The URL can be used to link to this page

Home My WebLink AboutPermit EL15-0499 - CASCADE BEHAVIORAL HOSPITAL - DELTA CONTROLS DOCS SYSTEMCASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S EL15-0499 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 ELECTRICAL OTC PERMIT Parcel No: 1623049001 Permit Number: EL15-0499 Address: 12844 MILITARY RD S Issue Date: 6/2/2015 Permit Expires On: 11/29/2015 Project Name: CASCADE BEHAVIORAL HOSPITAL Owner: Name: HCH SPECIALTY CENTER Address: 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WA, 98168 Contact Person: Name: BRETT POINTEK Phone: (206) 391-2094 Address: 22522 29 DR SE #104 , BOTHELL, WA, 98021 Contractor: Name: DELTA CONNECTS INC Phone: (425) 487-8613 Address: 17850 56 AVE, SURREY BCV3S 1C7, , License No: DELTAC1858K7 Expiration Date: 5/29/2017 Lender: Name: Address: DESCRIPTION OF WORK: PROVIDE AND INSTALL DELTA CONTROLS DDC SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $11,941.00 Type of Work: LOW VOLTAGE Fees Collected: $322.56 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: i I �� Y74 Date: b — 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 per it and agree to the conditions attached to this permit. Signature: Date: f Print Name: IY Po�tiC�� 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 TUKWIL. A Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httl2://www.Tukwi[aWA.gov Electrical Permit No. 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 King Co Assessor's Tax No.: Site Address: 12844 Military Road S Tenant Name: Cascade Behavioral Health PROPERTY OWNER Name: HCH Speciality Center Address: 12488 Military Rd S City: Tukwila State: Wa Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Brett Pointek Address: 22522 29th DR SE # 104 City: Bothell State: WA Zip: 98021 Phone: (206) 391-2094 Fax: (425) 487-8739 Email: Suite Number: Floor: 2 New Tenant: ❑ .....Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Delta Connects 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.: DELTACI858K7 Exp Date: 05/29/2017 Tukwila Business License No.; BUS-0996304 Valuation of Project (contractor's bid price): $ 11,941 Scope of Work (please provide detailed information): Provide and install Delta Controls DDC System Will service be altered? ❑ Yes 5Z No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change JZ Low Voltage ❑ Generator ❑ Fire Alarm Properly Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications0ectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Yes R3 No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page l 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 ....................... $ l 1.55 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: Brett Pointek Mailing Address: 22522 29th Dr SE # 104 Bothell WA 98021 Date: 06/01/2015 Day Telephone: (206) 391-2094 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 ACCOUNT QUANTITY PAID $322.56 EL15-0499 Address: 12844 MILITARY RD 5 Apn: 1623049001 $322.56 ELECTRICAL $307.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $307.20 TECHNOLOGY FEE $15.36 TECHNOLOGY FEE TOTALPAID BY RECEIPT: R000.322.900.04.00 0.00 $15.36 Date Paid: Tuesday, June 02, 2015 Paid By: ERIC SHIMMIN Pay Method: CREDIT CARD 150233 Printed: Tuesday, June 02, 2015 12:02 PM 1 of 1 Ll Li WSYS7EM5 INSPECTION RECORD f Retain a copy with permit M 0 INSP CTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670 4 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: 6-5 EZlO �• Address: Date Called: / l � � Special Instructions. Date Wanted: a. .m. Requester: ^ �'f 1 r777 3o 96 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. fir INSPECTION RECORD Retain a copy with permit f `� 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: ii5iVAI-- Address: LJ Date Called: l d(LI Special Instructions: Date Wanted: a.m, .m. ` _ Requester: Phone No: Approved per applicable codes. 1-1 Corrections required prior to approval. 'J paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Z' Retain a copy with permit INSPECTION NO. PERMIT 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: 6�SQ�" f✓ (� Address: Date Called: l t Special Instruction : Date Wanted: a.m m. Requester: Phone No: 730 ❑ Approved per applicable codes. LJ Corrections required prior to approval. 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 INSPECHON NO. PERMIT N . 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: I /d(W Date Called: t Special Instructio s: I Date Wanted:7/® a.m. A Requester: Phone No: � 3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: I An i W A1,,- WS 7D P(:vAc.65 c.-,/ W D pector: REINSPECTION FEE REQUIRED: Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. DELTA CONNECTS INC Page I of 2 Home Inicio en lispanol Contact Safety Washington State Department of Labor & Industries DELTA CONNECTS INC Search L&I «-Z Index Help Nly Secure 1AI Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 17850 56TH AVE SURREY, BCV3S 1C7 Principals p 425-487-8613 RAE, RAYMOND F, PRESIDENT SNOHOMISH County GOODCHILD, BRIAN D, VICE PRESIDENT BHANGU, BOBBI, SECRETARY CT CORPORATION SYSTEMS, AGENT Doing business as DELTA CONNECTS INC WA UBI No. Business type 603 482 883 Corporation Governing persons BOBBI BHANGU BRIAN D GOODCHILD; RAYMOND F RAE; 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. DELTAC1858K7 Effective — expiration 05/29/2015— 05/29/2017 Designated administrator ............................. Pointek, Brett A .. ... . License type Electrical Administrator Bond ................ INTERNATIONAL FIDELITY INS CO Bond account no. VMS0550019-H OI FS U063 Received by L&I 05/29/2015 Savings No 'savings accounts during the previous 6 year period. License Violations .._.............................................._..... No license violations during the previous 6 year period. Active. Meets current requirements. License no. POINTBA899J2 $4,000.00 Effective date 03/04/2015 Expiration date Until Canceled https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603482883&LIC=DELTACI858K7&SAW= 6/2/2015