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HomeMy WebLinkAboutPermit EL15-1064 - CASCADE BEHAVIORAL HOSPITAL - TELECOMMUNICATIONS CABLING IN PHYSICIAN SUITESCASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S EL15-1064 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 OTC PERMIT Parcel No: 1623049001 Permit Number: EL15-1064 Address: 12844 MILITARY RD S Issue Date: 12/7/2015 Permit Expires On: 6/4/2016 Project Name: CASCADE BEHAVIORAL HOSPITAL Owner: Name: CASCADE BEHAVIORAL HOSPITAL Address: 830 CRESENT CENTRE DR ATTN: BRIAN MCCULLOUGH, FRANKLIN, WA, 37067 Contact Person: Name: SHAWN CHILDS Phone: (206) 436-5200 Address: 5614 SEVENTH AVE S , SEATTLE, WA, 98108 Contractor: Name: VECA ELECTRIC CO INC Phone: (206) 436-5200 Address: 5614 7TH AV S , SEATTLE, WA, 98108 License No: VECAAC1542MU Expiration Date: 10/31/2017 Lender: Name: Address: DESCRIPTION OF WORK: TELECOMMUNICATIONS LOW VOLTAGE CABLE INSTALLATION TENANT IMPROVEMENT OF DOCTORA SUITES AT CASCADE BEHAVIORAL HOSPITAL Valuation of single family: $0.00 Fees Collected: $192.57 Valuation of mf/comm: $5,000.00 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 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Signature: Date: J Permit Center Authorized 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. 9Signatu Date: /2— , I Print Name: I . )I" 2. �U 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 TUKWI Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hllp://www.TukwilaWA.gov Electrical Permit No. LIT -- 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" I SITE LOCATION l King Co Assessor's Tax No.: 1623049001 Site Address: 12844 MILITARY RD S Tenant Name: CASCADE BEHAVIORAL HEALTH PROPERTY OWNER Name: CASCADE BEHAVIORAL HOSPITAL Address: 830 CRESENT CENTRE DR City: FRANKLIN State: TN Zip: 37067 CONTACT PERSON — person receiving all project communication Name: SHAWN CHILDS Address: 5614 7TH AVE S City: SEATTLE State: WA Zip: 98108 Phone: (206) 436-5200 Fax: (206) 763-0505 Email: SHAWN.CHILDSQa VECA.COM Suite Number: NA Floor: NA New Tenant: ❑ .....Yes ©..No ELECTRICAL CONTRACTOR INFORMATION Company Name: VECA ELECTRIC CO. INC Address: 561.4 7TH AVE S City: SEATTLE State: WA Zip: 98108 Phone: (206) 436-5200 Fax: (206) 763-0505 Contr Reg No.: VECAECI542 Exp Date: 10/31/2017 Tukwila Business License No.; BUS-0992751 Valuation of Project (contractor's bid price): $ 5,000 Scope of Work (please provide detailed information): TELECOMMUNICATIONS LOW VOLTAGE CABLE INSTALLATION. TI OF DOCTOR'S SUITES AT CASCADE BEHAVIORAL HOSPITAL Will service be altered? ❑ Yes m No Adding more than 50 amps? Type of Use: TELECOMMUNICATIONS VOICE/DATA Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication Property Served by: ❑ Puget Sound Energy ® Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Pertnit Application Revised 1-1-14.docx Revised: January 2014 bh Yes m No ❑ Tenant Improvement ❑ Temporary Service Pagel 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. Si Print Name: CAROLINE STUDEBAKER Mailing Address: 5614 7TH AVE S, SEATTLE, WA 98108 Date: 12/04/2015 Day Telephone: (206) 436-5200 city State Zip H:\Applieations\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS• PermitTRAK QUANTITY PAID $192.57 EL15-1064 Address: 12844 MILITARY RD S Apn: 1623049001 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE TOTAL PAID . .. R000.322.900.04.00 0.00 $9.17 Date Paid: Monday, December 07, 2015 Paid By: VECA ELECTRIC CO INC Pay Method: CHECK 2285 Printed: Monday, December 07, 2015 9:38 AM 1 of 1 (rff SYSTEMS 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 Ins tion:b6cgx. % A P LkL4 Address: / l� ate Called: Special Instructions: Date Wanted: p.' p.m. Requester: Phone No: 10 Approved per applicable codes. 1-1 Corrections required prior to approval. U\ If Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. VECA ELECTRIC CO INC ]-Ionic Inicio en Espanol Contact Page 1 of 4 Search L&I Safety AM Washington State Department of Ch Labor & Industries VECA ELECTRIC CO INC A-Z Index Help My Secure L3I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 5614 7TH AVE S SEATTLE, WA98108 Principals 206-436-5200 Westerland, Brian L, PRESIDENT KING County FAIRBANKS, THOMAS, VICE PRESIDENT Hood, Jutta C, SECRETARY ALLEN, RON, AGENT Doing business as VECA ELECTRIC CO INC WA UBI No. Business type 601 190 731 Corporation Governing persons HERB MEAD THOMAS M FAIRBANKS; 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 07/31/1946-10/31/2017 Designated administrator - Active. CONTI, 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 Savin_ ... gs N ........._...o savings accounts during the previous 6 year period. License Violations https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=60119073I&LIC=VECAECI542MU&SAW= 12/7/2015