HomeMy WebLinkAboutPermit EL15-0057 - CASCADE BEHAVIORAL HOSPITAL - RECEPTACLES, DATA, PAGING SYSTEM AND FIRE ALARM SYSTEMCASCADE BEHAVIORAL
HOSPITAL
12844 MILITARY RD S
EL15-0057
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.Rov
ELECTRICAL PERMIT
Parcel No:
1623049001
Permit Number: EL15-0057
Address:
12844 MILITARY RD S
Issue Date: 2/18/2015
Permit Expires On: 8/17/2015
Project Name:
CASCADE BEHAVIORAL HOSPITAL
Owner:
Name:
HCH SPECIALTY CENTER
Address:
12844 MILITARY RD S ATTN
ACCOUNTING DEPT, TUKWILA, WA,
98168
Contact Person:
Name:
DANIELJARDINE
Phone: (206)441-4522
Address:
2025 FIRST AVE, SUITE 300, SEATTLE,
WA, 98121
Contractor:
Name:
VECA ELECTRIC COMPANY INC
Phone: (206) 860-0231
Address:
PO BOX 80467, SEATTLE, WA, 98108
License No:
VECAEC1542MU
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACEMENT OF
LIGHTING, RECEPTACLES, LOW VOLTAGE DATA, AND PAGING SYSTEM. MODIFICATION OF FIRE
ALARM SYSTEM.
Valuation of single family: $0.00
Fees Collected: $7,849.02
Valuation of mf/comm: $520,000.00
Type of Work:
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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
�~�
Permit Center Authorized Signature:
A
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 a conditions attached to this permit.
Signature: 1� Date:
Print Name:
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
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.pov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires: 1- Z- (
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 I
King Co Assessor's Tax No.: 162-304-9001
Site Address: 12844 Military Road S. Suite Number: Floor: 2W-2N
Tenant Name: Cascade Behavioral Hospital New Tenant: ❑ .....Yes ®..No
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, Suite 300
City: Seattle State: WA Zip: 98121
Phone: (206) 441-4522 Fax: (206) 441-7917
Email:
Valuation of Project (contractor's bid price): $ 520,000
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City: State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Scope of Work (please provide detailed information): Replacement of lighting, receptacles, low voltage data,
and paging system. Modification of fire alarm system.
Will service be altered? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:Upplications\Fonm-Applications On Line\2014 ApplicationsTlectricalPermit Application Revised 1-1-14.docs
Revised: January 2014
bh
Adding more than 50 amps?
0 Remodel
❑ Telecommunication
❑ Yes [Z] No
Tenant Improvement
❑ Temporary Service
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)
PERMIT APPLICATION NOTES -
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***
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.
Date: bSignature: �
v r� -
Print Name: Dat�>ctel C. Jardine / Day Telephone: (206) 441-4522
Mailing Address: 2025 �irst-Avenue, Suite 300 Seattle WA 98121
City State Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
1
$6,339.59
EL15-0057 Address: 12844 MILITARY RD 5
Apn: 1623049001
$6,339.59
ELECTRICAL
$6,037.70
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$6,037.70
TECHNOLOGY FEE
$301.89
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R4529
R000.322.900.04.00 0.00
$301.89
$6,339.59
Date Paid: Thursday, February 12, 2015
Paid By: ALPA CONSTRUCTION INC
Pay Method: CHECK 009777
Printed: Thursday, February 12, 2015 11:26 AM 1 of 1 (rmr--�srsrEMs
Date Paid: Wednesday, January 21, 2015
Paid By: ALPHA CONSTRUCTION INC
Pay Method: CHECK 009687
Printed: Wednesday, January 21, 2015 2:10 PM 1 of 1
rU LJ SY57EM5
INSPECTION RECORD
Retain a copy with permit'
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 6k5CAbt
Type of Inspection:
Address: 12 ( (
Date Called:
Special Instructions:
Date Wanted: a.m.
`Q p.m.
Requester:
Phone No:
Z.Approved per applicable codes. 1-1 Corrections required prior to approval.
t L/ 1 i I Y
Inspector: IUate: 101 k - 1
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Calt to schedule reinspection.
INSPECTION RECORD7
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) 438-9350
Project:
Type of Inspection:
Address:/Zyv
Date Called:
Special Instructions: I f
Date Wanted: Q a.m.
Requester:
Phone No:
Corrections required prior to approval.
!LJ Approved per applicable codes.
J
(Inspector: `<� j,(� ( Date: ®?/2,I/f5--
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD K
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
630O Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ��
Type of Inspection:
A V r R J
,
Address:
ry
Date Called:
12y, lLt `
d
Special Instructions:
Date Wanted:
a,m
9/Z
m.
Requester:
n
Phone No:
5L
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
en
'uccvry *k,f
a n G,C�S
Inspector: C�`%� Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IF rN
INSPECTION RECORD OD��
Retain a copy with permit L/ VI
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
Projftt:
Type of Inspection:
Oate Called:
Address:
U74q AAA
Special Instructions:
Date Wanted:
Requester:
Phone No:
❑ Approved per applicable codes. LJ Corrections required prior to approval.
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
5— Retain a copy with permit 46
INSPECTION NO. PERMIT D.7
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
is Al —
Type of Inspection:
Address: /2-� dip(Tv"y
Date Called:
Special Instructions:
Date Wanted: 7124 a.
p.m.
Requester: A � ,�_ /
ilt'r'�
Phone No:
18 Z7
Approved per applicable codes. LJ Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit,"®�
INSPEqTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670,
Permit Inspection Request Line (206) 438-9350
Project:
Type of &i;t�
Address: /�V rvL
Ti d
Date Called:
Special Instruction : t
Date Wanted: a.m.
Requester:
Phone No:
tI Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
All
F
IL
a—n�0
tAy ( C ALr
7- `(
nspector:
7
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 N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3
Permit Inspection Request Line (206) 438-9350
Project:6SCA�( Q r
IJ'��P►t®
Type of Inspectio
�V�r1
Address:
CZg� r�rt
Date Called:
Special Instructions:
Date Wanted. �f a.m.
l !� p.m.
—
Requester:
Phone No: `� //
J [ Qe
"
Approved per applicable codes.Corrections required prior to approval.
COMMENTS:
AQ I q1,04 A(, MW Of AAA
Sit, R c C�� IJr� o rL ,
c Ode 6 r
2-2-2- q%16 Sa .
Inspector: s / Date:
N j
u REINSPECTION FEE REQUIRED. Prior to next inspection, tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
..... ------- Retain a coitpy with per
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
Prlojject', /01Y
/
Type of Inspec
=d
A 4r
12yyl
Date Called:
Special Instructiong.
F
Date Wantea.
p M.
RequestW'
Phone No:
E] Approved per applicable codes. 1:1 Corrections required prior to approval.
REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Gall to schedule reinspection.
PERMIT NUMBER: EL15-0057 DATE: 1-21-15
PROTECT NAME: CASCADE BEHAVIORAL HOSPITAL
SITE ADDRESS: 12844 MILITARY RD S
X Original Plan Submittal
Response to Correction Letter #,
DEPARTMENTS:
-Ja AW6
Building Division
Public Works ❑
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
Revision # before Permit Issued
Revision # after Permit .Issued
Fire Prevention ❑
Structural ❑
Planning Division ❑
Permit Coordinator ❑
DATE: 1-22-15
Structural Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 2-19-15
Approved ❑ Approved with Conditions
Corrections Required ❑
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Denied ❑
(ie: Zoning Issues)
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 I of 5
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VECA ELECTRIC CO INC
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Owner or tradesperson 5614 7TH AVE S
Westerland, Brian L SEATTLE, WA98108
206-436-6200
Principals KING County
Westerland, Brian L, PRESIDENT
FAIRBANKS, THOMAS, VICE PRESIDENT
Hood, Jutta C, SECRETARY
ALLEN, RON, AGENT
Doing business as
VECA ELECTRIC CO INC
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.
VECAEC1542MU
Effective — expiration
07/31/1946-10131/2015
Designated administrator,
...........................
Active.
dONTI, KEITH
Meets current requirements.
License type
License no.
Master Electrician
CONTIK*965D6
Bond
........._....
WESTERN SURETY CO
$4,000.00
Bond account no.
929407110
Received by L&I
Effective date
01/06/2007
01/06/2007
Expiration date
Until Canceled
Savings
...............
N o savings accounts during the previous 6 year period.
License Violations
.................. _................ _..............
Infraction no.
EHRAL01299
Satisfied
.......................
Issue date
RCW/WAC
02/04/2015
19.28.101 RCW
Violation city
Violation amount
SEATTLE
$2,000.00
Type of violation
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=60119073I&LIC=VECAECI542MU&SAW= 2/18/2015