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HomeMy WebLinkAboutPermit EL15-0137 - CASCADE BEHAVIORAL HOSPITAL - DELTA CONTROLS DDC SYSTEMCASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S A'AL15-0137 ON 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 Address: 12844 MILITARY RD S Project Name: CASCADE BEHAVIORAL HOSPITAL Permit Number: EL15-0137 Issue Date: 2/11/2015 Permit Expires On: 8/10/2015 Owner: Name: HCH SPECIALTY CENTER Address: 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WS, 98168 Contact Person: Name: BRETT POINTEK Phone: (206) 391-2094 Address: 22522 29 DR SE #104, BOTHELL, WS, 98021 Contractor: Name: ESC AUTOMATION, INC. Phone: (425) 487-8613 Address: 22522 29 DR SE, BOTHELL, WA, 98021 License No: ESCAUI*964Q4 Expiration Date: 11/24/2016 Lender: Name: Address: DESCRIPTION OF WORK: PROVIDE AND INSTALL DELTA CONTROLS DDC SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $18,808.00 Type of Work: LOW VOLTAGE Fees Collected: $452.66 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 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: �lM 1�—�nf/'� 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 Print Name: /' 00kA-WL Date: Zylf /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: 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.gov Electrical Permit No. L l y 01-�7 Project No. Date Application Accepted: Date Application Expires: use 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.: Site Address: 12844 Military Road S Suite Number: Floor: 1 st Tenant Name: Cascade Behavioral Health New Tenant: ❑ .....Yes 0 ..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Brett Pointek Address: 22522 29th Dr SE # 104 City: Bothell State: WA Zip: 98021 Phone: (260) 391-2094 Fax: (425) 487-8769 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: ESC Automation Inc Address: 22522 29th Dr SE # 104 City: Bothell State: Wa Zip: 98021 Phone: (425) 487-8613 Fax: (425) 487-8769 Contr Reg No.: ESCAUI*960RA Exp Date: 11/24/2016 Tukwila Business License No.; BUS0995202 Valuation of Project (contractor's bid price): $ 18,808 Scope of Work (please provide detailed information): Provide and install Delta Controls DDC System: Will service be altered? ❑ Yes m No Type of Use: Tvoe of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: 0 Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications0eetrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Yes m No 0 Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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. Print Name: Axii Coonts Mailing Address: 22522 29th SE # 104 H:\Applications\Forms-Applications On Line\2014 Application Ucetrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: 02/03/2015 Day Telephone: Bothell WA 98021 City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $452.66 EL15-0137 Address: 12844 MILITARY RD S Apn: 1623049001 $452.66 ELECTRICAL $431.10 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $431.10 TECHNOLOGY FEE $21.56 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4512 R000.322.900.04.00 0.00 $21.56 $452.66 Date Paid: Wednesday, February 11, 2015 Paid By: ESC AUTOMATION, INC. Pay Method: CHECK 022003 Printed: Wednesday, February 11, 2015 9:19 AM 1 of 1 Wsrsrents 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) 438-9350 Project: �&�-/(zkAi- Type of Inspection: Address: Vqj Date Called: Special Instructions. Date Wanted: a.m. &To L— Requester: Phone No: zApproved per applicable codes. 1-1 Corrections required prior to approval. IInspector: { _ IDate: 0�/©L/r REINSPECTIdN FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 2, INSPECTION RECORD 06 Retain a copy with permit 16i�- 14", INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISI 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 0!'� N4t -IType of inspection: Address: 1211� -�(wV�kl Date Called: Special Instructions.' I Date Wante p.m. Requester: 'bb IPhone No: I 11 Approved per applicable codes. El Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd.. Suite 100. Catl to schedule reinspection. INSPECTIOU RECORD 0 Retain a copy with permit T N INSPECTION NO. NO. PERMIT DIVIS CITY OF TUKWILA BUILDING t ION 6300 5outhcenter Blvd,, #100, Tukwila. WA 98188 M6) 431-36704 Permit Inspection Request Line (206) 438-9350 Project' Type of Inspection: Address. Date Called: Special Instructiods: Date WanteT 2-0 Requester: I I pk�� Wo n -eN o �, Pane ElApproved per applicable codes. 1:1 Corrections required prior to approval. COMMENTS: LA-Wk I J11btm-wi. 1 -7 m Wdgk F", 01'/[i IK- I REINSPECTION PEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection, ESC AUTOMATION INC Page 1 of 2 HOMO lfliCio cn ksparnOl Ccmt.rct �ISearch L&I ' A-! Index help My Secure L&I. Safety Claims & Insurance Workplace Rights Trades & Licensing 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 License 22121 17TH AVE SE STE 116 BOTHELL, WA98021 425-487-8613 SNOHOMISH County Business type Corporation 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. ESCAUI*964Q4 Effective — expiration 11/24/2004--11/24/2016 Designated administrator Active. Pointek, Brett Meets current requirements. License type License no. Electrical Administrator POINTBA899J2 Bond ................ INTERNATIONAL FIDELITY INSURANCE $4,000.00 COMPANY Bond account no. HOI FS U0665985-VMS055 Received by L&I Effective date 12/02/2011 12/15/2011 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EENWD00339 Satisfied ..................... Issue date RCW/WAC 04/20/2011 19.28.271 RCW Violation city Violation amount BOTHELL $250.00 Type of violation https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602247418&LIC=ESCAUI*964Q4&SAW= 02/11/2015