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HomeMy WebLinkAboutPermit D17-0231 - CASCADE BEHAVIORAL HOSPITAL - COURTYARD FENCECASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S DI 7-0231 Parcel No: Address: City of Tukwila 0 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 1623049001 12844 MILITARY RD S DEVELOPMENT PERMIT Project Name: CASCADE BEHAVIORAL HOSPITAL Permit Number: D17-0231 Issue Date: 10/3/2017 Permit Expires On: 4/1/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: CASCADE BEHAVIORAL HOSPITAL 830 CRESENT CENTRE DR ATTN: BRIAN MCCULLOUGH, FRANKLIN, WA, 37067. TODD BRANSON 12844 MILITARY RD 5 , TUKWILA, WA, 98168 Phone: (206) 248-4691 SECOMA FENCE INC Phone: (253) 926-8600 7720 PACIFIC HWY, MILTON, WA, 98354 SECOMFI176B1 Expiration Date: 2/19/2019 ACADIA HEALTHCARE COMPANY 830 CRESENT CENTRE DR , FRANKLIN, TN, 37067 DESCRIPTION OF WORK: NEW 185 FT LENGTH OF FENCE TO BE INSTALLED AROUND A CONCRETE PATIO & GRASS AREA OFF THE NORTH WING. PART OF THE EXISTING FENCE WILL BE REMOVED THAT FACES THE NEW COURTYARD AND REPLACED WITH THE NEW SMALL DIAMOND PATTERN FENCE. THE FENCE WILL BE 10 FT TALL WITH 2 FT BEING AT 45 DEGREE ANGLE AT THE TOP. THE FENCE WILL BE MADE OF 9 GUAGE GALVANIZED WIRE WITH 5/8" DIAMOND PATTERN. POST WILL BE 2 7/8" AND THE ONE GATE WILL BE 1 5/8" FENCE WITH A MECHANICAL KEY LOCK FOR ENTRANCE OR EXIT. Project Valuation: $19,385.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $850.34 Occupancy per IBC: U Water District: 20 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: / a/6 /7) 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: loAd Date: 0/3/.4\�1 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: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 0 0 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 8: Preparation before concrete placement: Water shall be removed from place of deposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall be removed from spaces to be occupied by concrete. 9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0201 FOOTING CITY OF TUKCLA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. p r . O).....3 6 Project No. Date Application Accepted: Date Application Expires: • (For office use only) CONSTRUCTION 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 Caasc&Ic King Co Assessor's No.: Site Address: b�"� 4 1' t 1\ o'�dlt� (R U%w�la s(f r: Floor: Tenant Name: It11 New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: Accar `0.k...3\4\,,‘ 60(e cors .v\, Address: 23o Cfeserct Ce ,-Ve.. Or. City: f y\o►r1 State: -1-N Zip:31061 CONTACT PERSON — person receiving all project communication 6c Name: 1®dc B r Address:12$n, tot•t10arfJ Ri4o• s City:-rukt3..;110, State:w $ Zip:9Qc IA Phone: /1O b _may% _Li 69 ` Fax: Email: +06c. blotrryiv,@ cascaebk.CAtr GENERAL CONTRACTOR INFORMATION Company Name: SeCon.c 1 ce Tine . Address: '77..0 PGL1 c n W E. Zip. Li City: WI I.6n State:w A, 935 Phone: as 926 -g6A) Fax(�3,) 926 - 3c1)7 Contr Reg No.:SE c a m.. 117 60 U,Exp Date: ajt9 /i 9 Tukwila Business License No.: SECOMf11-16o3 H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Name: NcoA1 a 4CdN1.Gd re... Cor, -.0,,j 141 Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: NcoA1 a 4CdN1.Gd re... Cor, -.0,,j r1 IN Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: NcoA1 a 4CdN1.Gd re... Cor, -.0,,j Address: 230Cresehi C'm-c. O. City: ct^Q,nk\ ih State: TN Zip:37061 Page 1 of 4 Valuation of Project (contractor's bid price): $ ( 9, 3%5.00 -60( Existing Building Valuation: $ 15,12o, too. 00 Describe the scope of work (please provide detailed information):New l %S k4. krgkh 0f' -Cencz 4o pe i ns4klPl _cirou„,1 c cor\c,6t. loa''c;o d. greSS curd,. ()CC i\e N w..,9 Pah o(' ae cv,9 ,ce will be irma6 ika4 - .es Cot rd ydra d• rc4 4 will\ rew small d.114�.unS PAWN Qnce . h� -mance w�( bet off . -f ill` w ?\11,� 1.11/. �be►h, 04 l4 S dh9lt. .4 A 409 • Vc .9r\te• u_At be Mo�c of 9 9 e• a9.l✓otr,;2od Ltitre. c,.�l�l, a VS Amo \ �st.1 PIvx ta,S'� c� �`� bt 74 dN4 4Ne one 9 e Il 15,x.ceare u.A c9 oNee->Nounk.4. Frey lack -6, ev.- mvx,- a. ex►� . Will there be new rack storage? ❑ ....Yes TZ4 ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below - - Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 2nd Floor 3rd Floor Floors thru Basement ,r Accessory Structure* . Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner, lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in. use? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: N, 0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM NR` ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Forms-Applications On Line\2012 ApplicationsU'ermit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INFCIATION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila 0 ...Water District #125 ❑ .. Water Av,ailability Provided Sewer District . ❑ .. Tukwila . ' ❑ ...Valley View ❑... Renton ❑... Seattle 0 .. Sewer Use Certificate, , , 0 ...Sewer Availability Provided Septic System: ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. ❑... Highline 0... Renton Submitted with Application (mark boxes which apply): 0 .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond ❑...Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut cubic yards ❑ .. Total Fill cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation ❑ ... Geotechnical Report ❑ ... Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit for less than 72 hours ❑ ... Right-of-way Use — Potential Disturbance 0... Work in Flood Zone 0... Storm Drainage 0...Abandon Septic Tank ❑... Curb Cut 0...Pavement Cut 0...Looped Fire Line 35 Domestic Water 57 0 .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 75 77 0 WO # WO # WO# Private 0 Private 0 0...Grease Interceptor ❑... Channelization 0...Trench Excavation 0... Utility Undergrounding (2) " WO # (3) " WO # (2) " WO # (3) " WO # 0 .. Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water 0 .. Sewer Monthly Service Billing to: Number of Public Fire Hydrant(s) 0 .. Sewage Treatment Name: Mailing Address: Day Telephone: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-I2.docx Revised: February2012 bh Page 3 of 4 PERMIT APPLICATION NOTES° 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 PermitCenter 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 or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). 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. BUILDING OWN R O$�AUTHORIZED AGENT: Signature: f ((�w��'',,��^^-- Print Name: I - exo l, Mailing Address: 1444 J _ `t11iy KCi S H:\Applicationaorms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Date: b 12 Z /201'1 Day Telephone: apt --Llb -4‘ 1 ukw‘ \N 981 b4 City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila Receipt: Number DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK ; PAID $521.01 D17-0231 Address: 12844 MILITARY RD S Apn: 1623049001 $521.01 DEVELOPMENT $496.41 PERMIT FEE R000.322.100.00.00 0.00 $491.91 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $24.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12473 R000.322.900.04.00 0.00 .' $24.60 $521.01 Date Paid: Tuesday, October 03, 2017 Paid By: CASCADE BEHAVIORAL HOSPITAL Pay Method: CHECK 165009589 Printed: Tuesday, October 03, 2017 3:20 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $329.33 D17-0231 Address: 12844 MILITARY RD S Apn: 1623049001 $329.33 Credit Card Fee $9.59 Credit Card Fee R000.369.908.00.00 0.00 $9.59 DEVELOPMENT $319.74 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R12217 R000.345.830.00.00 0.00 $319.74 $329.33 Date Paid: Monday, August 28, 2017 Paid By: TODD BRANSON Pay Method: CREDIT CARD 052545 Printed: Monday, August 28, 2017 3:27 PM 1 of 1 criWSYSTEMS 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 b'7- 3/ Project: ("/A DO hMV/ LPO Type of Inspection: 4610-77#6.->~1JY4'L Addresss::Ll� 12$14 /VI(y kDD'Si Oate Called: Special Instructions: Date Wanted: 2'15'47 a.m., p.m. Requester: G Phone No: ilii r ry roar Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: AAP Pie 03,4)°W77f' fit/Sik,--7/04) P -c 'n4 kr,4-s P_g:RibRMED., G 4br ilii r ry Dk-p7 DA. Mlle --4-/ s 81' /Nr - '.� cox,qn'GZ, Inspector: Date: /2.-/5-1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PLANNING APPROVED • No changes can be made. to these plans without approval from the Planning Division of OCD Approved By: NA Pa lisele' Date: REVISIONS No chances shall be rnacie to the scope of work without prior approval of Tuk v la Building Division. IOTE: Revisions will require a new plan submittal p and may include additional plan review fees. $ FILE COPY Permit No. t rl-- 0)2b 1 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Copy and conditions is acknowledged: By Date: l 10/ 3 /')c\--1 City of Tukwila BUILDING DIVISION bc7 0231 SEPARATE PERMIT REQUIRED FOR: i ?echanical Electrical Plumbing f! as Piping City of Tukwila E•0_,DING DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED SEP 18 2017 City of Tukwila BUILDING DI'VISI.ON_ RECEIVED CITY OF TUKWILA AUG 2 8 2011 PERMIT CENTER 1 c co 0 v < N...) w z U w J Z CC W Q 111 J m LU WW U� Z� W F U O 0 SUBMITTED © 1991 MMI Produ 1=�lalal1 i:h I 4 tis ICr 1.1 Int r j) 3 •o � a1 c c C g.c i 'C iN •� OC A 1, u oD u 6 n rn fd e • tv a t c � 'G ,_ Yl }{fry�j s ` V Z y v 5 A C y 127830.87 181359.27 Feet 113 C. df. 11011 I�' F...i•.1101J SEr `3 267 utcwi3s U4� C OIV?SIO 1VED KWILA 2011 ENTER : t1 AJsCWmap1-2016 - ArcMap 127583134 151543.6 Feet 0. 4.1 r=0 1 L • 110 ,,,„ \ ' • \,.,f H: \ ci \ • •,....---___ \,.... --- ,.....,- •=7: 4 Ti 1 -JE 0 r-- ›A.M w 0 co c\i , . --.-.-;--- - ' - .- 1 • 1,-47;,,.. 7:.:,...,,-...._ ' ....i..i.':,t,'-4:,-:,:.t.H4.t.i.ii1:;,,--.r-i4v4-i-zz:.-;:-.-zt,-.,,,-,- -,,--.---7--•---Ir• - • - __....' .....,.......,.......„ - - - - '. • : - ".::4-...,4i- t4.-_,...,: .,',..:..t.,:,,,,,fr.-.5,... .it-..--.--‘...:/,',,:-. • Cascade Behavioral Health 12844 Military Rd. S 2 '7! • • • \ . \ ' ' 1 • 1,-11 140 • - t Tukwila, WA 98168 r--\\ .,....• ', 4\ `t• \ V\ '1 \ ‘...;t .. k„ • '\ , 1.- \ : a , a ‘ 1 • ••••.- • -, \ • 1 *; ,...\ -:::,,-,,„ - • •.,........ "-.1" 7.' • .--.'•7/. • , \ \ ' t ...I . i • j ...t.t . - ,11 ,*--;rat77 -,^A?".i • :,• ./ e a c cli * . ... IA . -i' 8 g • . -... '''.. • • ''.,\ . . '1 , , . , --r.s. • • ... _ - . . 1, ..,,, \ . \ \-,:ili‘Ii:\ tA `k. It \ 't \9.',.': ' (17--. 1;--7.--1 1=7;2, . • ' i -t- . L .: . i .. : 1, r---- . \ , ,-,.. , .-*,---.,11—,-- , • 7-1,:-: 0 0 • 8 8 'LA 1 r ' \ I \ • .L._"r . .8 /7/ 1 • ' 1 -1 • I-. t. • • .1'. • • - • .---.- • . k. 1, 1\ • • V. • . . t:r 0 RMIT CENTER ea,1111•0 --•••• C:1 3 c -t-ts af PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0231 DATE: 08/28/17 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY RD S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: 4-w'C -_ 7 Building Division [ �� -7s Ay/4-• 0? --f r� Public Works AA �P Fire Prevention Structural Planning Division Permit Coordinator 41 PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 08/29/17 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09/26/17 Approved Corrections Required ❑ Approved with Conditions ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 SECOMA FENCE INC Washington State Department of. Labor & Industries 0 0 Nome Espanol Contact [Search L8I Safety & Health Claims & Insurance index Help Page 1 of 2 h'Iy 1_,81 Workplace Rights Trades & Licensing SECOMA FENCE INC Owner or tradesperson HAGBERG, NATAHAN LOWELL Principals HAGBERG, NATAHAN LOWELL, PRESIDENT HAGBERG, SONIE MICHELLE, VICE PRESIDENT JENNINGS, ROSWELL D (End: 01/01/1980) JENNINGS, VIVIENNE F (End: 01/01/1980) SKARICH, ARLYN JEANNE, PRESIDENT (End: 05/07/2013) SKARICH, GEORGE JOSEPH, VICE PRESIDENT (End: 05/07/2013) SKARICH, GLENN JAMES, VICE PRESIDENT (End: 05/07/2013) WA UBI No. 600 140 792 7720 Pacific Hwy E MILTON, WA 98354 253-926-8600 PIERCE County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties FENCING License no, SECOMFI176BJ Effective — expiration 01/11/1983— 02/19/2019 Bond • .._............ Travelers Cas and Surety Co of America Bond account no. 106496863 $6,000.00 Received by L&I Effective date 04/21/2016 05/10/2016 Expiration date Until Canceled Bond history Insurance Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600140792&LIC=SECOMFI 176BJ&SAW= 10/3/2017