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HomeMy WebLinkAboutPermit EL15-1115 - CASCADE BEHAVIORAL HOSPITAL - LOAD BANK OF GENERATORCASCADE I elm '' ''! Ili 11 -vil iii� � � i ImPA 4 Liul 12844 MILITARY RD S EXPIRED 12111116 EL15-1115 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: EL15-1115 Address: 12844 MILITARY RD S Issue Date: 12/23/2015 Permit Expires On: 6/20/2016 Project Name: CASCADE BEHAVIORAL HOSPITAL Owner: Name: CASCADE BEHAVIORAL HOSPITAL Address: 830 CRESENT CENTRE DR ATTN: BRIAN MCCULLOUGH, FRANKLIN, , 37067 Contact Person: Name: Phone: Address: Contractor: Name: E C COMPANY Phone: (503) 224-3511 Address: PO BOX 10286, PORTLAND, OR, 97296 License No: ECCOM**148BA Expiration Date: 6/30/2016 Lender: Name: Address: DESCRIPTION OF WORK: LOAD BANK OF GENERATOR Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $81.00 Type of Work: TEMP SERVICE 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: kdy��/ Date: !i 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 Signatures Print Name: ditions attached to this permit. Date: l Z 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUK91LA Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httP://www.TukwilaWA.-gov 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" PRO j Name: CASCADE BEHAVIORAL HOSPITAL Address: 12844 'MILITARY RD S City: TUKWILA State: WA Zip: 98168 ELECTRICAL C 0.. T"'CTO L' �6��X�n N R 61X::1: Company Name: EC Power Systems Address: 2004 48th CT E City: FIFE State: WA Zip: 98424 Phone: (253) 517-1701 Fax: Contr Reg No.: , 1 107 3' )0 Exp Dale: 10/31/2016 60 Tukwila Business License No.; .................. Valuation of Project (contractor's bid price): $ 81 Scope of Work (please provide detailed information). LOAD BANK OF GENERATOR JOB# 420259 Will service be altered? 0 Yes [Z] No Type of Use: TEMPORARY FEED Type of work- ❑ New El Addition ❑ Service Change ❑ Low Voltage Lfl Generator El Fire Alarm Property Served Puget Sound Energy El Seattle City Light HAApplicavo=Torn-.Wicatioas On Line12014 Applicati— Electrical Permit Applicarmn Revised 1-1-14.docc Revised: January 2014 bh Adding more than 50 amps? 0 Yes [:1 No El Remodel ❑ Tenant improvement E] Telecommunication Temporary Service Page 1 of 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) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ................................. $65.00 0 Temporary service (generator) ................................... $90.90 ❑ 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: 12/23/2015 Print Name: Teri Sheridan for Jason Fortner Day Telephone: (503) 220-3550 Mailing Address: 2121.NW Thurman Ave, Portland OR 97210 City H kApplicat-AForm Appticwions On line\2014 Applicatiom%ElectrinIPermit Application Revised 1-1-14.do Revised: J.-,y 2014 bh State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $68.25 EL15-1115 Address: 12844 MILITARY RD S Apn: 1623049001 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6966 R000.322.900.04.00 0.00 $3.25 $68.25 Date Paid: Wednesday, December 23, 2015 Paid By: STEVE DUNLAP Pay Method: CASH Printed: Wednesday, December 23, 2015 11:40 1 of 1 ff.SYS7EM5 AM INSPECTION RECORD Retain a copy with permit ii' IE EK 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: f e & Type of Inspection: Address: l Date Called: Special Instructions. Date Wanted: a. p.m. Requester: Phone No: r 3 �2- � 517 Approved per applicable codes. I XI Corrections required prior to approval. u 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 P INSPECTION N0. 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 Inspection: O Address:Z i © / tLf�t - Date Called: Special Instructions: Date Wanted: p.m. /,0 AP Requester: Phone No: H REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director 11/1/2016 JASON FORTNER 2004 48 AVE CT E FIFE, WA 98424 RE: Permit No. EL15-1115 CASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/11/2016. . Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/11/2016, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL15-1115 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Department of Community Development 5/3/2016 JASON FORTNER 2004 48 AVE CT E FIFE, WA 98424 RE: Permit No. EL15-1115 CASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 6/20/2016. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 6/20/2016, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL15-1115 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 E C COMPANY Page 1 of 3 1lomc Inicio e.n ESparlol Contact Safety Washington State Department of Labor & Industries E C COMPANY A-G Index Help btv Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 10286 PORTLAND, OR97296 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: 06128/2010) 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— 06/3012016 Designated administrator BAKER, DON E Active. Meets current requirements. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601107330&LIC=ECCOM**148BA&SAW= 12/23/2015