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Permit EL15-0716 - CASCADE BEHAVIORAL HEALTH - NURSE CALL PULL STATIONS WITH CONTROLLERS
CASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S EL15-0716 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: EL15-0716 Address: 12844 MILITARY RD S Issue Date: 8/18/2015 Permit Expires On: 2/14/2016 Project Name: CASCADE BEHAVIORAL HEALTH Owner: Name: CASCADE BEHAVIORAL HOSPITAL Address: 830 CRESENT CENTRE DR ATTN: BRIAN MCCULLOUGH, FRANKLIN, WA, 37067 Contact Person: Name: SCOTT COMPTO N Phone: (425) 445-5538 Address: 6412 S 196TH ST, KENT, WA, 98032 Contractor: Name: E C COMPANY Phone: (503) 224-3511 Address: 6412 S 196TH ST , KENT, WA, 98032 License No: ECCOM**148BA Expiration Date: Lender: Name: Address: , DESCRIPTION OF WORK: INSTALL 7 NURSE CALL PULL STATIONS WITH THEIR CONTROLLERS AND 2 ANNUCIATORS AND ONE HEAD END PANEL Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,861.00 Type of Work: LOW VOLTAGE 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 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 R Permit Center Authorized Signature: 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 pres a to give authority to violate or cancel the provisions of any other state or local laws regWatmg constru on or the performance of work. I am authorized to sign and obtain this development p it and ague a conditions attached to this permit. Signatu Print N; Date: o /F- 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. S: 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 Comnwnity Development Department Permit Center • 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (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 Site Address: 12844 Military Rd S Tenant Name: Cascade Behavioral Health PROPERTY OWNER Name: Acadia Healthcare Address: 830 Crescent Center DR Suite 610 City: Franklin State: TN Zip: 37069 CONTACT PERSON — person receiving all project communication Name: Scott Compton Address: 6412 S 1.96th St City: Kent State: WA Zip: 98032 Phone: (425) 445-5538 Fax: (206) 436-6023 Email: .C©' C t? -C- co , 60:'h Valuation of Project (contractor's bid price): $ 1,861 Scope of Work (please provide detailed information):_ Annunciators and one head end panel. Will service be altered? ❑ Yes 21 No Type of Use Tvne of work King Co Assessor's Tax No.: Suite Number: Floor: 2 New Tenant: ❑ .....Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: E C Company Address: 6412 S 196th St City: Kent State: WA Zip: 98032 Phone: (206) 436-6000 Fax: (206) 436-6023 Contr Reg No.: ECCOM* * 148BY Exp Date: 06/30/2016 Tukwila Business License No.; BUS-0995354 Install 7 nurse call Pull Staions with their contollers and 2 ❑ New ❑ Addition ❑ Service Change ® Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Upplicatiomkrorms-Applications On LineU014 ApplicationsElcctrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pape 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: Scott Compton Mailing Address: 6412 S 196th St Kent WA 98032 Date: 08/17/2015 Day Telephone: (425) 445-5538 City state Zip K\ApplicationsTorms-Applications On LineU014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL15-0716 Address: 12844 MILITARY RD S Apn: 1623049001 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID R000.322.900.04.00 0.00 $5.93 Date. Paid: Tuesday, August 18, 2015 Paid By: E C COMPANY Pay Method: CHECK 003728 Printed: Tuesday, August 18, 2015 8:47 AM 1 of 1 SYSTEMS INSPECTION RECORD ,{� —0 G Retain a copy with permit INSPE TION 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/_ C>Q,5Z�tq Type of Inspection: Address: Date Called: 20yV f, Special Instruction : Date Wanted: (0 f � P.m. ass r. Requester: Phone No: U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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: Type of Inspection: Address: , i Date Called: Special Instructions: Date Wanted: 9 7 , a.m. [ �✓/ m. Requester: Phone No: f U ZD 5 �&pproved per applicable codes. LJ Corrections required prior to approval. t1 N 62 fey D CA `--1 / CO3&1 Pti nspector: 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 N0, PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 i Project: C � ' `( Type of Inspection: J 0' VfrF l/�0 Address: t t'AL Date Called: Special Instructions: I Date Wanted:. 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. A/ Page 1 of 3 Home Inicio en Gspauiol Contact Safety C Washington State Department of Labor & Industries E C COMPANY Search L&I ' 'J A-Z Index. Help Mc Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 10286 PORTLAND, OR Principals 503-224-3511 ADAMS, GEORGE HARRY SCROGGY, JOEL J JANIK, STEPHEN THOMAS, VICE PRESIDENT BOCK, JAMES ARTHUR, VICE PRESIDENT BUSINESS FILINGS INCORPORATED, AGENT GOLDSTONE-SCHULLER, LEAH, MEMBER TRAPP, STEVEN C, MEMBER SCHMITZ, STEVEN D, MEMBER BALL, ROBERT SPENCER, MEMBER DESHLER, WILLIAM K (End: 06/28/2010) KELLY, RAYMOND THEODORE (End: 06/28/2010) PRENTICE-HALL CORP, AGENT (End: 06/28/2010) Doing business as E C COMPANY WA UBI No. Business type 601 107 330 Corporation Governing persons MALERIN F HAWLEY ROBERT S BALL; STEPHEN T JANIK; WILLIAM K DESHLER; 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. ECCOM"148BA Effective — expiration 01/01/1986— 06/30/2016 Designated administrator ................. BAKER, DON E https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=601107330&LIC=ECCOM**148BA&SAW= 8/18/2015