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Permit EL14-0558 - CASCADE BEHAVIORAL HOSPITAL - TENANT IMPROVEMENT
CASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S EL1 4-0558 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.eov ELECTRICAL PERMIT Parcel No: 1623049001 Permit Number: EL14-0558 Address: 12844 MILITARY RD S Issue Date: 10/30/2014 Permit Expires On: 4/28/2015 Project Name: CASCADE BEHAVIORAL HOSPITAL Owner: Name: HCH SPECIALTY CENTER Address: 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WA, 98168 Contact Person: Name: DANIEL C JARDINE Phone: (206) 441-4522 Address: 2025 FIRST AVENUE SUITE 300 , SEATTLE, WA, 98121 Contractor: Name: VECA ELECTRIC COMPANY INC Address: PO BOX 80467 , SEATTLE, WA, 98108 License No: VECAECI542MU Lender: Name: Address: 111 Phone: (206) 860-0231 Expiration Date: 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: $75,000.00 Type of Work: REMODEL Fees Collected: $1,692.14 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: Permit Center Authorized Signature: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2014 2012 Date: 10 30— ttt 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 ard agree to the conditions attached to this permit. Signature: Print Name: Date: / 4/3a/a/ 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: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 2: ***ELECTRICAL PERMIT CONDITIONS*** 3: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 4: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 5: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 6: 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. 7: 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. 8: 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 TUKW . Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Eh / Electrical Permit No. F*-- .. Project No. Date Application Accepted: 0'(a/(3// C/ Date Application Expires: ///3/i/V (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 King Co Assessor's Tax No.: 162-304-9001 Site Address: 12844 Military Road S. Suite Number: Floor: 1N 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 , .�(.t t4 30 0 City: Seattle State: WA Zip: 98121 Phone: (206) 441-4522 Fax: (206) 441-7917 Email: . f arGel %1 eP fmcanAr+tc frt' • CC r2 New Tenant: ❑ Yes O..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): $ 75,000 Scope of Work (please provide detailed information): Replacement of light fixtures, new power and data outlets, mechanical equipment connections Will service be altered? ❑ Yes m No Adding more than 50 amps? LJ Yes No Type of Use: Hospital Type of work: ❑ New ❑ Addition ❑ Service Change • 0 Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\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 D 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) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OLECTRICAL CONTRACTOR: Signature: Print Name: Daniel C. ard'r% g.4-6; Mailing Address: 2025 First Avenue, Suite 300 Day Telephone: Seattle City Dater (206) 441 F4522 WA State 98121 Zip Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ,PermitTRv 3 Yf§ s..r$)-c. LA ACCOUNT I QUANTITY I PAID va3i"4 66 7lY3. m 1 .. Wok r}. ^ 4 05ress: 844gMiUTARY R1�� An6230490 , 366 73 ELECTRICAL. ' $1,301.65 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $1,301.65 TECHNOLOGY FEE - $65.08 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3429 R000.322.900.04.00 0.00 $65.08 $1,366.73 Date Paid: Thursday, October 30, 2014 Paid By: VECA ELECTRIC COMPANY INC Pay Method: CHECK 2237 Printed: Thursday, October 30, 2014 11:37 AM 1 of 1 ClriWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $32541 EL14-0558 Address: 12844 MILITARY RD S Apn: 1623049001 $325.41 ELECTRICAL $325.41 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R2369 R000.345.832.00.00 0.00 $325.41 $325.41 Date Paid: Friday, June 13, 2014 Paid By: ACADIA HEALTHCARE COMPANY INC Pay Method: CHECK 980011633 Printed: Friday, June 13, 2014 2:32 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PRMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 ProjecC e I1 �v''11 7A v ICIQ- Type of Inspection: �M '�V Address: /2?fitt \ ti ilArkti Date Called: Special Instructions: Date Wanted: 6/1�5 m. Requester: q Oki Phone Phone No: v 2,75_6 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 6)gr_4-7°A,i5 rt Air fi ,.:4 cilAi. 1) , A--1PI-169 ro 46r r66 Pt s Pek►iI r Inspector: Date: ©/ % tc-- REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit Project: exteArt,),e Ofiftt/tai Type of Inspection: kNif, aent# Address: /2ELf,/ iliLt nrk,7 Date Called: ..-- Special Instructions: Date Wanted: Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS f - 9rOVed awl PLAIII Niar L,,Joikik1,411 c,cc( go r at pet nit) - OAS or oiPe-kftri-6i) crAo 4j Av)Irto145 tovif k64D6-4> 6.6c-rkkC4t-- RDo 1 CPA t ThisiS a-PPA GE . "lb u li 50(1)010-I vfo.0 IPLe-re Dm° 0 PEALJ----180xe,) 1 idirbeatiAgre.- rkturoPPI/Itl . 11-5f CD4D i-ReAl> kzw\ u RTEAtrieni A-1\1P , Ked(\t4 (4 '(,) .I- - Cat-mik Gov1Z6tk_vieSiTt3Or - Kaullet id otiectl-F 6 Inspector: ...„ f il Mirsi ON Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 614ti' 002 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit Project: ACCAP 4/1611/Wkitl--- Type of Inspection: { 4(144 tiN) Address: iltiit.,(014L/ iti Date Called: Special Instructions. pez,iNip I:00 Date Wanted: Requester: Phone No: 7(3 27q ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: r J. 414./ `fri"' etcruivici,5 cf kc: freKrj thcAl Inspector: Date: 041/4 Ed< REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspection. INSPECTION RECORD Retain a copy with permit AT- 4-C 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 436-9350 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 O. Project: (As L. 3Fttitli601 Type of inspection: a 14 Address: j /a i/PrA4/ -I Date Called: 'WA itlAjb Special Instructions: bate Wanted: ii(0 i a. . ° • Requester: Phone No: EiApproved per applicable codes. Corrections required prior to approval. COMMENTS: Atir OpIONA_Qouxib CQ.416,ATC 1 Atifdbt,6-1" Inspector: jfri E Date: 0 gy tb( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Cali to schedule reinspection INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwiia. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project e� .AFL Type of Inspection: r% *Lk ( Al Address: j 3 t „j, uDill Date Called: Special Instructions: Date Wanted: y Requester: Phone No: QApproved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: 016- REINSPECTION'FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2012 Washington Stet 3rgy Code Compliance Forms for Commercial, t. d R1, and > 3 story R2 and R3 Interior Lighting Summary LGT-SUM 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 2013 Project Info Project Address Cascade Behaviroral Health Date 6/11/2014 12844 Military Road South For Building Department Use - "fir A., ....... •' Tukwila, WA 98168 Applicant Name: Hargis Engineers Inc, Doug Forslund Applicant Address: 1201 3rd Ave., Suite 600, Seattle WA, 98101 Applicant Phone: 206-448-3376 Project Description ❑ New Building ❑ Addition ❑ Alteration ✓ Plans Included Lighting Compliance Path ® Lighting Power Density Calculations 0 Total Building Performance (If Total Building Performance then only LGT-CHK is required.) Interior Lighting Compliance Option 0 Building Area Method 0 Space -by -space Method Interior Lighting System Description Briefly describe lighting system type and features. EVIE�dllE® 0f1 COMPLIA• NCE WITH NFPA 70 - NEC J U N 2 0 2014 Additions and Change of Space Use (C101.4.3 & C101.4.4) City of Tukwila Addition area or Change of Space Use area complies with all applicable provisions as stand alo 1 LI��t.DING DIVISION ❑ Addition area or Change of Space Use area is combined with existing building lighting systems to demonstrate compliance with all applicable provisions Provide Building Area Method (LTG-INT-BLD) or Space -By -Space Method (LTG-INT-SPACE) Compliance Form. Document maximum allowed and proposed (including existing if applicable) lighting wattage of Addition or Change of Use scope. Provide applicable lighting controls per C405.2 and commissioning of lighting controls per C405.13. Alterations, Renovations and Repairs (C101.4.3.1) 60% or more of luminaires in space replaced Provide Building Area Method (LTG-INT-BLD) or Space -By -Space Method (LTG-INT-SPACE) Compliance Form. Document maximum allowed and proposed (including existing) lighting wattage of project scope ❑ Less than 60% of luminaires in space replaced Provide Space -by -space Method (LTG-INT-SPACE) Compliance Form. Document existing total wattage in space and proposed (including existing) lighting wattage of project scope ❑ Lamp and/or ballast replacement within existing luminaires only — existing total interior building wattage not increased New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual lighting controls (C405.2.1), occupancy sensors (C405.2.2.2), daylight zone controls (C405.2.2.3), specific application controls (C405.2.3), and commissioning of lighting controls per C405.13 ❑ New or moved lighting panel Provide all applicable lighting controls as noted for New Wiring, automatic time switch controls (C405.2.2.1), and commissioning of lighting controls per C405.13. ❑ Space is reconfigured - luminaires unchanged or moved only Provide all applicable lighting controls as noted for New Wiring and commissioning of lighting controls per C405.13. ❑ No changes are being made to the interior lighting and space use not changed. RECEIVED CITY OF TUKWILA JUN 1 3 2014 PERMIT CENTER £L1+-0551 2012 Washington Stat rgy Code Compliance Forms for Commercial, t R1, and > 3 story R2 and R3 Interior Lighting Summary - Building Area Method LTG-INT-BLD 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 2013 Project Info Project Address Cascade Behaviroral Health Date 6/11/2014 12844 Military Road South For Building Department Use Tukwila, WA 98168 Applicant Name: Hargis Engineers Inc, Doug Forslund Maximum Allowed Lighting Wattage Building Area Location (plan #, room #, or ALL) Area Description Allowed Watts per ft2 * (iross Interior Area in ft2 Watts Allowed (watts/ft2 x area) Hospital All Behavioral Hospital 1.20 6554 7865 * Lighting Power Allowances per Table C405.5.2(1) Total 6554 Proposed Lighting Wattage Building Area Location (plan #, room #, or ALL) Fixture Description (Include exempt equipment per Note 5) Number of Fixtures Watts/ Fixture Watts Proposed Hospital E2.10 A - 2' x 4' - 2-lamp recessed fluoresc 36 59 2124 Hospital E2.10 Al - 2' x 4' - 2-lamp recessed fluores 20 59 1180 Hospital E2.10 B - 2' x 4' - 2-lamp recessed fluoresc 5 59 295 Hospital E2.10 C - 2' x 4' - 2-lamp recessed fluoresc 15 59 885 Hospital E2.10 D - 2' x 2' - 2-lamp recessed fluoresc 3 59 177 Hospital E2.10 E - 2' x 2' - 2-lamp recessed fluoresc 4 59 236 Hospital E2.10 X - Exit Sign - EXEMPT Hospital E2.10 EA - Existing 2' x 4'- 2-lamp 2 59 118 Hospital E2.10 EB- Existing Vanity light 2 59 118 Hospital E2.10 EC - Existing A19 fixture 1 100 100 Hospital E2.10 F- Ceiling fixture (2) GU24 3 40 120 Notes: 1. Proposed Wattage for each Building Area type shall not exceed the Allowed Wattage for that Building Type. Trading wattage between Building Area types is not allowed under the Building Area Method compliance path. 2. Proposed fixtures must be listed in the building area in which they occur. Include ALL fixtures. 3. For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (if included). For track lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information. 4. For proposed Watts/Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as specified in Section C405.5.1. For line voltage track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable, the wattage of current limiting devices or of the transformer. For low voltage track lighting list the transformer rated wattage. 5. For lighting equipment eligible for exemption per C405.5.1, note exception number and leave Watts/Fixture blank. City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director November 12, 2014 Daniel C. Jardine NAC Architecture 2025 First Ave, Ste 300 Seattle, WA 98121 RE: Request for Extension Permits D14-0183, EL14-0558 & PG14-0100 Application M14-0124 Dear Mr. Jardine, This letter is in response to your written request for an extension to Permits D14-0183, EL14-0558, and PG14-0100 as well as Permit Application M14-0124 for Cascade Behavioral Health North Remodel. The Building Official has reviewed and considered your request and has provided extensions as follows: • D14-0183 and EL14-0558 have been recently issued which resulted in the request for extension not being valid. Upon issuance the expiration dates were automatically extended 180 days. The resulting expiration dates are May 3 and April 28, 2015 respectively. • PG14-0100 was issued quite some time ago and the request for permit expiration date extension has been granted for 180 days. The updated expiration for this permit is June 25, 2015 • The application for M14-0124 has been granted a 180 day extension through June 11, 2015. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, J Jennifer Marshall Per it Technician File: Permit No. D14-0183, EL14-0558, M14-0124, PG14-0100 WAPermit Center\Extension Letters\Permits\2014\PG14-0100 App Extension Letter .docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 NAC National talent, local focus ARCHITECTURE November 5, 2014 (��G Nov (16 2014 Mr. Jerry Hight Building Official City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, WA 98188 RE: Cascade Behavioral Hospital, 1 North Remodel. Request for permit extension Dear Mr. Hight: This letter is written to request a 6 month permit extension for the above project. The permit applications were originally submitted on June 17, 2014. The owner temporarily delayed the project while awaiting funding approvals from their corporate office. The funding is now in place and the permits were picked up by the owner's contractor yesterday. We anticipate work to begin immediately. The following are the project permits that we request be extended: Building permit D14-0183 05103(( N ,-Nutt Electrical permit EL14-0558 04! L4 . Mechanical permit M14-0124 Plumbing permit PG14-0100 11-1 Z-1 1161 Thank you for your consideration and assistance (iti Dani•''C. Jardine, AIA; LEED AP Principal ; cc: Jennifer Marshal, Permit Technician, Tukwila Michael Uradnik, CEO, CascF \\S121-NA1\Projects_SEA\121-13031\500\A504-Tukwila\1N Scott Miller, ALPA Construct Request for Extension # William Trivet, ChaseCo, LL( Current Expiration Date: 12120 14 Extension Request: 'I Approved for / �U days A tkd ElDenied (provide explanation)V n / www.nacarchitecture.com NA!- inr 19(12S Firct Avanue. Suits 30n 1 St Signature/Initials _'`_` ''ERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: EL14-0558 DATE: 06/13/2014 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: KC- OUltq 1 Building Division II Public Works Fire Prevention Structural n n Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 06/17/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 07/15/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 VECA ELECTRIC CO INC Page 1 of 6 0 Washington State Department 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, WA98108 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 License specialties GENERAL License no. VECAECI542MU Effective — expiration 07/31 /1946-10/31 /2015 Designated administrator CONTI, KEITH License type Master Electrician Bond WESTERN SURETY CO Bond account no. 929407110 Received by L&I 01/06/2007 Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. CONTIK*965D6 $4,000.00 Effective date 01/06/2007 Expiration date Until Canceled https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601190731 &LIC=VECAECI542MU&SAW= 10/30/2014