HomeMy WebLinkAboutPermit EL14-0937 - CASCADE BEHAVIORAL HEALTH - DELTA CONTROLS DDC SYSTEMCASCADE
BEHAVIORAL HEALTH
12844 MILITARY RD S
EL1 4-0937
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 OTC PERMIT
Parcel No: 1623049001 Permit Number: EL14-0937
Address: 12844 MILITARY RD S Issue Date: 9/26/2014
Permit Expires On: 3/25/2015
Project Name: CASCADE BEHAVIORAL HEALTH
Owner:
Name: HCH SPECIALTY CENTER
Address: 12844 MILITARY RD S ATTN
ACCOUNTING DEPT, TUKWILA, WA,
98168
Contact Person:
Name: BRETT POINTEK Phone: (206) 852-9637
Address: 22522 29 DR SE, STE 104 , BOTHELL,
WA, 98021
Contractor:
Name: ESC AUTOMATION, INC.
Address: 22522 29 DR SE , BOTHELL, WA, 98021
License No: ESCAUI*964Q4
lender:
Name:
Address:
Phone: (425) 487-8613
Expiration Date: 11/24/2014
DESCRIPTION OF WORK:
PROVIDE AND INSTALL DELTA CONTROLS DDC SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $17,890.00
Type of Work: LOW VOLTAGE
Fees Collected: $434.07
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 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
2012
Permit Center Authorized Signature:
Date:
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: 13��7---7
Print Name: 2Gt4 /044t/1
Date: _ Ai /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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-468 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
0112�1��
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 Address: 12844 Military Rd S, Tukwila, WA
Tenant Name: Cascade Behavioral Health
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
PROPERTY OWNER
Name: Cascade Behavioral Health
Address: 12844 Military Rd S
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Brett Pointek
Address: 22522 29th DR SE Suite # 104
City: Bothell State: WA Zip: 98021
Phone: (206) 852-9637 Fax: (425) 487-8769
Email:
Floor: 3rd
❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ESC Automation Inc
Address: 22522 29th Dr SE Suite # 104
City: Bothell State: WA Zip: 98021
Phone: (425) 487-8613
Fax:
(425) 487-8769
Contr Reg No.: ESCAUI*96
Exp Date: 01/08/2015
Tukwila Business License No.; BUS-0995202 ✓
Valuation of Project (contractor's bid price): $ 1'1 890 .06
Scope of Work (please provide detailed information): Provide and install Delta Controls DDC System
Will service be altered? ❑ Yes I1 No Adding more than 50 amps? [] Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
10 Puget Sound Energy ❑ Seattle City Light
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Revised: January 2014
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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
El 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.
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 0 r LECTRICAL CONTRACTOR:
Signature:
Print Name:
.-l'lic es--3-77Z) )
Coonts
Date:
09/04/2014
Day Telephone: (425) 487-8613
Mailing Address: 22522 29th DR SE Suite # 104 Bothell WA 98021
City State Zip
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY PAID
PermitTRA
34
EL14-0937 <
ddress: 12844'MILITARY RD S Apn:'1623049001
1340'
ELECTRICAL
$413.40
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$413.40
TECHNOLOGY FEE
$20.67
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3164
R000.322.900.04.00
0.00
$20.67
$434.07
Date Paid: Friday, September 26, 2014
Paid By: ESC AUTOMATION, INC.
Pay Method: CHECK 021560
Printed: Friday, September 26, 2014 10:19 AM 1 of 1
I?WSYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
ti"f. 0937
Project: ff- `C8A 'Type
of Inspection:
/v
Address: pditj1
��O —I i ' 1 j I,irkti7
Date Called:
_.---...
Special Instructions:
Date Wanted:1
t C7 7...
Requester:
Phone No:
fjApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
1 ,
r tthxV
Inspector: -'"
Date:
/21
t ,
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ESC AUTOMATION INC
Page 1 of 3
Washington State Department of
Labor & Industries
ESC AUTOMATION INC
Owner or tradesperson
GOODCHILD, BRIAN
Principals
GOODCHILD, BRIAN, PRESIDENT
RAE, RAYMOND, VICE PRESIDENT
BHANGU, BALJIT "BOBBI", SECRETARY
CT CORPORATION SYSTEM, AGENT
Doing business as
ESC AUTOMATION INC
WA UBI No.
602 247 418
22121 17TH AVE SE STE 116
BOTHELL, WA98021
425-487-8613
SNOHOMISH 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.
ESCAUI*964Q4
Effective — expiration
11 /24/2004-11 /24/2014
Designated administrator
Pointek, Brett A
License type
Electrical Administrator
Bond
INTERNATIONAL FIDELITY INSURANCE
COMPANY
Bond account no.
HOI FSU0565985-VMS055
Received by L&I
12/02/2011
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
POINTBA899J2
$4,000.00
Effective date
12/15/2011
Expiration date
Until Canceled
Bond history
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602247418&LIC=ESCAUI*964Q4&SAW= 09/26/2014