S Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued X Revision # 1 after Permit Issued DEPARTMENTS: Di Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator El PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 07/22/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required n Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 08/19/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: EL14-0379 DATE: 04/23/14 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY RD S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: 11)) ftW C G I I Building Division Public Works Fire Prevention Structural n Planning Division Permit Coordinator III PRELIMINARY REVIEW: Not Applicable n (no approval/review required) REVIEWER'S INITIALS: DATE: 04/24/14 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: DUE DATE: 05/22/14 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PROJECT NAME: Cascade Behavior Hospital PERMIT NO: E L'(-\- 1`) SITE ADDRESS: 12844 Military Rd S _ORIGINAL ISSUE DATE: 04E1(I REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITI LS � 1 07/16/2014 JEM a—[S�1H Summary of Revision: changes to better facilitate program — elimination of kitchenette in day rm, dispensing room and charting area — revision to utility room — addition of storage room quiet room, med room, security gates & screen, exam room, etc. Received by: NW CE gsv)r‘ REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: please print REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: please print REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: please prin City of Tukwila Department of Community Development 6300 SouthcenterBoulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 07/16/2014 Plan Check/Permit Number: EL14-0379 Response to Incomplete Letter # Response to Correction Letter # Revision # 1 after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Cascade Behavioral Hospital 3W/3N Remodel Project Address: 12844 Military Road S. Contact Person: Dan Jardine Phone Number: (206) 441-4522 Summary of Revision: Revisions to plans as requested by Owner to better facilitate their program. Changes include: 1. Elimination of kitchenette in Day Room and creation of storage room. 2. Elimination of dispensing room and office and creation of quiet room for patients. 3. Elimination of charting area behind nurse station and creation of a medications room. 4. Revised clean utility room and addition of washer and dryer to soiled utility room. 5. Addition of gates and countertop security screen at nurse station. 6. Addition of communications closets at Exam Room to secure existing telephone and nurse call panels. 7. Addition of interior windows at day room and quiet room. Changes are clouded on the drawings and noted as 'Design Revisions" newitA t'ERMIT CENTER Sheet Number(s): All 'E' electrical drawings. Affected drawings are noted in Revision block. "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on H:\Applications\Forms-Applications On Line\2010 Applications\7-2010 - Revision Submittal.doc Revised: May 2011 VECA ELECTRIC CO INC Page 1 of 6 illikhk Washington State Departa'ient of 'Labor & Industries VECA ELECTRIC CO INC Owner or tradesperson Westerland, Brian L Principals Westerland, Brian L, PRESIDENT FAIRBANKS, THOMAS, VICE PRESIDENT Hood, Jutta C, SECRETARY ALLEN, RON, AGENT Doing business as VECA ELECTRIC CO INC WA UBI No. 601 190 731 5614 7TH AVE S SEATTLE, WA 98108 206-436-5200 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. VECAECI542MU Effective — expiration 07/31 /1946-10/31 /2015 Designated administrator CONTI, KEITH License type Master Electrician Bond Active. Meets current requirements. License no. CONTIK*965D6 WESTERN SURETY CO $4,000.00 Bond account no. 929407110 Received by L&l Effective date 01/06/2007 01/06/2007 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601190731 &LIC=VECAECI542MU&SAW= 06/16/2014